Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.)
Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.) Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Prepare a 1000-1250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following: Describe the health care organization or network. Describe the organization’s overall readiness based on your findings. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Expert Answer and Explanation Health Organization Evaluation One of the primary goals of healthcare organizations is providing different patient care and clinical services that are geared to eradicating some of the most common healthcare problems. In the recent few years, numerous technological developments have provided a window of improvement of healthcare organizations in their processes of delivering care to the citizens. Banner health is one of these organizations that serve as core contributors to the health and wellness of Americans (Kash, 2016). This essay explains some of the elements that show the readiness of Banner health in meeting the demands of citizens in the forthcoming decade. Whereas the organization is faced with different issues that negatively affect the organizational culture and operations, the application of PEST theory in managing the issues can help to align the organization to the right framework for delivering the objectives of care through the next decade. Description of the Organization Banner Health is a non-profit healthcare organization in the US that operates in different states offering health services ranging from rehabilitation, primary care, labs, long-term care, hospice, and hospital care. The history of the organization starts in 1999 when Samaritan Health System and Lutheran Health Systems merged to form one entity that operated in 14 states (Kash, 2016). Besides offering healthcare to populations, the organization offers teaching services, with the main institution being the Banner-University Medical Center, Phoenix. Also, it operates Medicare Advantage, and insurance plan called University Care Advantage and also a family based care called the Banner University Family care. The organization is impactful in some states more than others, such as in Arizona where it has more than 50,000 employees at present. The senior management of the organization, led by the President and CEO (currently Peter S. Fine), is the initiator of the major decisions throughout the organization (Sharma, Fleischut, & Barchi, 2017). Readiness of the Organization based on Evaluation The organization is ready to meet the rising healthcare demands of citizens in the next decade as it has been incorporating programs that allow efficient care in the light of the emerging technology. In 2006, the organization launched a telemonitoring program in which it extended patient care operations beyond the healthcare facilities (Sharma, Fleischut, & Barchi, 2017). One of the primary effects of this program was saving over 34,000 ICU days and reducing the mortality rates by a significant percentage (Sharma, Fleischut, & Barchi, 2017). Also, telemedicine operations reduced the overall length of stay in facilities and helped to boost the cost control operations. Specifically, organizations under Banner health would now spend less in the patient care operations and hence would optimize the costs of care to patients. Since the implementation of telemedicine, it is clear that there are many other technological developments that have helped banner health to achieve its current status (Pandian, 2016). Also, it is likely that it will be a pioneer in implementation of even higher forms of technology in primary care such as virtual reality and artificial intelligence, and hence it is generally ready to meet the healthcare demands in the coming decade. Another element that shows the readiness of the organization in meeting the upcoming healthcare demands is the culture of acquisition. In 2014, the organization acquired Casa Grande Medical Center, and in July 2020, it acquired Wyoming Medical Center. These acquisitions are valuable to the organization as they add to the overall productivity through direct injection of skills and resources to the present organization (Kash, 2016). In 2016, for instance, acquiring 32 of the urgent care facilities in Arizona left the organization almost as a monopoly of healthcare provision in the state, hence limiting the overall competition it faced. A continuous culture of acquisition is likely to make the organization reduce the hindrances of growth such as unhealthy competition and scarcity of skills through the next decade. The last element that shows the organization’s readiness to meet the healthcare demands in the next decade is the health education affiliation. While most of the healthcare organizations recognize the need for constant research and improvement of operations, very few of them get to the ground to produce results (Cairns, Bollinger, & Garcia, 2017). Most organizations tend to use knowledge that has been generated by other operators. For banner health, the present partnerships with different learning institutions serve as a core element of growth in the operations through the next decade. Strategic Plan to address issues within the Organizational Culture One of the issues that have negatively affected the organizational culture is the presence of data breaches and cyber-attacks. In 2016, banner health was caught in a security breach that exposed information of over three million patients
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,
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
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
Read the case study presented at the end of Chapter 8 (Guido, p.133) which begins, “The patient was hospitalized for extreme low back pain
Read the case study presented at the end of Chapter 8 (Guido, p.133) which begins, “The patient was hospitalized for extreme low back pain Was there informed consent for the initial medications given to the patient? How would you determine that informed consent had been given for the MRI and the medications needed for sedation for the test? Was the informed consent deficient to the degree that there was a lack of informed consent for the patient for the second dose of medications? How would you decide this case? Read the case study presented at the end of Chapter 9 (Guido, p. 150) which begins, “Jimmy, a Floridian, has undergone two liver transplants.”: What questions would you anticipate the judge to ask Jimmy to ascertain his level of maturity, understanding of the full consequences of his lack of action, and possible alternative reasons for requesting that he be allowed to make his own medical decisions? How should the judge evaluate the mother’s response to her son’s request? Does the state of residency factor into the judge’s decision? Are there additional issues that should be addressed prior to deciding the outcome of this case? How would you decide the case? Jimmy Chang, a 20- year- old college student, is admitted for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.” You are his primary nurse and must assist in somehow resolving this impasse. What do you do about the informed consent form? Who signs and why? Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective. Now decide the best course of action based on a purely legal perspective. Did you come to the same conclusion using both an ethical and a legal approach? Please combine all of these responses into a single Microsoft Word document for submission. Submit only completed assignments (not partial or “draft” assignments). Be thorough in your responses to adequately address all aspects of each question. Submit only the assignments corresponding to the module in this section. Assignment Expectations Length: 1500 words; answers must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. 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 Word document (.doc or .docx). File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) M6 Assignment UMBO – 4 M6 Assignment PLG – 4, 6 M6 Assignment CLO – 1, 2, 3, 7 The case study for Chapter 8: ” The patient was hospitalized for extreme low back pain so intense that he could not be scheduled for a magnetic resonance imaging (MRI) until his fifth hospital day. His physician explained to him that the Dilaudid and Ativan he would receive the next day to numb his pain for the MRI could cause respiratory depression or arrest in patients like himself who were on high doses of opiates. The patient agreed to be given the medications. At 8:15 A.M. the next day, a nurse gave the patient the medications, but the MRI had to be postponed. With the physician’s new orders and the patient’s verbal consent, the nurse gave a second dose of the same medications at 11:30 A.M. About 5:00 P.M., the patient became stuporous. Vital signs were taken, oxygen was initiated, and Narcan was prepared for injection. At 6:00 P.M., the critical care code team was called, as the patient was in full cardiopulmonary arrest. The patient was successfully resuscitated and was discharged the next day. The patient then sued, claiming residual psychologi-cal symptoms and failure to obtain valid informed consent for the second dosage of medications administered at 11:30 A.M.” The case study for Chapter 9: “Jimmy, a 15-year-old Floridian, had undergone two liver transplants. An only child, he lived with his mother, a sin-gle parent. He was prescribed immunosuppressant drugs that caused severe debilitating side effects in an attempt to prevent his body from rejecting the second liver transplant. Understanding that his life expectancy was limited and that the medications were causing the debilitating side effects, Jimmy elected to stop taking the immunosuppressive medi-cations. When his attending physicians discovered that he was no longer taking the prescribed medications, they instituted court proceedings against his mother for child endan-germent. Jimmy was readmitted to the hospital at the same time in an attempt to ensure that he restarted the immuno-suppressive mediations.A juvenile court judge held separate meetings with Jimmy, his mother, and the health care team in an attempt to resolve the issue. His mother, at her meeting with the judge, expressed anguish as she felt that not taking the medications would hasten her son’s death, but she was also resolved to the fact that she felt he was mature enough to fully under-stand the consequences of his non-actions. Jimmy assured the judge that he understood the consequences of his non-actions, but he was tired of taking medications that merely increased his pain and suffering and wanted, as stated in his final comment, “some time to be free of pain. I am go-ing to die anyway.” The health care team were unable to assure the judge that taking the medications would greatly increase Jimmy’s longevity.” Required resources: Guido, G. W. (2020). Legal and ethical issues in nursing (7th ed.). Prentice Hall. ISBN: 9780134701233. Read Chapter 8 & 9. Pozgar, G. D. (2020). Legal and ethical issues for health professionals (5th ed.). Jones and Bartlett. ISBN: 9781284144185. Read Chapters 12, 13, & 14. Expert Answer and Explanation Informed Consent This paper will give an insight into various issues surrounding informed consent. Three case studies will be used to provide context on the subject under discussion. Chapter 8 Case Study
Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it
Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Assignment: Workplace Environment Assessment Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it. In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment. To Prepare: Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015). Review the Work Environment Assessment Template. Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues. Select and review one or more of the following articles found in the Resources: Clark, Olender, Cardoni, and Kenski (2011) Clark (2018) Clark (2015) Griffin and Clark (2014) The Assignment (3-6 pages total): Part 1: Work Environment Assessment (1-2 pages) Review the Work Environment Assessment Template you completed for this Module’s Discussion. Describe the results of the Work Environment Assessment you completed on your workplace. Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed. Explain what the results of the Assessment suggest about the health and civility of your workplace. Part 2: Reviewing the Literature (1-2 pages) Briefly describe the theory or concept presented in the article(s) you selected. Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment. Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples. Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages) Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment. Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment. Expert Answer and Explanation Work Environment Assessment Summary of Results – Clark Healthy Workplace Inventory From the Clarks healthy workplace inventory, the results indicated that my workplace is very healthy with a score of 81 according to the inventory ratings (Clark, 2015). Some of the key features that ranked highly included appreciation of collective achievement, teamwork and collaboration, fair and respectful treatment of employees to list a few. The attributes that seemed lacking according to the inventory were improvement of organization culture, a comprehensive mentoring program for all employees, and allocation of adequate resources for professional growth and development. The results from the inventory had most of the items reviewed in the 4 scores (somewhat true). Identify two things that surprised you about the results. Also, identify one idea that you believed prior to conducting the Assessment that was confirmed. Before taking the inventory, I was quite sure that my workplace environment was quite healthy but on carrying out the inventory, I found it surprising that some key areas were seemingly lacking which I never considered in my earlier assumption. I also found it surprising that. I was also surprised to find several key areas that could be improved from an organizational standpoint that I would have otherwise overlooked, which are essential in the development of a healthy work environment. what might seemingly seem as a flawless workplace environment may actually have some areas that stain the health of the workplace environment. However, the results confirmed my belief in the health status of my workplace environment which I considered as being favorable. What do the results of the Assessment suggest about the health and civility of your workplace? The results indicate that the environment I work in is quite favorable and civil but with some room for improvement. It also shows that the civility experienced is a result of mutual respect for one another and the organizational policies in place that do not tolerate incivility. Briefly describe the theory or concept presented in the article(s) you selected. Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment. The theory highlighted in an article by Clark (2015) highlights the aspect of encouraging open communication and conversations within the workplace as a way of developing a healthy and civil environment. The article reiterates that many nurses often fail to engage with uncivil colleagues at times when candid conversations are needed. Others often fail to express their concern of incivility especially when expressed by someone with a higher authority, and such cases at times can prove detrimental to patient outcomes. Therefore, the article provides different models that can be used to promote such candid conversations in a civil and respectful manner and one such model is the DESC model. This model focuses on describing the situation, explaining the concerns, stating the available alternative solutions and indicating the consequences. The model facilitates nurse engagement in a professional and civil manner. The theory focuses on the aspect of collaboration and respectful interprofessional engagement. These are some of the features which I considered to be strongly embraced in my workplace. Having a workplace culture that embraces high collaboration between teams requires employees to constantly engage with one another, even amidst their disagreements (Marshall & Broome, 2017). Such a workplace goes in accordance with the article’s view on the importance of healthy and respectful conversations in promoting a civil and safe workplace environment Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples. The organization can use the DESC model to solve differences in opinions
The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor
Assignment: The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers. Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored Include the following in your presentation: Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource. Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Expert Answer and Explanation Exposing infants to second hand poses a serious negative health impacts which can lead to death of the infant. Second hand smoke can be defined as smoke exhaled by a smoker combined with smoke emitted by the burning end of the cigarette. According to Faber et al. (2016) second hand smoke is responsible for approximately 166 ,000 global child deaths. This presentation will focus on different issues tackling the exposure of secondhand smoke on infants. Second hand smoking has serious health repercussions on infants. Some of them include;- Second hand smoke can lead to sudden infant death syndrome. This is a phenomenon where an infant suddenly dies without any signs of preexisting medical condition and usually occurs while sleeping (Adams, Ward & Garcia, 2015). Researchers have attributed this phenomenon to respiratory issues with second hand smoking being a contributing agent it is also reported that a number of children who died from SID had high levels of nicotine found in their lungs (Fleming, Blair & Pease, 2015). Second hand smoke also puts children at risk of getting ear infections and other respiratory complications like bronchitis and pneumonia in infants. Second hand smoke can also trigger asthmatic attacks in asthmatic infants (Wang et al., 2016). Second hand smoking is known to be one of the issues that causes lower birth weight in infants which in most cases translates to poor health status for the infant (Banderali et al., 2015) Long term exposure of second hand smoke on infants also leads to poor brain development which may lead to learning disorders. It may also affect lung development leading to future respiratory complications. Second hand smoke can also cause infants to develop coughs. The health promotion plan which can be used by caregivers to help deal with secondhand smoke and its effects on infants will involve the following set of activities. Collection of evidence based information on the issue of second hand smoking and how it affects infants. This is to ensure that the health promotion is based on factual evidence with proved workable solutions that can assist in dealing with the issue. Establishing the required resources needed for the health promotion is also an important activity. some of the resources which will be required include learning materials, financial support, treatment facilities to aid any patient who may require help in dealing with second hand smoking, experts to articulate on the matter, to list a few. For any health promotion activity, it is important to have measurable goals which are going to be used to measure the success of the health promotion (Fertman & Allensworth, 2016) . Having a system of evaluating the progress and impact of the health promotion is another important activity of the health promotion. Implementing the plan after ensuring that everything is properly set up is the last part of the health promotion plan. Some of the recommendations to protect infants from second hand smoke include; Making the house and its close environs a smoke free zone. Smoke from cigarettes takes time before it dissipates from the environment. Smoking within the house environs can put the infant at risk of being exposed to second hand smoke leading to the several detrimental health effects listed earlier. It is also recommended to avoid smoking in vehicles carrying infants and exposure to smoking areas. Such environments which have high concentration of second hand smoke may pose more severe health consequences on the infant. The
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:
Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: Discussion: Alterations in Cellular Processes At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally. Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. To prepare: By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Scenario: An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition By Day 3 of Week 1 Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response. Expert Answer and Explanation Protein Malnutrition Disease and Physiological Response Role of Genetics An individual may develop protein malnutrition because of a wide spectrum of factors including their gene structure. Genetics particularly can cause one to develop the disease considering that it influences people’s preferences for certain types of food. This means that depending on one’s genetic composition, one may not like certain foods, and this may cause a scenario in which they only take food rich in non-protein nutrients (McCance & Huether, 2019). This may ultimately cause the deficiency of these nutrients. Reason for the Symptoms Based on the case study, the patient has a generalized edema, and there is a possible explanation for this. The albumen protein performs the role of holding salts as well as water. This protein can be found in the blood vessels, and when it is available in short supply, the fluid leak into tissues. Accordingly, this causes one’s abdomen to swell (Coulthard, 2015). The swelling of the extremities can also result from the leakage (McCance & Huether, 2019). Considering the problem with the patient’s dentures, this could be a possible reason for his ill health. Physiological response The patient responds physiologically to the stimuli. Due to the decline in the blood’s protein, it becomes difficult for the absorption of the salts and water to occur. In response to this, the patient experiences loss of energy and loss of muscle mass. It is due to the decline in the level of this protein that the patient’s muscle mass reduce (Semba, 2016). Cells for the Physiological Response The endothelial cells are responsible for the physiological response which occur in the patient. These cells are important when it comes to the absorption of salts and water. Their role in the regulation of these substances explains why they are important in this response. Other Factors Age is a key element that can raise one’s risk of developing the illness. References Coulthard M. G. (2015). Oedema in kwashiorkor is caused by hypoalbuminaemia. Paediatrics and international child health, 35(2), 83–89. Doi:https://doi.org/10.1179/2046905514Y.0000000154. McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. Semba R. D. (2016). The Rise and Fall of Protein Malnutrition in Global Health. Annals of nutrition & metabolism, 69(2), 79–88.Doi: https://doi.org/10.1159/000449175. 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 Code: NEW30 to Get 30% OFF Your First Order Cystic Fibrosis: Understanding the Genetic Disease That Affects Cellular Processes Cystic fibrosis (CF) is a life-threatening genetic disorder that affects approximately 30,000 people in the United States and 70,000 worldwide. This hereditary condition primarily impacts the respiratory and digestive systems, causing thick, sticky mucus to build up in the lungs and obstruct the pancreas. Understanding the pathophysiology of cystic fibrosis, including its genetic basis and cellular mechanisms, is crucial for patients, families, and healthcare professionals involved in CF care. What is Cystic Fibrosis? Cystic fibrosis is an autosomal recessive genetic disorder caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. The CFTR protein functions as a chloride channel that regulates the movement of salt and water in and out of cells. When this protein is defective or absent, it leads to the production of abnormally thick, sticky secretions that can clog airways and trap bacteria, leading to infections and inflammation. Key Characteristics of Cystic Fibrosis: Genetic basis: Autosomal recessive inheritance Primary affected systems: Respiratory, digestive, and reproductive systems Life expectancy: Currently around 44 years with proper treatment Prevalence: 1 in 2,500 to 3,500 newborns The Role of Genetics in Cystic Fibrosis CFTR Gene Mutations The CFTR gene, located on chromosome 7, contains instructions for making the CFTR protein. More than 2,000 different mutations in the CFTR gene have been identified, though not all cause disease. These mutations are classified into six classes based on their effect on protein function: Mutation Class Effect on CFTR Protein Example Severity Class I No functional protein produced G542X, W1282X Severe Class II Protein misfolded, degraded ΔF508 (most common) Severe Class III Defective regulation G551D Severe Class IV Reduced conductance R117H Mild to moderate Class V Reduced protein levels A455E Mild Class VI Decreased stability c.120del23 Variable Inheritance
In a 4-to 5-page paper synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
In a 4-to 5-page paper synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography In a 4-to 5-page paper synthesize the peer-reviewed research you reviewed. Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies. Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking. In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings. To Prepare: Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery. Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.” Identify and select 4 peer-reviewed research articles from your research. For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies The Assignment: (4-5 pages not including the title and reference page) In a 4- to 5-page paper synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following: Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format. Include an introduction explaining the purpose of the paper. Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. In your conclusion, synthesize the findings from the 4 peer-reviewed research articles. Use APA format and include a title page. Use the Safe Assign Drafts to check your match percentage before submitting your work. Expert Answer and Explanation Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies Among the most recent but significant changes in healthcare and nursing is the introduction of technology-aided clinical systems. Starting from electronic health records to the use of artificial intelligence systems in delivering healthcare, these technology systems have helped to increase efficiency in healthcare organizations. Clinicians can also deliver healthcare with much ease, and it also becomes easy to reach the desired patient compliance levels. Healthcare technologies are also coupled with different challenges which upon addressing would help to achieve even better outcomes. This essay analyses different scholarly articles that explain the use of clinical systems in the improvement of efficiency in the care continuum and the windows of improvement of the available technologies. Annotated Bibliography Kruse, C. S., & Beane, A. (2018). Health Information Technology Continues To Show Positive Effect On Medical Outcomes: Systematic Review. Journal of medical Internet research, 20(2), e41. http://preprints.jmir.org/preprint/8793 The article explains about the positive effects that health information technology has on the medical outcomes. The authors explain about the origin of health information technology, where it was introduced in the 60s, and its implementation became evident in the 1990s. The article is qualitative and is conducted with a primary aim of analyzing the current literature about the implication of the HIT resources on the medical outcomes. The authors conducted a search in various databases with the main ones being MEDLINE and CINAHL, where the most recent peer-reviewed publications were assessed. According to the findings of the article, over 81% of the sources suggested that there is at least one medical outcome that is as a direct result of adoption of HIT in healthcare. The article is therefore a source that shows some of the positive effects that HIT is associated with in the healthcare outcomes. Hodgson, T., Magrabi, F., & Coiera, E. (2018). Evaluating the Efficiency and Safety of Speech Recognition within a Commercial Electronic Health Record System: A Replication Study. Applied clinical informatics, 9(2), 326. Doi: 10.1055/s-0038-1649509 This article entails the analysis of a critical aspect in an electronic health record system, which is a speech recognition system. The authors conduct a study with the aim of validating different risks and inefficiencies that are encountered when using speech recognition technologies in electronic health record system. The study analyses thirty five ED clinicians using the experimental design, examining the various technical issues that could lead to poor performance of the speech recognition systems. The results of the study show that speech recognition is a technology that leads to increased errors as well as reduced time deficiencies. The study suggests that much as the new technology of speech recognition software may have a smart model of implementation, it poses various challenges to performance, which call for integration of even better technologies in the collection of information using electronic health records. Gidwani, R., Nguyen, C., Kofoed, A., Carragee, C., Rydel, T., Nelligan, I., & Lin, S. (2017). Impact of Scribes on Physician Satisfaction, Patient Satisfaction, and Charting Efficiency: A Randomized Controlled Trial. The Annals of Family Medicine, 15(5), 427-433. https://doi.org/10.1370/afm.2122 The article explains the impacts of having scribes in healthcare, in terms of the charting efficiency, patient satisfaction, and physician satisfaction. Scribes are medical professionals who assist in the transcription of information during patient visits into the electronic health records in the presence of the supervision of physicians. One of the main reasons why clinical systems have become hard to implement is the workload they create for direct care physicians, and hence most healthcare facilities have implemented the position of scribes. The authors of the article conducted the study with the aim of understanding the effect that medical scribes have using a randomized control trial. In the control set up, the study involved tasks where physicians conducted their regular activities such as charting without the assistance of the scribes. The findings show that scribes are among the top