Nursing

Assignment: Ethical Concerns in Healthcare
Assignment: Ethical Concerns in Healthcare
Week 11 assignment
Assignment: Ethical Concerns
As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?
In this Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.
Scenario 1:
The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.
Scenario 2:
A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.
Scenario 3:
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.
Scenario 4:
A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.
Scenario 5:
A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days.
Scenario 6:
A 12-year-old girl has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.
Scenario 7:
A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home.
To prepare:
Select one scenarios, and reflect on the material presented throughout this course.
What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
To complete:
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature.
By Day 6
Post the explanation of the health assessment information required for a diagnosis of your selected patients (include the scenario numbers). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your responses.
Read a selection of your colleagues’ responses.

Cultural Aspects of Healthcare
Cultural Aspects of Healthcare
Week 5 discussion
For this assignment, you will post your initial response to the Discussion Area by the due date assigned.
To support your work, use your course and text readings and articles from the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources for your responses to other classmates. Complete your participation for this assignment by the end of the week.
Clinical Research and EBP
You will identify if clinical research is the same as EBP or consider the obstacles to nursing research in a clinical environment.
Using the South University Online Library find research articles on clinical research and EBP.
Based on your research, respond to one of the following discussion questions:
Discussion Question 1
How does your facility incorporate EBP in a clinical setting to promote patient outcomes? Do you have recommendations on how your facility can improve its use of EBP?
Discussion Question 2
How can you use EBP in your practice? Discuss some impediments to creating a program of nursing research in your clinical environment.
Identify and discuss strategies for promoting EBP in your practice.
Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.
Week 2 project
The focus of this week’s assignment is identifying research components. You will be responsible for reviewing two articles (listed below) and completing the following tasks for each one:
Summarize each article utilizing the Week 2 research template.
Identify and describe the problem, purpose, and hypothesis or research questions of each study.
Analyze and discuss the significance of the research to nursing practice.
Identify two details to support the research as qualitative or quantitative.
NOTE: If a component is absent, student receives a zero for that component.
Cite all sources in APA format.
Submission Details
Name your document SU_NSG3029_W2_Project_LastName_FirstInitial.doc.
Submit your template to the Submissions Area by the due date assigned.
Article Assignments
Students with the last name beginning with A-L
Bortz, A., Ashkenazi, T., & Melnikov, S. (2015). Spirituality as a predictive factor for signing an organ donor card. Journal of Nursing Scholarship, 47(1), 25-33. doi: 10.1111/jnu.12107
Dinkel, S., & Schmidt, K. (2015). Health education needs of incarcerated women. Journal of Nursing Scholarship, 46(4), 229-234. doi: 10.1111/jnu.1207
Students with the last name beginning with M-Z
Park, M., Cho, S., & Hong, H. (2015). Prevalence and perpetrators of workplace violence by nursing unit and the relationship between violence and the perceived work environment. Journal of Nursing Scholarship, 47(1), 87-95. doi: 10.1111/jnu.12112
Turk, M., Fapohunda, A., & Zoucha, R. (2015). Using photovoice to explore Nigerian immigrants’ eating and physical activity in the United States. Journal of Nursing Scholarship, 47(1), 16-24. doi: 10.1111/jnu.12105
Week 4 project
Identifying Research Components
Use the Week 4 research template to complete the following assignment tasks.
Choose the assigned research articles from W2 Project. Describe the sample with demographics, data collection process, and identification of variables; sampling design; instruments, tools, or surveys.
Summarized the discussion about the validity and reliability of the instruments, tools, or surveys.
Discussed legal/ethical concerns.
NOTE: If a component is absent, student receives a zero for that component.
Submission Details
Cite all sources in APA format.
Name your document SU_NSG3029_W4_Project_LastName_FirstInitial.doc.
Submit your template to the Submissions Area by the due date assigned.
Week 5 project
Select a nursing research article from the list below that includes a theoretical or conceptual framework and the exploration of a clinical problem. Identify the nursing research article components using the Week 5 research template.
(All articles are available in the South University Online Library.)
Emotional Work and Diversity in Clinical Placements of Nursing Students
Nurses’ Preparedness and Perceived Competence in Managing Disasters
The Lived Experiences of People with Chronic Obstructive Pulmonary Disease: A Phenomenological Study
Effects of Multivitamin Supplements on Cognitive Function, Serum Homocysteine Level, and Depression of Korean Older Adults with Mild Cognitive Impairment in Care Facilities
The template will be evaluated on the effectiveness of the discussion of the following components. If a component is not present in the article, its absence should be discussed.
Identify the research problem.
Identify the research purpose.
Summarize the review of literature.
Identify the nursing framework or theoretical perspective.
Identify the research questions and hypotheses.
Identify the variables.
Identify and discuss the appropriateness of the design.
Discusses the validity and reliability of the instruments, tools, or surveys.
Discuss the significance of the study. Did it resolve the question?
Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.
Describe any cultural aspects of the study.
Describe the final sample.
Describe the procedures for data collection.
Summarize the results including statistical analysis used or other method of analysis.
Describe how the results of the research may impact future nursing practice.
Apply the research to the student’s nursing practice.
NOTE: If a component is absent, student receives a zero for that component.
Submission Details:
Cite any resources in APA style and include a copy of the article with the submission.
By the due date assigned, submit your template to the Submissions Area.
Cultural Aspects of Healthcare

Discussion: Number & Mix of Patients
Discussion: Number & Mix of Patients
Discussion: Number & Mix of Patients
Week 6 assignment Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using this template . The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Submissions Area. When submitting your note, be sure to include the reference number from CORE. Submission Details: By the due date assigend enter your patient encounters into CORE and complete at least one SOAP note in the template provided. Name your SOAP note document SU_NSG6340_W6_SOAPLastName_FirstInitial.doc. Include the reference number from CORE in your document. Submit your document to the Submissions Area by the due date assigned.
These differences in patient mix, practice style, and proportion of practice devoted to specialty medicine may help explain some or all of the cost differentials between family physicians and general internists.
For example, Medicare claims may not include many factors that influence the cost of medical care, including specialty location, patient mix, other demographics, and practice costs.
The survey is conducted between 2 and 42 days after discharge using one of four approved survey modes: mail only, telephone only, mail with telephone follow-up of nonrespondents, and active Interactive Voice Response; scores are adjusted for survey mode and patient mix (also known as case mix) (Elliott et al.
I suspect my short-list approach to coding creates the impression that my patient mix is of low complexity.
Perhaps more importantly at this time, many hospitalists are subsidized by a health plan or the hospital where they work because their patient mix tends to include a high proportion of uninsured people.
Table 3: Estimated Revenue Budget and Reimbursement Rates Source Visits Patient Mix Reimbursement Rate Medicaid 10,690 40% $65 Medicare 5,345 20% $62 Third Party Insurance 2,672 10% $45 Self-Pay 8,017 30% $35 Total 26,724 100%
Lastly, rather than traditional physician practices which served a median of 7% self-pay and 0.1% charity care and professional courtesy care patients in 2001 (MGMA, 2002a), federal Community Health Centers (CHCs) have a more similar patient mix(Forrest & Whelan, 2000; McAlearney, 2002) and would be a better comparison group for ANMC.
* As you abide by an admissions policy aimed at ensuring the optimal blend of targeted patient mix available in your marketplace, you can allow the facility to operate uninterruptedly at a high occupancy rate.
* Achieving (within a range) estimates of service utilization for a particular physician or practice site based on an actuarial analysis of the physician’s patient mix using the variables of sex, age, and severity of illness.
Bradley and Gehlbach[12] reported on the involvement of the Duke-Watts family medicine program with two prepaid plans in 1983-1984, and the resultant changes in the clinic’s patient mix, clinical practice profile, financial, status, and educational programs.
With risk adjustment, differences in patient mix across hospitals can be taken into account such that hospitals caring for sicker patients are not unfairly penalized for their higher admission rates.
So if you’re going to put out how many knee surgeries someone is doing or how many Mohs surgeries someone is doing and you’re just basing it on one payer, depending on somebody’s patient mix you could miss the vast majority of what they’re doing,” Dr.

Case: Patient Care Taking Assessment
Case: Patient Care Taking Assessment
Week 7 assignment 1
Assignment: Practicum – Week 7 SOAP Note
Select a geriatric patient that you examined during the last 4 weeks. The patient you select should be currently taking at least five prescription and/or over-the-counter drugs. With this patient in mind, address the following in a SOAP Note:
Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding his or her personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the Beers Criteria and consider alternative drugs if appropriate.
Objective: What observations did you make during the physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from top priority to least priority.
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies? What is your care plan for the patient? How would you offer caregiver support?
Reflection notes: What would you do differently in a similar patient evaluation? How might you improve your assessment, diagnosis, and/or plan through interprofessional collaboration?
Refer to the Week 3 Learning Resources for guidance on writing SOAP Notes.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 7 SOAP Note along with your Journal Entries (from Weeks 5 and 6) by Day 7 of Week 7 (this week).
Note: Be sure to submit your Assignment to the appropriate submission link below.
Submissions should match the following:
Week 7 SOAP Note: Submit to the Week 7 Assignment – Part 1 submission link.
Weeks 5 and 6 Journal Entry: Submit to the Week 7 Assignment – Part 2 submission link.
For the Journal Entries—which are assessed with a Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0 points and the “S” or “U” will be posted in the Feedback area by your Instructor. These scores of 0 points do not affect your grade; they simply allow for a placeholder to place the “S” or “U” scoring. This concept also applies to Weeks 4 and 10.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: WK7AssgnPX+lastname+first initial.
Click the Assignment Week 7 – Part X link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7AssgnPX+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.

Imaging Standards in Healthcare Informatics
Imaging Standards in Healthcare Informatics
Week 4 discussion
DQ1 Discuss the need for imaging standards in healthcare informatics. Utilize assigned reading and resources from this week to support your post.
DQ2 COLLAPSE
Visit the following website and review the PowerPoint presentation. Then, discuss one of the sections of the CCR presented. Incorporate course resources to enhance your discussion on the topic.
https://www.hl7.org/documentcenter/public_temp_DC462D64-1C23-BA17-0C80B6292410A5DF/calendarofevents/himss/2004/presentations/ContinuityofCareRecord.pdf
Week 1 MS Access (or OpenOffice Base for MAC users): Relational Database
PC Users:
Install Microsoft Access if you don’t already have it (available through your student Microsoft 365 account).
Complete the related MS Access training tutorials located in the Assignment Resources below.
Create a simple relational database using information provided in a data set.
You may use one of the student files for chapter 3 provided in the Doc Sharing blog (Access files end in .mdb), a data set from https://www.data.gov/ or a data set you already have of your own.
Submit a screenshot of your completed database along with your relational database file for grading.
Mac Users:
Download and install OpenOffice Base from the following link: http://www.openoffice.org/product/base.html
View the OpenOffice Base videos located in the Assignment Resources below.
Create a simple relational database using information provided in a data set.
You can find a data set from https://www.data.gov/ or use a data set you already have of your own.
Submit a screenshot of your completed database along with your relational database file for grading.
Week 2 MS Access (or OpenOffice Base for MAC Users): Relational Database Query
PC Users:
Complete the related MS Access query training tutorials located in the Assignment Resources below.
Using the relational database created during the first week, run a query to receive meaningful data output (e.g., running a query to filter patients with a specific diagnosis).
Submit a screenshot and your query results for grading.
Mac Users:
Watch the OpenOffice Base Creating Queries video located in the Assignment Resources below.
Using the relational database created during the first week, run a query to receive meaningful data output (e.g., running a query to filter patients with a specific diagnosis).
Submit a screenshot and your query results for grading.
Week 3 Big Data Use Paper
Research a health-related business that collects big data and explain the following in a two-page paper in APA format:
Give a brief overview of big data.
How do the topics learned in this class relate to big data in health care?
In the use case of the business you researched, what kind of data is collected and what are the advantages of collecting this type of data?
Include 2–3 scholarly resources in APA format. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.
Week 4 XML Overview Paper and Sample XML Document
Discuss the following in a two-page paper in APA format:
What is XML?
Why use XML?
Create a simple XML document for one of the following:
Patient demographics
Patient allergies
Patient vital signs
Patient serum hemoglobin result
Include 2–3 scholarly resources in APA format. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.
Week 5 Data Mining Software Exercise
This assignment gives you the opportunity to demonstrate your ability to use data mining software.
Download the program RapidMiner (available for Windows or MAC IOS 10.8+) from: https://rapidminer.com/ and register using your WCU student email. (After the 15-day free trial, you can register for a free education license if you’d like. You’ll receive an email from RapidMiner with instructions.)
When you open the program for the first time, tutorials will automatically come up on the left side of the platform’s screen. If you lose this window, click on the file folder icon a the top and choose the Learn option to get it back.
Complete each tutorial within the program and take a screenshot of the results as you finish each one. (list of tutorials provided below)
After you finish the tutorials, submit your screenshots for grading.
Basics
Operators and Processes
Modeling
Accessing Data
Filtering and Sorting
Merging and Grouping
Creating and Removing Columns
Changing Types and Roles
More Modeling
Data Handling
Handle Missing Values
Normalization and Outlier Detection
Pivoting and Renaming
Macros and Sampling
Looping, Branching, and Appending
Writing Data
Modeling, Scoring and Validation
Modeling
Scoring
Test Splits and Validation
Cross Validation
Visual Model Comparison
RapidMiner Server
RapidMiner Radoop
See Assignment Resources below for further RapidMiner support videos.
Week 6 EHR Data Mining Challenges Paper
Discuss the challenges faced by EHR data mining in a two-page paper in APA format. Make sure to include the following:
What is the potential of healthcare data mining?
How can it benefit or improve patient outcomes?
Include 2–3 scholarly resources in APA format. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.
Week 7 Demonstration of Use of Data Visualization Software
Download a free version of Tableau Desktop for Students (available for Windows PC and MAC OS) at:
https://www.tableau.com/academic/students#product-video Click for more options
View the links listed in the Assignment Resources listed below to learn about Tableau.
Choose a health-related data set from one of the links in the Assignment Resources below.
Follow all eight of the Tableau tutorial steps at the following link to create a meaningful data story from your inputted data set.
http://onlinehelp.tableau.com/current/guides/get-started-tutorial/en-us/get-started-tutorial-home.html
Share your final work in Tableau Public and submit the link along with the link to the data set you used (upload both with the file to Blackboard).
Week 8 Final Data Project
Write a four- to five-page paper that demonstrates comprehension of data mining and data visualization.
Complete the following using a data set from https://www.healthdata.gov/ Click for more options
Clean and prepare the data.
Use any data mining model to extract meaningful data.
Create two data visualizations in Tableau that show data in a meaningful way without information overload.
Explain your data set and describe your data mining model and data visualization technique (two-page maximum).
Submit your data files, links to your visualizations, and your written assignment.
Include the URL of the data set that you downloaded.
Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.

Process of Budget Development
Process of Budget Development
The Budget Development Assignment must be submitted by Sunday, 11:59 p.m. MT at the end of Week 5. The guidelines and grading rubric are located below and in the Course Resources.
Purpose
The purposes of this assignment are to (a) identify and articulate key concepts of budget-development strategies for your cardiac unit at Saint Louis Medical Center (SLMC), which includes evaluating variance analyses as they apply to nursing budgets within healthcare organizations; (b) formulate a revenue-and-expense budget for a nursing unit within a healthcare organization; and (c) communicate the information in a clear, succinct, and scholarly manner.
Requirements:
This paper will be graded on quality of information, use of citations, use of standard English grammar, sentence structure, and organization, based on the required components.
Create this assignment using Microsoft Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as an MS Word document because it will end in .docx.
Submit the paper to the appropriate CCN Dropbox by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
The length of the paper is to be no greater than three pages, excluding title page and reference page. Extra pages will not be read by the instructor and will not count toward your grade.
APA format (6th edition) is required in this assignment, including a title page and a reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See the APA manual for details. See the resource in Doc Sharing called Guidelines for Writing Professional Papers. Use the suggested format and headings to organize your assignment:
Include an introduction (do not label it as a heading in APA format)
Identify steps to develop a budget
Analysis of sample budget development
Strategies to improve budget development
Supporting evidence
Conclusion
Preparing the paper
As the nurse executive of a healthcare organization, you were provided a sample budget for the cardiac unit at SLMC. You must analyze the proposed budget and make recommendations to improve the development of the budget. Evidence will be used to support your strategies.
Note: Use the resources in Doc Sharing related to SLMC to assist in completion of this assignment; Week 5 Budget Development Background Information and SLMC information as needed.
Clearly introduce your budget-development assignment in the introduction paragraph, including a sentence that states the purpose of your paper.
Clearly articulate the steps you would take, as the nurse executive, to develop a budget for your cardiac unit at SLMC.
Clearly analyze the proposed sample budget developed for the cardiac unit at SLMC.
Clearly articulate your strategies to improve the budget development for the cardiac unit at SLMC.
Include of a minimum of three sources of scholarly, empirical evidence that support your budget strategies.
Provide conclusion statements for your overall assignment content.
The paper will be a length of three pages maximum, excluding title and reference page(s).
Note: If you go over the paper length, the information will not be graded by the instructor.
Title and reference page(s) must be in APA format (6th edition).
Use 12-point Times New Roman font and one-inch margins on all sides of the paper.

Assignment: Discussion on Scientific Literature.
Assignment: Discussion on Scientific Literature.
Assignment: Discussion on Scientific Literature.
Week 3 discussion Current Event This week we will explore current events related to epidemiology. You will present a scientific article to the class. Please focus on interpreting the research question, methodology, results, and conclusions from a sample of peer-reviewed scientific literature. Please be sure the article is related to epidemiology, summarizing its contents for the class, and providing a succinct written summary. Current events must have been published within the last six months. Written summaries should include: State the objectives of the study Summarize the study design and findings Provide a reference of the article Provide your opinion on how the “average” reader will respond to the article. Will the article influence decision making or thinking? Does the article leave out any important information?
Scientific literature comprises scholarly that report original and work in the and , and within an academic field, often abbreviated as the literature. is the process of contributing the results of one’s into the literature, which often requires a peer-review process. Original published for the first time in is called the . Patents and , for minor research results and engineering and design work (including computer software), can also be considered primary literature. include review articles (which summarize the findings of published studies to highlight advances and new lines of research) and (for large projects or broad arguments, including compilations of articles). might include and similar works intended for broad public consumption.

Assignment: Electronic Health Record
Assignment: Electronic Health Record
Assignment: Electronic Health Record
Week 4 Selling Your System Presentation Imagine that you are a project manager at an electronic health record company that has recently bought their competitor. You are going into a facility that has been using the old competitor’s system and you will be in charge of discussing the effects of upgrading or changing EHR systems. Using the course materials and a minimum of two outside resources, discuss the implications of upgrading or changing to a different EHR. Include the process, the people involved, and the training needed, as well as the positive and negative outcomes that may occur during transition. Keep in mind that you work for the EHR company, and you need to focus on selling the new system to the facility. Use the Kaltura recording tool to create your presentation. It should be no more than five minutes in duration and should include audio with your integrated PowerPoint. Please see the Getting Started with Kaltura link in the main menu if you need to review how to use the recording tool.
An electronic health record (EHR) is the systematized collection of patient and population electronically-stored health information in a digital format. These records can be shared across different settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including , medical history, medication and allergies, status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.
A decade ago, electronic health records (EHRs) were touted as key to increasing of quality care. Today, providers are using data from patient records to improve quality outcomes through their care management programs. Combining multiple types of clinical data from the system’s health records has helped clinicians identify and stratify chronically ill patients. EHR can improve quality care by using the data and analytics to prevent hospitalizations among high-risk patients.
EHR systems are designed to store data accurately and to capture the state of a patient across time. It eliminates the need to track down a patient’s previous paper medical records and assists in ensuring data is accurate and legible. It can reduce risk of data replication as there is only one modifiable file, which means the file is more likely up to date, and decreases risk of lost paperwork. Due to the digital information being searchable and in a single file, EMRs (electronic medical record) are more effective when extracting medical data for the examination of possible trends and long term changes in a patient. Population-based studies of medical records may also be facilitated by the widespread adoption of EHRs and EMRs.

Discussion: Rapid Critical Appraisal
Discussion: Rapid Critical Appraisal
Discussion: Rapid Critical Appraisal
Week 5 discussion We will be reviewing a “keeper study” this week—evaluate an article by working through the following 7 question Again, keeper studies can be identified using handy Rapid Critical Appraisal checklists consisting of a set of simple but important questions. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it’s important to note that qualitative evidence, if it’s relevant to the clinical question, should not be dismissed): Why was the study done? Make sure the study is directly relevant to the clinical question. What is the sample size? Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial. The answer to this question alone should not remove a study from the appraisal process. Are instruments of the variables in the study clearly defined and reliable? Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure. How was the data analyzed? Make sure that any statistics are relevant to the clinical question. Were there any unusual events during the study? If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study. How do the results fit in with previous research in this area? Make sure the study builds on other studies of a similar nature. What are the implications of the research for clinical practice? Ask whether the study addresses a relevant and important clinical issue. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer.

Discussion: Plan for Clinical Decision
Discussion: Plan for Clinical Decision
Discussion: Plan for Clinical Decision
Week 2 Strategic Plan for Clinical Decision Support Implementation Paper Building on the activity you have just completed, create a two- to three-page strategic plan (paper) using APA format and a minimum of three scholarly sources. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years. Please include the following information in your plan (organize using headings): The approach you would take to ensure all aspects of patient care are considered Define and describe a minimum of five CDS supports you would include How you would prioritize the efforts Potential areas to focus on that are related to payment rates, national quality measures, CDS interventions that meet meaningful use requirements, readmissions for congestive heart failure and other care events, and areas identified as institutional priorities for clinical improvement How you would balance the need to deliver the CDS capabilities quickly against the benefit of establishing a robust infrastructure Identify one area for quality and improvement and what CDS strategies you would implement to improve that area Define how your approach aligns with best practices such as CDS Five Rights, CDS 10 commandments, and the desire to use standards-based scalable approaches Include how you will systematically measure the effect of the CDS interventions
A clinical decision support system (CDSS) is an application that analyzes data to help healthcare providers make decisions and improve patient care. It is a variation of the decision support system () commonly used to support business management. A CDSS focuses on using knowledge management to get clinical advice based on multiple factors of patient-related data. Clinical decision support systems enable integrated workflows, provide assistance at the time of care and offer care plan recommendations.
When using clinical decision support systems, may be conducted to examine a patient’s medical history in conjunction with relevant clinical research. Such analysis can then help predict potential events, such as drug interactions, or flag disease symptoms.
Purpose of CDSS
The purpose of a clinical decision support system is to assist healthcare providers, enabling an analysis of patient data and using that information to aid in formulating a diagnosis. A CDSS offers information to clinicians and primary care providers to improve the quality of the care their patients receive.
CDSS tools can, for example, offer reminders for preventive care, give alerts about potentially dangerous drug interactions and alert clinicians to possible redundant testing their patient has been scheduled to undergo. As such, using a CDSS can lower costs and increase efficiency.
Some providers deploy a CDSS to flag patients who were improperly diagnosed or either missed or was given the wrong dosage of medication. These errors are added to problem lists and are included in population health management () reports that can serve as the basis for improvement initiatives.
Why healthcare professionals use a CDSS
Clinicians use a CDSS to diagnose and improve care by eliminating unnecessary testing, enhancing patient safety and avoiding potentially dangerous and costly complications.
The use of clinical decision support systems increased after passage of the (Health Information Technology for Economic and Clinical Health Act), which stipulated that providers had to demonstrate the of by 2015 or face a reduction in Medicare reimbursements the following year.