Category: Nursing

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.
What has your experience been with patient involvement in treatment or healthcare decisions?
In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.
To Prepare:
Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/Links to an external site..
Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.
After you have chosen a topic (or condition) and a decision aid, consider if social determinants of healthLinks to an external site. were considered in the treatment plan Social determinants of health can affect a patient’s decision as these are conditions in the patient’s environment, such as economic stability, education access, health care access and quality, neighborhood, and social and community context.
NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.
Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
(Please Note: The underlined “social determinants of health” in the above content is meant to hotlink to the following Walden webpage and content:
Social Determinants of Health – Social Determinants of Health – Academic Guides at Walden Links to an external site.University)

Hi, writer; please see the attachment. Could you proofread, edit and add two more peer-reviewed references? You may go to www.apna.org to get more information on APNA membership and benefits. Please try and keep this discussion post within 3 paragraphs.

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.
To Prepare:
Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.
The Assignment: (2-3 pages not including the title and reference page)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation support
Use APA format and include a title page and reference page.
Use the Safe Assign Drafts to check your match percentage before submitting your work.
REQUIRED READING:
Louis, I. (2011, August 17). Software development life cycleLinks to an external site. (SDLC) [Video file]. Retrieved from https://www.youtube.com/watch?v=xtpyjPrpyX8
McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 191–204)
Chapter 12, “Electronic Security” (pp. 251–265)
Chapter 13, “Achieving Excellence by Managing Workflow and Initiating Quality Projects”
Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guideLinks to an external site.. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-evaluation-toolkit
Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkitLinks to an external site.. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

(5 slides plus the agenda)
In this two-part deliverable assessment, first, create a 5–7 slide elevator-speech style presentation that you will present to stakeholders that provides an overview of policy implementation, including rationale and data that reflect the need for the new policy. Second, create a detailed, annotated training agenda for the pilot team that will accompany your presentation.
In this assessment, inform the leadership stakeholders of a planned pilot project to test the implementation of your new policy. Describe the policy in an elevator-speech style, explain why the policy is needed, and why the group was chosen for the pilot. Then, develop a detailed training agenda that will describe the training needed, including any resources, number and times of classes (including length) and if there will be any skills training and return demonstrations or written exams. Connect the pilot to the benchmarks you will measure. As a result of this presentation, stakeholders are expected to:
Understand the organizational policy and practice guidelines to be implemented.
Understand the importance of the policy to improving quality or outcomes.
Understand how the designated role group is key to successful implementation.
Have awareness of the necessary knowledge and skills for successful implementation.
Elevator Speech Presentation
Record a 5-minute recorded slide presentation for your elevator speech. Be sure to include:
A brief description of the policy and why it is necessary to improve benchmark metrics or comply with new regulations.
Include a description of the pilot group and why they were chosen to demonstrate the change in workflow and improve quality of care.
Describe the metrics that will be used to determine current practice and compare it after the training has ended.
Summarize the training implementation.
Annotated Training Agenda
You will also develop an agenda for the training sessions, including:
Length and number of class sessions.
Location of classes—simulation lab, classroom, et cetera.
The resources needed for the courses, any teaching staff, equipment, technology, or supplies needed.
What teaching strategies will be employed to measure learner success, including any check-off lists or written exams (you do not have to provide the actual exam)?
How will employees be scheduled and who will maintain records of completion, any grades, or skills verification?
Any credit that will be provided to the staff (that is, continuing education credits).
Plans to train the rest of the staff and new employees following the pilot.
The follow-up plan for assessing sustainability.

I just need the outline. Please follow the outline layout, which is provided in the attachment. Each outline should be a page and a half
READ: Obligation Nine – Support the Teaching of Civics
READ: Obligation Ten – Put Country First

***Complete 2 of the 3 tools you selected using information from the QI case***
1. Focus Group (understand the current process)
2. Fishbone diagram/cause & effect (identify root causes)
3. Pareto Analysis (data display)
***Add an interpretation of the findings of the root causes and/or a summary of the data display or analysis depending on which QI tools you select***
Background:
QI Process
The Lean Six Sigma model would be the best QI process to address the increased fall rates in the rehabilitation unit. Quality is a secondary effect since the Lean model primarily focuses on eliminating wasteful processes (Livesay et al., 2020). However, the Six Sigma model in combination with the Lean model identifies and targets various issues contributing to falls and addresses shortcomings within current practice by reducing variations in care techniques to improve quality (Duquette, 2023). The five steps that make up the framework of the Lean Six Sigma model are: define, measure, analyze, improve, and control (DMAIC) (Takao et al., 2017). In the case of the fall rates QI project, the ANP must first define the problem and identify the needs of the staff and patients (Takao et al., 2017). The primary objective is reducing fall rates by streamlining care delivery amongst RNs and CNAs in the rehabilitation unit. Measurement within the Lean Six Sigma model involves collecting baseline data on the priority issues within the rehabilitation unit (Takao et al., 2017). Measurements should be delineated based on the relationship between the unit RNs and CNAs to analyze the data more easily. 
After collecting baseline data, the ANP will analyze the data to identify the direct causes of the problems leading to increased fall rates and prioritize the importance of the problems (Takao et al., 2017). The ANP must assess data that applies to both the RNs and CNAs working in the rehabilitation unit, such as understanding and awareness of functional ability, variability in care, and environmental barriers to adequate care (Loftus et al., 2015). After analyzing the baseline data, the ANP will present, implement, and measure the efficacy of solutions to the problems causing increased falls (Takao et al., 2017). Per Loftus et al. (2015), these improvements, which are intermittently trialed to evaluate the efficacy, should address the initially defined problem and data points analyzed during the analysis step. Based on the efficacy of the trialed improvements, the ANP will implement unit-wide processes and guidelines to ensure long-term fall prevention compliance (Takao et al., 2017).
References
Duquette, C. (2023). Quality improvement models and frameworks for excellence. In M. Joshi, E. Ransom, S. Ransom & D. Nash (Eds.), The healthcare quality book: Vision, strategy, and tools (5th ed.) (pp. 33-43). Health Administration Press
Livesay, S., Zonsius, M., & McNett, M. (2020). Evaluating data to guide care delivery: Quality improvement methods and implementation science. In M. McNett (Ed), Data for nurses (pp. 59-84, focus on pp. 70-77), Elsevier. https://doi.org/10.1016/B978-0-12-816543- 0.00005-4
Loftus, K., Tilley, T., Hoffman, J., Bradburn, E., & Harvey, E. (2015). Use of six sigma strategies to pull the line on central line-associated bloodstream infections in a neurotrauma intensive care unit. Journal of Trauma Nursing, 22(2), 78-86. https://doi.org/10.1097/JTN.0000000000000111
Takao, M. R. V., Woldt, J., & Bento da Silva, I. (2017). Six Sigma methodology advantages for small- and medium-sized enterprises: A case study in the plumbing industry in the United States. Advances in Mechanical Engineering, 9(10), 1–10. https://doi.org/10.1177/1687814017733248

Choose the correct answer for each of the following questions and explain in detail your answers for each.
Use APA format and references 7 years or less. Do not use A.I. it will detect it
2. The skull develops from __________around the developing brain and consists of neurocranium and viscerocranium
(A) endoderm
(B) ectoderm
(C) mesenchyme
(D) intermediate mesenchyme
(E) lateral plate mesenchyme
The answer is C (Mesenchyme)
3. Which of the following cranial anomalies would result in a skull that is taller than normal?
(A) brachycephaly
(B) scaphocephaly
(C) plagiocephaly
(D) microcephaly
The answer is A (Brachycephaly)

Module 3 Discussion

Case Studies 3.1 & 3.2
After reviewing Case Studies 3.1 and 3.2 in the Carroll text, complete and discuss the following:
Examine the approaches presented.
Reflect on the process and provide your insight regarding what you read for each case study.
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due dat

Module 3 Assignment
Due Sunday by 11:59pm Points 20 Submitting an external tool
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icon AI Powered Medical Devices
Review Table 3.1 in the Carroll text and perform an in-depth exploration of one of the AI powered medical devices.
Explore what type of data is gathered in the use of this device.
Assess how predictive data analysis is incorporated in the use of this device.
Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper should be formatted per current APA and 3-4 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Complete and submit the assignment by 11:59 PM ET on Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Overview of an Episodic Exam
Question
How do acute cases differ from chronic cases in primary care?
Assignment Requirements
As this assignment is a Journal entry and not a formal paper, it may at times be difficult to follow the organization, style, and formatting of the APA 7th Edition Manual. Despite this, your Journal assignment should:
clearly establish and maintain the viewpoint and purpose of the assignment;
follow the conventions of Standard English(correct grammar, punctuation, etc.);
be well ordered,logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 7th editionformat for crediting sources.