Topic: Quality and Sustainability Paper Part 3 – Implementation and Evaluation

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Topic: Quality and Sustainability Paper Part 3 – Implementation and Evaluation

The Quality and Sustainability Paper is a practice immersion assignment designed to be completed in three sections. This is part three of the assignment. Learners are required to provide a theoretical framework that supports the design and implementation of their evidence-based quality and/or safety program and discuss expected outcomes.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

· Doctoral learners are required to use APA style for their writing assignments.

· This assignment requires that you support your position by referencing at least six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.

· You are required to submit this assignment to LopesWrite.

Directions:

Write a paper (2,000-2,500 words) that provides the following:

1. Identify a quality, change, or safety theory you will use to support the implementation of your quality and/or safety program. Provide evidence that supports the use of this theory within the program you designed.

2. Provide the design of your evidenced-based quality and/or safety program that can be implemented to improve quality or safety outcomes in your identified entity.

3. Discuss expected outcomes of your implementation and how to ensure their sustainability.

Practice Immersion Hours:

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. For more information on parameters for practice immersion hours, please refer to the DNP resources in the DC Network

Study Materials

Read Chapters 8-10 in Outcome Assessment in Advanced Practice Nursing 4e.

https://www.gcumedia.com/digital-resources/springer-publishing-company/2017/outcome-assessment-in-advanced-practice-nursing_4e.php

Will, K. K., Johnson, M. L., & Lamb, G. (2019). Team-based care and patient satisfaction in the hospital setting: a systematic review. Journal of Patient-Centered Research and Reviews, 6(2), 158-171. doi:10.17294/2330-0698.1695

http://dx.doi.org/10.17294/2330-0698.1695

Brown, L., & Overly, F. (2016). Simulation-based interprofessional team training. Clinical Pediatric Emergency Medicine, 17(3), 179-184. doi:10.1016/j.cpem.2016.06.001

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1522840116300283?via%3Dihub

Van der Biezen, M., Wensing, M., Poghosyan, L., Van der Burgt, R., & Laurant, M. (2017). Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study. BMC Health Services Research, 17, 1-9. doi:10.1186/s12913-017-2548-x

https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=124800601&site=ehost-live&scope=site

Barratt, J., & Thomas, N. (2018). Nurse practitioner consultations in primary health care: A case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement. Primary Health Care Research & Development , 20, 1-8. doi:10.1017/S1463423618000415

https://doi.org/10.1017/S1463423618000415

Research the definition and purpose of a privileged psychotherapy note.  Prepare a privileged note that you would use to document your impressions of therapeutic progress/therapy sessions for your client.

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  • Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
  • Modification(s) of the treatment plan that were made based on progress/lack of progress
  • Clinical impressions regarding diagnosis and/or symptoms
  • Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
  • Safety issues
  • Clinical emergencies/actions taken
  • Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
  • Treatment compliance/lack of compliance
  • Clinical consultations
  • Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
  • Therapist’s recommendations, including whether the client agreed to the recommendations
  • Referrals made/reasons for making referrals
  • Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
  • Issues related to consent and/or informed consent for treatment
  • Information concerning child abuse and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
  • Information reflecting the therapist’s exercise of clinical judgment

Note: Be sure to exclude any information that should not be found in a discoverable progress note.

Part 2: Privileged Note (10 points)

Research the definition and purpose of a privileged psychotherapy note.  Prepare a privileged note that you would use to document your impressions of therapeutic progress/therapy sessions for your client.

  • The privileged note should include items that you would not typically include in a note as part of the clinical record.
  • Explain why the items you included in the privileged note would not be included in the client’s progress note.
  • Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.

Case Study: Fetal Abnormality” (

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Based on “Case Study: Fetal Abnormality” (see attachment) and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

  1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
  2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
  3. How does the theory determine or influence each of their recommendations for action?
  4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

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.

This assignment uses a rubric (attached). Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

A group of student nurses has been asked to do a conference on the importance of the gastrointestinal system. They open their presentation with the following statement: “As nurses, we spend every day, as part of our routine assessment, asking patients whether they have moved their bowels today. We are not asking just for the sake of asking, as this normal bodily function hinges on many factors.”

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The following is another student post to one of the class question, Please react to this adding some extra information relate to the question but different from what the student already did. it doesn’t have to be to long. short but valuable.

Question?

A group of student nurses has been asked to do a conference on the importance of the gastrointestinal system. They open their presentation with the following statement: “As nurses, we spend every day, as part of our routine assessment, asking patients whether they have moved their bowels today. We are not asking just for the sake of asking, as this normal bodily function hinges on many factors.”

a.            What concepts of gastrointestinal function do you believe the students are trying to portray in relation to this statement?

 

Answer

The gastrointestinal system houses very important organs whose function is vital to the overall health of the human body. It is in charge of digestion, absorption and excretion through processes such as motility, secretion of enzymes and the breakdown of food (Grossman & Porth, 2014). When nurses ask questions regarding the bowel function, size, consistency and color, they are gaining information that could help identify issues, recognize normal or abnormal side effects to some medications as well as ruling out complications.

Bowel movements are a direct reflection of how the gastrointestinal system is functioning. The frequency of bowel movements is not the same for everyone and it does not mean it is wrong or right. The frequency of bowel movements is deemed normal according to each individual. However, when it deviates to the normal standard for that person it requires further evaluation. If a person experiences pain, straining, bleeding or discomfort when having a bowel movement, it may be an indication of a problem (Bharucha, Seide, Zinsmeister & Melton, 2008).

Constipation can be a problem without any precedent, a side effect of medication or a complication from other conditions (Grossman & Porth, 2014). On the other hand, frequent bowel movements characterized by being unformed and loose are considered diarrhea. It can happen due to an infection, poor tolerance to certain foods or disease of the intestine (Grossman & Porth, 2014). Identifying a pattern can help assess conditions and rule out complications. It is an essential aspect of the interview and assessment.

Reference

Bharucha, A. E., Seide, B. M., Zinsmeister, A. R., & Melton, L. J. (2008). Insights into normal and disordered bowel habits from bowel diaries. The American Journal of Gastroenterology, 103(3), 692-698. doi:http://dx.doi.org/10.1111/j.1572-0241.2007.01631.x

Grossman, S. C., & Porth, C. M. (2014). Porths pathophysiology concepts of altered health states. Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins.

Please discuss reasons for healthcare professional turnover and costs of turnover and strategies for increasing retention and preventing turnover.

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For Milestone Two, you will submit a paper stating your organization’s position on the specific legislation selected for your final project. Make sure to state your
role in your organization.
Specifically, the following critical elements must be addressed:
III. Your Position. In this section, you will layout your organization’s position on the specific legislation being considered. It should be evident from your
analysis that you have reviewed a full copy of the legislation and have researched the related issues and debate. Specifically, you should address the
following points:
a. Is your organization for or against the legislation? Why? Your answer should analyze the advantages and disadvantages of the legislation in
terms of potential effectiveness, cost, public acceptance, and political feasibility. In other words, how might economic, social, or political factors
(including other legislation) help or hinder the policy’s implementation and effectiveness? What specific concerns does your organization have?
b. How might cultural, socioeconomic, and other diversity issues impact the quality and equity of services provided under the selected legislation?
What concerns does your organization have? Provide examples to support your position.
c. What legal or ethical matters related to the legislation is your organization concerned about if any? Explain your answer and provide examples,
if appropriate.
d. Based on your analysis, how could the legislation in question be redesigned to better address the needs of intended beneficiaries? Be sure to
address the following points and provide evidence to support your recommendations.
i. How could the legislation better address diversity in meeting the needs of intended beneficiaries?
ii. How could it better address legal or ethical concerns in meeting beneficiaries’ needs? If there are no concerns specific to this legislation,
make suggestions for how the legislation might help prevent legal or ethical concerns in future policies. Support your suggestions with
evidence.
iii. What other changes to the legislation would make it more effective in serving intended beneficiaries? Consider the cost, public
acceptance, and political feasibility issues you identified above in making your suggestions.
e. Be sure to use language and communication strategies appropriate for political or organizational leaders in explaining your organization’s
position and recommendations. Remember the goal is to convince your audience that your analysis is credible without burdening them with
undue detail.
Guidelines for Submission: Milestone Two must be two to three pages in length (plus a cover page and references) and must be written in APA format. Use
double spacing, 12-point Times New Roman font, one-inch margins, and at least three references cited in APA format.

 To utilize the Patient Teaching Plan (developed in a prior assignment) to create a Visual Teaching Tool to educate the selected patient population about the selected health topic 

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To utilize the Patient Teaching Plan (developed in a prior assignment) to create a Visual Teaching Tool to educate the selected patient population about the selected health topic

 

Option #2 – Educational Brochure (Using Microsoft Word)

Directions:

  1. Open Microsoft Word, and select create a New document.Under the Education option, select Education Brochure. This will provide you with a blank tri-fold brochure template. You can change the design, insert graphics, and create text as you wish.
  2. The goal of this Educational Brochure is to address the three learning outcomes you developed in the Patient Teaching Plan. Once the learner has viewed your Educational Brochure, all three of the learning objectives should have been met.
    For Example:
    If a learning objective in the Patient Teaching Plan is: “At the end of this education, the learner will be able to demonstrate the proper way to wear a bike helmet,” then there should be content in your Educational Brochure related to how to properly wear a bike helmet.
  3. Tips for a great educational brochure:
    For Example:

    • Be creative! Choose a design (from the design tab of the PowerPoint presentation) to enhance visual appeal.
    • Incorporate graphics, clip art, or photographs to increase interest.
    • Use words and phrases suitable for your selected population.
    • Avoid writing paragraphs. Use simple sentences and bullet points.
    • Cite all sources used to create the educational content with (author, year).
    • Proofread for spelling and grammar errors prior to final submission.
    •  You must use the Patient Teaching Plan you have developed in this course to create your Visual Teaching Tool

Access to mental health services is a hot topic in U.S. Healthcare

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Discussion

Access to mental health services is a hot topic in U.S. Healthcare. Do you know what resources are available for clients seeking care in your own community? Select one mental health related condition from the list below. Conduct a web search to identify health care services within your community aimed specifically at addressing this condition.

Choose one:

  • Depression
  • Suicidal ideation
  • Opioid addiction

Answer the following questions in your post:

  1. When reviewing a client’s health history and physical examination record, what are some findings (subjective and objective) that may indicate a need for further in-depth assessment for the condition you selected above?
  2. Describe a focused specialty assessment tool you could use to screen the client for this condition.
  3. What resources did you find in your community that address this issue? What type of services do they provide? Were there specific resources or services you were hoping to locate, and could not? Please explain.

False Confessions

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False Confessions

One of the most confusing aspects of wrongful convictions is the concept of false confessions. Why would someone admit to something they didn’t do? For this assignment, we will once again go the Innocence Project website.

Watch the video about false confessions, and write a one page reaction paper about what you have viewed.

1.  What did you learn about how and why false confessions occur?

2.  Do you think this is a problem- why or why not?

3.  Do you agree or disagree with the Innocence Project’s proposed solutions to this problem?

False Confessions & Recording Of Custodial Interrogations

NHTSA’s “Crash Risk” study.

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Assignment:

Read the NHTSA’s “Crash Risk” study. Prepare a 1200 word peer-review article analysis to include the following points. Be sure to cite a minimum of three all sources. A title and reference page are required and do not count towards word count.

  • Describe what a population-based case-control study is and why it is appropriate to use for this type of study.
  • Summarize the statistical data presented in the article and how it relates to other data studied in this course.
  • Discuss both the results of the study and how the results compare to other studies mentioned in the article. What factors impact these results? Be sure to address each of the following factors:
    • Data collection methodology
    • Alcohol use
    • Marijuana use
    • Multi-substance use
    • Driver demographics
    • Sample population

How do the results effect your understanding of traffic crash risks?

Help with Policy Analysis and Assessment Assignment

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94 Help with Policy Analysis and Assessment Assignment

Identify and critique a Policy related to the Problem of  Challenges that prevent the identification of corruption offenses identified in the previous Journal Article Critique Assignment. Select a policy-related academic or trade article, chapter, or manual from the criminal justice or homeland security fields; and describe, analyze, and assess it in terms of efficiency and effectiveness.

The Policy Analysis and Assessment Assignment will consist of at least 1,000 words (excluding title page, references, figures, illustrations, or other extraneous elements outside the main body of the paper). Format paper using 12-point Times New Roman font, one-inch margins, and double spacing. Assignment needs to be in APA format, 10 pages not to include cover page, and references. Use 12-point Times New Roman font, one-inch margins, and double spacing. Use at least 2 references (Wikipedia CANNOT be used as a reference).

Use the rubric provided as a reference.

Structure of the assignment will include the following:

Title Page

Introduction

Policy Review

Analysis

Discussion

Assessment

Conclusion

References