Evidence-Based Practice and the Quadruple Aim

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Discuss the health care support systems available in your community for someone of this culture.

You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

Due date: September 1

Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Due DATE: September 3

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

For this Discussion, you will examine the above case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.

To prepare:

By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

  • The role genetics plays in the disease.
  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

Discussion: The Application of Data to Problem-Solving

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

· Reflect on the concepts of informatics and knowledge work as presented in the Resources.

· Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

Discussion: Where in the World Is Evidence-Based Practice?

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

· Review the Resources and reflect on the definition and goal of EBP.

· Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

· Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Assignment: Individual APA Review Assignment (90 points)

Assignment: Individual APA Review Assignment (90 points)

· The assignment must be typed in order to be graded.

· Handwritten assignments will be given 0 points.

Due Date

· See Course Schedule Submit in Week 1

· The College’s Late Assignment Policy applies to this assignment.

 

Instructions

1. Create an APA-style Title Page for this assignment (2 points)

2. Put each of the following seven Article References in accurate APA format (see below).

3. Create an APA-style References page by alphabetizing the seven Article References. (4 points for each reference). Note: Always leave authors within each reference in the order they appear (do not alphabetize the authors in the reference); it is an honor to be primary authors. Always list last name of author(s), followed by initials.

4. Use the Alphabetized APA-style REFERENCE PAGE to fill in the In-Text citations on the next page . (5 points for each in-text citation)

 

Article References

Author(s): Abela-Dimech, F., & Vuksic, O.

Journal: Archives of Psychiatric Nursing

Title of article: Improving the Practice of Handover for Psychiatric Inpatient Nursing Staff

Pages: 729-736

Year published: 2018

Volume: 32

Issue: 5

DOI: https://doi-org.chamberlainuniversity.doi:10.1016/j.apnu.2018.04.004

 

 

Author(s): Tobiano, G., Whitty, J. A., Bucknall, T., & Chaboyer, W.

Journal: Worldviews on Evidence-Based Nursing

Title of article). Nurses’ perceived barriers to bedside handover and their implication for clinical practice

Pages: 343-349

Year published: 2017

Volume: 14

Issue: 5

DOIhttps://doi-org.chamberlainuniversity.idm.oclc.org/10.1111/wvn.12241

 

 

Author(s): Bressan, V., Cadorin, L., Pellegrinet, D., Bulfone, G., Stevanin, S., & Palese, A.

Journal: Journal of Nursing Management

Title of article: Bedside shift handover implementation quantitative evidence: Findings from a scoping review.

Pages: 815-832

Year published: 2019

Volume: 27

Issue: 4

DOI: https://doi-org.chamberlainuniversity.doi:10.1111/jonm.12746

 

 

Author(s): Walsh, J., Messmer, P. R., Hetzler, K., O’Brien, D. J., & Winningham, B. A.

Journal: Journal of Continuing Education in Nursing,

Title of article: Standardizing the Bedside Report to Promote Nurse Accountability and Work effectiveness

Pages: 460-466

Year: 2018

Volume: 49

Issue: 10

DOIhttps://doi-org.chamberlainuniversity.idm.oclc.org/10.3928/00220124-20180918-06

 

Author(s): Christine Wollenhaup, Eleanor Stevenson, Julie Thompson, Helen Gordon, & Gloria Nunn

Journal: Journal of Nursing Administration

Title: Implementation of a modified bedside handoff for a postpartum unit

Pages: 320-326

Year: 2017

Volume: 47

Issue: 6

Doi: https://doi-org.chamberlainuniversity.doi:10.1097/NNA.0000000000000487

 

Author(s): Schirm, V., Banz, G., Swartz, C., & Richmond, M.

Journal: Applied Nursing Research

Title: Evaluation of bedside shift report: A research and evidence-based practice initiative.

Pages: 20-25.

Year: 2018

Volume: 40

Doi: https://doi-org.chamberlainuniversity.doi: 2017.12.004

 

Author: Forde, M. F., Coffey, A., & Hegarty, J.

Journal: Journal of Nursing Management

Title: The factors to be considered when evaluating bedside handover

Pages: 757-768

Year: 2018

Volume: 26

Issue: 7

DOIhttps://doi.org/10.1111/jonm.12598

 

 

 

 

 

 

 

 

 

 

 

 

 

For the Following Sentences:

· Complete the following in-text and parenthetical citations correctly citing the sources indicated from alphabetized APA-STYLE REFERENCE PAGE YOU CREATED.

· Do NOT change the contents of the original sentences. (FYI: BSR=Bedside Report)

· Carefully follow APA rules for in-text citations (6 points each).

 

1. Standardization of handoff practices with a consistent communication framework across the organization can improve the effectiveness of nursing handoff, increase nurse satisfaction, and improve safety of both staff and patients. (Cite source 1 for the first time )

 

 

2. “Nurses’ perceptions revealed agreement with the effectiveness, efficiency, helpfulness, accountability, professionalism, patient involvement, safety, and plan of care information” (Cite source 4 for the first time, p. 22)

 

3. Many studies explored nurse perception of communication pre-and post-implementation of BSR utilizing a variety of reliable survey tools. (Cite source 4 for the second time)

 

 

4. According to ______________, this standardized form will help to track progress and observations. Continual feedback and monitoring to make sure behaviors become natural and bedside shift report is implemented consistently is recommended in the literature. (Cite source 1 for the second time)

 

 

5. Similarly, the findings of ________________ are consistent with the literature, where patients involved with BSR have improved outcomes. (Cite source 3 for the first time)

 

 

6. Effective handoff communication in healthcare is essential for quality patient care. Gaps in handoff communication can cause serious breakdowns in the continuity of care, inappropriate treatment, and patient dissatisfaction___________. (Cite source 6 the first time)

 

7. Ineffective handoff communication decreases patient safety and satisfaction, nursing satisfaction, which in turn increases costs for healthcare organizations__________. (Cite source 6 for the second time)

 

8. More specifically, patient participation was noted to hinder effective communication and nurses felt they were not communicating all information to the patient. “Nurses were concerned that increased time was an expected outcome of BSR, thus increasing end of shift hours for nursing” ________. Cite source 5 for the first time, p. 346).

 

9. The financial benefit of BSR can be attributed to decreased nursing overtime hours and a decrease in patient falls__________. (Cite source 5 for second time)

 

10. If adopted throughout the psychiatric units, BSR can be incorporated into annual skills competency day for nurses, allowing for refinement and continuous evaluation. Lastly, the literature also supports having BSR educational sessions and training as part of onboarding for new hires. (Cite source 2 for the first time).

 

11. Communicating these results can be the reinforcement of practicing BSR daily. (Cite source 2 for second time)

 

12. Ineffective handoff communication is the most frequently cited root cause of sentinel events. (Cite source 7 for the first time)

Identify opportunities for effective use of online health information websites and/or social media

Describe the risks inherent with online websites and/or social media. Identify opportunities for effective use of online health information websites and/or social media.

Your presentation should include the following:

1. One social media in health care or public online health information site.
2. An overview of the use.
3. Their benefits and risks of use.
4. Your recommendations for nursing regarding appropriate use.

Submission Instructions:

  • Presentation is original work and logically organized in current APA style including citation of references.
  • Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • PowerPoint presentation with 7-8 slides, excluding the tile slide and the reference slide.
  • The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • Speaker notes expanded upon and clarified content on the slides.

Your assignment will be graded according to the grading rubric.

Assess Eugene’s baseline functional status

Listen (Links to an external site.) to Eugene in this monologue or download Preview the documentthe printed copy of the monologue. As you listen to Eugene, address the following questions on a word document.

  • Evaluate what evidence heard that may be indicative of depression
  • Assess Eugene’s baseline functional status
  • Determine what coping strategies Eugene uses and his support system
  • Examine Eugene’s strengths and weaknesses
  • Identify what else a nurse would want to know about Eugene or his wife
  • Describe the overall impression of Eugene’s relationships

Assessment 1 Instructions: Matrix of Ethical Theories

Assessment 1 Instructions: Matrix of Ethical Theories

  • Identify the professional code of ethics for your professional specialty or a specialty that you are interested in, describe the decision criteria, and analyze each theory using examples and the Ethical Theory Matrix Template.
    Moral Theories, Principles of Health Care Ethics, and Professional Ethics Codes
    Ethics is a branch of philosophy devoted to the study of morality. Ethics has a long history of theories about determining right from wrong and identifying the principles of living a good life. For this assessment, you will be asked to apply foundational principles in ethics, such as autonomy and justice, in a relevant health care setting.
    Each profession within health care has its own code of ethical behavior designed to help individuals within that profession to make sound ethical choices in carrying out the tasks and practices particular to their professional role. It may be useful to locate one or more relevant codes of ethics for your current or desired career path. This research will be beneficial to your professional development, and you will have a chance to apply it to the Tonya’s Case: Ethics and Professional Codes assessment in this course.
    Autonomy, Truth-Telling, and Confidentiality
    These are broad-ranging topics, which, if taken alone, seem almost comically simple. Of course, rational people of legal age should be able to make decisions concerning themselves and their minor children. Of course, medical professionals should be honest with patients, and, of course, patients should be honest with members of their health care teams. Of course, one’s medical issues should be kept private. But rarely are things as simple as they seem. Take some time to scratch beneath the surface, and we encounter myriad ethical dilemmas.
    Honesty tends to be a revered trait in many cultures. However, many people admit to lying occasionally, especially if the intent is to spare someone pain, embarrassment, or anguish. Is lying to someone because of love, concern, or reputation ever ethical?
    Privacy and confidentiality are also important concepts. But are there limits? Can the greater good ever outweigh the rights of individuals?
    And at what point can others, whether an individual or an entity such as a government body, ethically determine someone’s actions, fate, or choices? Fluoridated water, smoking regulations, compulsory K–12 education, and speed limits are only a few examples of how we, as a society, agree to limited personal freedoms because these things are good for us.
    Demonstration of Proficiency
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

    • Competency 1: Articulate ethical issues in health care.
      • Articulate the time-tested theories of ethics.
      • Describe the strengths and weaknesses of the time-tested theories of ethics.
    • Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions.
      • Identify the decision criteria of the time-tested theories of ethics.
    • Preparation
      As you begin work on your Ethical Theories Matrix assessment, it may be helpful to review the suggested resources focused on moral and ethical considerations. For your own reference, you may want to briefly jot down your thoughts related to:
    • An inventory of the basic principles of health care ethics. These principles are nonmaleficence, beneficence, utility, distributive justice, and autonomy.
      • An explanation of each principle as well as your own example to illustrate the application of each.
    • Instructions
      Drawing from the material covered in the resources as well as your own research, complete this assessment using the Ethical Theory Matrix Template [DOC].
    • For each theory, first describe the decision criteria. The decision criteria are the instructions the theory gives for how to reach the morally correct choice in a situation that requires action.
    • Then, provide your own example of how someone might act using the decision criteria of the theory.
    • Finally, briefly describe the strengths and weaknesses of each theory using the last two columns of the Ethical Theory Matrix Template.
    • The suggested resources for this assessment could help you get a start on completing the matrix, but do not hesitate to use any outside resources that you can find online, the Capella library, or elsewhere.
      This matrix is a tool you will use throughout the rest of the course. Submit your completed matrix as an attachment to this assessment.
      Refer to the Matrix of Ethical Theories Scoring Guide for more information on how this assessment will be graded.
  • SCORING GUIDE
    Use the scoring guide to understand how your assessment will be evaluated.
    VIEW SCORING GUIDE