DEVELOPING ORGANIZATIONAL POLICIES AND PRACTICES

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Back to Module at a Glance
(https://waldenu.instructure.com/courses/80551/modules/items/2436554)

Competing needs arise within any organization as employees seek to meet their targets and leaders
seek to meet company goals. As a leader, successful management of these goals requires establishing
priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict.
Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and
employer reductions of education benefits are examples of practices that might lead to conflicting needs
in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this
Assignment, you will further develop the white paper you began work on in Module 1 by addressing
competing needs within your organization.

To Prepare:

DEVELOPING ORGANIZATIONAL POLICIES
AND PRACTICES

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/80551/modules/items/2436568)

Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and
review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices
to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding
competing needs.

The Assignment (1-2 pages):

Developing Organizational Policies and Practices

Add a section to the 2-3 page paper you submitted in Module 1. The new section should address the
following in 1-2 pages:

Identify and describe at least two competing needs impacting your selected healthcare
issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected
healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in
promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of
resources, workers, and patients, while addressing any ethical shortcomings of the existing policies.
Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two
scholarly resources in support of your policy or practice recommendations.
Due to the nature of this assignment, your instructor may require more than 7 days to provide you
with quality feedback.

Submit your revised paper.

Before submitting your final assignment, you can check your draft for authenticity. To check
your draft, access the Turnitin Drafts from the Start Here area.

1. To submit your completed assignment, save your Assignment as
WK3Assgn_LastName_Firstinitial

2. Then, click on Start Assignment near the top of the page.

BY DAY 7 OF WEEK 3

SUBMISSION INFORMATION

W5 R see attachment

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Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Lili Ketema


Clinical Decision Support Systems

Pros

Cons

Patient Safety. Clinical Decision Support Systems empower Advanced Practice Nurses to make decisions in a timely and informed manner by detecting diseases early and managing them effectively (Ayed Aloufi, 2020). CDSS has reminder systems for medical events different from the ones related to medicine. For example, CDSS for measuring blood glucose in the ICU can decrease the frequency of hypoglycemia events (Sutton et al., 2020). This CDSS automatically prompts nurses to take glucose measurements with respect to the local glucose monitoring protocol that specifies particular patient demographics and previous glucose trends.

Overreliance. CDSS may increase patient safety but increase reliance on the system, resulting in a decrease in critical thinking capabilities since the APN does not feel impelled to utilize their clinical judgment capabilities. This development is undesirable because the APN becomes less equipped for a task that they can execute in the absence of a CDSS. Sutton et al. (2020) compare overreliance on CDSS to using a calculator in math; the authors indicate that the user’s mental math skills decline with extended use. Therefore, APNs may end up less equipped to execute the services they should execute with ease. 

Improved Accuracy and Efficiency. CDSS can process significant quantities of patient data swiftly and precisely, empowering providers of care to effectively diagnose and plan for treatment (Ayed Aloufi, 2020). This decreases the possibility of errors by providing computerized consultation. The Diagnostic Decision Support Service provides data/user selections and then outputs a list of possible diagnoses (Sutton et al., 2020). These developments enhance EHR-integration as well as standardized vocabulary such as Snomed Clinical Terms.      

System and Content Maintenance. Maintenance is an often neglected aspect of the lifecycle of the CDSS. Maintenance encompasses technical and content of the systems that power the CDSS. The applications and knowledge-base of the CDSS should always be apace with the shifting nature of clinical guidelines and medical practice. Failure to stay updated may limit the CDSS’ capacity to maintain the desired levels of accuracy and efficiency. Sutton et al. (2020) assert that even the healthcare institutions that are highly advanced experience challenges keep9ing abreast with keeping their systems updated due to the inevitability of changes in medical knowledge bases. 

Cost Containment. The capacity of CDSS to decrease the length of stay for in-patients, provide clinical interventions, decrease test duplication, and suggest cheaper alternatives of medicine makes the systems more efficient (Sutton et al., 2020). For example, a CPOE-integrated has the capacity to limit the scheduling of blood count to a 24-hr interval when implemented in a paediatric cardiovascular intensive care unit. This laboratory resource utilization cost-reduction has a predictable cost discount of $717,538 every year, minus increasing mortality or length of stay. These advantages reveal the highly capabe nature of the CDSS to contain costs associated with hospital procedures and the overall ROI associated with CDSSs.  

The system is predicated on computer literacy. Decreased proficiency in technology can be limiting when a person is engaging with CDSS. The high design details associated with CDSS may be exceedingly complicated, decreasing the capacity of some APNs to use them to reach the advantages associated with the implementation of the system within a hospital setting (Sutton et al., 2020). Although some systems stay as close to close functionality as possible, every new system has a learning period, meaning the baseline of the technological competence of users is appropriate. Further training for APNs increase on the costs that the institution was aiming at cutting in the first place.

Future role as an APN and clinical patient and scenario 

A 68 year old man who has a history of diabetes, hypertension, and chronic renal disease shows up at the clinic complaining of fatigue, increased thirst, and frequent urination. Since I feel the patient's symptoms might be brought on by uncontrolled diabetes, I have made the decision as a prospective APN healthcare professional to ask for a blood test to confirm the diagnosis.

Impact of CDSS: Before prescribing any new medications, the system alerts me about the patient's current medications, which include metformin and lisinopril. The CDSS also prompts  to consider the patient's renal status.

After noting the CDSS alert, I decide to review the patient's most recent lab results, particularly the estimated glomerular filtration rate (eGFR). The patient has substantial renal impairment, as seen by their eGFR, which is less than 30 mL/min/1.73m2, as I learned after examining the lab results.

In light of the CDSS alert and the patient's test results, I decide to alter the patient's prescription regimen. As opposed to providing a conventional oral anti-diabetic prescription like sulfonylureas, which may be contraindicated in patients with severe renal impairment, as APN i would consider alternate choices such insulin treatment or a newer family of anti-diabetic pharmaceuticals that are safe for patients with renal impairment.

Based on the patient's renal function and the medications they were taking at the time, the CDSS made recommendations. This let the medical practitioner make a more informed decision and avoid any side effects or drug interactions.

This scenario demonstrates how a CDSS might influence a provider's decision by providing timely reminders and cautions based on the patient's specific clinical data. It guarantees that the healthcare provider considers all relevant information and selects the best course of action for the patient's unique needs.

References

Ayed Aloufi, M. (2020). Effect of clinical decision support systems on quality of care by nurses. 
International Journal for Quality Research, 
14(3), 665–678. https://doi.org/10.24874/ijqr14.03-01

Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for Success. 
Npj Digital Medicine, 
3(1). https://doi.org/10.1038/s41746-020-0221-y

 

nursing

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Topic:  Staffing needs and Scheduling policies

  • Title page (APA format) (3-4 pages, not including Titles and References)
  • Book: Leadership roles and management Functions in Nursing, Eleventh Edition, by Carol J. Huston

 

body language

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Analyzing Body Language

Assignment

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 7, 8

· Lesson 3

· APA style manual

· Citation and Writing Assistance: Writing Papers At CU

· Library Overview

· How to Search for Articles – the Everything Tab

Instructions

Social Movements are only as important as the person leading them. The person(s) leading a social movement must have charisma and be able to captivate an audience. Political scientists and historians are taught to analyze body language, especially during debates and speeches.

For this assignment, you will watch Dr Martin Luther King's

I Have a Dream
speech and a

speech by Alicia Garza of the Black Lives Matter movement
and answer questions listed below. Pay special attention to the following aspects in the two speeches.

· Importance of body language while delivering the speech.

· Gestures, cadence and delivery style.

Answer the following: 

1. Provide a summary of the two speeches.

2. Compare Dr. King's leadership, charisma, power and passion to capture his audience to Alicia Garza's speech. What are the similarities, if any? What are the differences, if any?

3. How does the location of the speeches support their messaging? Dr. King's speech was held in a church and at the Lincoln Memorial, whereas today we have social networking and more avenues to relay messages. Does messaging make a difference?

4. Describe how the audience in Dr. King's speeches relate to the Alicia Garza's audience. Do you see a similarity or differences in the speeches and in the audience?

Requirements

· Length: 2-3 pages of substantive content

· 12 pt font

· Parenthetical in-text citations included and formatted in APA style  

· References page (a minimum of 2 outside scholarly sources plus the textbook and/or the weekly lesson for each course outcome) . 

· Title and introduction pages are present.

To understand the role that effective communication practices will play in your career

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NURSING CAREER 

APA FORMAT 

THEY CHECK FOR PLAGERISM/AI 

SEE INSTRUCTIONS IN ATTACHMENT

THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES

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THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

· Review the concepts of technology application as presented in the Resources.

· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

· Describe the project you propose.

· Identify the stakeholders impacted by this project.

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

· Identify the technologies required to implement this project and explain why.

· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

· Use APA format and include a title page and reference page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

journal week 9

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Journal/Overview -The journal document should be 3-4 pages in length. No citations are required, and no specific formatting is needed. Utilize appropriate grammar and mechanics of writing.

Refer to the journal submission you completed in Unit 1 and reflect on the following:

Topic: The use of pharmacology in advanced practice.

1. How has your knowledge of pharmacology changed?

2. Do you find yourself thinking about medication use in your current employment differently? Why or why not?

3. Explain how your appreciation of the advanced practice role changed or did not change?

How do you envision using the knowledge from this course in your future advanced practice role?

You must complete this Journal submission before the Unit 10 Quiz will open.

sc0t 3

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Strengths, Challenges, Opportunities and Threats (SCOT) is a simple yet comprehensive way of assessing the positive and negative forces within and outside your organization so you can be better prepared to act effectively. It reminds the project leader to build on strengths, minimize challenges, seize opportunities, and counteract threats.

Assignment Prompt

Each student will perform a SCOT (formerly SWOT) analysis in their practice that identifies strengths, challenges, opportunities and threats to assist in making strategic plans and decisions in the implementation of the EBP.

Submit a 1-2 slide PowerPoint presentation of a SCOT analysis as it relates to your project.

Expectations

  • easily found US sources and ( use nurse retention for critical care) 
  • Length: 1-2 slides
  • Format: Power Point with diagram
  • Research: At least one peer reviewed reference within the last 5 years