Archive for category: My Nursing Writer

HOW ANSWERING CALL LIGHT ON TIME PREVENT FALLS IN THE LONG-TERM SETTING?

How answering call light on time prevent falls in the long-term setting?

Falls are prevalent in elderly patients residing in nursing homes, with approximately 1.5 falls occurring per nursing home bed-years. Although most are benign and

injury-free, 10% to 25% result in hospital admission and/or fractures. Primary care providers for nursing home residents must therefore aim to reduce both the fall

rate as well as the rate of fall-related morbidity in the long-term care setting. Interventions have been demonstrated to be successful in reducing falls in

community-dwelling elderly patients. However, less evidence supports the efficacy of fall prevention in nursing home residents.
WE in the healthcare facility have commonly adopted call-light tracking systems, however, automatically generated call-light data, specific to staff actual response

time to call lights, have not been used on a regular basis for hospital-wide and unity base quality improvement purposes (e.g., improving in-patients’ experience with

nursing care and reducing injurious fall rates) (Tzeng, Hu, Yin, & Johnson, 2011; Tzeng & Yin, 2009). According to a study conducted by Tzeng and Yin (2009) it was

found that when the average staff actual response time to call lights was longer, the in-patient satisfaction scores for ‘getting help as soon as possible’ and ‘having

pain well controlled’ were lower and falls were avoided.
(Man Q. V, Nancy, W &Laurence Z. R, 2004), Falls in the nursing home: are they preventable? Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/pmid/15530179/cited
Tzeng H, Grandy G, Yin C.(2013) Staff response time to call lights and unit-acquired pressure ulcer rates in adult in-patient acute care units. Contemporary Nurse: A

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Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?
Discussion Question due 8/26

Review the following research questions.

1.Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?

2.How effective are anti-depressive medications on anxiety and depression?

3.For patients of 70 years and older, how effective is the use of the influenza vaccine at preventing flu as compared to patients who have not received the vaccine?

4.What is the relationship between alcohol and breast cancer?

5.What is the difference between self-efficacy scores in older adults who exercise and the scores of those who do not?

6.What is the difference in attitudes of male and female college students toward condoms?

Next, select 3 of the above questions and address the following:

•Identify an appropriate research design.

•Discuss the strengths and weaknesses of the design.

•Provide a rationale for the design you selected

Select three research questions from the list of research questions; for each research question describe the following:

* Identify an appropriate research design to support the research question

* Describe the strengths and weaknesses of the selected research design

* Provide a rationale for the selected research design (in other words, explain how the research design supports the purpose of the research and research question)

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EXPLAIN WHY NOT PROSECUTING THE CASES IS THE WRONG PUBLIC AND SOCIAL POLICY.Since your graduation from AIU, you have been working as the victims’ assistant advocate for the office of the local county prosecutor.

Explain why not prosecuting the cases is the wrong public and social policy.

Since your graduation from AIU, you have been working as the victims’ assistant advocate for the office of the local county prosecutor. You have a great working relationship with the prosecutor, Mary, and the remainder of the office. Normally, when you speak, the staff and prosecutor know you are speaking from a knowledge base that you have gained from personal experience, research, and reading, so they know that your comments are facts. You like to use APA format to cite your sources, but this bulleted paper does not need to be in APA format.

You have decided to speak with the prosecutor, Mary, on behalf of Maureen, the college student who was a victim of date rape. You want to convince Mary to support a change in the prosecutor’s policy of not prosecuting date rape cases when drugs or alcohol are involved. Maureen has a strict policy: when someone wants to speak with her about changing an established policy, she wants the person to submit a paper of 3–5 pages containing topic bullets outlining his or her argument for the policy change prior to meeting her. She feels this way, she is not blind-sided, and she has an opportunity to research the topic prior to the meeting.

You follow her policy and write a paper using bullets only, hoping that you can persuade Mary and the chief prosecutor to change their policy or, at a minimum, meet with you for a discussion about changing the policy. Maureen knows other young women are being attacked and that very often, date rape drugs are being used.

Mary has agreed to review your policy change letter if you write it. You write the policy change paper in which where you have the following two goals:

Educate Mary about date rape using statistics and information about date rape and date rape drugs to show her that Maureen is one of the types of victims who perpetrators take advantage of in these situations.
Explain why not prosecuting the cases is the wrong public and social policy. Of course, you are also hopeful that the victim, Maureen, also receives help in her case.
To organize your efforts before your meeting, create a detailed outline in bullet form that contains information for the following 5 topics:

List Uniform Crime Reporting (UCR) and the National Crime Victimization Survey (NCVS) reported crime statistics relating to rape and the strengths and weaknesses of each type of reporting.
Define the term date rape (or acquaintance rape—the terms are interchangeable) and how date rape (acquaintance rape) is distinguished from stranger rape, statutory rape, and spousal rape.
List the types and uses of date rape drugs.
Describe the victim–offender relationship, including the following:
How victims are viewed by perpetrators of date rape
The special problems of date rape prosecutions
How society and jurors may view date rape (blaming the victim based on the perceived precipitation, facilitation, or provocation of the victim)
What is your position on this issue, and what action do you think would impact this social policy?

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Usability and interoperability are major issues to consider in the development of Healthcare Information Systems (HIS). How do your organization’s systems address these issues in terms of transfer of information versus re-entry at various points in the system (emergency department, inpatient, and home care)?

Welcome to the Week 3 discussion thread. This week, our discussion will take us to the topic of improving usability and interoperability in health information systems. Usability and interoperability are major issues to consider in the development of Healthcare Information Systems (HIS). How do your organization’s systems address these issues in terms of transfer of information versus re-entry at various points in the system (emergency department, inpatient, and home care)? With the knowledge you have gained from your readings, what evidence-based suggestions will you make to improve your system?

I am looking forward to your discussions and our dialogue in the threads.

Dr. Z

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Discuss quality Improvement in the Health Care Organization Accreditation.The mandate for improving the way in which health care is delivered was stimulated by the public outcry over the estimated 98,000 deaths because of medical errors each year

The mandate for improving the way in which health care is delivered was stimulated by the public outcry over the estimated 98,000 deaths because of medical errors each year, according to the Institute of Medicine in 1999. Since then, health care organizations have sought means by which the public can be reassured that they were meeting quality and safety standards. Accreditation agencies (e.g., The Joint Commission) and quality awards provide a means for the public to evaluate where the agency is meeting minimum standards.

You have been assigned by your manager to determine which accrediting agencies or quality improvement programs your hospital will utilize in its upcoming revenue cycle. Your hospital is a magnet hospital in a large urban area that provides multilayered services. You have previously used The Joint Commission for your accreditation but feel that you might be better served by using another accrediting body. You have three months in which to gather data and present the information to your manager.

Complete the following for this assignment:

Choose 3 quality improvement or accreditation-related programs to consider in replacing The Joint Commission for your organization, and briefly describe them. Your agency accepts Medicare and Medicaid payments; therefore, you will need to explore, as background, the conditions of participation for Centers for Medicare and Medicaid Services (CMS). This is important information because you will need to compare your list of accrediting agencies and quality improvement programs with the conditions of participation to see if they meet the criteria.
Analyze the costs and benefits of each quality improvement or accreditation-related program by stakeholder group (e.g., patient, provider, and third-party payer).
Rank your quality improvement or accreditation-related program suggestions with rationale.

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