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General healthcare technology trends

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General healthcare technology trends

  • Reflect on the Resources related to digital information tools and technologies.
  • Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
  • Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

By Day 3 of Week 6

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

 

SAMPLE ANSWER

Healthcare Technology

There are several general technology trends that stand out in the healthcare organization. One of them is the shift towards the use of cloud in the storage of data. The hospital has been using modern technology for a while in managing the data but has mostly used physical server located within the facility. However, in the recent past, it has increasingly focused on cloud as its preferred method of data storage. Another trend to note is telemedicine. The hospital has been at the forefront in promoting the use of telemedicine where patients can get medical services without having to physically visit the medical facility. With only a smartphone, the hospital has been able to work with various telemedicine apps developers to come up with solutions that make telemedicine including sharing the medical information more convenient and effective.

These technologies are based on the internet and the ability to share information through it. A standout risk that is associated with the use of the internet is data safety (NasserH.Zaied, Elmogy & Abd Elkader, 2015). Internet sources and especially cloud-based data storage is far more vulnerable to hacks and cyber ware attacks than data stored in physical servers especially when using those cloud storage providers that are not established. The same is true with the telemedicine apps were data on the patient can be stolen. Recent reports show that medical records are worth more to hackers than even the credit card information showing just how high the threat to internet-based data sharing is (NasserH.Zaied, Elmogy & Abd Elkader, 2015). This shows the huge challenges of making the trends secure

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An obvious benefit from the technologies is that when cloud storage is provided by top providers such as Apple then the data is highly secure. A risk is that almost all systems even from the best providers are open to possible hacks. Therefore, the medical records from the patients can end up in the hands of criminals that can use it for purposes that can harm the patients. On Legislation, Health Insurance Portability and Accountability Act of 1996 has been of benefit as it provides strict guidelines on the approaches to follow in ensuring that patient medical records are secure (Mintzer, 2018). However, a risk is that the legislation can sometimes be cumbersome resulting in slower implementation of Information technology and increased cost. On patient care, cloud based storage and telemedicine ensure easier storage and communication which makes the provision of care more effective and easier. It also can result in cost savings which can be passed to the patients making care more affordable. However, a risk with patient care and especially with telemedicine is that it can result in poor services offered because the doctors do not have a chance to physically assess the patient.

Cloud storage is very effective and easy to access information and is likely to be impactful on the nursing practice. Nurses need to access medical information on issues such as patient identity and prescription easily to ensure that they provide the best care (NasserH.Zaied, Elmogy & Abd Elkader, 2015). Cloud storage will ensure that this is possible and therefore increase the speed of care as well as reduce possible cases of mistakes when information is not readily available. Cloud storage is likely to result in efficiency as medical professionals will have better information availability (Englander, 2018). The patient records will be simultaneously available to the right staff members at all times meaning that they all can be able to locate and process information better. For example, prescription data stored on the cloud can be accessed by the nurse and the pharmacists at the same time meaning that the drugs will be made ready for the nurse to pick and give to the patient.

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References

Englander, L. (2018). Telehealth and Digital Technology. Telehealth And Medicine Today, 1(1). doi: 10.30953/tmt.v1.62

Mintzer, S. (2018). Potential Benefits and Harms of HIPAA. JAMA, 320(22), 2379. doi: 10.1001/jama.2018.17179

NasserH.Zaied, A., Elmogy, M., & Abd Elkader, S. (2015). Electronic Health Records: Applications, Techniques and Challenges. International Journal Of Computer Applications, 119(14), 38-49. doi: 10.5120/21139-4153

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Reducing Readmission Rate

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Reducing Readmission Rate

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–3 pages)

In a 2- to 3-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

 

SAMPLE ANSWER

Healthcare Program: Reducing Readmission Rate

The healthcare institution needs changes in its medical practice and policy based on measures aimed to reduce the current rate of readmission to normal rates. Within the health care sector, organizations with increased readmission rates risk having fined on reimbursement, which Medicare receives as a result (Jiang and colleagues, 2016).  Improving the performance of the hospital would be important in reducing the rate of patient readmission. The targeted population involves the patients with cardiovascular diseases such as myocardial Infarction. The increased rate of readmission is because of the outcome of poor health among the patients.

Evidence-based strategies can help in addressing performance issues in healthcare institutions. To achieve the success of the program would focus on improving the communication skills within the health care facility. During patient care, communication between nurses and physicians, and nurses and the patients is imperative to help in the treatment process. Effective communication among the healthcare practitioners and the patient facilitates collaboration to health care delivery leading to the provision of holistic and quality care (Jiang and colleagues, 2016). In addition, collaborative communication often motivates nurses and physicians to provide quality care.   Nurses have to develop a good rapport with their patients by engaging them and collaborating to ensure quick recovery.

As an advocate of the program to with cardiovascular diseases, patient education on adherence and living a healthy lifestyle will be important before discharge. Patients need to understand the care plans after discharging them so that they can be able to take care of themselves in a more effective way. Having the knowledge to care for ourselves after being discharged improves patient’s outcome and improves quality of life (Peter and colleagues, 2015).   After discharging patients, it is important to follow up on patient adherence and self care. Self management and medication adherence is important in improving patient outcome and quality of life. Brooke et al., (2014) consider that patients need to work in a more collaborative way with their physicians and nurses to improve their health outcomes. This can only be achieved if they are educated on the importance of collaborating, adhering to their medications and self care.

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The role of a nurse in the implementation of the program will involve educating patients on the importance of collaboration with the pharmacists, physicians and nurses. The nurses through the leadership of the organization will train patients on the effective communication and the implicating it has in improving the patient’s outcome (Gopee & Galloway, 2017). The follow up services to ensure patients adhere to their medication will be done by nurses and physicians who will be assigned the patients to ensure they are recovering and commit to their medications. All health care practitioners who will be involved in follow up care will undergo training on cultural competence so they can be able to attend to culturally diverse patients.  Cultural competence is important as it help nurses to understand the patient’s background and cultural beliefs before commencing care (Brooke et al., 2014).

The major stakeholders will be caregivers, pharmacists, physicians, and nurses. The stakeholders will be involved to help with the process implementation including assigning financial resources and policy execution. Proper communication and engagement of stakeholders will help them to understand the proposed policy change (Gopee & Galloway, 2017). Thus, the recommended strategies will improve performance of health care institutions to help prevent increased rate of readmission among patients with cardiovascular diseases.

 

References

Brooke, B. S., Stone, D. H., Cronenwett, J. L., Nolan, B., DeMartino, R. R., MacKenzie, T.

A., … & Goodney, P. P. (2014). Early primary care provider follow-up and readmission after high-risk surgery. JAMA surgery, 149(8), 821-828. doi: 10.1001/jamasurg.2014.157.

Gopee, N., & Galloway, J. (2017). Leadership and management in healthcare. SAGE

Publications Ltd.

Jiang, H. J., Boutwell, A. E., Maxwell, J., Bourgoin, A., Regenstein, M., & Andres, E.

(2016). Understanding patient, provider, and system factors related to Medicaid readmissions. Joint Commission journal on quality and patient safety, 42(3), 115-121. https://www.ncbi.nlm.nih.gov/pubmed/26892700

Peter, D., Robinson, P., Jordan, M., Lawrence, S., Casey, K., & Salas-Lopez, D. (2015).

Reducing readmissions using teach-back: enhancing patient and family education. Journal of Nursing Administration, 45(1), 35-42. DOI:

10.1097/NNA.0000000000000155

 

 

 

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The conservative or liberal philosophies

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The conservative or liberal philosophies

Please answer the following questions in regards to the essay topic enclosed.  Note: no title page needed only the answers for the questions.

IMPORTANT: 100- 150 words required for each question answer, including each question within each question. (example two questions within a question = 200-300 words required total)

1- Explain your topic and why you believe (or do don’t believe) it is an important matter for the general public.

2-How do you plan to use Hass and Flower’s concept of purpose and context in your argument essay?

3-What was the most dominant appeal used by the debate members discussing your topic? Why do you believe that appeal was used most?

4- Which primary appeal do you think best suits your debate topic? Explain

 

SAMPLE ANSWER

Explain your topic and why you believe (or do don’t believe) it is an important matter for the general public.

The topic of discussion is “Liberals Hold the Moral High Ground.” It is a debate about the two opposing philosophies i.e. the conservative or liberal philosophies and the extent to which their ideas work towards achieving national identity in America. At the same time, each brings up points that are designed to indicate the best outcomes for the country and especially regarding the policy goals. The debate is an important one for the p8blic because of the interest in the side that offers higher moral ground this means that it seeks to establish which of the philosophies aims at bringing out the great good for a large number of people. Also, because of the divided political arena in the country, it is necessary to understand the side of the political divide that offers policies or ideas that reflect the culture of the country.  In doing so, the side will play a role in embracing the virtues of the country that are cherished by a large number of people.

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How do you plan to use Hass and Flower’s concept of purpose and context in your argument essay?

I intend to make use of the content strategies provided to get information from the debaters and use it for my essay. This means that I will have to first of all sum up the content. This will be followed by paraphrasing of the content so that I can ensure that I write it in my own words. I will also try my best to interpret the information that is provided. I will then make use of rhetorical strategies to go beyond simply understanding the text. This will involve analyzing the content so that I can attempt to account for the thoughts, as well as the purpose that the author had when providing the content. Also, I will put in the effort to understand the context that the author of the text is looking at as well as the intended impact of the content on the audience.

What was the most dominant appeal used by the debate members discussing your topic?

The appeal that was mostly used by the speakers is the pathos appeal. This is a type of appeal used in debates or public speaking that seeks to appeal to the emotions of the audience.  The people that sue the pathos appeal seek to offer a convincing argument to the audience and this is achieved by creating an emotional response to a plea or a story. In this case, the audience is being convinced about the moral standings of each part of the debate side. Each side seeks to bring out ideas or pleas so that they can be seen to be better than the opponents.

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Why do you believe that appeal was used most?

I believe that the appeal is used most because they all want to prove that they have a better moral standing as compared to the opponents. In doing so, they aim at bringing out their points to prove that they have been designed with the utmost good of the larger population in mind. The conservatives and the liberals seek to establish the meaning of morality by explaining what morality is to them. The liberals believe that morality is anchored on caring and looking after the disadvantaged people in society as well as ensuring justice, fairness, and generosity. Conservatives believe that morality is brought about by fairness, respect for leadership as well as an individual sense of responsibility and patriotism.

The conservative or liberal philosophies

Which primary appeal do you think best suits your debate topic?

The pathos appeal is the most suitable appeal for thus debate topic. This is because the debate topic requires one to take a side that they strongly believe speaks to the heart of the people. In doing so, there is a need to support the arguments by presenting the points in a way that the audience will acknowledge that the policies embody the most cherished virtues. In doing so, it will be important to not only capture their attention or provide facts as is seen in the logos appeal, it involves convincing them that the ideology of the supported side is the best for the country.

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Phenomenology Research

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Phenomenology Research

The quest to understand the lived experience and the philosophical structures of experience and consciousness is the focus of a movement that began in the early years of the 20th Century. The movement is called phenomenology because the movement explores the lived experience of phenomena. Edmund Husserl and Martin Heidegger were two of the prominent philosophers who developed this method of inquiry though each took a significantly different philosophical approach to understanding human experience. In this assignment, you will discuss the psychology research methods that emerged from the philosophies of Husserl and Heidegger and the researchers who developed those methods.

General Requirements:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least two scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center.

Directions:

Write a paper (1,250-1,500 words) in which you discuss both the phenomenological research methods in psychology that emerged from the philosophies of Husserl and Heidegger and the theorists/psychologists who developed those methods. Include the following in your paper:

  1. A discussion of at least two phenomenological research methods that emerged from the phenomenological philosophy of Husserl. What were the central tenets of each method? What is known about the theorists/psychologists who developed each method?
  2. A discussion of at least two phenomenological research methods that emerged from the phenomenological philosophy of Heidegger. What were the central tenets of each method? What is known about the theorists/psychologists who developed each method?
  3. A contrast of the primary differences among the phenomenological research methods identified above. How does each method address approaches to data gathering, data analysis, and the role of the researcher?
  4. A research-based statement of and rationale for the method you believe allows the best understanding of human experience.

 

SAMPLE ANSWER

Phenomenology Research

Introduction

Phenomenology in psychology involves studying subjective experiences at a personal level. Philosophers apply different research methods when it comes to studying individual experiences; however, it is always challenging to identify the quality of a particular experience for one to come up with effective conclusions (Horrigan-Kelly, Dowling & Millar, 2017). In most cases, it is hard to believe in the possibility individuals having similar experiences for a given phenomenon. As such, this indicates that the phenomenology research results can only be applied to one person and should not be a reflection of other people, despite the similarity (Sousa, 2014). Various philosophers, including Edmund Husserl and Martin Heidegger, have developed phenomenological methods of research to explain how experiences affect individuals separately. Husserl and Heidegger have significantly contributed to the study by proposing and examining various research methods hence providing a starting point for other philosophers. To get the most viable method of understanding human experiences, major emphasis will be placed on reviewing Husserl and Heidegger’s work and their contribution to development of phenomenological research methods.

Phenomenological Research Philosophy for Husserl

Edmund Husserl is regarded as one of the most significant philosophers when it comes to phenomenological studies. Compared to other studies, Husserl’s studies on phenomenology created a system to govern the science, hence forming a new perspective that separated it from other philosophies (Horrigan-Kelly, Dowling & Millar, 2017). He developed various research methods, one of them being the genetic concept, which was derived from inner-time consciousness theory. According to Applebee (2011), Husserl used this concept as a way of uncovering the beginning of intentional motivations, which can either be as a result of reason, or pre-predicative.

Husserl also applied Descriptive Phenomenological Method in studying psychology. The concept, which was initially proposed by Amedeo Giorgi, factors in both interpretive and descriptive moments that must be applied in any research process (Applebaum, 2011). the central tenant of this method is indicating the need to integrate descriptive and interpretive aspects of descriptive phenomenological research method. Husserl also applied neurophenomenology as another research method, which combines first person science with his phenomenology philosophies. The method applies scientifically verifiable methods in examining individual conscious experiences, as well as studying the mind by combining phenomenology with neuroscience (Sousa, 2014). Neurophenomenology was first introduced by Francisco Varela who was a trained biologist, a philosopher, as well as a mathematician. He supported the idea of human consciousness and cognition through enactive structures that may arise (Horrigan-Kelly, Dowling & Millar, 2017).

Phenomenology Research

Phenomenological Research Philosophy for Martin Heidegger

Husserl’s research methods are highly challenged by Heidegger, whose ideas are termed as a combination of contextualism and phenomenology. Unlike Husserl, Heidegger rejects the idea of human beings being regarded as spectators of objects, with his arguments being based on the assumption that objects and subjects are inseparable(Horrigan-Kelly, Dowling & Millar, 2017). From Heidegger’s perspective of philosophy, an individual’s existence involves being in the world where one is embedded and inseparable from the world. His work mostly disregards Husserl’s view of transcendental ego and one of his proposed methods of phenomenological reduction. He describes ‘being ‘ as a matter of choice, where individuals are in a position to investigate their kind of being, by first identifying ho they understand the factor of being(Horrigan-Kelly, Dowling & Millar, 2017).

Like Husserl, Heidegger also inspired various research methods of philosophy, one of them being Interpretative phenomenological analysis. The central tenet of interpretative analysis is to show how in certain phenomenon different individuals make sense of situations and how they respond to such situations. Such a phenomenon, according to Heidegger, may arise from personal issues such as life events. The interpretative phenomenological analysis applies qualitative research where data gathering techniques involve interviewing participants and from journal entries (Applebaum, 2011). As a philosopher, Heidegger identified these research methods as unique since it not only focuses on the psychological components affecting an individual, but also idiographic and interpretive components. Interpretive analysis has also been applied in other areas beyond phenomenology to be used in occupational psychology (Horrigan-Kelly, Dowling & Millar, 2017). The method was proposed by Jonathan smith with the aim of promoting qualitative research in social and health psychology.

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Heidegger also inspired phenomenological anthropology as a research method. He adopted an existentialist approach used in psychoanalysis, which argues that the existence of human beings involves being open to any experiences, if not all (Applebaum, 2011). the central tenet of this research method, as emphasized by Heidegger, is to show that that there is no gap between the human mind and measurable matter.  For the study, participants are meant to think of themselves as being alone with their self while being in the paradox of being in a relationship with other humans but that they are ultimately alone. He also combines phenomenological approach as proposed by Husserl with existentialism to analyze human experiences (Horrigan-Kelly, Dowling & Millar, 2017). He describes phenomenology as letting things be seen in the way they present themselves. Unlike Husserl, Heidegger did not use phenomenology as a tool to analyze consciousness. By seeing things in their natural form without further analysis, he implied separation form consciousness.

Contrasting Methods

Edmund Husserl and Martin Heidegger are regarded as two of the most influential philosophers that had significant mark in developing and inspiring other psychologists in phenomenology. Their studies have inspired other research methods in an attempt to understand how individuals experience and respond to different phenomena. Although both philosophers had a similar agenda to understand human experiences, they both had different journeys and perceptions, as observed by the different approaches they applied in explaining human experiences (Horrigan-Kelly, Dowling, & Millar, 2017). The methods and theories applied by both Edmund Husserl and Martin Heidegger have enabled development of more research methods in various areas, especially in phenomenology.

In both cases, Heidegger and Husserl applied similar themes in phenomenological research since they both use qualitative and inductive research methods. The ideas of the two philosophers indicate that applying quantitative measure is not sufficient to ensure that there is free flow of information between the participant and the researcher. Further, they agree that reality on subjectivity and it is not fixed (Horrigan-Kelly, Dowling & Millar, 2017). The methods used to gather data are also similar since they both use journal entries and interviews. As Horrigan-Kelly, Dowling and Millar (2017) note, interviewing is regarded as the best method of information gathering when working an individual basis. Nonetheless, in cases where research methods vary, they still aim at reaching a similar goal. Besides, the philosophers also agree on a type of psychology that looks within an individual instead of forcing medication on the said subject.

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Heidegger and Husserl’s ideas differ based on the applicability of individual experiences. While Husserl believed that phenomenology is rooted in an individual’s negated assumptions and perceptions of a given subject, Heidegger formed an interpretive approach whose main concept focused on being in the world, instead of striving to know it. Husserl focuses on a Descriptive Phenomenological Method, which incorporates interpretive and descriptive moments from an individual point. Heidegger, on the other hand, looks into Interpretative phenomenological analysis, which mainly interprets how individuals react in various situations (Sousa, 2014). He emphasizes on focusing on one’s self despite being surrounded by other people. Although both philosophers apply methods that are unique and different, they both focus on a common goal of offering assistance that focus on an individual and not on the surrounding.

Best Understanding of Human Experience

Heidegger provides the best understanding of human experience through interpretative phenomenological analysis. This form of qualitative research enables a researcher to understand how one would react if they are put in a set of circumstances and the reaction to certain phenomenon. By applying this method, one is able to use extensive research to get a better understanding of how people react to situations. Although phenomenologist understand and agree on the need to use medication for certain illnesses, the also provide other alternatives that reach similar conclusions as medication. Such alternatives have proven to be equally helpful in understanding human experiences, which are highly fascinating and are better understood through phenomenology.

 

References

Applebaum, M. H. (2011). Amedeo Giorgi and Psychology as a Human

Science. Neuroquantology, 9(3), 518-525.

Horrigan-Kelly, M., Dowling, M., & Millar, M. (2017). Understanding the Key Tenets of

Heidegger’s Philosophy for Interpretive Phenomenological Research. International Journal Of Qualitative Methods, 15(1),

Sousa, D. (2014). Phenomenological Psychology: Husserl’s Static and Genetic

Methods. Journal Of Phenomenological Psychology, 45(1), 27-60. doi:10.1163/15691624-12341267

 

 

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Peer Review – Classical Argument

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Peer Review – Classical Argument

Please answer the questioner attached in regards to the essay that is also attached. Just need the questions answers, no title heading page needed. Thanks!

FYI: please look out for a specific required word count on some of the questions and please comply to it or I would not get the credit for it. Thanks,

 

SAMPLE ANSWER

Peer Edit of 1302 Essay

 

After reading the entire paper, you will follow the checklist below. Do not just check things off the list though; be sure to fill out suggestions at the bottom of each section.

Students who have not filled out the sheet or added elaborate comments to each section will not receive credit for peer-review session.

Formatting:

  1. Does the essay have a title that relates to what the writer is talking about?__yes_____
  2. Is the title properly punctuated-12 point Times New Roman? Is it centered and not underlined? _yes______
  3. Is the essay typed and double-spaced, in Times New Roman? ___yes______
  4. Does the essay include an MLA heading and header? ___yes______
  5. In general, does the paper look uniform and orderly? ___yes_____

Peer Review – Classical Argument

In the space below, suggest one thing to make the format better:

The format is okay and it follows the rules stipulated for MLA writing

Introduction and Narration:

  1. Does the introduction include discussion of both sides of the argument? ___yes____
  2. Does the narration provide discussion of BOTH sides equally? _____yes____
  3. After the intro information, does the author provide a clear thesis? __yes______
  4. Write the thesis statement below:

This is essay is an attempt to show that the question asked is flawed and liberals do not hold the moral high ground, at last in this context

In the space below, suggest one thing to make the introduction better:

The introduction looks good. However, it could be improved by offering more descriptions of the term “moral high ground” as is described by scholars and offer citation.

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Body paragraphs:

  1. Do the body paragraphs support a clear claim? __yes____
  2. Does each body paragraph have a topic sentence that illustrates the focus of the paragraph? ___yes____
  3. Does each body paragraph include at least one quotation? All paragraphs have quotations
  4. Are quotations analyzed—does the writer try to discuss why the quotes are important? ____yes_____
  5. Are quotations parenthetically documented with in-text citation? ___yes_____
  6. Is each paragraph fully developed so that a convincing position is analyzed? Not fully but they have been discussed
  7. Does each body paragraph have more of the writer’s words than quotes? ­­__yes_____
  8. In general, can you understand the purpose of each paragraph as it relates to the argument?__yes___

Peer Review – Classical Argument

In the space below suggest one thing to make the body paragraphs better: __________________________________________________________________________________________the paragraphs would be improved if there is more information about the quotes in relation to what other authors or scholars have written about the topic.

Essay as a whole:

  1. Is the essay free of major grammatical errors and misspelled words? __there are some typos in the essay___
  2. Is the language of the essay clear and easy to read? ___yes____
  3. Are simple, compound, and complex sentences used in the essay? __yes_____
  4. Is the essay free of run-ons and/or fragments? ­­___yes___
  5. Is the essay free of contractions? ­­__yes____
  6. Does the essay use correct punctuation? ____yes__
  7. Is the writer avoiding informal language like: “nowadays” “back then” “till” “for the fact that”? __yes___

 

In the space below, suggest one thing to make the essay better:

The essay could be improved by providing more arguments and citations as well as increasing its length to offer a more valid conclusion. In addition, the essay is not complete and completing it will make it better.

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Discuss any unanswered questions that you have and write ONE suggestion to the writer to improve the paper. (For example, does the writer spend TOO much time summarizing or retelling the argument and not ENOUGH time analyzing? If this was the case, suggest a way to improve this issue.)Your response below must be at least 200 words.

 

The essay, although well written and following most of the rules, is not complete. There is no indication that it has concluded and there is missing information in statements such as “cite here” as seen in the essay. In addition, there is a way the writer could summarize some words so that they could be fewer and pave way for more room to discuss the question at hand. For instance, in the second paragraph, the writer says, “It is totally possible for liberals to hold the moral high ground as much as it is possible for conservatives to hold the moral high ground.” This could simply be summarized as “both conservatives and liberals could hold the moral high ground.” The third paragraph seems to leave question marks on the reader. This is because the author writes about the lexicons that have been used by the liberals and even provides the meanings. However, the writer does not bring out the role that the lexicons play in the arguments made or in the essay. The writer could have put more emphasis on the role of those words as this would have made the reader understand why they were used in the first place, and what importance they play.

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Personal Leadership Development Plan

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Personal Leadership Development Plan

Unit outcomes addressed in this Assignment:

  • Design a personal leadership development plan.

Course outcomes addressed in this Assignment:

  • PU550-4:Create a personal leadership development plan.

Instructions:

In this scenarioyou have recently been hired at a healthcare organization. Your hiring manager has asked you to assess your leadership skills and develop a personal leadership development plan based on areas that need improvement.

  • Complete the Tier 3 Competency Assessment to determine how prepared you are to meet the requirements of a public health leader.
  • After completing the Assessment, copy and paste the “Your Results” section from the Assessment to the Assignment 9 Submission Template.
  • Develop a comprehensive plan for improving in the three areas with the lowest score.

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Requirements:

  • Tier 3 Competency Assessment Completed.
  • Results section from Tier 3 Competency Assessment copied and pasted into Unit 9 Assignment Submission Template Section I.
  • Section II Table completed – table includes three strategies or trainings to support development in areas of improvement.
  • 500–800 word summary of personal leadership development plan.

 

SAMPLE ANSWER

Unit 9 Assignment

 

SECTION I:

 

Domain Average Total
Analytical/Assessment Skills 3.1
Policy Development/Program Planning Skills 2.9
Communication Skills 3.4
Cultural Competency Skills 3.0
Community Dimensions of Practice Skills 2.8
Public Health Sciences Skills 2.8
Financial Planning and Management Skills 3.4
Leadership and Systems Thinking 2.5

 

 

SECTION II:

 

Area for Improvement Strategy/Training 1 Strategy/Training 2 Strategy/Training 3
Leadership and System Thinking Skills Conference

http://www.r4phtc.org/tag/leadership-and-systems-thinking-skills/

 Online training

https://www.open.edu/openlearn/money-management/management/leadership-and-management

 Workshop

https://www.disruptdesign.co/systems-thinking
Public Health Sciences Skills Conference

https://globalhealthtrainingcentre.tghn.org/resources/conferences/

 Workshop

https://www.cdc.gov/publichealthgateway/professional/index.html

 Lecture

https://publichealth.nyu.edu/
Community Dimensions Skills Online training

https://www.cdc.gov/publichealthgateway/professional/index.html

 Lecture

https://publichealth.nyu.edu/

 Workshop

https://www.cdc.gov/publichealthgateway/professional/index.html
       
       
       

 

 

SECTION III:

Personal Leadership Development Plan

Introduction

A personal leadership development plan is viewed to help one to define and direct his or her career goals.  In healthcare, this plan helps one to achieve better satisfaction in practice. It also improves the organization’s operations (Baron, 2016).  Reflection of my leadership skills reveals that m knowledgeable in many areas.  After doing the competence assessment tier, I have realized that I need to improve my skills in three areas. The paper develops a plan that is focused on improving my leadership and system thinking, public health sciences, and community dimensions skills.

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Leadership and System Thinking Development

From my assessment, the areas that need much focus in this domain include collaboration with individuals, creating opportunities to organizations, and interacting with systems. To improve my leadership and system thinking skills, I need to attend a workshop. While this training program is short, I view that it is suitable in developing my skills. Moreover, I view that workshops usually involve professionals who can focus on individual needs. Secondly, I would like to engage in online training. This approach needs much dedication as online lessons may occur during inconvenient hours. In addition, I also need to attend a conference. The conference will be held by a business organization. However, the attained leadership skills will be applied in my profession. The training period for this aspect will take two months (Bellack & Thibault, 2016).

Public Health Sciences Improvement

As a healthcare practitioner, some of the most important skills are public health sciences skills. They are essential in improving my professionalism at the workplace.  The assessment has depicted that the areas which need more focus in this domain include explanations of prominent events, applying public health sciences in organization management, and explanations of evidence. I will attend a workshop which aligns with public health issues. Moreover, I would need to engage in conferences because they will take a longer. Lastly, I would like to attend lectures.  Since I have much focus in this domain, I will employ many strategies. For instance, I will engage note taking, active listening, and asking questions to get clarifications in areas of difficulty. The training period for this aspect will take three months.

Community Dimensions

Community dimension skills are important in helping a practitioner work well in a community setting (Dong et al., 2017). My area of focus is in understanding suitable ways of enabling community inputs to be used in improving healthcare policies and programs. In this area, I need to engage in online training.  I find this approach to be suitable because most of the issues about the current society are found online. Workshops will also be suitable in understanding various issues in this domain. However, since workshops take a short period, I will also attend some lectures on community health issues. This dimension needs about a month to improve on my skills (Fernandez et al., 2015).

Conclusion

Leadership training is a common occurrence in healthcare organizations. The plan tries to reveal that competence in healthcare is very important. Moreover, it tries to reveal that improvement in various skills needs multiple strategies or training elements. The training is predicted to take about three months to complete. I believe that my chosen strategies and training will improve my leadership skills.

 

References

Baron, L. (2016). Authentic leadership and mindfulness development through action

learning. Journal of Managerial Psychology, 31(1), 296-311.

Bellack, J. P., & Thibault, G. E. (2016). Creating a continuously learning health system through

technology: A call to action. Journal of Nursing Education, 55(1), 3–5.

Dong, Y., Bartol, K. M., Zhang, Z. X., & Li, C. (2017). Enhancing employee creativity via

individual skill development and team knowledge sharing: Influences of dual‐focused transformational leadership. Journal of Organizational Behavior, 38(3), 439-458.

Fernandez, C. S., Noble, C. C., Jensen, E., & Steffen, D. (2015). Moving the needle: A

retrospective pre-and post-analysis of improving perceived abilities across 20 leadership skills. Maternal and Child Health Journal, 19(2), 343-352.

 

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Standardized Nursing Terminologies

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Standardized Nursing Terminologies

Please follow these instruction.

Ø  Use required reading resources it is part of the instructions from the professor.

Ø  This is a Masters level paper.

Ø  APA format with intext citation

Ø  No running head but there should be number pages.

sources can be more but at least four.

 

To Prepare:

  • Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

In a 2- to 3-page paper, address the following:

  • Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
  • Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.
  • Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

 

The professor emphasis on these two articles to be part of our resources.

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

·         Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)

·         Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

 

SAMPLE ANSWER

Standardized Nursing Terminologies

As tech-driven data delivery and technology are integrated into health care, it is critical for health care practitioners to leverage the systems. Standardized Nursing Terminologies are defined as standardized terms, which are essential in accessing and communicating data and information that can help improve nursing care (Rutherford, 2008). These terminologies increase nurses’ knowledge and skills in delivery of health care, leading to positive patient outcomes. This efficiency also makes it easier for nurses to convey detail care strategies, which are critical components of delivery of quality care (Keenan, Tschannen, & Wesley, 2008). This paper discusses the benefits and challenges of the standardized nursing terminologies in delivery of healthcare.

Benefits of Standardized Nursing Terminologies

Standardized Nursing Terminologies helps to improve population health through improving care. They inform nurses about the benefit of the information system in nursing practice. This helps to achieve the goal of nursing through nursing research, continuity of care, improved outcomes, and documentation of nursing interventions (Rutherford, 2008). Healthcare organizations that decide to employ the use of Standardized Nursing Terminologies may experience a reduction in organization expenditure.  The organization’s productivity increases through ensuring a positive return on financial investment because nurses understand best practices that help provide holistic and quality care. Research has shown that hospitals can save on medication expenditure and improve the efficiency in billing services, upgrading recording services, increasing efficiency in diagnostic processes and reducing billing errors through the implementation of Standardized Nursing Terminologies (Keenan, Tschannen, & Wesley, 2008).

The implementation of Standardized Nursing Terminologies can boost the safety of patients and ensure the provision of quality health care. For example, the terminologies in Electronic Medical System can help to prescribe and order medication for patients as it makes it easier to know when patients ordered medications and which drugs they used or were prescribed by another physician (Rutherford, 2008). Besides, Standardized Nursing Terminologies makes it easier for physicians and nurses to understand the medical issues and problems faced by patients to ensure they are provided with required diagnosis, treatment, medications, and follow up care and services (Rutherford, 2008). As long as health care practitioners get critical information about patients at their figure tips, they would be able to give personalized, efficient, and safe care that patients deserve.

Standardized Nursing Terminologies are primarily designed to help nurses get involved and collaborate with patients in healthcare delivery.  For example, nurses can summarize all clinical information and sent responses to patients in no time through the use of electronic medical records system (Lundberg et al., 2008). Each patient summary has data on the care they received from the hospital, the type of medications prescribed, the medical advice given, and the follow-up services that are required (Rutherford, 2008). The summary is critical in making patients aware of their health conditions and how their families can assist in patient care after discharge. Thus, these terminologies help patients to understand their condition and make more informed decisions on their lifestyle and health.

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Standardized Nursing Terminologies are also critical in reducing misunderstanding among nurses and reducing medical errors in nursing practice. Medical errors are a significant challenge for medical practice due to poor practice and lack of collaboration among health care practitioners and patients (Keenan, Tschannen, & Wesley, 2008).  By improving competencies among nurses, the terminologies help improve nursing care by supporting the process of clinical and epidemiological reasoning (Rutherford, 2008). This can help achieve cross-cultural and unified representativeness among nurses and patients in healthcare delivery. Thus, Standardized Nursing Terminologies are critical in reducing readmissions, shorter lengths of stay, fewer errors, and fewer redundancies in healthcare.

Challenges of Standardized Nursing Terminologies

Although there is a growing literature on the benefits of Standardized Nursing Terminologies, there are potential challenges with the use of the technology such as privacy and security concerns, temporary loss of productivity, changes in workflow, and financial issues (McGonigle & Mastrian, 2017). The significant economic problems in adoption of the terminologies include the increased cost for training to improve nurse’s skills and knowledge in the delivery of healthcare.

The use of the Standardized Nursing Terminologies also leads to the disruption of workflows among nurses and physicians that result in temporary loss in productivity. Loss of organization productivity occurs from learning among end-users such as nurses thereby leading to loss of revenue (McGonigle & Mastrian, 2017). The lack of knowledge of specific terminologies makes it difficult for nurses to provide quality health care. This negatively impacts patients outcome or may increase instance of medical errors during care. Policies makers need to pass legislation that ensures nurses undergo continuous training in nursing to strengthen their understanding of nursing terminologies in the provision of health care.

Conclusion

The paper analyzes the importance of Standardized Nursing Terminologies in healthcare institutions by looking at their benefits and challenges in the health care system. These terminologies are critical in providing precise and efficient care to patients. The terminologies help to develop competencies in nursing practice to help improve nursing care through supporting the process of clinical and epidemiological reasoning. Thus, nurses need to undergo continuous training to enhance their skills and knowledge in nursing that are critical delivery of healthcare and improving patient outcomes.

 

References

Keenan, G. M., Tschannen, D., & Wesley, M. L. (2008). Standardized nursing terminologies can transform practice. Journal of Nursing Administration, 38(3), 103-106. https://emr.ufl.edu/files/2008/13/cv_yai_10.pdf

Lundberg, C., Warren, J., Brokel, J., Bulechek, G., Butcher, H., McCloskey Dochterman, J., …& Spisla, C. (2008). Selecting a standardized terminology for the electronic health record that reveals the impact of nursing on patient care. The online journal of nursing informatics, 12(2). DOI: 10.1097/01.NNA.0000310728.50913.de

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of

knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing

practice. OJIN: The Online Journal of Issues in Nursing, 13(1), 243-50. DOI:10.3912/OJIN.Vol13No01PPT05

 

 

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Standardized Nursing Terminologies

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Standardized Nursing Terminologies

Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one?

To Prepare:

  • Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

In a 2- to 3-page paper, address the following:

  • Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
  • Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
  • Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

Note: You will access this article from the Walden Library databases.

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Topaz, M. (2013). The hitchhiker’s guide to nursing theory: Using the Data-Knowledge-Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3).

Note: You will access this article from the Walden Library databases.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

 

SAMPLE ANSWER

Standardized Nursing Terminologies

Introduction

Standardized nursing terminologies refer to a wide range of vocabularies that are used by nurses to describe standard care. The common language is understood by all nurses from different geographical areas and various health institutions. Nurses agree on a common form of communication to ensure that there is no confusion on patient health history even when given care by different nurses of health professionals in various hospitals, units, and countries. For instance, nurses document postpartum vaginal bleeding as large, moderate, or small. The terms small, large, and moderate describe a standard amount that is known by the nurse (Topaz, 2013). Thus, if a patient is treated in a different hospital by different nurses, their health information would remain clear without causing any confusion or inconveniences. This paper aims to review the concepts of informatics as described by Rutherford (2008), in “Standardized Nursing Language; What Does It Mean for Nursing Practice?”. The paper also describes the importance of standardized nursing terminologies.

In the “Standardized Nursing Language: What Does It Mean for Nursing Practice?”, the author describes how he visited a delivery and labor unit in a local community hospital with the aim of observing the implementation of the recent Nursing Outcome Classification and the Nursing Intervention Classification. One of the nurses commented that they document their care through the use of standardized nursing terminologies, but they do not understand why they do so. Therefore, Rutherford (2008) thought of writing an article describing the importance of Standardized Nursing Terminologies in improving patient care and evidence-based patient outcome for the nurses. Besides, based on various studies, there is a wide range of benefits of using the terminologies to both nursing practice and patient outcome.

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Benefits of Standardized Nursing Terminologies

Nurses should understand why they use standardized terminologies in documenting their care and their importance to nursing practice as well as patient outcome. Some of the benefits are outlined below:

  1. Improved Patient Care

The use of Standardized Nursing Terminologies helps in reducing misunderstandings and medical errors. The use of unstandardized data may cause a lot of challenges when it comes to data analysis and processing. When data is unstandardized, similar terminologies may have different meanings depending on the institutions since cultures and standards of care can considerably vary (Wang, Kung & Byrd, 2018). Medical errors and misunderstandings may lead to poor treatment of a patient which may lead to health emergencies such as the death of worsening of a patient’s health condition (Macieria, et al.2017). Therefore, nurses should be informed that its is highly beneficial to quality patient outcome.

  1. Improved communication among nurses and other health practitioners

The use of Standardized Nursing Terminologies enhances clear communication among health practitioners, such as administrators of health institutions and other health practitioners. For instance, through the use of the International Classification of Diseases, physicians can have a standard understating of various health conditions (Rutherford, 2008). The Diagnostic and Statistical Manual Disorders gives a common language for psychological disorders (Macieria, et al.2017). When a psychologist indicates the status of a patient on the patient chart using SNTs, other health practitioners, physicians, and nurses understand the diagnosis of the patient.

  • Enable Data Collection to Evaluate Nursing Care Outcomes

Application of Standardized Nursing Terminologies to document nursing care may provide the necessary consistencies when comparing care quality for different interventions. Many health organizations are adopting the use of electronic health records (Rutherford, 2008). When nursing care is documented electronically in a common language, data from large state, local and national institutions can be used for benchmarking with other institutions that give nursing care.

  1. Easy assessment of competencies in nursing

The use of Standardized Nursing Terminologies can be used in examining the competencies of nurses in the field. It is a requirement for the healthcare institutions by the joint commission to demonstrate the competency of the nursing staff (Macieria, et al.2017). The interventions which are described in the terminologies can be used to evaluate the competencies of nurses in performing those interventions (Rutherford, 2008). Besides, the documentation of care done by different nurses using the standardized language can be used to tell whether a nurse is giving the right care to a patient.

  1. Enhances the visibility of nursing interventions

Most nurses use non-formal notes or verbal communication when communicating with each other about patient care. Therefore, their interventions main remain invisible. Nurses need to understand that the use of Standardized Nursing Terminologies to document their care helps in making their interventions visible. Besides, the documentation of nursing interventions in computers helps describe their contributions to patient outcome, thereby making them more visible.

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Challenges in implementation of Standardized Nursing Terminologies

  1. Lack of professional practice understanding

One of the challenges in the implementation of Standardized Nursing Terminologies is that in most of the health institutions, nursing care is fails to be represented the documentation value of Standardized Nursing Languages (Topaz, 2013). Thus, there is no familiarity of nursing practice with Nursing Standardized Terminologies represented.

  1. Lack of proficiency with electronic health records and computers

Most nurses fail to understand the Standardized Nursing Terminologies. Besides, some nurses do not understand the application of Electronic health documentation and the use of computers (Topaz, 2013). Therefore, the implementation of the terminologies becomes a great challenge.

  • Technology and Information System barriers

Information System and technology barriers may include such factors as insufficient ability to retrieve or document nursing practice in form of Standardized Nursing Terminologies. Also,  its unavailability  in the Electronic Health Records poses great challenges during the implementation of SNTs. In addition, the Standardized Nursing Terminologies acts as one of the major challenges in the implementation of SNTs.

Conclusion

In conclusion, the nurses who commented that they do not understand why they document their care through Standardized Nursing Terminologies should first learn the importance of the common terminologies. They enhance easy communication between nurses, other health practitioners, and administrators in health institutions. The languages also reduce the instances of misunderstandings and medical errors when patients are treated by different health practitioners in different geographical areas and various health institutions. Besides, it is easy to assess the competencies of nursing interventions through the use of Standardized Nursing Terminologies. Data collection and benchmarking are also quickly done when Standardized Nursing Terminologies are used in healthcare.

 

References

Macieira, T. G., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of Progress in Making Nursing Practice Visible Using Standardized Nursing Data: A Systematic Review. In AMIA Annual Symposium Proceedings (Vol. 2017, p. 1205). American Medical Informatics Association.

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice. OJIN: The Online Journal of Issues in Nursing, 13(1), 243-50.

Topaz, M. (2013). Invited Editorial: The Hitchhiker’s Guide to nursing informatics theory: using the Data-Knowledge-Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics (OJNI), 17(3).

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126, 3-13.

 

 

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Cognitive Behavioral Therapy: Family versus Individual Settings

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Cognitive Behavioral Therapy: Family versus Individual Settings

Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider challenges of applying this therapeutic approach to your own client families.

Learning Objectives

Students will:

  • Compare the use of cognitive behavioral therapy for families to cognitive behavioral therapy for individuals
  • Analyze challenges of using cognitive behavioral therapy for families
  • Recommend effective cognitive behavioral therapy strategies for families

Nursing Paper Help

To prepare:

  • Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.
  • Reflect on your practicum experiences with CBT in family and individual settings.

Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media (see upload)

 

SAMPLE ANSWER

Cognitive Behavioral Therapy: Family Settings versus Individual Settings

During family therapy, Cognitive Behavioral Therapy (CBT) is used to identify behavioral goals, achieve goals using theoretical techniques, and learn social reinforces to accomplish the goals. CBT for family therapy helps to identify strengths and weaknesses of family. Individuals and groups of the family are in behavioral, emotional, and cognitive aspects of interaction to help plan for care or as an intervention plan (Nichols, 2014).  During family therapy, family members influence each other including the group behaviors. Therefore, during group therapy, paying attention to individual’s cognitions, emotions, and practices is critical.  For example what can be observed is the actions of the group towards an individual and the essential aspects of family relationships as seen in Johnson’s family.

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Individual CBT looks into the personal experiences especially how the client behaves, feels, and responds to therapy questions. Besides, the therapy leads to behavioral change and both primary and secondary thinking (Wheeler, 2014). Therefore, the main aim of a therapist is to ensure the care plan intervention is individualized to help respond and react to specific stimuli or challenges — the primary techniques to change the patient’s way of thinking using reattribution as observed in the film.  For example, the lady in the movie shared her story and accounts of how she was raped in a party, and she has since blamed herself and accepted all the blame Laureate Education, 2013). Therefore, individual therapy will aim at changing her feelings, cognitions, and emotions and to help her understand that it was not her fault but the rapist fault.

The major challenge that therapist face during both group and individual therapy are that clients are sometimes not willing to share their stories. For example, the lady mentioned that she often feels hurt whenever she shares the story with anybody and in some instances interrupted the therapist (Laureate Education, 2013). Thus, therapies need to understand that individuals in a family deal with emotions differently and it is essential to use individualized focused treatment during family therapy.

 

References

Laureate Education (Producer). (2013c). Johnson family session 3 [Video file]. Author: Baltimore, MD.

Nichols, M. P. (2014). The essentials of family therapy. Boston: Pearson.

Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse a how-to guide for evidence-based practice. New York, NY: Springer Publishing Company, LLC.

 

 

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External Environment and Healthcare Planning

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External Environment and Healthcare Planning

Accountable health care leaders must respond to external factors in a way that is advantageous for the organization and the community. While health care organizations must strive to improve their financial positions, it should never be at the expense of the populations they are serving. For this Assignment, examine the following scenario and consider strategies to limit the negative impact of external factors and improve organizational success.

Scenario: A small independent hospital in rural Georgia is seeking to attain Magnet Status. This designation demonstrates to stakeholders that the organization is committed to delivering high-quality patient care. With this designation, the organization can easily attract and retain a highly-engaged clinical staff. Moreover, it provides the organization an opportunity to market itself to potential patients as the place to receive top-quality care. This means that the organization could realize a greater market share of insured and private pay patients traveling as far as 100 miles just to receive the quality services. It also positions the organization to enter into joint ventures with physician groups eager to provide new services, which would lead to increased revenue streams.

External Environment and Healthcare Planning

Although the designation sounds like a great opportunity for the organization, the board of directors is split on their support of this designation. The board members in support of the designation understand the great value that this program will bring to the facility; however, those in opposition learned from a research study that non-magnet hospitals had better infection control and less post-operative sepsis. They also learned from another study that working conditions in a magnet facility are not better than those in non-magnet facilities. Therefore, the dissenting directors have concluded that the organization should not invest its time and resources to seek this credential. The CEO must get support from an overwhelming majority of the board to move forward with pursuing this designation.

To prepare:

Review the provided scenario and consider external environmental factors that may impact the organization’s strategic planning (e.g., policy and economics, laws and ethics, health care quality, and population health).

Note: Your Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.

The Assignment

In a 2-page executive summary, do the following:

  • Identify and evaluate the impact of external environmental factors on the strategic planning of the organization in the scenario.
  • Recommend strategies to address these external factors and limit their influence on organizational operations.

Required Readings

Walston, S. L. (2018). Strategic healthcare management: Planning and execution (2nd ed.). Chicago, IL: Health Administration.

  • Chapter 7, “The External Environment and Its Relationship to Strategy” (pp. 151-180) Note: This chapter was assigned in Week 3. Please review it for this week.

Wayland, M. S., & McDonald, W. G. (2016). Strategic analysis for healthcare: Concepts and practical applications. Chicago, IL: Health Administration Press.

  • Chapter 6, ““Five Forces in an Industry” (pp. 33–38)
  • Chapter 7, “PEST Analysis of the Environment” (pp. 43–45)
  • Chapter 23, “Ansoff Matrix” (pp. 151–152)

Cheng, W.-H., Kadir, K. A., & Bohari, A. M. (2014). The strategic planning of SMES in Malaysia: A view of external environmental scanning. International Journal of Business and Society, 15(3), 437–446.

Note: Retrieved from Walden Library databases.

Górecka, D., & Szalucka, M. (2014). Application of MCDA methods and stochastic dominance rules in the entry mode selection process in international expansion. Multiple Criteria Decision Making, 9, 5–31.

Note: Retrieved from Walden Library databases.

Metcalfe, L., & Lapenta, A. (2014). Partnerships as strategic choices in public management. Journal of Management & Governance, 18(1), 51–76.

Note: Retrieved from Walden Library databases.

Pliskie, J., & Wallenfang, L. (2014). How geographical information systems analysis influences the continuum of patient care. The Journal of Medical Practice Management, 29(5), 282–285.

Note: Retrieved from Walden Library databases.

Rajan, D., Kalambay, H., Mossoko, M., Kwete, D., Bulakali, J., Lokonga, J.-P., … Schmets, G. (2014). Health service planning contributes to policy dialogue around strengthening district health systems: An example from DR Congo 2008–2013. BMC Health Services Research, 14, 522–536.

Note: Retrieved from Walden Library databases.

Urban, B., & Mothusiwa, M. (2014). Planning flexibility and entrepreneurial orientation: A focus on SME performance and the influence of environmental perceptions. Management Dynamics, 23(1), 58–73.

Note: Retrieved from Walden Library databases.

 

SAMPLE ANSWER

External Environment and Healthcare Planning

Introduction

Like other businesses, the operations of healthcare facilities are surrounded by both internal and external environment.  Unlike internal factors, external factors emanate from outside and the firm does not have control over them. Better knowledge on external factors influencing the operations of the facility can enhance development of better strategies for improving services (Walston, 2018). The paper tries to depict issues related to the external environment of a small rural hospital in Georgia.

Impact of External Environmental Factors

Firstly, the facility’s strategic development will be affected by the legal environment. Policies set by healthcare controlling institutions at the State and Federal level require that facilities should engage in quality and safe practice. To get higher patient ratings and support of evidence-based activities, the facility needs to attain the Magnet Status. Secondly, the economic environment is also essential. In the scenario, the facility operates in the rural area, which has a lower economic status than the urban area. Under the current status, it is small in size, making it hard to enjoy economies of scale. Therefore, the firm needs to make a decision that will enable it to be sustainable under the economic environment (Cheng, Kadir, & Bohari, 2014)

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In terms of technological factors, many facilities in the United States are applying technologies such as robotic surgery, virtual information storage, and online payment of patient services. This feature makes it necessary for the management to develop strategies to align with the current technological applications in healthcare.  From another perspective, the firm is small in size and is situated in the rural area. This issue affects its competitive position in terms of rivalry with other facilities and its bargaining power to the customers. An increase of larger facilities in the region will make it difficult for the organization to operate well. Therefore, it needs to change its style of operations to increase its competitiveness. The facility is also affected by demographics as the population needs require better health outcomes (Vecchiato, 2015).

Strategies to Address the Factors

A significant strategy to address the issues is a change in the cultural and structural set up. This strategy is aimed at having a culture that appreciates changes in the environment. The organization my also need to develop overall cost leadership through aggressive development of efficient-scale operations, engagement in cost reduction, and reduction of other activities that would lead to more economic challenges. In addition, the facility should also engage in differentiation strategy. This plan involves developing something new. From this perspective, having a magnet status may be essential as many facilities in the rural areas may be lacking it (Vecchiato, 2015).

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The facility also needs to engage in market development. Being a rural organization, it needs to engage in more aggressive ways of promoting its services to a wider area. This would enable it to penetrate to other areas t the State and Federal levels (Vecchiato, 2015). The firm also needs to improve its information system. This would enable it to provide suitable information to all stakeholders and enhance better decision making. Innovation is also another strategy that may improve the status of the firm. This aspect needs the firm to engage in creative operations.  When complemented by a change in the organization’s culture, it will enable the facility to have sustainable operations with the changing external environment (Urban & Mothusiwa, 2014).

Conclusion

The scenario reveals that external environmental factors are important in determining the types of strategic plans for organizations. The healthcare sector is a dynamic area where shifts in external environment occur frequently. For the facility to improve its operations, aligning its strategies to the environmental changes is paramount.

 

References

Cheng, W.-H., Kadir, K. A., & Bohari, A. M. (2014). The strategic planning of SMES in

Malaysia: A view of external environmental scanning. International Journal of Business and Society, 15(3), 437–446.

Urban, B., & Mothusiwa, M. (2014). Planning flexibility and entrepreneurial orientation: A focus

on SME performance and the influence of environmental perceptions. Management Dynamics, 23(1), 58–73.

Vecchiato, R. (2015). Creating value through foresight: First mover advantages and strategic

agility. Technological Forecasting and Social Change, 101, 25-36.

Walston, S. L. (2018). Strategic healthcare management: Planning and execution (2nd ed.).

Chicago, IL: Health Administration.

 

 

 

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