Archive for category: My Nursing Writer

Identify a new law or regulation that affects the practice of public health or community health nursing.

Identify a new law or regulation that affects the practice of public health or community health nursing. Discover the sponsor of the action. Using news reports, statements in the public record, personal telephone or other interview data, outline the reasons for the introduction of the change.

---

 

. .

---

---

The post Identify a new law or regulation that affects the practice of public health or community health nursing. appeared first on My Nursing Writer.

DEVELOP A PROCESS MAP ABOUT THE PRESCRIPTION FILLING PROCESS FOR HMO’S PHARMACY, IN WHICH YOU SPECIFY THE KEY PROBLEMS THAT THE HMO’S PHARMACY MIGHT BE EXPERIENCING.

Case Study 1: Statistical Thinking in Health Care Due Week 4 and worth 150 points

Read the following case study.

Ben Davis had just completed an intensive course in Statistical Thinking for Business Improvement, which was offered to all employees of a large health maintenance organization. There was no time to celebrate, however, because he was already under a lot of pressure. Ben works as a pharmacist’s assistant in the HMO’s pharmacy, and his manager, Juan de Pacotilla, was about to be fired. Juan’s dismissal appeared to be imminent due to numerous complaints and even a few lawsuits over inaccurate prescriptions. Juan now was asking Ben for his assistance in trying to resolve the problem, preferably yesterday!

“Ben, I really need your help! If I can’t show some major improvement or at least a solid plan by next month, I’m history.” “I’ll be glad to help, Juan, but what can I do? I’m just a pharmacist’s assistant.” “I don’t care what your job title is; I think you’re just the person who can get this done. I realize I’ve been too far removed from day-to-day operations in the pharmacy, but you work there every day. You’re in a much better position to find out how to fix the problem. Just tell me what to do, and I’ll do it.” “But what about the statistical consultant you hired to analyze the data on inaccurate prescriptions?” “Ben, to be honest, I’m really disappointed with that guy. He has spent two weeks trying to come up with a new modeling approach to predict weekly inaccurate prescriptions. I tried to explain to him that I don’t want to predict the mistakes, I want to eliminate them! I don’t think I got through, however, because he said we need a month of additional data to verify the model, and then he can apply a new method he just read about in a journal to identify ‘change points in the time series,’ whatever that means. But get this, he will only identify the change points and send me a list; he says it’s my job to figure out what they mean and how to respond. I don’t know much about statistics — the only thing I remember from my course in college is that it was the worst course I ever took– but I’m becoming convinced that it actually doesn’t have much to offer in solving real problems. You’ve just gone through this statistical thinking course, though, so maybe you can see something I can’t. To me, statistical thinking sounds like an oxymoron. I realize it’s a long shot, but I was hoping you could use this as the project you need to officially complete the course.”

“I see your point, Juan. I felt the same way, too. This course was interesting, though, because it didn’t focus on crunching numbers. I have some ideas about how we can approach making improvements in prescription accuracy, and I think this would be a great project. We may not be able to solve it ourselves, however. As you know, there is a lot of finger-pointing going on; the pharmacists blame sloppy handwriting and incomplete instructions from doctors for the problem; doctors blame pharmacy assistants like me who actually do most of the computer entry of the prescriptions, claiming that we are incompetent; and the assistants tend to blame the pharmacists for assuming too much about our knowledge of medical terminology, brand names, known drug interactions, and so on.” “It sounds like there’s no hope, Ben!”

---

 

. .

---

---

The post DEVELOP A PROCESS MAP ABOUT THE PRESCRIPTION FILLING PROCESS FOR HMO’S PHARMACY, IN WHICH YOU SPECIFY THE KEY PROBLEMS THAT THE HMO’S PHARMACY MIGHT BE EXPERIENCING. appeared first on My Nursing Writer.

Develop a 10- to 15-slide PowerPoint presentation to provide to the board of directors. Include the role health insurance plays in cost, quality, and healthcare consumer expectations.

Incrisis hospital has been concerned with the increased number of calls from patients regarding their quality of care from a variety of departments, including its emergency room, and its surgery, oncology, and X-ray/lab departments.

Incrisis is a 100-bed acute facility and was established in 2006. The human resource department hired you as a consultant to review the quality of care issue and make a recommendation on creating a quality assurance department.

Develop a 10- to 15-slide PowerPoint presentation to provide to the board of directors.

The presentation should cover the following topics:

The link between cost and quality in healthcare. Cite at least two studies conducted in the past five years supporting your response.
The role health insurance plays in cost, quality, and healthcare consumer expectations.
The various customers (e.g., patients, families, providers, insurance companies) and the healthcare quality from their perspective.
At least three current business initiatives driving healthcare quality.
The role that national policy plays on the quality of healthcare.
A clear explanation of why the quality assurance department should be created.

---

 

. .

---

---

The post Develop a 10- to 15-slide PowerPoint presentation to provide to the board of directors. Include the role health insurance plays in cost, quality, and healthcare consumer expectations. appeared first on My Nursing Writer.

Consider the ethical aspects of health care and health policy for an aging population.

Ethical Issues in Health Care Delivery Every day nurses make decisions that have critical ethical and legal implications. In addition, nurses must follow doctors’ orders and defer to the wishes of patients and families even when they are not in agreement with those actions.

Week 10: Ethical Issues in Health Care Delivery Every day nurses make decisions that have critical ethical and legal implications. In addition, nurses must follow doctors’ orders and defer to the wishes of patients and families even when they are not in agreement with those actions. A study conducted by Pavlish et al. (2011) highlights this tension. Researchers surveyed 91 nurses attending a nursing ethics conference and found many of the nurses’ concerns centered on relieving pain in patients while still respecting the wishes of the family (Pavlish et al., 2011). One such dilemma was described as follows: Family of 40-year-old terminally ill patient with cancer refuses all pain medication for fear patient will die.

---

 

. .

---

---

The post Consider the ethical aspects of health care and health policy for an aging population. appeared first on My Nursing Writer.

Nursing and non-nursing theories and models have long been used to drive health promotion and clinical decision making. When advanced practice nurses first begin their

clinical practice, they often select a particular theory or model that most aligns to their personal and professional beliefs—just as you have been asked to do prior

to each Practicum Experience in this program. However, practitioners frequently find that they might be using ideas from multiple theories and models. There is no

right or wrong way, but rather the idea is to select theories or models that can guide your practice and help you influence change within the patient population you

serve. In this Discussion, you select one nursing or non-nursing theory or model and consider how you would use the theory or model to influence change in patient risk

behaviors.

To prepare:
Review this week’s media presentation, as well as the Glanz et al. text in the Learning Resources.

Select a theory/model to use for the health promotion of patients in clinical settings.

The theory/model you select may be a nursing theory/model or a non-nursing theory/model that can be applied to nursing practice.

Reflect on how the theory/model you selected might guide your clinical practice.

Think about how you would use this theory/model to influence changes in a patient’s risk behaviors.
Discuss the theory/model you selected to use for the health promotion of patients in clinical settings.

Then, explain why you selected this theory/model, and discuss how it might guide your clinical practice.

Include a specific example of how you would use this theory/model to influence changes in a patient’s risk behaviors.

Readings
Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2008). Health behavior and health education: Theory, research, and practice (4th ed.). San Francisco, CA:

Jossey-Bass.

This text explores theories relevant to clinical practice, including the theory of reasoned action, theory of planned behavior, transtheoretical model of behavior

change, diffusion of innovation theory, and health belief model.
Green, J., & Tones, K. (2010). Health promotion: Planning and strategies (2nd ed.). Thousand Oaks, CA: Sage.
Chapter 7, “Education for Health” (pp. 297–355)

This chapter explores the importance of health education in health promotion. It also examines the role of health education in influencing social and political change.
DeGuzman, P. B., & Kulbok, P. A. (2012). Changing health outcomes of vulnerable populations through nursing’s influence on neighborhood build environment: A

framework for nursing research. Journal of Nursing Scholarship, 44(4), 341–348.
Retrieved from the Walden Library databases.

This article explores the impact of built environments—including the presence and conditions of sidewalks, traffic flow, cleanliness of public spaces, and perceptions

of safety—on health behavior changes. It also presents a framework for examining physical and social environments at regional, neighborhood, and individual levels.
Im, E.-O., & Chang, S. J. (2012). Current trends in nursing theories. Journal of Nursing Scholarship, 44(2), 156–164.

This article identifies current trends in nursing theories and categorizes the trends into six major themes: foci on specifics, coexistence of various types of

theories, close links to research, international collaborative works, integration to practice, and selective evolution.
McCurry, M. K., Revell, S. M. H., & Roy, S. C. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and

practice. Nursing Philosophy, 11(1), 42–52.
Retrieved from the Walden Library databases.

This article explores nursing theories and examines the impact of theory-guided practice on clinical decision making.
Newcomb, P. (2010). Using symptom management theory to explain how nurse practitioners care for children with asthma. Journal of Theory Construction & Testing, 14

(2), 40–44.
Retrieved from the Walden Library databases.

This article describes the symptom management theory and outlines essential components and considerations. It also provides a case study to illustrate how the theory

can be used in practice when caring for children with asthma.

---

 

. .

---

---

The post Nursing and non-nursing theories and models have long been used to drive health promotion and clinical decision making. When advanced practice nurses first begin their appeared first on My Nursing Writer.