Archive for month: March, 2019

describe the impact of this change on your role and responsibilities. c) Explain the rationale for the change d) whether or not the intended outcomes have been met.

a)Post a summary of a specific change within an organization b)describe the impact of this change on your role and responsibilities. c) Explain the rationale for the change d) whether or not the intended outcomes have been met. e) Assess the management of the change. f) propose suggestions for how the process could have been improved.
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?
Required Readings
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Review Chapter 7, Strategic and Operational Planning
Chapter 8, Planned Change

This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change
McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., NystrÇôm, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254 -267 doi: 10.1097/QMH.0b013e31828bc37d

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.
Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32 -37. doi: 10.7748/nm2013.04.20.1.32.e1013
Retrieved from the Walden Library databases.
Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69 -72. doi:10.1097/NNA.0b013e31827f20a9
Retrieved from the Walden Library databases.Currently 1 writers are viewing this order

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Explain how nurses can become more involved in the strategic planning process as it relates to informatics needs in the health care setting.

Explain how nurses can become more involved in the strategic planning process as it relates to informatics needs in the health care setting Shows…

Explain how nurses can become more involved in the strategic planning process as it relates to informatics needs in the health care setting

Shows similarities and differences between the strategic planning process and the nursing process
Relates the nurse’s role in the nursing process to the nurse’s role in the strategic planning process
Explains how nurses can become more involved in the strategic planning process as it relates to informatics needs in the health care setting

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DESCRIBE THE LEGISLATIVE ACT AND ANALYZE HOW IT HAS INFLUENCED THE U.S. HEALTH CARE SYSTEM.

The U.S. health care delivery system is often described as a kaleidoscope, puzzle, or patchwork quilt to emphasize that health care delivery in this country involves multiple, loosely coordinated components, and does not function through one integrated system (Shi & Singh, 2015). The organization of this “system” has a significant impact on the delivery of services. As a health care administrator, it is important to understand how the health care industry has been shaped over time and the various factors that influence health care delivery today.

To prepare for this Discussion, select one legislative act from the list below:

1937 Social Security Act
1946 Hill-Burton Act
1965 Social Security Amendments (Medicare/Medicaid)
1973 Health Maintenance Act (Managed Care)
1983 Introduction of Diagnostic Related Groups (DRGs) by Medicare
1986 Emergency Medical Treatment and Active Labor Act (EMTALA)
1986 Consolidated Omnibus Budget Reconciliation Act (COBRA)
1996 Balanced Budget Amendment
1996 Health Insurance Portability and Accountability Act (HIPAA)
2006 Medicare Part D Drug Benefit
2006 Massachusetts (Chapter 58) and Vermont (No. 191) legislation to expand health coverage for state residents
2010 Patient Protection and Affordable Care Act (PPACA)
Review the information about your selected legislation in this week’s Learning Resources, including the chapters of the Shi and Singh text (2015). Conduct additional research using resources available in the Library and on credible websites. As you research each legislative act, identify historical events or circumstances that brought about the need for that legislation, and examine the positive and/or negative consequences that followed the implementation of each act.

Post by Day 3 a substantive and cohesive response to the following:

Analyze the historical events or circumstances that created a need for the legislative act you have selected.
Describe the legislative act and analyze how it has influenced the U.S. health care system.
Evaluate positive and/or negative consequences that arose following implementation of the act you have chosen.

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Assessing the diet of women in early pregnancy/egg consumption/choline intake
Chapter 1: Background to the Study

1.1 Introduction

This chapter forms the basis of the research by providing a background to the study with respect to the diet of women during early pregnancy. The chapter also discusses the research aims and objectives as well as the research hypotheses. In addition, the rational for the study is provided together with the overall organization of the dissertation.

1.1 Background

Nutrition among pregnant women is a significant public health issue; this is because poor nourishment can result in a number of health issues such as obesity, overweight, cancer, diabetes and cardiovascular disease (Signore et al. 2008; Cheng et al. 2008; Shaw et al. 2004; Ueland 2010). Malnourishment during pregnancy plays a pivotal role in the causing stillbirths before commencement of labor. Cheng et al. (2008) points out that pregnancy is often typified by supplementary energy requirements of about 300 kcals on a daily basis (1256 Kilojoules), with changes in energy metabolism during pregnancy together with significant variations among women. As a result, health dietary intake during pregnancy is vital to for the health outcomes of both mothers as well as their infants. Cho et al. (2010) emphasizes that the most demanding period during human growth and development takes place in the course of the 9 months of pregnancy. Evaluating the nutrient and food intake during pregnancy is complicated since conception usually sets off a myriad of sequential and complex physiological changes that are likely to have an impact on maternal nutrient metabolism and absorption, meal patterns, appetite and nutrient and energy needs (Allen 2006). Individual behavioral physiological responses with regard to the stress of reproduction usually vary considerably, and that both the amount and type of food intake changes in accordance with the pregnancy period (Meck & Williams 2003). Nausea, which is prevalent in about 50-80% of pregnancies, is likely to commence as early as 4-6 weeks of gestation and peaks during 8-12 weeks, after which it declines. Constipation and heartburns are also known to prompt changes in the eating habits (Bidulescu et al. 2009; Leslie et al. 2010). Cho et al. (2010) reports that women are likely to develop food preferences during pregnancy because of the changes with respect to smell and taste. Another food disorder, Pica, is typified by the urge to eat non-food substances, and usually affects at least 50% of pregnant women in the United Kingdom. Maternal concerns regarding parenting, weight gain and fetal growth and development is likely to increase the maternal awareness regarding nutrition and increase the focus of the healthcare provider towards food habits as well as supplement consumption (Wen et al. 2010).

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