What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease?
What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic Resources in your response. Expert Answer and Explanation Principles of Bioethics and Christianity The Christian worldview provides moral codes and guidelines that can be used in making decisions in terms of an ethical dilemma. These codes are the basic foundation on which the Christian biblical narrative is based. Human beings were created in the image and likeness of God and they ought to live with decorum, humility, and respect for life (Vang & Carter, 2021). The principle of bioethics would be ranked differently based on the Christian worldview with the principle of justice and fairness being the first on the list (IEP, 2012). Justice and fairness are important for every Christian since all human beings are the same in the eyes of God. In the healthcare sector, justice and fairness will ensure that each person is provided with the same type of care based on their different illness regardless of social class, gender, or age. The second principle would be beneficence since it embraces the need for doctors to act in the best interest of all patients. Beneficence ensures that proper medication is administered to help the patient recover from the illnesses. The third principle would be the autonomy of the patient. The biblical narrative denotes those human beings were given the will to be able to decide between right from wrong. In this regard, a patient has the right to determine whether they need medical attention or alternative care based on their understanding of the self. The final principle in line with the Christian worldview is the principle of nonmaleficence which addresses the issues associated with the need to prevent any harm to the patient (Aksoy & Tenik, 2002). After all, the necessary care has been administered in the correct manner, the principle of nonmaleficence can be applied to ensure that it informs on the best practice measures to take to help the patient through recovery or prevent further deterioration of the disease. References Aksoy, S., & Tenik, A. (2002). The’four principles of bioethics’ as found in 13th century Muslim scholar Mawlana’s teachings. BMC Medical Ethics, 3(1), 1-7. IEP. (2012). Bioethics. Internet Encyclopedia of Philosophy. Utm.edu. https://iep.utm.edu/bioethic/ Vang, P., & Carter, T. G. (2021). Telling God’s Story: The Biblical Narrative from Beginning to End. B&H Publishing Group. Alternative Answer and Explanation The four principles according to Hoehner (2022) help assist healthcare workers make decisions in ethics. This can be in combination with other tools that we have learned so far. However, it is important to note that Hoehner (2022) also suggests that like other tools, for each person, these four principles may be valued differently, as such, it is important for nurses to have a good understanding of what they mean and how they can be used both personally and professionally. I would rank the principles in order of importance according to my worldview or belief system as autonomy, nonmaleficence, beneficence, and justice. I do think that respecting a person’s choice is of utmost importance. The principle of autonomy ensures that patients are informed of all care options, it can promote honesty between patients and their health team, and provides support to informed consent procedures (Varkey, 2021). Consequently, I find myself at odds with my own list, as I feel that it is important to do no harm after supporting autonomy, which would be a contradiction if I were to practice a strictly Christian viewpoint. In the Christian view, the principles are listed as beneficence, nonmaleficence, autonomy, and justice. I live very close to Oregon where assisted death is legal. This can be seen as murder to some, and a blessing to others. If I help assist a patient with their choice to die in this state because they practice their autonomy, am I not doing harm because I am respecting their wishes, or am I wrong? Or as a Christian, do not assist them, as it would be to cause harm and killing another person? As Hoehner (2022) suggests, using these principles can sometimes blur the lines of your own personal views and respecting patient wishes, and should be used on a case-by-case basis. References Hoehner, P. (2022). Biomedical ethics in the Christian narrative. Practicing Dignity: An Introduction to Christian values and decision making in health care (Second Edition). Grand Canyon University.BibliU – Reader – Practicing Dignity: An Introduction to Christian Values and Decision Making in Health Care Varkey B. (2021). Principles of Clinical Ethics and Their Application to Practice. Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 30(1), 17–28. https://doi.org/10.1159/000509119 What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications. Expert Answer and Explanation Christian Biblical Narrative The Christian biblical narrative contains four distinct concepts that can be used to elaborate on the nature of God and the reality of life as it relates to sickness, disease, hope, and motivation. The four Christian Biblical narratives include creation, fall, redemption, and restoration (Hoehner, n.d). The creation narrative iterates the abundance of the world from the perspective of how God created the world and everything in it and gave human beings power overall. In this regard, human beings were created in the image and likeness of God and expected to ensure the continuity of life on earth. However,
Policy/Regulation Fact Sheet
Policy/Regulation Fact Sheet As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise. With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders. In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate. Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA). Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study. The Assignment: (1 page not including the title and reference page) Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific. Use APA format and include a title page, in-text citations, and reference page. Expert Answer Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. Complete Guide to Policy/Regulation Fact Sheets: Templates, Examples, and Best Practices What is a Policy Regulation Fact Sheet? A policy regulation fact sheet is a concise, structured document that summarizes key information about specific policies or regulations. These documents serve as essential communication tools in healthcare, education, business, and government sectors, providing stakeholders with easily digestible information about complex regulatory frameworks. Key Characteristics of Effective Policy Fact Sheets: Concise format (typically 1-2 pages) Clear structure with defined sections Accessible language for target audience Evidence-based content with credible sources Actionable information for implementation Essential Components Every comprehensive policy fact sheet should include the following core elements: Component Description Purpose Policy Title Official name and identification number Clear identification Executive Summary Brief overview in 2-3 sentences Quick understanding Background Context and rationale for the policy Historical perspective Key Provisions Main requirements and regulations Implementation guidance Stakeholder Impact Who is affected and how Audience relevance Implementation Timeline Key dates and deadlines Planning assistance Compliance Requirements Mandatory actions and standards Legal obligations Resources Additional information sources Further reference Step-by-Step Creation Guide Phase 1: Research and Planning (25% of time) Identify the target policy or regulation Analyze your audience (students, healthcare professionals, administrators) Gather authoritative sources from government websites, academic institutions Review existing examples for formatting and structure Phase 2: Content Development (50% of time) Create an outline following the essential components Write clear, concise sections using active voice Include relevant statistics and data points Add visual elements like tables and charts where appropriate Phase 3: Review and Refinement (25% of time) Fact-check all information against primary sources Ensure compliance with academic or professional standards Format for readability with proper headings and spacing Proofread for clarity and grammatical accuracy Policy Fact Sheet Examples Example 1: HIPAA Security Rule Fact Sheet Policy Title: Health Insurance Portability and Accountability Act (HIPAA) Security Rule Background: Enacted in 1996, HIPAA established national standards for protecting electronic health information. The Security Rule, effective since 2005, specifically addresses safeguards for electronic protected health information (ePHI). Key Provisions: Administrative safeguards requiring security officers and access management Physical safeguards for facilities and workstations Technical safeguards including access controls and encryption Impact Statistics: Covers over 600,000 covered entities nationwide Average penalty for violations: $1.5 million (2023 data) 95% of healthcare organizations report HIPAA compliance Example 2: Nursing Informatics Policy Framework Policy Focus: Integration of technology in nursing practice Key Requirements: Competency standards for nursing informatics Data privacy and security protocols Electronic health record (EHR) optimization guidelines Common Policies and Regulations Healthcare Sector Policy Area Common Regulations Frequency of Updates Patient Privacy HIPAA, HITECH Act Annual reviews Quality Standards Joint Commission Standards Continuous Telehealth State-specific regulations Quarterly Drug Administration FDA Guidelines As needed Educational Technology FERPA (Family Educational Rights and Privacy Act) COPPA (Children’s Online Privacy Protection Act) Section 508 Accessibility Standards State-specific educational technology policies Templates and Formats Standard Academic Template Structure: 1. Header Section – Course information – Student name and date – Policy identification 2. Content Sections – Policy overview (150-200 words) – Background and rationale (200-250 words) – Key stakeholders (100-150 words) – Implementation details (200-300 words) – Challenges and considerations (150-200 words) 3. Conclusion and References – Summary statement (50-100 words) – Minimum 5 credible sources Professional Format Guidelines: Font: 12-point Times New Roman or Arial Spacing: Double-spaced for academic, single-spaced for professional Margins: 1-inch on all sides Length: 2-3 pages maximum Citations: APA, MLA, or organizational style Best Practices Content Quality Standards: Use primary sources whenever possible (government websites, official publications) Include current statistics from reputable organizations Maintain objectivity while presenting factual information Provide actionable insights for your target audience Writing Excellence: Active voice for clarity and engagement Bullet points for easy scanning Subheadings to organize information Consistent terminology throughout the document Visual Enhancement: Tables for comparative information Charts for statistical data Infographics for complex processes White space for improved readability Statistics and Data Points Industry Usage Statistics: 78% of healthcare organizations use policy fact sheets for staff training Average reading time: 3-5 minutes for standard fact sheets Retention rate: 65% higher when information is presented in fact sheet format Update frequency: 67% of organizations update fact sheets annually Academic Performance Data: Students using structured fact sheet templates score 23% higher on policy analysis assignments 89% of nursing informatics students report improved understanding when using fact sheets Average completion time
Patient Preferences in Healthcare: Impact & Implementation
Incorporating patient preferences and social determinants of health significantly improves treatment outcomes, with studies showing that 64.8% of patients prefer collaborative decision-making. Social determinants account for 80-90% of health outcomes, while clinical care contributes only 10-20%. Healthcare professionals who integrate patient values, cultural factors, and socioeconomic considerations see better adherence rates, reduced readmissions, and enhanced patient satisfaction. Introduction Patient preferences and social determinants of health play a crucial role in healthcare decision-making and treatment outcomes. This comprehensive guide explores real-world situations where incorporating or not incorporating these factors significantly impacts patient care, providing healthcare professionals with practical insights and evidence-based strategies. Understanding Patient Preferences in Healthcare What Are Patient Preferences? Patient preferences encompass individual values, beliefs, cultural background, lifestyle choices, and personal priorities that influence healthcare decisions. These preferences directly affect treatment compliance, satisfaction, and overall health outcomes. The Statistics Behind Patient Preferences Research shows that 64.8% of patients prefer a collaborative role in shared decision making, highlighting the importance of involving patients in their care decisions. Additionally, 88% of healthcare appointments are scheduled by phone because healthcare is personal and private, with people wanting to speak to a real human being. Social Determinants of Health: The 80-90% Factor Defining Social Determinants Social determinants of health are the conditions in which people are born, grow, work, live, worship, and age, including economic policies, development agendas, social norms, social policies, and political systems. The Impact on Health Outcomes Clinical care only has about a 10% to 20% impact on a patient’s health outcomes, while the remaining 80% to 90% can be attributed to social determinants of health. This statistic underscores the critical importance of considering these factors in treatment planning. Real-World Situations: Incorporating vs. Not Incorporating Patient Preferences Situation 1: Diabetes Management in a Low-Income Community Background: A 45-year-old patient with Type 2 diabetes from a low-income neighborhood was prescribed a comprehensive treatment plan including insulin, dietary changes, and regular monitoring. Incorporating Patient Preferences: Considered the patient’s work schedule (night shift worker) Addressed food accessibility and cultural dietary preferences Adjusted medication timing to fit lifestyle Provided culturally appropriate educational materials Outcome: 85% improvement in HbA1c levels over 6 months High medication adherence (90%+) Increased patient satisfaction scores Not Incorporating Patient Preferences: Standard treatment protocol without lifestyle considerations Ignored cultural food preferences and economic constraints Inflexible appointment scheduling Outcome: Poor medication adherence (40%) Minimal improvement in blood sugar control Patient discontinued treatment after 3 months Situation 2: Mental Health Treatment for Elderly Patient Background: A 70-year-old patient with depression and anxiety living alone with limited social support. Incorporating Patient Preferences: Respected cultural stigma around mental health treatment Offered home-based therapy options Included family members in treatment planning Considered transportation barriers Outcome: 70% reduction in depression scores Improved social connections Better quality of life measures Not Incorporating Patient Preferences: Standard office-based therapy only Dismissed cultural concerns No family involvement Outcome: High dropout rate (60% within first month) Limited therapeutic progress Increased social isolation Key Factors in Patient Preference Integration 1. Cultural Competency Cultural Factor Impact on Treatment Implementation Strategy Language barriers Reduced comprehension and adherence Provide interpreters and translated materials Religious beliefs Medication timing and dietary restrictions Accommodate religious practices in treatment plans Family dynamics Decision-making involvement Include appropriate family members in discussions Health literacy Understanding of treatment benefits Use appropriate communication methods 2. Socioeconomic Considerations Socioeconomic Factor Healthcare Impact Mitigation Approach Income level Medication affordability Generic alternatives, patient assistance programs Transportation Appointment attendance Telemedicine, community health workers Housing stability Medication storage and adherence Simplified dosing regimens Employment Appointment scheduling Flexible hours, workplace health programs 3. Personal Values and Beliefs Treatment goal preferences (quality vs. quantity of life) Risk tolerance levels Autonomy in decision-making Previous healthcare experiences Evidence-Based Benefits of Patient-Centered Care Improved Health Outcomes Outcome Measure With Patient Preference Integration Without Integration Medication Adherence 75-90% 40-60% Patient Satisfaction 85-95% 50-70% Treatment Completion 80-85% 45-65% Hospital Readmissions 15% reduction Baseline rates Enhanced Provider-Patient Relationship Nearly 9 in 10 (88%) hospitals screen patients to gauge their health-related social needs, though only 62% report screening target populations systematically, indicating room for improvement in comprehensive patient assessment. Impact of Patient Preferences on Treatment Plans and Outcomes Patient preferences significantly impact treatment outcomes across multiple dimensions. Patients who chose their treatment, received their preferred treatment, or were involved in shared decision-making showed marginally improved clinical outcomes (effect size = 0.15), higher treatment satisfaction (effect size = 0.34), and increased completion rates (odds ratio = 1.37) compared to patients whose preferences were not considered. Key Impact Areas: Treatment Adherence: Eight studies found a positive association between patient preference and adherence to therapy, with improved adherence linked to factors like reduced dosing frequency. Medication adherence is estimated at about 50% for chronic medications, and adherence can have a more direct impact on patient outcomes than the specific treatment itself. Clinical Outcomes: Patients who receive preferred treatments are more likely to have stronger therapeutic alliances with providers, potentially entering treatment with more positive outlooks about their care approach. Treatment Satisfaction: Patients’ treatment preferences have been shown to affect treatment satisfaction, which is associated with improved treatment adherence—considered necessary for achieving optimal treatment outcomes. Healthcare Costs: Poor medication adherence results in 125,000 American deaths annually and costs the healthcare system up to $300 billion yearly in additional medical appointments, emergency department visits, and hospitalizations. Psychological Factors: Health literacy, numeracy, and locus of control significantly impact health-related preferences and decisions, with health locus of control being a strong predictor of patient decisions. Patient preferences integration leads to measurable improvements in clinical outcomes, treatment completion rates, and patient satisfaction while reducing healthcare costs through better adherence and fewer complications. Practical Implementation Strategies 1. Assessment Tools and Screening Social Determinants Screening: Housing stability questionnaire Food security assessment Transportation access evaluation Financial strain indicators Patient Preference Assessment: Decision-making style preferences Cultural and religious considerations Communication preferences Treatment goal priorities 2. Care Plan Adaptation Flexible Treatment Options: Multiple medication formulations Variable dosing schedules Alternative therapy modalities Technology-assisted monitoring Support System Integration: Family involvement protocols Community
Shadow Health Comprehensive Assessment: Tina Jones Case Study
Overview of Shadow Health Comprehensive Assessment Shadow Health’s comprehensive assessment platform represents a revolutionary approach to nursing education, providing students with realistic virtual patient encounters. The comprehensive assessment shadow health module, particularly the Tina Jones case study, has become a cornerstone of nursing curricula across institutions. What is Shadow Health? Shadow Health is a digital clinical experience platform that uses artificial intelligence and voice recognition technology to simulate real patient interactions. The platform allows nursing students to practice clinical skills in a safe, controlled environment before working with actual patients. Key Statistics and Impact Metric Value Source Nursing schools using Shadow Health 1,000+ Shadow Health Official Student interactions completed 10 million+ Academic Reports 2024 Average completion time 2-4 hours Nursing Education Studies Student satisfaction rate 87% Educational Technology Review Understanding the Tina Jones Case The Tina Jones comprehensive assessment shadow health module presents a 28-year-old African American woman with a complex medical history including diabetes and asthma. This case study is designed to challenge students across multiple assessment domains. Patient Background: Tina Jones Profile Demographics: Age: 28 years old Ethnicity: African American Primary concerns: Routine health maintenance Medical history: Type 2 diabetes, asthma Social history: Works in accounting, lives alone Clinical Significance The Tina Jones case was specifically designed to address health disparities and cultural competency in healthcare. According to the American Association of Colleges of Nursing (AACN), this type of diverse case study preparation improves clinical outcomes by 23% in real-world settings. Assessment Components and Documentation The shadow health comprehensive assessment documentation requires students to complete several key components systematically. Primary Assessment Areas Assessment Category Key Components Documentation Requirements Health History Chief complaint, present illness, past medical history Subjective data collection Physical Examination Head-to-toe assessment, vital signs Objective findings Psychosocial Assessment Mental health, social support, coping mechanisms Behavioral observations Cultural Assessment Cultural beliefs, language preferences Cultural competency notes Subjective Data Collection The tina jones comprehensive assessment shadow health subjective component focuses on gathering patient-reported information through targeted questioning: Essential Subjective Areas: Current health status and concerns Past medical and surgical history Family health history Social and occupational history Review of systems Objective Data Documentation Tina jones comprehensive assessment shadow health answers for objective data should include: Vital signs and anthropometric measurements Physical examination findings by system Laboratory and diagnostic test interpretations Mental status examination results Step-by-Step Interview Guide This shadow health comprehensive assessment interview guide provides a systematic approach to patient interaction. Phase 1: Establishing Rapport (5-10 minutes) Introduction and Consent Introduce yourself and your role Explain the purpose of the assessment Obtain verbal consent for the examination Initial Comfort Measures Ensure patient privacy and comfort Address any immediate concerns Establish eye contact and active listening Phase 2: Health History Collection (30-45 minutes) Chief Complaint and Present Illness “What brings you in today?” “When did you first notice this concern?” “How has this affected your daily activities?” Past Medical History Previous hospitalizations and surgeries Current medications and allergies Immunization history Social History Assessment Occupation and work environment Living situation and support systems Lifestyle factors (diet, exercise, substance use) Phase 3: Physical Examination (45-60 minutes) System Key Assessment Points Normal Findings General Appearance, vital signs, pain assessment Alert, oriented, stable vitals Cardiovascular Heart rate, rhythm, murmurs, peripheral pulses Regular rate and rhythm, no murmurs Respiratory Breath sounds, respiratory effort, oxygen saturation Clear bilateral breath sounds Neurological Mental status, cranial nerves, reflexes Intact cognitive function Common Challenges and Solutions Technical Issues Problem: Voice recognition not responding correctly Solution: Speak clearly and at moderate pace Use medical terminology appropriately Repeat questions if system doesn’t respond Problem: Navigation difficulties Solution: Follow the systematic assessment order Use the help function when stuck Review prerequisite modules if needed Documentation Challenges Issue: Incomplete shadow health comprehensive assessment transcript Resolution: Take detailed notes during the assessment Review all required documentation fields Use proper medical terminology and abbreviations Academic Performance Issues According to recent nursing education research, students who struggle with Shadow Health assessments typically face these challenges: Challenge Frequency Impact on Grade Incomplete history taking 34% -15 points average Poor physical exam technique 28% -20 points average Inadequate documentation 42% -10 points average Time management 31% -8 points average Grading Criteria and Best Practices Standard Grading Rubric Most institutions use a point-based system for comprehensive assessment shadow health answers: Total Points: 100 Subjective Data Collection: 40 points Objective Data Collection: 35 points Documentation Quality: 15 points Professionalism: 10 points Excellence Indicators Exemplary Performance (90-100 points): Comprehensive history taking with follow-up questions Systematic and thorough physical examination Professional communication throughout Complete and accurate documentation Proficient Performance (80-89 points): Adequate history taking with some missing details Generally thorough physical examination Mostly professional communication Mostly complete documentation Improvement Strategies Preparation Techniques Review anatomy and physiology concepts Practice interview techniques with peers Familiarize yourself with electronic health records During Assessment Follow a systematic approach Take advantage of teaching moments Ask clarifying questions when needed Post-Assessment Review Analyze performance feedback Identify knowledge gaps Practice weak areas before retaking Advanced Tips for Success Cultural Competency Considerations When working with the Tina Jones case, students should demonstrate understanding of: Health disparities affecting African American populations Diabetes management in minority communities Culturally sensitive communication techniques Evidence-Based Practice Integration Incorporate current clinical guidelines: American Diabetes Association standards for diabetes care CDC recommendations for asthma management Joint Commission patient safety goals Technology Integration and Future Developments Current Platform Capabilities Shadow Health continues to evolve with new features: Enhanced AI responses Improved voice recognition accuracy Mobile-compatible interfaces Integration with learning management systems Educational Outcomes Research Recent studies demonstrate significant improvements in student clinical competency: Outcome Measure Pre-Shadow Health Post-Shadow Health Improvement Patient interview skills 72% 89% +17% Physical assessment accuracy 68% 85% +17% Documentation completeness 75% 92% +17% Clinical confidence 64% 84% +20% Frequently Asked Questions Q: How long should the comprehensive assessment take? A: Most students complete the assessment in 2-4 hours, including documentation time. Q: Can I retake the assessment if I’m not satisfied with my score? A: Retake policies vary by institution. Check with
Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted
Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team. To Prepare: Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented. Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology Portfolio The Assignment: (2-3 pages) In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps: Planning and requirements definition Analysis Design of the new system Implementation Post-implementation support Expert Answer and Explanation Role of the Nurse Informatics in System Development and Implementation The development of the informatics systems encompasses the different stages that collectively form the Systems Development Life Cycle (SDLC). For a manager and a leader in a healthcare organization, the knowledge of the SDLC is crucial in the sense that it facilitates their preparation, making it possible for them to be aware of the requirements at different levels of system development. When involving a graduate-level nurse (GN) in SDLC, a unit nurse manager should present a role description, describing the nurse’s role at various stages of the SDLC (Risling & Risling, 2020). Focusing on the SDLC stages, it is important to describe the GN’s role in SDLC, highlighting the various ways in which they would participate in the implementation of an informatics system. Planning and Requirements As the initial stage of the SDLC, planning involves various tasks such as defining an issue that necessitates the development of the system, and outlining the system requirements. During this phase of the SDLC, the GN contributes to defining the system’s objectives and scope. Given their experience and expertise, they understand the different professionals who are likely to use the system. Accordingly, they would identify the stakeholders that are likely to contribute to the adoption of the system. Their role during the planning also involves participating in performing needs assessment, identifying the areas of concern (McGonigle & Mastrian, 2022). For instance, they may identify the challenges associated with the paper-based documentation systems, and work with nurse leaders to come up with meaningful solutions. System Analysis Analysis stage emphasizes defining the requirements by collecting, analyzing and validating data, and at this point, the GN collaborates with the other parties involved in the project implementation, evaluating the workflow including the efficiency of the clinical operations. In their capacity as nurse leaders, their input into the SDLC involves determining the barriers that may slow down the development of the system, and contributing to the assessment of the risks (Agency for Healthcare Research and Quality, n.d.a). This identification of the risk is important because it helps inform the formulation of the meaningful solutions that can help avert the risks. Because capturing the clinical requirements in the design of the system can be a challenge, involving the GN is important because they can act as a link between those working in clinical setting and the team tasked with implementing the system. System Design The GN’s role is critical during the system design stage which involves transforming the requirements including what is captured into the plan, to a plan that defines the technical measures to be undertaken to complete the system. At this point, the GN adopts a collaborative approach, working together with the stakeholders involved in system development, to come up with a technical plan that comprises the workflow including the user interface. Additionally, they share pertinent information that can assist with designing of the system (Singletary & Baker, 2019). For instance, they may recommend the details about the features that that can improve the usability of the system or make it user-friendly. Considering their experience, they can share information about the challenges they faced while using a system. The designers can design the system with this information in mind, designing a more potent system with desirable features. System Implementation When it comes to the system implementation, the GN’s role becomes more noticeable as they perform various tasks including training members of the clinical staff on how to use the system. While this training is meant to equip the staff with adequate technical skills that they can apply in using the system, the training helps them understand the expectations and the benefits associated with the system. Given the challenges associated with adopting a new system, they may work closely with the change managers, ensuring that the process of shifting to a new system succeeds (Hauschild et al., 2022). At this phase, still, they test the system to determine whether it is functioning effectively according to the requirements. In case they notice any issue with the system, they involve the technical team to rectify the issue or recommend replacing the dysfunctional system parts. Post-Implementation Support During the post-implementation phase, giving of the feedback becomes necessary because this feedback helps with gauging the effectiveness of the system. This feedback particularly comes from the nurses or other health workers who use the system, and it may range from the problems experienced by users while using it, to any suggestions that may help improve user experience. Leveraging this feedback, the implementation team can decide how to improve the performance or optimize usability (Agency for Healthcare Research and Quality, n.d.b). Following the implementation, they may be responsible of monitoring how the clinical staff uses it, ensuring that they use it a way that conforms to the required safety and data security standards. Conclusion In overview, the engagement of the GN in SDLC is crucial because
Shadow Health Focused Abdominal Assessment With Esther
Shadow Health Focused Abdominal Assessment With Esther This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass to the instructor in the classroom. Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points). Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Shadow Health Focused Abdominal Assessment With Esther The Shadow Health focused abdominal assessment is a critical virtual simulation that helps nursing students develop essential clinical skills through realistic patient interactions. Shadow Health Digital Clinical Experiences™ are a vital part of the education of more than 700,000 nursing students across the country, making it one of the most widely used virtual simulation platforms in nursing education. Key Learning Objectives The Shadow Health abdominal pain focused exam with Esther Park is designed to help students master: Comprehensive health history taking techniques Physical assessment skills specific to abdominal complaints Clinical reasoning and diagnostic thinking Therapeutic communication with elderly patients Professional documentation standards Why This Assessment Matters Research shows that Shadow Health Digital Clinical Experiences™ help 82% of learners increase efficiency in clinical skills development. The program specifically improves: Skill Area Improvement Rate Clinical Impact Data Collection 82% Enhanced patient history accuracy Therapeutic Communication 78% Better patient rapport Care Planning 75% More comprehensive care strategies Clinical Reasoning 73% Improved diagnostic thinking Source: Elsevier Education Research, 2023 Understanding Esther Park Case Study {#esther-park-case} Patient Background Esther Park is a 78-year-old Korean-American woman presenting with abdominal pain. Understanding her demographic and cultural background is crucial for providing culturally competent care. Key Patient Demographics: Age: 78 years old Gender: Female Ethnicity: Korean-American Chief Complaint: Abdominal pain (6/10 severity) Associated Symptoms: Bloating, decreased appetite Clinical Presentation Overview Students encounter Esther Park in a simulated clinical environment where she presents with: Primary Symptoms: Abdominal pain rated 6/10 Bloating sensation Decreased appetite Concerns about bowel changes Assessment Findings: Tender abdominal mass in lower left quadrant Vital signs within normal limits for age Patient appears uncomfortable but cooperative Cultural Considerations When conducting the Shadow Health Esther Park assessment, students must consider: Language barriers and communication preferences Cultural attitudes toward pain expression Family involvement in healthcare decisions Traditional health beliefs that may influence symptoms reporting Step-by-Step Assessment Guide {#assessment-guide} Pre-Assessment Preparation Before beginning your shadow health focused exam abdominal pain simulation: Review anatomy and physiology of the gastrointestinal system Practice communication techniques for elderly patients Understand cultural competency basics Prepare assessment tools and documentation materials Systematic Assessment Approach 1. Subjective Data Collection History of Present Illness (HPI) Focus on the OLDCARTS method: Onset: When did the pain begin? Location: Where exactly is the pain? Duration: How long does it last? Character: What does the pain feel like? Aggravating factors: What makes it worse? Relieving factors: What helps? Timing: Is there a pattern? Severity: Rate the pain 1-10 Key Questions for Esther Park: “Can you describe your abdominal pain?” “What makes the pain better or worse?” “Have you noticed any changes in your bowel movements?” “Are you taking any medications?” 2. Objective Data Collection Apply the 4 basic components of the abdominal exam—inspection, auscultation, percussion, and palpation. Assessment Order (Critical for Abdomen): Inspection – Visual examination first Auscultation – Listen before touching Percussion – Light tapping for organ boundaries Palpation – Physical examination last Detailed Assessment Techniques Inspection Patient positioning: Supine with knees slightly bent Abdominal contour: Note symmetry, distention Skin integrity: Check for scars, rashes, masses Umbilicus: Assess for hernias or discharge Auscultation Bowel sounds: All four quadrants (5 minutes minimum) Vascular sounds: Listen for bruits Frequency: Normal, hyperactive, or hypoactive Percussion Organ boundaries: Liver span, spleen size Fluid detection: Shifting dullness for ascites Air-filled areas: Tympanic sounds over intestines Palpation When palpating the abdomen, ask the patient to bend their knees when lying in a supine position to enhance relaxation of abdominal muscles. Light Palpation: Assess all quadrants systematically Note tenderness, masses, or organ enlargement Important: Palpate painful areas last Deep Palpation: Deeper assessment of organs Check for rebound tenderness Assess for guarding or rigidity Clinical Documentation and SOAP Notes SOAP Note Structure for Esther Park Subjective Chief Complaint: “I’ve been having stomach pain for the past few days.” History of Present Illness: 78-year-old Korean-American female Abdominal pain onset 3 days ago Pain located in lower left quadrant Described as “cramping” and constant Severity 6/10 Associated with bloating and decreased appetite No fever, nausea, or vomiting reported Objective Vital Signs: BP: 142/88 mmHg HR: 76 bpm RR: 18/min Temp: 98.6°F Pain: 6/10 Physical Assessment: General appearance: Alert, oriented, appears uncomfortable Abdomen: Soft, non-distended, bowel sounds present Tender mass palpated in LLQ No rebound tenderness or guarding No hepatosplenomegaly Assessment Primary Diagnosis Considerations: Possible diverticulitis Rule out bowel obstruction Consider inflammatory bowel disease Plan Diagnostic: Complete blood count Comprehensive metabolic panel CT scan of abdomen/pelvis Urinalysis Therapeutic: NPO status initially IV hydration Pain management Monitor vital signs Documentation Best Practices Element Best Practice Common Mistakes Subjective Use patient’s exact words Interpreting patient statements Objective Include measurable data Subjective observations in objective Assessment Evidence-based conclusions Jumping to conclusions Plan Specific, measurable goals Vague treatment plans Common Challenges and Solutions Challenge 1: Communication Barriers Problem: Language and cultural differences affecting assessment quality Solutions: Use simple, clear language Allow extra time for responses Respect cultural pain expressions Consider family member interpretation (with patient consent) Challenge 2: Incomplete Data Collection Problem: Missing critical assessment components Solutions: Follow systematic assessment order Use assessment checklists Practice active listening techniques Review missed
How the BON Differs from Nursing and Healthcare Specialty Associations
Quick Answer The Board of Nursing (BON) differs from nursing and healthcare specialty associations since the BON serves as a regulatory body focused on public protection, while specialty associations primarily advocate for their members’ professional interests. This fundamental difference impacts licensing, practice standards, and regulatory oversight across the healthcare system. Introduction The nursing profession operates within a complex framework of regulatory bodies and professional organizations, each serving distinct roles in maintaining standards and advancing the field. Understanding how the BON differs from nursing and healthcare specialty associations is crucial for nurses, healthcare administrators, and students navigating professional requirements and career development. This comprehensive guide explores the fundamental differences between Boards of Nursing and nursing specialty associations, their unique functions, and their impact on nursing practice and public safety. What is a Board of Nursing (BON)? A Board of Nursing is a government-appointed regulatory body established by state law to protect public health, safety, and welfare through the regulation of nursing practice. The BON has the authority and power to regulate nursing practice utilizing the language stipulated in the NPA. It is also the responsibility of the BON to protect the US citizens’ health, safety, and welfare against substandard nursing care. Key Functions of BONs Licensing and Credentialing Issue initial nursing licenses Oversee license renewals and continuing education requirements Manage interstate licensing compacts Regulatory Oversight Investigate complaints against nurses Conduct disciplinary proceedings Impose sanctions when necessary Practice Standards Define scope of practice for different nursing roles Establish minimum competency requirements Update regulations based on evolving healthcare needs Understanding Nursing and Healthcare Specialty Associations Nursing specialty associations are private, professional organizations that represent specific nursing specialties or the broader nursing profession. While the ANA is an influential and respected voice and state boards of nursing will usually consider its suggestions, the ANA does not have the legal authority afforded by state boards of nursing. Primary Functions of Specialty Associations Professional Advocacy Lobby for favorable legislation Advocate for improved working conditions Promote professional recognition Education and Certification Provide continuing education opportunities Offer specialty certifications Conduct research and publish guidelines Member Services Networking opportunities Career development resources Professional support and mentorship Key Differences Between BONs and Specialty Associations Aspect Board of Nursing (BON) Specialty Associations Primary Purpose Public protection and safety Member advocacy and professional advancement Authority Legal/regulatory authority Professional influence only Funding Government-funded Membership dues and private funding Membership Appointed by government Voluntary membership Focus Regulatory compliance Professional development Disciplinary Power Can revoke licenses and impose sanctions No disciplinary authority Regulatory vs. Professional Focus While a BON’s duty is the safety of patients served by nurses within its jurisdiction, a nursing organization’s responsibility is also to advance its membership and the public’s interests. This fundamental difference shapes every aspect of how these organizations operate. BON Regulatory Focus: Patient safety first Enforcement of minimum standards Public accountability Legal compliance Association Professional Focus: Member benefits and advancement Industry leadership Innovation and best practices Professional networking The Regulatory Landscape: By the Numbers Understanding the scope of nursing regulation helps illustrate the importance of BONs in healthcare: National Statistics Metric Value Source Number of State BONs in the US 58 (RN and PN combined) NCSBN, 2024 States participating in NLC 42 states/territories LeaderStat, 2024 BONs sharing licensure data 57 out of 58 NCSBN Database Licensing and Regulation Impact Active RN Licenses: Over 4.2 million registered nurses hold active licenses across the United States Compact States: As of 2024, 42 states/territories have enacted the compact. The most recent state to enact the compact was Connecticut. Regulatory Oversight: Each BON processes thousands of applications, investigations, and disciplinary cases annually How BON Regulations Affect Nursing Practice Direct Regulatory Impact BONs have immediate, legally binding authority over nursing practice through: Licensing Requirements: Initial licensure examinations (NCLEX-RN/NCLEX-PN) Continuing education mandates Renewal procedures and deadlines Practice Standards: Scope of practice definitions Delegation guidelines Documentation requirements Disciplinary Actions: License suspension or revocation Probationary conditions Mandatory remediation programs Association Influence on Practice While lacking regulatory authority, specialty associations influence practice through: Professional Standards: Evidence-based practice guidelines Specialty competency frameworks Quality indicators and metrics Education and Certification: Voluntary specialty certifications Advanced practice credentials Continuing education programs Advocacy and Policy: Legislative lobbying efforts Position statements on practice issues Research and publication initiatives The Collaborative Relationship Despite their different roles, BONs and specialty associations often work collaboratively: Areas of Cooperation Standard Development Associations provide expertise for regulatory updates BONs consider association recommendations in rule-making Joint task forces on emerging practice issues Education and Outreach Shared educational initiatives Public awareness campaigns Professional development programs Research and Data Sharing Workforce studies and trend analysis Safety and quality research Policy impact assessments Practical Implications for Nurses When to Contact Your BON License-related questions or issues Suspected violations of nursing practice Scope of practice clarifications Formal complaints or disciplinary matters When to Engage with Specialty Associations Professional development opportunities Networking and mentorship Advocacy for workplace improvements Specialty certification and recognition Understanding Your Professional Obligations BON-Mandated Requirements: Maintain active licensure Complete required continuing education Report changes in contact information Comply with scope of practice regulations Professional Best Practices (Association-Recommended): Pursue specialty certifications Engage in evidence-based practice Participate in professional development Contribute to nursing research and innovation State-Specific Variations While BON functions are similar across states, there are important variations: Texas BON Example The mission of the BON is to protect and promote public welfare, specifically focusing on: Licensing over 300,000 nurses Enforcing the Texas Nursing Practice Act Investigating complaints and violations Providing public information about licensees Compact State Considerations Nurses in compact states benefit from: Multi-state practice privileges Streamlined licensing processes Enhanced mobility for practice Future Trends and Developments Evolving Regulatory Landscape Technology Integration: Electronic licensing systems Automated renewal processes Digital credential verification Practice Evolution: Telehealth regulations Advanced practice role expansion Interprofessional collaboration guidelines Association Adaptation Member Services Enhancement: Digital education platforms Virtual networking opportunities Data-driven advocacy efforts Professional Advancement: New specialty certifications Leadership development programs Research and innovation initiatives Frequently Asked Questions Can specialty associations override BON decisions? No, specialty associations
Do you agree with the priorities or would you recommend addition or elimination of some of the priorities?
Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. No audio recording is required. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations by going to the Writing and Resource center, Module 3: Assignments, Microsoft, and utilize the Microsoft Overview and the Creating a Quality PowerPoint video. Explore the National Institute of Nursing Research (NINR) website. Review their publication Bringing Science to Life: NINR Strategic Plan (2011, p. 7) to identify the current priorities for nursing research. • Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? • What effect do the nursing research priorities have on nursing researchers? • What criteria must be met in order to consider a practice, evidence-based? Provide examples. • Explain the role quality plays in evidence-based practice? Based on the information you’ve learned to this point, write a research proposal that relates to a chosen research topic. Include the following information in your proposal: Hypothesis Theory Design model Method(s) Anticipated results Potential Dissemination Avenues M7 Assignment UMBO – 1, 4 M7 Assignment PLG – 1, 4 M7 Assignment CLO – 2, 3, 4, 6, 7 More information about this assignment: Length: 15-17 slides; answers must thoroughly address the questions in a clear, concise manner Structure: Title: 1 slide NINR Strategic Plan questions: at least 5 slides Proposal details: at least 6 slides Conclusion: at least 2 slides References: at least 1 slide References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress. File Name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”) Expert Answer and Explanation NINR Strategic Plan and Proposed Study I agree with these priorities. The priorities aim to improve quality of life of communities and patient care. For instance, disease prevention can reduce cost of care by removing people’s risk of developing diseases. Apart from healing, patients in end-of-life stage need to die in peace and without pain. Healthcare needs future researchers to improve and this is one of the focuses of the NINR. In other words, the NUNR focuses on critical areas in care that will highly improve quality of care in future. The priorities provide nursing researchers with direction regarding nursing research. The priorities show nursing researchers where they need to focus on when conducting nursing research. For instance, by focusing on enhancing disease prevention and health promotion, nursing researchers can conduct studies on preventable illnesses such as obesity, heart problems, hepatitis B, diphtheria, anthrax, measles, and many more. In summary, the priorities are used by nursing researchers to create purpose of their research projects. There are three criteria that must be met for a practice to be considered evidence-based. The first criterion is that it must be from best evidence. In other words, the care practice must be supported by recent and available evidence (Horntvedt et al., 2018). The second criterion is that it must supported by clinical expertise. The intervention should be effective clinically for it to be evidence-based. Lastly, the practice must be focused on patient values and circumstances. A practice that is not patient-centered is not evidence-based (Horntvedt et al., 2018). A patient or population can be said to have received quality care if their desired health outcomes are met. Quality care is also a type of care that ensures patient safety. Patients receiving quality care do not experience medical errors or near miss events. Quality care is also cost effective (Schuelke et al., 2019). Quality care also focuses on improving health and wellbeing of patients and populations. In other words, quality care is effective, safe, patient-centered, and better wellbeing and health. Quality plays a vital role in evidence-based practice. One of the roles of quality in evidence-based practice is to give direction on what an evidence-based practice should achieve. According to Schuelke et al. (2019), characteristics of quality care include patient-centered, effective, better wellbeing and health, and safe. Evidence-based practices should achieve the four characteristics for them to be of high quality (Horntvedt et al., 2018). Quality improvement improves evidence-based care by providing data that can be used by healthcare professionals to provide evidence-based care. Educators can use simulations with standardized patients to provide nursing students realistic experience and expertise of end-of-life care (Fischer et al., 2018). It is hypothesized that nursing students who participant in end-of-life care simulations with standardized patients would have self-confidence, skilled performance, and increased knowledge associated with end-of-life care than those who do not. This theory argues that healthcare professionals to identify patient problems and use them to develop care (Mehraee et al., 2020). Most patients need treatment plan to help them achieve recovery. However, others, especially who suffer from chronic conditions such and renal kidney failure need care to help them have quality life before their end. This project is based on the theory that requires nurses to provide care that is patient-centered. This design will help the researcher identify whether participating in end-of-life care simulations with standardized patients can improve nursing students’ knowledge and experience in providing end-of-life car. The design has been selected because it allows for direct comparison of treatments being studied to establish superiority. It has also been
Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders
Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health Topic 5 DQ 1 Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Based on your assessment, identify two internal and two external stakeholders. Why is their support necessary to the success of your change proposal? Identify one unique strength (as a person/nurse) that would help you secure support from stakeholders in order to develop effective interprofessional relationships. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. American Association of Colleges of Nursing Core Competencies for Professional Nursing Education This assignment aligns to AACN Core Competencies 3.5, 6.2, 9.1 Expert Answer: Topic 5 DQ 1 Internal Stakeholders To successfully implement change, Helping Hands Community Health Services need engage and involve the stakeholders like the organization’s administration and the clinical staff, both of which are the internal stakeholders. The administration’s support matters in this case because it provides various forms of support, from allocating resources to sharing meaningful feedback to help improve the outcomes of the change implementation. For their part, members of the staff are directly involved in the implementation of the change, and involving them is crucial in the sense that it ensures they accurately execute the change, comply with the policy requirements, and follow implementation guidelines (Elwy et al., 2022). External Stakeholders The involvement of the community organizations like those that provide shelter is also crucial in terms of improving the implementation outcomes for change. They specifically help address social limitations that hamper access to the health care services, which may impede the attainment of the change adoption objectives. For their part, the local public health departments can support the change through sharing meaningful data that can be useful in informing change strategies and measures. Strength that Helps Secure the Stakeholder’s Support Strong communication and interpersonal skills and cultural competence skills can help secure the support of the stakeholders. With these skills, a nurse demonstrates abilities like the ability to listen, and to communicate in a respectful manner considering the stakeholders’ communication and cultural needs. This results to the delivery of targeted message, increases stakeholders’ buy-in (Maurer et al., 2022). References Elwy, A. R., Maguire, E. M., Kim, B., & West, G. S. (2022). Involving Stakeholders as Communication Partners in Research Dissemination Efforts. Journal of general internal medicine, 37(Suppl 1), 123–127. https://doi.org/10.1007/s11606-021-07127-3. Maurer, M., Mangrum, R., Hilliard-Boone, T., Amolegbe, A., Carman, K. L., Forsythe, L., Mosbacher, R., Lesch, J. K., & Woodward, K. (2022). Understanding the Influence and Impact of Stakeholder Engagement in Patient-centered Outcomes Research: a Qualitative Study. Journal of general internal medicine, 37(Suppl 1), 6–13. https://doi.org/10.1007/s11606-021-07104-w. Topic 5 DQ 2 Technology is integral to successful implementation in many projects, through either support or integration or both. Name two information/communication technologies that could improve the implementation process and the outcomes of your capstone project. How would this technology be appropriately applied during the implementation phase of your project? Describe one potential barrier that could prevent the use of this technology. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. American Association of Colleges of Nursing Core Competencies for Professional Nursing Education This assignment aligns to AACN Core Competencies 8.1, 8.3 Expert Answer: Topic 5 DQ 2 Technologies for Supporting the Capstone Change Project The proposed capstone project involves establishing the Crisis Intervention Centers (CICs) to address overcrowding in Emergency Departments (EDs), which is associated with high caseload, and negative patient care outcomes like re-hospitalization. The Electronic Health Records (EHRs) and the Telehealth technology can help improve the implementation and the outcomes of this particular project. The EHR technology in particular can be useful in supporting uninterrupted exchange of patients’ data, allowing providers working in CICs to access details of patients’ health history. CIC providers may use this information to inform mental health intervention decisions. The benefit of this is that it eliminates the duplication of services which is associated with delayed care delivery (Upadhyay & Hu, 2022). During implementation, the EHRs can support designing of the workflows, ensuring that the patient’s health data is available and accessible to the CIC staff. Telehealth can be used in EDs to conduct patient assessment, determining whether their condition warrants the need to divert them to the CIC. The implementation of this particular technology may involve having a triage nurse connect a patient with psychiatrists that provide mental health services virtually. This technology has a potential of improving outcome by allowing patients to receive timely mental health assessment. Concern Having systems exchange data between ED and CICs can be a challenge if these systems are incompatible. The impact of this is delayed data sharing which could cause unintended consequences like exacerbation of patients’ mental health issues. This underscores the need to standardize data sharing (Watson et al., 2023). References Upadhyay, S., & Hu, H. F. (2022). A Qualitative Analysis of the Impact of Electronic Health Records (EHR) on Healthcare Quality and Safety: Clinicians’ Lived Experiences. Health services insights, 15, 11786329211070722. https://doi.org/10.1177/11786329211070722. Watson, H., Gallifant, J., Lai, Y., Radunsky, A. P., Villanueva, C., Martinez, N., Gichoya, J., Huynh, U. K., & Celi, L. A. (2023). Delivering on NIH Data Sharing Requirements: Avoiding Open Data in Appearance Only. BMJ Health & Care Informatics, 30(1),
Assess the culture of the clinical site/organization and organizational policies for potential challenges in implementing the nursing practice intervention. Why is understanding the health care system and clinical system at the local level important to consider when planning an EBP implementation?
Assess the culture of the clinical site/organization and organizational policies for potential challenges in implementing the nursing practice intervention Topic 4 DQ 1 Assess the culture of the clinical site/organization and organizational policies for potential challenges in implementing the nursing practice intervention. Why is understanding the health care system and clinical system at the local level important to consider when planning an EBP implementation? Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Expert Answer: Topic 4 DQ 1 Assessment of Impact of Organizational Culture and Policies Implementation of the nursing practice intervention can be challenging due to various limitations including lack of effective communication across departments, which hampers sharing of information about a new practice. The other limitation is ineffective programs and interventions for staff training, which hampers training of the staff to adopt the new practice. With an effective training program, it is possible to consistently improve the staff competency and skills. Inadequate resources can be impediment in the sense that it delays or obstructs the adoption of a new practice. If an organization has limited members of the clinical staff, for instance, implementing a new practice can be a significant challenge (Alsaqqa, 2024). The lack of alignment between the implementation guidelines and organizational policies also poses a challenge. The Need to Understand the Local Health Care System When planning EBP implementation, it is important to understand the clinical and local health care systems at the local level because it helps one be aware of the existing challenges that they have to navigate to achieve successful implementation. This information may help with preparation. If one identifies lack of adequate staff as a concern, they may propose the recruitment of new staff members to implement the new practice. The knowledge about these systems may also help one to develop targeted interventions for each patient population, or based on the availability of technological infrastructure. For example, a local health facility may integrate EBP with informatics systems to ease decision-making if it has an established technological infrastructure (Walker & Ivory, 2023). References Alsaqqa H. H. (2024). Organizational Culture Relation With Innovation Comment on “Employee-Driven Innovation in Health Organizations: Insights From a Scoping Review”. International journal of health policy and management, 13, 8583. https://doi.org/10.34172/ijhpm.8583. Walker, P. D., & Ivory, C. H. (2023). Using Technology to Facilitate Evidence-Based Practice During the COVID-19 Pandemic. The Nursing clinics of North America, 58(1), 97–106. https://doi.org/10.1016/j.cnur.2022.10.009. Topic 4 DQ 2 Compare and contrast two change and/or nursing theories. Explain which theory would best support the implementation of your specific evidence-based intervention. Provide rationale for your choice. Gather feedback on applying this theory to your clinical setting from your preceptor and share their insights in your post. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. Expert Answer: Topic 4 DQ 2 Comparison of the Two Theories As nursing theories, Roy’s Adaptation Model (RAM) and Orem’s Self-Care Deficit Nursing Theory (SCDNT) differ in terms of focus, concepts, goal and application. The RAM focuses on individuals’ adaptation to changes in their surroundings while SCDNT recognizes the ability of individuals to take care of their health while emphasizing the significance of nursing intervention in the event that one lacks the ability to manage their health. In terms of goal, RAM supports adaptive responses and the management of stimuli with focus on empowering patients to positively adapt to stimuli (Roussia, Muthu, & Ilesanmi, 2023). Conversely, SCDNT focuses on assisting patients to meet their self-care needs through nursing intervention if they have deficiencies that make it difficult for them to manage their health. The Selected Theory for Supporting the Evidence-Based Intervention Considering an evidence-based intervention focused on the implementation of hypertension-based self-management education program in a primary care clinic for hypertensive patients, the applicable theory would be SCDNT. The reason for the selection of this theory is that it is consistent with the proposed program which integrates various interventions focused on improving health outcomes among hypertensive patients (Hellqvist, 2021). In this case, a patient may receive nursing support only if they are unable to meet every aspect of their health need by adhering to the instructions provided as part of the self-management education program. References Hellqvist, C. (2021). Promoting Self-Care in Nursing Encounters with Persons Affected by Long-Term Conditions-A Proposed Model to Guide Clinical Care. International journal of environmental research and public health, 18(5), 2223. https://doi.org/10.3390/ijerph18052223. Roussia, S., Muthu, P., & Ilesanmi, R. E. (2023). Self-care Management in Heart Failure Using Roy Adaptation Theory-guided Intervention in the United Arab Emirates. SAGE open nursing, 9, 23779608231160484. https://doi.org/10.1177/23779608231160484. Place your order now for a similar assignment and get fast, affordable and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Assessing Clinical Site Culture and Organizational Policies for Evidence-Based Practice Implementation: A Comprehensive Guide Executive Summary Understanding how to assess the culture of clinical sites and organizational policies is crucial for successful evidence-based practice (EBP) implementation in nursing. This comprehensive guide examines the critical factors that influence EBP adoption, providing practical frameworks for evaluating organizational readiness and overcoming implementation barriers at the local healthcare system level. Introduction Evidence-based practice implementation in healthcare settings requires careful assessment of organizational culture, policies, and local healthcare system dynamics. Assessing an organization’s culture and readiness for evidence-based practice (EBP) can afford insight on the strengths, challenges and opportunities that exist to equip nurse managers to advance evidence-based practice at individual, professional and organizational