Explain what influenced the law, policy, or regulation selected.

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Create a timeline in which you discuss 3-4 important health care laws, regulations, or policies throughout the years that have impacted health care today.  Do not choose HIPAA as one of the laws.  

Include the following in your timeline discussion:

  • Identify the law, policy, or regulation selected.
  • Explain what influenced the law, policy, or regulation selected.
  • Describe the impact the law, policy or regulation had on health care today.
  • Include at least three peer-reviewed references with no more than 10% a direct quote

Click the Assignment Files tab to submit your assignment.

 

Additional Guidance:

This assignment should be 5-6 paragraphs.  Your paragraphs should include an introduction, a heading for each law you select and a paragraph to describe the law, and a paragraph to conclude.  See the materials link for some ideas of things you could include into your timeline.

Analyze MMC’s characteristics and organizational structure to determine how they could be affecting patient satisfaction in both positive and negative ways. 

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Moreno Medical Center – Issues in Managed Care

CASE STUDY

Moreno Medical Center (MMC) is a 600-bed, full-service acute care facility located in the Northwest Kelsey community. The hospital is a physician-owned, for-profit hospital that takes pride in the provider-patient relationship. With recent changes in managed care, every dollar, process, and interest of the patient serves as a common ground for making an organization more efficient.

 

To remain competitive in the marketplace, the management team at MMC decided to take a look at various processes within the hospital and noted that the overall patient experience in the outpatient surgical clinic was less than satisfactory. The main problem seems to focus on long delays throughout the entire admission to discharge process. If the hospital wants to maintain its competitive position, the administration will have to redesign the current process to improve patient satisfaction.

 

The hospital administration appointed an internal quality consultant to facilitate the planning process. The quality consultant for this new organizational role is an experienced intensive care RN with a business degree. She understands that health care is a personal encounter and that patients and families expect to have their priority needs met when experiencing a health care issue.

 

The quality consultant decided to work closely with the surgical department RN administrator who would be a powerful change agent in leading the improvement process. During the review of the surgical department processes, the administrator and consultant identified several major issues:

 

·       Surgeons delaying surgery times causing backlog of surgery schedule

·       Other hospital departments (e.g., admitting, finance, lab) conducting separate encounters with surgical patients without regard to the surgery schedule

·       Long wait times for patient transportation from surgical area to recovery room

·       Ancillary staff providing patient discharge instructions when nurses are busy

·       Nursing staff displaying a culture that the procedure, not the patient, is the priority

 

The surgical department RN administrator acknowledges that changes need to occur and the new process must be guided by what is in the best interest of the patient. He developed a new vision statement for the department with its first priority to provide a patient and family focused quality care culture.

 

Review the introduction videos and organizational charts.

Read the case study detailing key issues that have been identified at MMC.

Write a 1,050- to 1,400-word paper in which you:

  • Analyze MMC’s characteristics and organizational structure to determine how they could be affecting patient satisfaction in both positive and negative ways.
    • Could reorganization help drive better patient outcomes?
    • Does the current structure empower nurses to provide the best patient care possible?
  • Analyze social and cultural aspects of MMC that could be exacerbating or helping resolve admission and discharge issues.
    • Are the right individuals involved in the admission and discharge process or do roles and team dynamics contribute to the issue?
  • Assess the responsibilities of MMC leaders and managers to act as change agents in mitigating the patient satisfaction issues.
    • What actions have already been taken and what other actions would you suggest to make a greater impact?
  • Analyze how delegation is contributing to or improving MMC’s issues.
  • Analyze how MMC’s staffing and performance evaluations could help improve overall patient satisfaction.

Cite at least five peer-reviewed, scholarly reference that are less than five years old to support your assignment.

Format your paper according to APA guidelines, and include an APA-formatted reference page.

1. Identify an area of clinical interest

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Qualitative Mini Critique Due (10 points) Individual

Objectives

1. Identify an area of clinical interest

2. Find one peer-reviewed journal article (no older than 5 years) related to your clinical topic of interest. Do not use a meta-analysis or systematic review.

3. Critique the journal article, fully answering the following questions

4. This critique should be 3-4 pages (not including the cover page and reference page)

5. Utilize the APA levels of headings on page 62 of the APA Manual

6. APA formatting required (Include appropriate APA level/headings)

Ethical Aspects of a Study (1 point)

Were adequate steps taken to safeguard participant’s privacy?

How was confidentiality maintained?

Were vulnerable groups involved in research?

If yes, were special precautions instituted because of their vulnerable status?

Research Tradition (1 point)

Was the research tradition for the study identified?

If none was identified, can one be inferred? Are the data sources, research methods and analytic approach congruent with the research tradition?

Was there evidence of reflexivity in the design?

Sampling (1 point)

What type of sampling strategy was used?

Are sampling procedures clearly delineated in the study?

Data Collection (1 point)

Given the research question and characteristics of study participants, did the researcher use thebest method of capturing study phenomena (self-reports, observation)?

If self-report methods, did the researcher make good decisions about the specific method used to solicit information (focus group interviews, critical incident interviews)?

Were interviews tape recorded and transcribed?

Clinical Practice (1 point)

Did the researchers discuss the study’s implications for clinical practice or future research and if so, were the implications grounded in the study evidence, and in evidence from earlier research?

Data Collection (1 point)

What methods of data collection were utilized (Self-reports, Scales, Observation, and Rating Scales)? If self-report methods were used, did the researchers make good decisions about specific methods (in-person interviews, mailed questionnaires, etc.)?

If observational methods were used, did the report adequately describe what the observations entailed?

* Describe a specific, realistic change that could be made to address the issue.

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Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

* Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

* Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

* Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

* Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

* Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

 

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

* Identify a problem, inefficiency, or issue within a specific department/unit.

* Describe a specific, realistic change that could be made to address the issue.

* Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

* Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

* Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

* Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

 

Did you experience any different physical symptoms as a result of this loss?

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Analyzing the Losses of Others

 

Background:  This project will involve interviewing three individuals about their most significant loss in Life.  You will then analyze your findings in relation to concepts from the text/class.

 

 

 

  1. Interview 3 people about the thoughts and feelings they experienced relative to the GREATEST loss in their lives.  Ask each person, “What is the greatest loss that you have experienced in your life so far?”  Remember the loss does not have to be about death!  Let each person decide his/her own greatest loss.  If at all possible you will want to interview relatives for this project.  You may be surprised at the insights you gain into your own family.
  2. Before you interview your interviewees, be sure to compose a list of questions that you will ask.  Ask each person the same questions.  You may also use some of the sample questions listed below.  You must ask a minimum of five (5) questions.

     

 

  • What was your greatest loss so far in your life?
  • What exactly happened?
  • Did you experience any different physical symptoms as a result of this loss?
  • Were there any unusual emotional thoughts or feelings you had as a result of this loss?
  • Were there any changes in your daily routine following this loss?
  • How were your sleep patterns affected by this loss?
  • What words best describe exactly what you lost from your life?
  • Has this loss changed you as a person?  If so, how?
  • Has this loss helped you to understand others who have had a similar loss?  In what ways?

 

  1. Face-to-face interviews are strongly recommended!  Skype interviews are allowed.  Email and telephone interviews are NOT permitted.  It is important for you to see the facial expressions of the person you are interviewing.  Sometimes these will tell you more than the person verbalizes.
  2. Be probative in your interviews.  When a person gives a one word answer, follow up with something like, “Tell me how that felt.”  “Describe what you mean when you say….”
  3. Summary Section: Write a summary of your 3 interviews.  Compare the answers from your respondents.  How do their loss experiences compare with yours?
  4. Conclusion Section : What was most remarkable to you about this project?  Did any of your interviewee’s answers surprise you or were they exactly what you expected?  What lessons did you learn while doing this assignment?

     

     

    Formatting Instructions _ Paper must include:

 

  • Title Page with the title of project, class name, class number, your full name, and date.
  • Name of each person you interviewed and their relationship to you.
  • Exact time, dates, and locations that you interviewed each person.
  • Each person’s signature,  These will be hand written on a separate piece of paper.
  • Each person’s answers as verbatim as possible.  Do not write it from the 3rd person, “He said that…” typed directly beneath each question(single space the answers)  Use bold type for the questions and regular type for the answers.
  • A summary section Double-space this section.
  • A conclusion section. What was most remarkable or noteworthy to you?  Why? What did you learn from this assignment?
  • 1” margins on all sides.  Please use Microsoft Word.  12 point font size.  Number your pages in the top right hand corner.

* Also there are attachments have some information from my instructor

 

Define the clinical key questions based on PICOT.

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Assignment – Interpreting Statistical Output for Data Analysis PowerPoint Presentation

Purpose:

The purpose of this Assignment is to enable you to present the information that you gather from a systematic review on your PICOT topic. This activity will give you the experience to present what your research findings to others.

My PICOT question is: The Benefits of a Kidney Transplant versus Dialysis

 

Directions:

  1. Define the clinical key questions based on PICOT.
  2. Briefly review the database selected for key clinical questions.
  3. Identify the studies of the database search that are a Level I or II evidence.
  4. Interpret the statistical results of the studies identified in Step 3.
  5. Design a presentation.
    1. Place results /overview of research in PowerPoint.
    2. Length of the presentation should be 12–15 slides.
  6. Follow APA format.

     Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area

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Note: Read the following requirements thoroughly, and write 2-3 pages paper on the instructions given below. Your paper must include headings before started each new section. You must include 3-4 scholarly references cited in APA. Your answer must be 100% original.

 

Requirements:

  1. 1.      Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area. Choose one of the Leading Health Indicators (LHI) priorities from Healthy People 2020 (see the Healthy People.gov 2020 Leading Health Indicators website). Research a topic related to health and wellness associated with one of the Healthy People 2020 LHI topic areas. Students in a cultural concentration will use that specific cultural focus to complete this assignment.
  2. 2.      You will develop an educational health promotion project addressing the population/culture in your area. For or example, if you are in the Hispanic concentration, your project might be educational interventions to address how food choices are related to the high rates of diabetes among Latinos; or, a community project that addresses the statistic that Hispanics experience new HIV infections at more than twice the rate of whites; or, finding opportunities to intervene with Puerto Ricans, a Hispanic.
  3. 3.      Select a minimum of three (3) scholarly nursing or research article (published within the last 5years) related to your topic that include health promotion and wellness content.
  4. 4.      Students in a cultural concentration will select at least one article specifically related to the cultural focus for this assignment.

Instructions:

Write a 2-3 pages paper (excluding the title and reference pages) using the following guidelines:

  1. 1.      Write brief introduction of the topic and describe why it is important to health promotion in the specific cultural population in your area.
  2. 2.       Include a description of the topic and the targeted sub culture or population (include statistics)
  3. 3.       Explain how the project relates to the Healthy People 2020 topic area you have chosen.
  4. 4.      Summarize the articles; include key points or findings from the articles.
  5. 5.      Discuss how you used the information from the articles for your Health Promotion Project. Provide specific examples.
  6. 6.       Describe the approach/approaches you developed to educate the target population about the topic. Include specific ways to promote lifestyle changes within the specified population relative to your specific culture. The approach should be appropriate for your cultural concentration.
  7. 7.      Write your conclusion and summary.

 

“What Are the Major Ethical Issues in Conducting Research?”

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Ethical Dimensions of Research Studies

In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. What makes her story unique is that prior to her death, cells from her tumor were removed and successfully grown in a petri dish. This was the first time scientists were able to successfully replicate cells outside the body, and it is estimated that billions of Lacks’ cells have been used in medical research. However, Henrietta Lacks was never asked for permission to take a sample and her family was never made aware of the widespread use of her cells. Although the culturing of her cells has been pivotal for advancing research, strong ethical concerns later arose about using these cells without patient or family approval.

Reference:
 Skloot, R. (2010). The immortal life of Henrietta Lacks. New York, NY: Crown Publishing Group.

 

This week’s readings describe historical examples of unethical research, such as a study of syphilis among African-American men in which treatment was withheld and a study in which live cancer cells were injected into elderly patients. Today, stricter controls that seek to protect study participants are placed on researchers, but breaches still occur. Careful attention must be given toward preventing unethical behavior. In this Discussion, you explore ethical considerations and issues in research.

To prepare:

  • Select a current health-related case involving research ethics. (If none come to mind, browse the Internet to familiarize yourself with recent cases.)
  • As you review the case that you have selected, reflect on the ethical principles discussed in “What Are the Major Ethical Issues in Conducting Research?” article found in this week’s Learning Resources. Which principles were breached in the case you have identified?

How did the change affect your job and responsibilities?

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Critiquing a Change Effort

As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change. Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.

To prepare:

  • Review Chapters 7 and 8 in the course text. Focus on the strategies for planning and implementing change in an organization, as well as the roles of nurses, managers, and other health care professionals throughout this process.
  • Reflect on a specific change that has recently occurred in your organization or one in which you have worked previously. What was the catalyst or purpose of the change?
  • How did the change affect your job and responsibilities?
  • Consider the results of the change and whether or not the intended outcomes have been achieved.
  • Was the change managed skillfully? Why or why not? How might the process have been improved?

Post  (1) a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. (2) Explain the rationale for the change, and whether or not the intended outcomes have been met. (3) Assess the management of the change, and propose suggestions for how the process could have been improved.