Journal Assignment 2

In this journal, examine the methods section of each article. Completing a table will help you see similarities and differences.

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Be sure to address these specific critical elements:

1. Use this section to compare and contrast the methods used in the articles you selected, with an eye on assessing the quality and limitations of the findings and informing future research. Specifically, you should:
2. 1. Explain whythe authors of each selected article their chosen methods. How appropriate were the methods to the overall purpose of the paper? Justify your response.
   2. Analyze a difference and similarityin the methods chosen with respect to the health question being addressed in the selected articles. Explain your answer using evidence from the selected articles and information you have learned in the course.
   3. Assess a strength and limitationof the different approaches used in the articles you selected. Explain your answer using evidence from the articles you selected and information you have learned in the course. Nursing homework help

 

Population Health Assignment

Population health has gained popularity in the modern healthcare system as the focus of healthcare providers expand their approach to care to include other health components such as primary prevention, social health determinants, and health equity, that affect the health of populations. The population health focus involves improving the health of all the individuals in a population, including their mental and physical health as well as general well-being by reducing health inequalities and disease occurrence, improving healthcare access, and working with other stakeholders and communities (Stanhope & Lancaster, 2019).

The population health approach can be used to transform the healthcare delivery system by coordinating healthcare services, applying the population health approach to clinical practice, health promotion, and disease prevention, and embracing digital transformation. First, the coordination of population health and clinical care can be used to find solutions to problems faced by high-risk populations and those without health insurance by developing programs targeting these groups (Shahzad et al., 2019). Clinical services in community health centers can be coordinated with rehabilitation and counseling services to address the diverse needs of local populations to reduce the need for patients to seek these services from other distant facilities. Care coordination is essential in addressing the various components of population health as no one single entity can address the needs of all patients alone. Thus, the involvement of different stakeholders such as healthcare professionals and community organizations is essential in improving the outcomes of local populations. Population Health Assignment

The population health focus can be applied to clinical practice to improve the health of populations by allowing healthcare professionals to share information about the health of populations to improve their decision-making. Information about the specific health problems affecting a population can be shared among healthcare stakeholders to facilitate the development of community-focused strategies such as mass screening and immunization community drives to address prevalent diseases in a specific population (Shahzad et al., 2019).

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The population health approach can also be used to improve the healthcare delivery system through health promotion to enhance the prevention and management of diseases that are common in a community or population. The health promotion interventions can include education programs on specific diseases, advocating for laws to protect disadvantaged groups affected by underlying social determinants of health, and developing community health programs to address population-wide health issues. These interventions can be effective in addressing health inequalities that affect underserved groups in a community.

Lastly, the population health focus can be integrated with the digital transformation in healthcare systems as hospitals are increasingly adopting electronic health record (EHR) systems to facilitate health information exchange (Shahzad et al., 2019). Technology has become an integral part of healthcare systems and can be used to transform healthcare delivery by various stakeholders in healthcare to share population-health information with ease, assess community health needs, and also track the outcomes of the health of specific populations. The data collected in EHRs can be used to build community databases for populations affected by various social health determinants that affect their access to care such as those with various chronic health conditions. The transformation of the healthcare delivery system requires a population health-focused approach that embraces care coordination, shared decision-making, health promotion, and utilization of technology to address community-wide health problems. Population Health Assignment

200 words and two(2) scholarly references APA style

Nursing-sensitive Quality Indicator Assignment

The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results. Nursing-sensitive Quality Indicator Assignment

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Preparation

As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality health care delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.

This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

• Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system. Choose from the following list:
  • Staffing measures.
    • Nursing hours per patient day.
    • RN education/certification.
    • Skill mix.
    • Nurse turnover.
    • Nursing care hours in emergency departments, perioperative units, and perinatal units.
    • Skill mix in emergency departments, perioperative units, and perinatal units.
  • Quality measures.
    • Patient falls.
    • Patient falls with injury.
    • Pressure ulcer prevalence.
    • Health care-associated infections.
      • Catheter-associated urinary tract infection.
      • Central line catheter associated blood stream infection.
      • Ventilator-associated pneumonia.
      • Ventilator- associated events.
    • Psychiatric physical/sexual assault rate.
    • Restraint prevalence.
    • Pediatric peripheral intravenous infiltration rate.
    • Pediatric pain assessment, intervention, reassessment (air) cycle.
    • Falls in ambulatory settings. Nursing-sensitive Quality Indicator Assignment
    • Pressure ulcer incidence rates from electronic health records.
    • Hospital readmission rates.
    • RN satisfaction survey options.
      • Job satisfaction scales.
      • Job satisfaction scales – short form.
      • Practice environment scale.
    • Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.
    • Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data.You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:
      • What is your experience with collecting data and entering it into a database?
      • What challenges have you experienced?
      • How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
      • What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?
    • Watch the Informatics and Nursing-Sensitive Quality Indicators Video Exemplar.

Recording Your Presentation

To prepare to record the audio for your presentation, complete the following:

• Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.
• Practice using the equipment to ensure the audio quality is sufficient.
• Review Using Kalturafor Kaltura to record your presentation.
• View Creating a Presentation: A Guide to Writing and Speaking. This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage. Nursing-sensitive Quality Indicator Assignment

Notes:

• You may use other tools to record your tutorial. You will, however, need to consult Using Kalturafor instructions on how to upload your audio-recorded tutorial into the courseroom, or you must provide a working link your instructor can easily access.
• You may also choose to create a video of your tutorial, but this is not required.
• If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.eduto request accommodations.

Instructions

For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics in your audio tutorial script:

Introduction: Nursing-Sensitive Quality Indicator

• What is the National Database of Nursing-Sensitive Quality Indicators?
• What are nursing-sensitive quality indicators?
• Which particular quality indicator did you select to address in your tutorial?
• Why is this quality indicator important to monitor?
  • Be sure to address the impact of this indicator on the quality of care and patient safety.
• Why do new nurses need to be familiar with this particular quality indicator when providing patient care? Nursing-sensitive Quality Indicator Assignment

Collection and Distribution of Quality Indicator Data

• According to your interview and other resources, how does your organization collect data on this quality indicator?
• How does the organization disseminate aggregate data?
• What role do nurses play in supporting accurate reporting and high-quality results?
  • As an example, consider the importance of accurately entering data regarding nursing interventions.

After completing your script, practice delivering your tutorial several times before recording it.

Additional Requirements

• Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
• Length:8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.
• Script:A separate document with the script or speaker’s notes is required. Important: Submissions that do not include the script or speaker’s notes will be returned as a non-performance.
• References:Cite a minimum of three scholarly and/or authoritative sources.
• APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidence and APApage on Campus.

Context

The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.

NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.

The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove et al., 2018).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes. Nursing-sensitive Quality Indicator Assignment

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Reference

Grove, S. K., Gray, J. R., Jay, G. W., Jay, H. M., & Burns, N. (2018). Understanding nursing research: Building an evidence-based practice (7th ed.). Elsevier.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
  • Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.
• Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
  • Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
• Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
  • Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.
• Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
  • Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
  • Follow APA style and formatting guidelines for citations and references.Nursing-sensitive Quality Indicator Assignment

 

Ethical Nurse Practitioner Assignment

Respond to at least two of your colleagues’ posts by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.

N-B- 1 reference each.

1. (Chelsea).  My professional development goal is to become a knowledgeable and ethical nurse practitioner who eliminates the gaps in care for patients and improves their health. This directly correlates with Walden’s emphasis on social change. Social change is the use of complex processes to “promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies. Positive social change results in the improvement of human and social conditions.” (Walden University, 2023). To reach my professional developmental goal and develop my portfolio, I will use the following strategies: completing continued education courses, attending workshops and conferences, and getting certifications related to my area of practice. The continued development of a professional portfolio “encourages application and integration of knowledge, helps students recognize performance gaps, fosters student development, and promotes a student’s responsibility for learning” (McMillan et al., 2014). A professional portfolio will truly represent the practitioner it belongs to. (Casey & Egan, 2013). To conclude, developing one’s professional portfolio will help one reach their professional development goals.  Ethical Nurse Practitioner Assignment

References

Casey, D. & Egan, D. (2013). The use of professional portfolios for career enhancement. British Journal of Nursing, 15(11), 547–552.

McMillan, L. R., Parker, F., & Sport, A. (2014). Decisions, decisions! E-portfolio as an effective hiring assessment tool. Nursing Management, 45(4), 52-  54.

Walden University. (2023). Social Change. Retrieved from https://academics.waldenu.edu/handbook/vision-mission-goalsLinks to an external site.

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2. (Whitney)

Two strategies I plan to implement for including my academic activities and accomplishments in my professional development goals is to start developing my portfolio early. I plan to start working on gathering all the pieces for it now. Burns (2018) encourages pieces and documents for the portfolio to be gathered as it becomes available. I plan to keep it updated and add new pieces to it at the start of each class to show my learning process through my MSN journey. I will keep it up to date as I go throughout the program so I do not have to go back through at the end to locate everything and just throw it together at once, which could cause me to skip important pieces to be included. Another strategy I plan to implement is by joining more associations and keeping up to date on those.  as it is a very important piece to include in my professional portfolio.  I will continue to work on my networking skills as another way to strengthen my portfolio. Hannans & Olivo (2017), state, “Networking has always been important to professional growth, and the digital world makes it easy (p. 49). These goals align with Walden University’s emphasis on social change because the goal of this portfolio will help me as I graduate and enter my FNP role. Walden (n.d.), states it, “defines positive social change as a deliberate process of creating and applying ideas, strategies, and actions to promote the worth, dignity, and development of individuals, communities, organizations, institutions, cultures, and societies” (para. 4) Ethical Nurse Practitioner Assignment

References

Burns, M. K. (2018). Creating a nursing portfolio. Ohio Nurses Review. 93(3), 16-17.

Hannans, J. & Olivo, Y. (2017). Craft a positive nursing digital identity with an  ePortfolio. American Nurse Today, 12(11), 48–49

https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11- Digital-Identity-1017a-1.pdf

Walden University. (n.d.). Vision, mission, and goals. Retrieved August 7, 2023, from

https://academics.waldenu.edu/handbook/vision-mission-goals#s-lg-box-30140618Links to an external site. Ethical Nurse Practitioner Assignment 

Reply to the classmate ( health Assessment)

Paragraph One: What went well for me for this simulation was recognizing the signs of a stroke and knowing the interventions when a stroke is called. I have had patients with prior strokes and had a patient have a stroke in front of me at work, for which we had to intervene immediately. I feel like this scenario is mostly realistic with a couple exceptions. With the patient who is having an active stroke, sometimes the symptoms of the stroke will wax and wane. For example, I had a patient on my unit who had just recently had a baby and her husband was talking to her at bedside and noticed the patient become unresponsive. We called a Stroke Alert and by the time we had gotten the patient to the CT (approximately 10 minutes after symptom onset), the patient was responsive and able to communicate with us again. I don’t know if the scenario could have portrayed that or not,  but realistically, symptoms of stroke can vary and change throughout the assessment. Nursing homework help

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Paragraph Two: Next time I would spend less time trying to gather the information I already had from the patient again. There were some assessments that I performed that were unnecessary and because of that, I ran out of options to complete my neuro assessment. I need to improve on prioritizing certain assessment questions during the focused assessment.

 

Paragraph Three: I learned about the NIH Stroke Scale. I honestly did not know about that assessment. I am more versed in BEFAST. In my job, it is rare, but not impossible, to have a stroke patient, considering my patients are all postpartum mothers and newborns. However, due to the rarity of the occurrence of strokes on my unit, it is important to brush up on the assessment skills. I will definitely be brushing up on my NIH Stroke Scale questions so I am more prepared for the next stroke I witness. Hopefully, that won’t happen for a while, if ever again. Nursing homework help