Category: Health Care and Life Sciences : Nursing

Use the criteria headings on this outline as the headings on your properly APA-formatted paper.
Headings:  Name, Author, Endorsement, Operation, Aesthetic, Purpose, Clinical Decision Making, Safety, Privacy/Security, User, Distribution, Credibility, Relevance.
Provide one example of an appropriate patient or clinical scenario for this app. The example should include the following details:
Patient Age-population (Adult)
Clinical Setting (Hospital)
History of Present Illness and Diagnosis or Condition
Provide a detailed description of the app in your example. When will the app be implemented (at the Point-of -care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from the previous section. Provide one evidence-based scholarly article as a reference to support clinical decision-making.
Create this assignment using Microsoft Word. The length of the paper is to be between 1000 and 1500 words, excluding the title page and the reference list.

Informatics for Quality Improvement Project
The student will develop a paper that explores an actual problem and analyzes implementation considerations, challenges, and strategies that may be useful for practitioners.
            Example topics in major areas of emphasis include, but are not limited to:
1.    Patient Care Delivery: enhanced efficiency of nurse access to relevant and timely patient information, reduction of nursing errors during patient care delivery, challenges with technology integration or limiting system failures, ergonomics of information technology, or evaluation of new technology impacting patient care.
2.    Consumer Health Promotion: best practice for synthesizing and delivering consumer health information, optimal technologies to deliver consumer health promotion, determining factors for consumer health information collected in relation to communicating with the patient, social media use, or protecting against data breaches.
3.    Information Technology and Education: utilization of information technology to further nurse education, use of simulation, use of social media, and information literacy.
4.    Nursing Research and Informatics: defining nursing data sets (nomenclatures and terminologies), enhancing patient confidentiality (privacy and security), or best practice to organize and disseminate data.
You will identify one, or more, potential informatics-based solutions to the problem identified.
The paper should be formatted according to APA guidelines n.
Here is a suggested format for the paper:
Introduction
Problem         
•    Define and/ or describe the problem
•    Detail the significance and impact of the problem
o    Who are the stakeholders? (Examples: executive leadership, clinical departments, IT department, medical staff, legal counsel)
o    Why is the problem important to the stakeholders?
Gap Analysis
•    Resources used to gather data regarding the problem
o    Include the Healthcare Management Information System (HMIS) accessed (Example: Electronic Health Record – EHR)
•    Stipulate the steps that were taken to investigate the problem
Workflow Analysis
•    Visual depiction (step by step) of the existing process or practice (a process map) – this must be included!
•    Analyze and describe where inefficiencies, breakdown of process, and/ or communication occurs
o    Differentiate Value Added versus Non-Value Added Steps
Proposed Solution
•    Outline the proposed solution(s)
o    Clearly outline what you are trying to accomplish; compelling vision
o    Define the technology(ies)
o    Articulate how the technology(ies) will facilitate workflow and/ or transform practice to improve patient outcomes
o    Specify at least three (3) data points to be measured and the monitoring tool that will be used to show opportunities for improvement, modifications, and/ or sustainability
•    Explain implementation issues and challenges for the identified informatics prioritiy(ies) (Example: ethical, human and financial resources, coordination with other entities, composition of the workflow redesign team)
•    Framework: Performance Improvement (PI) Model
•    Define and describe selected PI Model including rationale for its fit to the proposed solution (Examples: Waterfall Model; PDCA – Plan, Do, Check, Act; Six Sigma)
•    Role of the leaders in introducing a change strategy
o    Consider organizational readiness, strengths, and barriers
o    Suggested model for leading organizational change (Examples: Kotter’s 8-step process, Lewin’s Change Management Model) including rationale for selection
o    Proposed communication plan
Summary: Final recommendations and conclusions

As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:
The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).
You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.
It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.
Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
Summarize an interview focused on past or current issues at a health care organization.
Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.
his assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.
For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] Download Interview Guide [DOCX]for an outline of how to prepare and the types of information you will need to complete this project successfully.
Remember: this is just the first in a series of three assessments.
For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
When submitting your plan, use the Interview and Issue Identification Template [DOCX],  Download Interview and Issue Identification Template [DOCX],which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.
Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
Additional Requirements
Scoring Guide
Use the scoring guide to understand how your assessment will be evaluated.
Length of submission: Use the provided template. Most submissions will be 2 pages in length. Be sure to include a reference page at the end of the plan.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
APA formatting: Make sure that in-text citations and reference list follow current APA style.

A 31-year-old single woman with three young children presents to her doctor’s office for an exam. She tells the nurse that she has recently lost weight and she has been losing her hair. She complains of frequent diarrhea. When asked about her symptoms, she states her symptoms resulted because she recently started working full time and has been feeling really stressed.
Case Study Prompts
Describe the disease process the patient is most likely experiencing and explain the significance and regulation of the hormone(s) involved in this disease process.
Describe the significance of hormone-receptor interaction.
Discuss the signs and symptoms related to an excess of this hormone and a deficiency of this hormone as it relates to this disease process.
Use at least three peer-reviewed sources from the literature to support your claims.

Conduct research about one hematologic malignancy from the list below and summarize the typical presentation (especially laboratory findings such as WBC, RBC, platelets), etiology, common differential diagnosis, typical diagnostic work-up, treatment plan, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales tools (if any), and additional information that would be important to the geriatric population. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
CLL
ALL
AML
CML
Hodgkin’s Lymphoma
Non-Hodgkin’s Lymphoma
Myelodysplastic Syndrome
Polycythemia Vera
Essential Thrombocythemia
Primary Myelofibrosis
Mantle Cell Lymphoma
Diffuse Large B-cell Lymphoma
Burkitt Lymphoma
T-Cell Lymphomas
Multiple Myeloma
Aplastic Anemia

You are an AGACNP practicing as a hospitalist in a tertiary care center. You are tasked with admitting a patient with a chief complaint of an acute neurological disease state. Please choose from one of the following and try to avoid duplicating posts.
Transient Ischemic Attack (TIA)
Ischemic and Hemorrhagic Stroke
Seizures
Intracranial Hypertension
Encephalitis
Meningitis
Encephalopathy
Space-Occupying Lesions
Peripheral Neuropathy
Parkinson’s Disease
Alzheimer’s Disease
Closed Head Injuries With and Without Chronic Anticoagulation
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Outline a typical presentation for the disease state you have chosen. List appropriate diagnostic testing, admission orders, and referrals and consultations. Include appropriate screening tools, identify potential risks, and list appropriate interventions to minimize risk and provide preventative care, including tertiary prevention. Highlight differences in presentation of adult versus geriatric patients with neurological emergencies. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.

You are working in a 15-bed rural hospital with an emergency department. You are the only adult-geriatric provider on this shift, and you are presented with the following case.
A distraught older female brings by personal vehicle her husband of 60 years. This is an 81-year-old male farmer/rancher who was out branding cattle when he experienced new onset headache and difficulty using his right hand. He tried to call his wife on his cellphone but was unable to speak. Instead he blew into the phone and tried to make noises with his mouth. She went to the branding site and transported him to the emergency department.
He is somnolent but will awaken with stimulation. When awake, he is frustrated and tearful. His right hand is flaccid, and he is aphasic. Your facility has a full lab, full x-ray, and CT machine, but no MRI and no neurology consultation service. You are contractually connected with a tertiary care center that is also a stroke center.
Choose one of the options below and outline your initial assessment and diagnostic orders, including pharmacological and nonpharmacological interventions, anticipated clinical manifestations, exam findings, and your plan. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
CT (noncontrast), no acute findings. It has been 4 hours since onset of symptoms.
CT (noncontrast), no acute findings. It has been 1 hour since onset of symptoms.
CT (noncontrast), a small intracerebral bleed, no mass effect.
CT (noncontrast), a moderate intracerebral bleed, 3mm of shift, and mass effect.

Choose from the following hematologic diagnoses and outline a typical presentation, etiology, including risk factors, common differential diagnosis, typical diagnostic work-up, treatment plan, tertiary prevention measures and any nutritional needs, preventative measures, appropriate referrals, screening tools/diagnostic-specific scales tools (if any), and additional information that would be important to the geriatric population. Highlight differences in presentation of adult versus geriatric patients with this diagnosis. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
Anemia (iron deficiency, pernicious, B12, folic acid, anemia of chronic disease)
Thalassemia
Sickle-Cell Disease
Idiopathic Thrombocytopenic Purpura (ITP)
Heparin Induced Thrombocytopenia (HIT)
Disseminated Intravascular Coagulation (DIC).

Complete an academic clinical history and physical note based on a patient seen during clinical/practicum. In your assessment, provide the following:
History and Physical Note
Chief complaint/reason for admission/visit/consult.
HPI for the H&P or consult notes.
Medical, surgical, family, social, and allergy history.
Home medications, including dosages, route, frequency, and current medications, if a consultation note.
Review of systems with all body systems for H&P or consult notes. Review of systems is what the patient or family/friends tell you (by body system).
Vital signs and weight.
Physical exam with a complete head-to-toe evaluation. Include pertinent positives and negatives based on findings from head-to-toe exam.
Lab/Imaging/Diagnostic test results (including date).
Assessment and Clinical Impressions
Identify at least three differential diagnoses based upon the chief complaint, ROS, assessment, or abnormal diagnostic tools with rationale.
Include a complete list of all diagnoses that are both acute and chronic.
List the differential diagnoses and chronic conditions in order of priority.
Plan Component Management and Plan Criteria Incorporation
Select appropriate diagnostic and therapeutic interventions based on efficacy, safety, cost, and acceptability. Provide rationale.
Discuss disposition and expected outcomes.
Identify and address health education, health promotion, and disease prevention.
Provide a case summary with ethical, legal, and geriatric considerations. Compare treatment options specific to the geriatric population to nongeriatric adult populations. Consider potential issues, even if they are not evident.
General Requirements
This assignment uses a template. Please refer to the “History and Physical Note Template,” located on the college page of the Student Success Center under the AGACNP tab.
Incorporate at least three peer-reviewed articles in the assessment or plan.
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.

Describe a situation in which you personally experienced workplace or lateral violence or in which you witnessed someone else experiencing it. Describe strategies that were used or that could have been used to effectively stop it. What were the eventual consequences of this interaction? What does the literature say about this topic?