Category: Health Care and Life Sciences : Nursing

Please respond to each discussion post (a total of 2 responses). Each response should include additional information in response to the discussion post such as recommendation and other choices of treatment. Please note, you are responding directly to the person by name such as Hi James, or Hi Jane, etc.
Instructions:
Length: at least 135 words each response, not including references
Citations: At least one high-level scholarly reference in APA per post from within the last 5 years
The entire paper should not be in APAP format but the in-text citation and reference should be in APA format.

Submission Type:
A written report in APA 7th ed. format, 10-12 pages in length. Details below.
Details:
CASE Study: The purpose of this assignment is to evaluate the value of health information technology in the prevention and detection of errors, as well as analysis of unintended consequences and human factors through quality improvement strategies.
Review the following video and documents on the case study. *
RaDonda Vaught speaks out l GMA [Video file]. Retrieved from https://www.youtube.com/watch?v=ryphwWHAgQELinks to an external site.. (4:56).
Harrington, L. (2022). The RaDonda Vaught case: A critical conversation on nursing practice and technology. AACN Advanced Critical Care, November 8, 2022. doi: The RaDonda Vaught Case: A Critical Conversation on Nursing Practice and Te…: EBSCOhostLinks to an external site.
State of Tennessee vs. RaDonda Vaught: Discovery request response. Available at https://s3.documentcloud.org/documents/6785652/RaDonda-Vaught-DA-Discovery.pdfLinks to an external site. Note pages 5-6, 50-51.
Apply one of the Quality Improvement Models discussed in the course, or choose an approach from the literature, or the one used in your workplace to analyze the case.
Summarize the case in one paragraph, highlighting the role of HIT.
Describe briefly the model chosen for the analysis.
Provide a rationale for using the selected model over other options.
Follow the model steps and processes to identify the quality, safety, security, privacy, and unintended consequences issues in the case.
List interprofessional team members who may be consulted on this process and their expected role.
Design strategies for your workplace to mitigate the issues identified from the case. 
Provide at least one visual of the process and proposed changes (i.e., flow chart, process map, data quality, pareto chart, control chart, data visualization).
Identify changes if needed to policies, EHR, equipment, and other HIT applications.
Create a communication/transition plan.
Develop a staff education plan on changes.
What change theory would be best for this program?
What educational deliver method (s) would be most effective? 
Compose metrics for evaluating the plan in each of the learning domains:
Cognitive
Psychomotor
Effective
Reflect on the ramifications of criminalizing the nonintentional reporting of mistakes on your own advanced practice, the nursing profession, and Quality Improvement practices. 
Submit the written report in APA 7th ed. format, 10-12 pages in length, not including title page, the 1-page reflection and references. Use headers to distinguish the sections of the paper.
 *Note: There are gaps in information available to the public on this case. For the purposes of this project, you may devise realistic responses and fill in the gaps, missing, or incomplete information as appropriate. 
Excellent writing is expected including following the MEAL plan. This means your first Main idea sentence covers the whole paragraph and does not have a citation. You then follow with Evidence or cited content, then Analysis of your evidence (no citations), and finally a Link out or closing your paragraph (no citations). Paragraphs are generally 5 sentences in length to accommodate the MEAL plan.
Refer back to my previous announcement for lots of writing tips. Please follow them.
My recommendation for this paper is to use PDSA for your quality improvement model. This is commonly used in the health care setting. Remember, this is NOT planning a project, doing it, etc.  Instead, it is small tests of change. Here are some resources:
https://www.ihi.org/resources/how-to-improveLinks to an external site.
https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.htmlLinks to an external site.
https://voice.ons.org/news-and-views/oncology-research-quality-improvement-evidence-based-practiceLinks to an external site.
https://voice.ons.org/news-and-views/oncology-research-quality-improvement-evidence-based-practiceLinks to an external site.
After your Title (centered and Bold) should come your introduction to the paper. Do Not use the heading introduction. This introduction tells the reader what they will find in the body of the text.
Your first main heading (centered and bold) should be Quality Improvement Model. You will address each of the four components after a brief paragraph that tells the reader what they will find in this section. Level 2 headings are not necessary.
Your second main heading (centered and bold) should be Mitigation Strategies. You will address each of the six components after a brief paragraph that tells the reader what they will find in this section. Level 2 headings are not necessary. Note that the visual for “A” will be described and then referred to (See Appendix A) and place there using APA formatting. You can also briefly describe your communication plan in “C” and put a table or other graphic in the appendix (See Appendix B).
Don’t forget a conclusion (heading centered and bold) with no new information thus no citations.
Your references, writing, and graphics need to be in APA 7th edition.

Discussion
After exploring the Module 5 Lesson please discuss where you see barriers or gaps within your organization surrounding the concepts of standardized terminology and meaningful use.
As an advanced practice nurse, how can you support a change to decrease or eliminate these potential barriers or gaps?

Using the course materials and other research materials, present a formal and robust definition of spirituality in relation to and for the purposes of health care.  Use lecture and other materials to explore and address the various issues and challenges that defining spirituality presents.
definition of spirituality using course materials and beyond, and apply that definition to an element of practice or theory in the area of the student’s interest or responsibility. This
a formal and robust definition of spirituality in relation to and for the purposes of health care
Topic: Spirituality in cancer patients

MASTERS LEVEL ONLY
APA 7
3 or more citations/references needed from American scholarly journal of medicine, no cover page needed
You are working as a psychiatric nurse practitioner in an outpatient setting. A 72-year-old Asian female is scheduled today for an initial intake. She broke her hip and was in rehab for six weeks. While she was living at the nursing home, she had restraints applied due to her attempts to remove the dressing on her hip. Her son is with her during the intake because, at times, she presents as disoriented. The chief complaint follows: “It has been difficult to come to see you in the office. My spiritual beliefs will not allow me to take medication every day.”
What are the therapeutic concerns regarding the need to establish a relationship with this elder?
What factors will you consider regarding the plan of care? Be sure to address the potential for the patient to become uncooperative (i.e., needing restraints)
What are the cultural, ethical, and spiritual concerns you need to keep in mind?
How would you arrive at a diagnosis (including a differential diagnosis) and the possible need for medication genetic testing (include specific medication options)? 

For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.
Summarize an interview focused on past or current issues at a health care organization.
Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.

Article topic- Postmenopausal Hormone Therapy and Its Association with Breast Cancer
Select one published EBP, QI, or research article- less then 4 years old.
Identify it as a quality improvement article, a research article, or EBP.
On Discussion Board post the title of the article, authors, purpose, and type of study (QI, Research, or EBP).
Discuss why you believe it to be either a research article, EBP article, or a quality improvement article.

Mrs. T. is a 62-year-old woman who immigrated from Taiwan with her husband to rejoin their son who moved to the United States for a job eight years ago. Mrs. T. had a difficult time adjusting to life in a new country but was very happy to be reunited with her son and his wife, who are expecting a baby. Mrs. T. only speaks Mandarin and she moved to a neighborhood with a high concentration of Chinese speaking immigrants, which was helpful in acclimating.
About six months after moving, Mr. T. unexpectedly passed away. Her son’s job transferred him to a city two hours away and very soon after, he and his wife had their baby. Mrs. T. loves the new baby very much, but she feels they have no room in their new life for her. She doesn’t want to move from the neighborhood where she can speak her native language, and she is feeling very sad and alone.
Mrs. T. says she doesn’t feel like doing much of anything and says nothing brings her happiness anymore. She hasn’t been sleeping well and says she spends most of the day in bed watching Chinese television. She is not eating much and has lost about 10 lbs.
Her son rearranged the furniture in her home to improve the feng shui. He would like her to see an acupuncturist and a Chinese herbal medicine specialist in her neighborhood to restore balance to her body.
For your initial post, use the biopsychosocial formulation grid system below to formulate your diagnosis and develop a comprehensive treatment plan for the case scenario.
What is your diagnosis? Do you agree with the son’s plan as part of her treatment plan? What is your treatment plan?
Please use two references

This is the last paper you worked on for me 2 weeks ago.
In this word doc attached. This is the comment from the professor after grading the paper,she pointed out just 2 section to work on. If i do not complete it i wont get full credit.
Please i would like you to review it and you would understand why i was scored low.

Professional Organization Assignment
Student Instructions: Select a professional nursing organization and provide the rationale for the  choice in the organization. Summarize important information about the organization, such as, the 
mission and vision of the organization, recent and historic accomplishments of the organizations and its members, current legislative interests of the organization, membership fees, benefits to the profession, benefits to the public, and benefits to the average nurse member. Summarize how this organization aligns with the student’s professional beliefs, interests, and aspirations as a 
future professional nurse.
Use the following questions as a guide The rubric is below the guiding questions and also can be found in your course syllabus
1. Date, Time, and Location of the meeting attended?
2. What was the name of the professional organization?
3. Why did you choose this organization?
4. Who are the current Board Members of the Organization?
5. What committees are active in the Professional Organization?
6. Where is the webpage for the organization located (link)?
7. Is the webpage well organized and informative?
8. What was discussed/presented at the meeting?
9. Were CEUs offered for attending the meeting/presentation?
10. What district of the professional organizations would you belong to (where you plan to 
practice)?
11. What resources, CEUs, and Professional Development opportunities are open to members?
12. What nursing issues are the focus of the organization’s legislative efforts?
13. Are mentorship programs available within the organization?
14. What advantages do you see in joining the organization?
15. What are the disadvantages to joining the organization?
16. What surprised you about the organization?
17. Will you join the organization? If so/if not, Why
you can find a meeting on youtube : https://www.youtube.com/watch?v=3mtupq0fWNA