Category: Nursing

NHS-FPX4000 DHCP Assessment 3 : Applying Ethical Principles

Assessment 3 Instructions: Applying Ethical Principles

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.

Introduction

Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.

 

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

 

For this NHS-FPX4000 DHCP Assessment 3 : Applying Ethical Principles assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

 

Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment.

Select the case most closely related to your area of interest and use it to complete the assessment.

Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.

Include the selected case study in your reference list, using proper APA style and format. Refer to the Evidence and APA section of the Writing Center for guidance.

Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.

Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

Identify who is involved or affected by the ethical problem or issue.

Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.

Apply the three components outlined in the Ethical Decision-Making Model media.

Analyze the factors that contributed to the ethical problem or issue identified in the case study.

Describe the factors that contributed to the problem or issue and explain how they contributed.

Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.

In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.

Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.

Review the Think Critically About Source Quality resource.

Assess the credibility of the information source.

Assess the relevance of the information source.

Discuss the effectiveness of the communication approaches present in a case study.

Describe how the health care professional in the case study communicated with others.

Assess instances where the professional communicated effectively or ineffectively.

Explain which communication approaches should be used and which ones should be avoided.

Describe the consequences of using effective and non-effective communication approaches.

Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.

Describe the actions taken in response to the ethical dilemma or issue presented in the case study.

Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.

Discuss the key lessons this case provides for health care professionals.

Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.

Describe the proposed solution NHS-FPX4000 DHCP Assessment 3 : Applying Ethical Principles.

Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.

Discuss how likely it is the proposed solution will foster professional collaboration.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Apply the principles of effective composition.

Determine the proper application of the rules of grammar and mechanics.

Write using APA style for in-text citations, quotes, and references.

Determine the proper application of APA formatting requirements and scholarly writing standards.

Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

 

Assessment 3 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

 

Length: 3-5 typed, double-spaced pages, not including the title page and reference page.

Font and font size: Times New Roman, 12 point.

APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.

Written communication: Use correct spelling, grammar, and punctuation.

References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.

APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

 

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.

Competency 3: Apply ethical principles and academic standards to the study of health care.

Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.

Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.

Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.

Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

Discuss the effectiveness of the communication approaches present in a case study.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Write following APA style for in-text citations, quotes, and references NHS-FPX4000 DHCP Assessment 3 : Applying Ethical Principles.

 

Applying Ethical Principles Scoring Guide

Assesses the facts of the case study using peer-reviewed journal articles as evidence to support analysis of the case, including reasons why the chosen articles support the analysis.

Discusses the effectiveness of the communication approaches present in a case study, explaining which approaches should be used more and which should be avoided.

Discusses the effectiveness of the approach used by the professional in the case study as it relates to the ethical decision-making model, including consequences of using effective and noneffective approaches.

Applies ethical principles to a possible solution to the proposed problem or issue from the case study, explaining why the proposed solution is based in ethical principles.

Produces text free of grammatical, usage, spelling, and mechanical errors.

Integrates into text appropriate use of scholarly sources, evidence, and citation style without errors and uses current reference sources.

 

 

NHS-FPX4000 DHCP Assessment 3 : Applying Ethical Principles

Applying Ethical Principles

Occurrence of Hospital-acquired infections at the healthcare facility is usually attributed to the negligence of the patients by the healthcare workers and also the lack of a straightforward communication approach between them. According to Verceles and Bhatti (2018), ethical dilemmas result in a decline in the quality of care that the patient receives and problematic clinical relationships. The task of carrying out various research on the intensive care units is sometimes challenging, and the vulnerable population may lack the capacity to provide informed consent. The case study that I have selected focuses on the ethical concerns that healthcare workers encounter when seeking consent from mechanically ventilated patients, because of the many challenges faced when seeking consent in a patient, obtaining it from either a surrogate or a legally authorized representative (LAR), who exercise full submitted judgment. Communication with these patients is usually tricky and more demanding in cases where they can verbally talk but not make informed decisions or consent regarding the care that they deserve.

Using the ethical decision-making model media piece, the healthcare workers must have moral awareness to detect and appreciate the ethical aspects of a patient’s decision. They also need to be informed of the impacts of the inefficient decision-making process. If nurses do not make informed choices regarding their care, they may act unethically, even without realizing it. A study by Martins et al. (2021) states that moral judgment influences professional practice and shapes identity development. In the case that I selected, the concept of moral judgment may be impaired in the independent community dwellers simply because most of their decisions are being made on their behalf. The last media piece is the ethical behaviour; the willingness of a patient to consent to medical treatment plays a crucial role in ensuring health sustainability. The more willing the patient is, the better the care outcomes in the end.

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The healthcare workers attending to the patient are the most affected by the ethical problem. It is their role to ensure that the patients make informed choices and consent to the care that they deserve without causing any harm to themselves. In other instances, inappropriate support can institutionalize health inequalities, thus reducing the accessibility of services for the vulnerable goods (Verceles & Bhatti,2018). In my opinion, the ventilator-associated pneumonia results from the lack of appropriate hygiene measures by the healthcare personnel when caring for the patients admitted to the Intensive care unit and also as a result of negligence. The negligence can result from insufficient financial and human resources and mismanagement secondary to a lack of consent on the need for care. Additionally, the increased prevalence of the infection was believed to be caused by long-term use of antibiotics, weakened immune system, and the presence of chronic underlying diseases.

Despite the legally authorized representative (LAR) availability, many concerns remain about their effectiveness. In some cases where the patients regain their capacity, they can still wish not to participate in the care despite the initial consent that the legally authorized representative (LAR) had provided. For the consent to be informed, the participants should be given adequate time and opportunity to assimilate the information provided and also pose any questions regarding anything that might trigger their health care outcome. Some of the communication approaches that were incorporated in the case study I identified included listening, verbal communication, and also use of media. The oral communication approach enabled the healthcare personnel to communicate and pass the intended message to the interviewer without being manipulative and assertive. Effective communication indicates a person’s ability to receive and interpret information more accurately; hence the probability of the solution being identified is very high.

Effective communication techniques enhance patients’ experience regarding the entire disease pathophysiology; it reduces complaints and boosts the nurses’ self-confidence about their care (Ratna,2019). One way the health professor communicated effectively with the others was when she was trying to inform them of the various recommended evidence-based practices needed to mitigate the issue at hand. In my opinion, the healthcare personnel only communicated effectively since she had critical information that she needed to pass on to the other colleagues. Non-effective communication techniques are known to result in reduced quality of care, wastage of resources, and high healthcare costs due to the likelihood of re-admission NHS-FPX4000 DHCP Assessment 3 : Applying Ethical Principles.

To minimize the occurrence of Ventilator-associated Pneumonia in practice, the healthcare workers need to be vigilant on the various treatment and prevention strategies of the healthcare issue. Some of the commonest evidenced based strategies include antimicrobial therapy, head elevation, oral hygiene using chlorhexidine 2%, and suctioning of secretions (Luyt et al.,2020). The professional healthcare worker swiftly adopted the seven-day course of antimicrobial therapy for the patients and also performed oral hygiene for them on alternate days. The critical lesson that the healthcare workers need to learn from this case is that the patients can actually decline the care despite their consent being granted by the legally authorized representative (LAR). Besides that, they should also be there for the patients, and provide the care based on their needs to prevent the emergence of various health issues that might worsen their health status.

References

Luyt, C. E., Sahnoun, T., Gautier, M., Vidal, P., Burrel, S., Pineton de Chambrun, M., … & Chastre, J. (2020). Ventilator-associated Pneumonia in patients with SARS-CoV-2-associated acute respiratory distress syndrome requiring ECMO: a retrospective cohort study. 
Annals of Intensive Care
, 
10
(1), 1-10.

Martins, V. S. M., Santos, C. M. N. C., Bataglia, P. U. R., & Duarte, I. M. R. F. (2021). The teaching of ethics and the moral competence of medical and nursing students. 
Health Care Analysis
, 
29
(2), 113-126.

Ratna, H. (2019). The importance of effective communication in healthcare practice. 
Harvard Public Health Review
, 
23
, 1-6.

Verceles, A. C., & Bhatti, W. (2018). The ethical concerns of seeking consent from critically ill, mechanically ventilated patients for research–A matter of possessing capacity or surrogate insight. 
Clinical Ethics
, 
13
(3), 107-111.

doi: 10.1177/1477750918762350 
 NHS-FPX4000 DHCP Assessment 3 : Applying Ethical Principles

NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue

Evidence-Based Practice Proposal Section C: Solution Description

Evidence-Based Practice Proposal

Type 1 Diabetes (T1D) is a chronic disease that limits the pancreas from producing enough insulin (Kahanovitz, Sluss & Russell, 2017). Insulin is an essential hormone in the body. It is required to allow sugar or glucose to enter body cells to produce energy. Although T1D is commonly diagnosed in childhood, its incidence has been rising in the elderly population. The condition predisposes them to hypoglycemia, which is associated with seizures, loss of consciousness, and altered mental status. An effective way to manage T1D in the elderly is the application of continuous glucose monitoring (CGM). According to Health Quality Ontario (2018), CGM is more effective than self-monitoring of blood glucose in T1D management. In light of this, the paper describes CGM as the proposed solution, explains how CGM is consistent with the organization’s culture and expounds the expected outcomes. The paper also provides insights on methods used to achieve the outcomes and describes the impact of the outcomes.

Proposed Solution

Several factors, including certain viruses, age, environmental factors, and genetics contribute to T1D. The condition may lead to neuropathy, heart attack, stroke, atherosclerosis, nephropathy, high blood pressure, blindness, skin and mouth infections, and damage to the foot. To manage type 1 diabetes and prevent the mentioned complications, the Managed Care organization should use continuous glucose monitoring strategy on the elderly patients.

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Continuous glucose monitoring tracks blood glucose levels or blood sugar all day (Heinemann & Stuhr, 2018). An individual can see their glucose levels anytime when using a continuous glucose monitoring device. In healthcare organizations, CGM devices can be used to review how a patient’s glucose changes over a specified period; for instance, over a few days or hours to note the trends. As healthcare providers have glances of a patient’s glucose levels in real-time, they can make more informed decisions, such as administering drugs, conducting physical therapy, or balancing the patient’s food (Sørgård, Iversen & Mårtensson, 2019). Elderly patients with T1D are unable to reach or maintain the recommended A1C targets. However, evidence shows that real-time CGM devices potentially help users enhance diabetes control as it reduces hypoglycemic and hyperglycemic exposures (Wood, O’Neal, Furler & Ekinci, 2018). The proposed solution is realistic in the Managed Care organization since staff members are willing to participate and adopt evidence-based practices. Additionally, the organization is knowledgeable and equipped with EBP skills.

Organizational Culture

The organization’s culture acknowledges the adoption of evidence-based practices that help improve the quality of life. Staff members are willing and have the knowledge required in implementing the proposed solution. In the case of healthcare workers displaying resistance, the Managed Care organization has a change champions program that educates about the significance of EBP changes. Additionally, CGM project is consistent with the organization’s resources in that leadership and management provides necessary finances and resources such as electronic devices, computers, and the internet in support of the EBP.

Expected Outcomes

Based on research, the use of continuous glucose monitoring in the organization will address the problem of older adults with type 1 diabetes. CGM will lower hypoglycemia a crucial aspect in T1D management. Thus, minimizing complications associated with hypoglycemia. Also, since the elderly do not recognize signs and symptoms of low or high blood glucose level, CGM will assist providers in determining the appropriate time for medication or balanced diets, hence increasing patient satisfaction Evidence-Based Practice Proposal Section C: Solution Description.

Methods to Achieve Outcomes

Outcomes will be achieved by interprofessional collaboration in the treatment and management of elderly patients with T1D. The interprofessional collaboration will reduce workload or burn-outs when checking real-time data from CGM devices. CGM data will inform healthcare providers about the patient’s glucose trends and levels and the rate of change. Alarms will constitute the second method, through which healthcare providers will be alerted to administer subcutaneous insulin infusion or insulin injection therapies.

Outcome Impact

The outcomes of implementing continuous glucose monitoring will impact quality care improvement. Healthcare providers will provide care that abides by the six domains of quality that comprise timeliness, safety, efficiency, effectiveness, patient-centeredness, and equitability.Through CGM alerts, providers will provide medication on time and generate informed decisionson the effective and patient-centred approach in managing patients’ conditions.

References

Health Quality Ontario. (2018). Continuous monitoring of glucose for type 1 diabetes: a health technology assessment. 
Ontario health technology assessment series
, 
18
(2), 1.

Heinemann, L., & Stuhr, A. (2018). Self-measurement of Blood Glucose and Continuous Glucose Monitoring – Is There Only One Future?. 
European Endocrinology
, 
14
(2), 24. doi: 10.17925/ee.2018.14.2.24

Kahanovitz, L., Sluss, P., & Russell, S. (2017). Type 1 Diabetes—A Clinical Perspective. 
Point Of Care: The Journal Of Near-Patient Testing & Technology
, 
16
(1), 37-40. doi: 10.1097/poc.0000000000000125

Sørgård, B., Iversen, M., & Mårtensson, J. (2019). Continuous glucose monitoring in adults with type 1 diabetes: A balance between benefits and barriers: A critical incident study. 
Journal Of Clinical Nursing
, 
28
(17-18), 3318-3329. doi: 10.1111/jocn.14911 Evidence-Based Practice Proposal Section C: Solution Description

Wood, A., O’Neal, D., Furler, J., & Ekinci, E. (2018). Continuous glucose monitoring: a review of the evidence, opportunities for future use and ongoing challenges. 
Internal Medicine Journal
, 
48
(5), 499-508. doi: 10.1111/imj.13770

 

Evidence-Based Practice Proposal Section C: Solution Description

Section C: Solution Description

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.

2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.

4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.

5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion
Evidence-Based Practice
Proposal Section C: Solution Description

NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue

Analysis of Current Health Issues

Ventilator-Associated Pneumonia

Introduction

Ventilator-associated Pneumonia is regarded as the most common hospital-acquired Infection that occurs more than 48 hours after mechanical ventilation and is known to result in a high mortality rate among patients admitted to the Intensive Care Unit. Research by Luyt et al. (2020), states that Ventilator Associated Pneumonia can cause patients to have difficulty weaning off the ventilator, which makes them to stay more prolonged in the hospital, resulting in an accumulated financial burden. Its incidence has decreased with the implementation of various evidence-based strategies in healthcare; some of the most implemented systems of care include the administration of antibiotics, oral hygiene, and head elevation. This task aims to analyze the problem I selected and provide a brief description of its solutions and the ethical principles that should be considered when providing care for such individuals NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue.

Body

The incidence of Ventilator-associated Pneumonia is known to increase with the existence of chronic underlying diseases in the body. Some of the predisposing factors to Ventilator-Associated Pneumonia include Chronic renal failure, prior antibiotic therapy, disorders of consciousness, invasive operations, and prolonged length of hospital stay (Wu et al.,2019). Each risk factor has an appropriate prevention strategy that will aid in the reduction of the illness severity, head of the bed elevation to 30-45 degrees will help reduce the occurrence of disorders of consciousness. In contrast, Nasal Intermittent Positive Pressure Ventilation will help decrease the increased mechanical ventilation time of the patient. Mechanical ventilation is usually performed to facilitate effective gaseous exchange without causing lung trauma. High volume and pressure usually exerted during the process may eventually cause barotrauma and volutrauma to the lungs, ultimately resulting in atelectrauma and biotrauma. Pneumonia is the host responsible for bacterial invasion in the lungs, which might later contribute to the reduced immune system.

Ventilator-Associated Pneumonia is a critical and essential issue to me since it is through it that many individuals lose their lives while being cared for. It is a nosocomial pneumonia that also increases mortality rates among critically ill patients. Besides that, the Infection is actually preventable, and it is caused to be caused by both patient and healthcare factors at the facility. Therefore, it is crucial that the healthcare workers are aggressive when caring for patients hospitalized in intensive care units. The increased mortality rates can actually be decreased once the exact prevention strategies are implemented in the workplace. A study by Fernando et al. (2020) states that individuals with chronic illness, more so the respiratory disease, are at more risk of succumbing to death. Chronic Obstructive Pulmonary Disease (COPD), is a recognized risk factor for Ventilator Associated Pneumonia and usually emerges from patients’ advanced age, high colonization of the lower airways, and inhibition of the mucociliary function due to smoking. Additionally, ventilated patients generally cannot feed independently, meaning most feeds will be via the enteral route. The enteral feeds increase the gastric secretions and the PH, leading to gram-negative bacilli colonization of the stomach, thus increasing the probability of aspiration of the stomach contents, hence Pneumonia.

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The prevention strategies for the Infection can be mitigated by implementing both the medical and non-medical interventions. Despite the increased prevalence of the antimicrobial resistance, bacteriostatic drugs, for instance, the aminoglycosides and colistin, should be administered in large amounts to achieve the maximum efficacy. Early antimicrobial therapy reduces the mortality rate among the Ventilator Associated patients as compared to those who do not receive adequate treatment. For those patients who develop VAP due to Methicillin Resistant Staphylococcus Aureus, administration of both Vancomycin and Linezolid has a therapeutic advantage over the other drugs. One of the non-pharmacological prevention interventions is the proper positioning, keeping the head of the bed elevated between 30-45 degrees, and also encouraging the mobility of the mechanically ventilated patients to prevent the occurrence of VAP. Early mobility protocols include a progressive approach that transitions from dangling off the edge of the bed to standing at the bed (Papazian et al.,2020) NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue. Subglottic suctioning of secretions when performing an oral care may also be a good cluster care for the patient as it will minimize the risk of aspirating stomach contents to the respiratory system. Last intervention is the performance of adequate oral care for the patient to reduce the overgrowth of bacteria and the Risk of Infection.

For the strategies to be effective, some of the resources that would be required will include the following, human resources, finances, and analytical resources. A well-competent and trained workforce will help in the implementation of various evidence-based strategies that will facilitate the decrease in the severity of the Infection. Finances would aid in purchasing machines, for instance, the Ventilators at the Intensive care unit. Modern Ventilator machines are better positioned to provide sufficient oxygen demands based on the patient’s requirements, thus decreasing the disease exacerbation. One of the most suitable preventive strategies is antimicrobial therapy; other than vancomycin and aminoglycosides, other drugs that can aid in preventing VAP include Ceftazidime, imipenem, and meropenem. Nebulized antibiotics have been proposed to provide a high amount of drug concentration in the lungs, thus reducing the systemic toxicity associated with intravenous antibiotics (Wu et al.,2019). Their efficacy helps minimize the bacterial overgrowth of the microorganisms in the cells resulting in decreased colonization. A disadvantage of antimicrobial therapy is the high risk of causing antimicrobial resistance, which would deter the drugs’ efficacy when administered in the body system.

When the Ventilator Associated Infection is Ignored, there is a high risk that the patient will die or even develop other types of infections. Examples of other conditions that an individual admitted to the ICU can develop include Gastrointestinal infections and even the development of bed sores due to the prolonged immobility. The occurrence of the infections mentioned earlier may contribute to an ethical dilemma that might result in ethical issues in the caregiving process. Occurrence of infections when the patient is receiving care is a breach of the ethical principle of non-maleficence. All healthcare providers should always ensure that they respect the various ethical principles when they are providing care for the patient, regardless of race and ethnicity.

Conclusion

Since the diagnostic method available for Ventilator Associated Pneumonia is not universal, there is a greater need for adopting a proper infection control policy with an appropriate antibiotic regimen that can reduce the mortality among the ventilated patients. The host and intervention factors must be continuously monitored to minimize the VAP rates. The main focus should actually be on decreasing the aspiration of the secretions and an effective antibiotic therapy for all the patients admitted to the Intensive Care Units. Further research needs to be conducted to gain better insight into the global epidemiological characteristics of Ventilator-Associated Pneumonia NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue.

 

References

Fernando, S. M., Tran, A., Cheng, W., Klompas, M., Kyeremanteng, K., Mehta, S., … & Rochwerg, B. (2020). Diagnosis of ventilator-associated Pneumonia in critically ill adult patients—a systematic review and meta-analysis. 
Intensive care medicine
, 
46
(6), 1170-1179.

Luyt, C. E., Sahnoun, T., Gautier, M., Vidal, P., Burrel, S., Pineton de Chambrun, M., … & Chastre, J. (2020). Ventilator-associated Pneumonia in patients with SARS-CoV-2-associated acute respiratory distress syndrome requiring ECMO: a retrospective cohort study. 
Annals of Intensive Care
, 
10
(1), 1-10.

Papazian, L., Klompas, M., & Luyt, C. E. (2020). Ventilator-associated Pneumonia in adults: a narrative review. 
Intensive care medicine
, 
46
(5), 888-906.

Wu, D., Wu, C., Zhang, S., & Zhong, Y. (2019). Risk factors of ventilator-associated Pneumonia in critically III patients. 
Frontiers in pharmacology
, 
10
, 482

 

NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue

Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue

Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Introduction

In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you can analyze the problem and the people and systems it affects. You can also examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

 

Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas media piece) and provide details about it.

Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.

Identify possible causes for the problem or issue NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue.

Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.

Identify at least three scholarly or academic peer-reviewed journal articles about the topic.

You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.

You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.

You may find the applicable Undergraduate Library Research Guide helpful in your search.

Review the Think Critically About Source Quality to help you complete the following:

Assess the credibility of the information sources.

Assess the relevance of the information sources.

Analyze the health care problem or issue.

Describe the setting or context for the problem or issue.

Describe why the problem or issue is important to you.

Identify groups of people affected by the problem or issue.

Provide examples that support your analysis of the problem or issue.

Discuss potential solutions for the health care problem or issue.

Describe what would be required to implement a solution.

Describe potential consequences of ignoring the problem or issue.

Provide the pros and cons for one of the solutions you are proposing.

Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.

Describe what would be necessary to implement the proposed solution.

Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.

Provide examples from the literature to support the points you are making NHS-FPX4000 DHCP Assessment 4 Instructions: Analyzing a Current Health Care Problem or Issue.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

 

Assessment 4 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

 

Length: 4-6 typed, double-spaced pages, not including the title page and reference page.

Font and font size: Times New Roman, 12 point.

APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.

Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.

APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings:

 

Title page. A separate page.

Introduction. A brief one-paragraph statement about the purpose of the paper.

Elements of the problem/issue. Identify the elements of the problem or issue or question.

Analysis. Analyze, define, and frame the problem or issue.

Considering options. Consider solutions, responses, or answers.

Solution. Choose a solution, response, or answer.

Ethical implications. Ethical implications of implementing the solution.

Implementation. Implementation of the potential solution.

Conclusion. One paragraph.

Competencies Measured:

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

 

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.

Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.

Competency 3: Apply ethical principles and academic standards to the study of health care.

Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented

Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Write following APA style for in-text citations, quotes, and references.

 

Scoring Guide

Uses relevant scholarly information to explain a health care problem or issue, including the reasons that the chosen information helps to explain a health care problem or issue.

Analyzes the problem or issue including definition, who is involved, and causes of the problem or issue.

Discusses potential solutions for the problem or issue, including potential consequences for ignoring the issue.

Explains the ethical principles if potential solution was implemented and enriches the analysis with examples from the readings.

Produces text free of grammatical, usage, spelling, and mechanical errors

Integrates into text appropriate use of scholarly sources, evidence, and citation style without errors and uses current reference sources.

NHS-
FPX4000 DHCP Assessment 4
Instructions: Analyzing a Current Health Care Problem or Issue

Evidence-Based Practice Proposal Section A: Organizational Culture and Readiness Assessment

Evidence-Based Practice Proposal

Section A: Organizational Culture and Readiness Assessment

The “organization Culture and Readiness for System-Wide Integration of Evidence-Based Practice” is the organizational culture survey tool that was utilized during the assessment. This tool has been shown to be effective in assessing and determining the organizational readiness to adopt evidence-based practice (EBP) (Yoo et al., 2019).

The survey findings show that the organization is ready to participate and adopt the evidence-based practice. Nurses at the Managed Care organization are knowledgeable about EPB and are adequately equipped with EBP skills. The management and leadership in the organization are supportive of EBP and provide the necessary resources and finances to support EBP projects. The survey also identified that there are nurse scientists in the organization who generate evidence and actively search and locate research evidence. There are nurse practitioners who mentor nurses about EBP and support the implementation of EBP projects. There is the availability of computers, electronic devices, and the internet where the staff can effectively search for evidence to support EBP.

However, the survey identified barriers to EBP where some staff members were not ready to embrace changes and innovations due to time limitations and busy schedules. The staff members were generally resistant to changes. The resistance is attributable to heavy workload and thus the staff may lack time to participate in EBP projects. This barrier can be addressed by using change champions to educate the staff members about the importance of EBP changes. Secondly, the organizational leadership should consider recruiting more staff members to reduce the workload among the staff. (Harper et al, 2017) Evidence-Based Practice Proposal Section A: Organizational Culture and Readiness Assessment.

References

Harper M, Gallagher-Ford L, Warren J, Troseth M, Sinnott L &Thomas B. (2017). Evidence-Based Practice and U.S. Healthcare Outcomes.
Journal for Nurses in Professional Development
. 33(4), 170-179.

Yoo, J. Y., Kim, J. H., Kim, J. S., Kim, H. L., & Ki, J. S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness, and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture.
PloS one
,
14
(12), e0226742.
https://doi.org/10.1371/journal.pone.0226742

 

Section B: Proposal/Problem Statement and Literature Review

Proposal/Problem Statement

Diabetes is the leading cause of adult-onset blindness, chronic kidney disease, and the amputation of lower limbs. The condition is also associated with increased risk of stroke and heart disease and evidence indicates that diabetes is the 7
th
leading cause of death within the US (Yeoh et al., 2018). Moreover, diabetes is associated with high healthcare costs (about $327 billion annually), and financial burden is projected to increase exponentially with the increase of the aging population and increased life expectancy (Yeoh et al., 2018).

The geriatric population with type 1 diabetes (TID) keeps on rising, and predisposes older adults to hypoglycemia, especially when diabetes is long-lasting. Hypoglycemia is associated with aspects such as altered mental status, loss of consciousness, and seizures, which can be fatal (Yeoh et al., 2018). However, the problem of older adults with TID has not been adequately addressed. Lowering hypoglycemia is a vital component of the management of TID in the geriatric population because the majority of older adults have difficulties in identifying and recognizing symptoms and signs of hypoglycemia or cognitive impairment. Evidence shows that older adults using continuous glucose monitoring (CGM) devices can reduce the rate of hemoglobin A1c and thus reduce the rate of hypoglycemia and severe hypoglycemic incidents. Therefore, the proposed study aims to find out if the utilization of CGM can lower hypoglycemia in older adults with TID. The CGM device continuously measures the level of blood glucose and provides real-time values of the blood sugar levels, trends direction, and notifies the patients when the glucose level increases to high levels or drops to low levels (Yeoh et al., 2018).

Literature Review

According to Litchman & Allen (2017), people with TID are living longer and thus there is a high number of older adults with the condition. The risk of fatal or severe hypoglycemia allied to taking insulin rises with age and thus older adults are likely to experience incidents of fatal or severe hypoglycemia. This is supported by Janapala et al (2019) who explain that the risk of hypoglycemia significantly increases among the older adults because of decreased awareness to recognize warning signs of hypoglycemia, decreased counterregulatory response, as well as altered psychomotor performance. A study carried out by Azhar et al (2020) demonstrated that type 1 diabetes in the geriatric population increases the risk of cerebrovascular and cardiovascular events, falls, hospitalization, seizures, and visits to the emergency department. It is challenging to diagnose hypoglycemic events in older adults who are mostly not aware of their hypoglycemia and can fail to be detected by the self-monitored blood glucose (SMBG) measurements.

In spite of the high risk of hypoglycemia and other complications for older adults with T1D, few studies have tackled the use of technologies in the geriatric population. This can be attributed to the mistaken belief that the geriatric population lacks the knowhow to handle the advanced technologies. However, some studies have shown that CGM improves glycemic control and safety in older adults with T1D (Ruedy et al., 2017).

The benefits of CGM in people with T1D have been demonstrated in several studies, in comparison to the routine glucose testing. Therefore, CGM is now an important tool for the management of T1D. However, Ruedy et al (2017) explain that the use of CGM in T1D is limited and the associate benefits of CGM have not been established. The management of diabetes in the geriatric population is also a challenge due to the polypharmacy and the multiple comorbidities in this population. Therefore, CGM equips individuals with diabetes with the ability to personalize diabetes management. Moreover, even though evidence shows that lowering HbA1c to <7% through comprehensive glycemic control reduces the risk of complications such as microvascular complications; this is associated with an elevated risk of hypoglycemia (Chehregosha et al., 2019). Since the continuous glucose monitoring devices are equipped with features like hypoglycemia alarms and trends, and also because the CGM devices are very accurate, CGMs can effectively lower the risk of severe hypoglycemic incidents among the older adults (Azhar et al., 2020). References Azhar, A., Gillani, S. W., Mohiuddin, G., & Majeed, R. A. (2020). A systematic review of the clinical implication of continuous glucose monitoring in diabetes management. Journal of Pharmacy and Bioallied Sciences , 12 (2), 102. Chehregosha, H., Khamseh, M. E., Malek, M., Hosseinpanah, F., & Ismail-Beigi, F. (2019). A View Beyond HbA1c: Role of Continuous Glucose Monitoring. Diabetes therapy: research, treatment, and education of diabetes and related disorders , 10 (3), 853–863. https://doi.org/10.1007/s13300-019-0619-1 Janapala, R. N., Jayaraj, J. S., Fathima, N., Kashif, T., Usman, N., Dasari, A., Jahan, N., & Sachmechi, I. (2019). Continuous Glucose Monitoring Versus Self-monitoring of Blood Glucose in Type 2 Diabetes Mellitus: A Systematic Review with Meta-analysis. Cureus , 11 (9), e5634. https://doi.org/10.7759/cureus.5634. Litchman, M. L., & Allen, N. A. (2017). Real-time continuous glucose monitoring facilitates feelings of safety in older adults with type 1 diabetes: a qualitative study. Journal of diabetes science and technology , 11 (5), 988-995. Ruedy, K. J., Parkin, C. G., Riddlesworth, T. D., & Graham, C. (2017). Continuous glucose monitoring in older adults with type 1 and type 2 diabetes using multiple daily injections of insulin: results from the DIAMOND trial. Journal of Diabetes Science and Technology , 11 (6), 1138-1146. Yeoh, E., Lim, B. K., Fun, S., Tong, J., Yeoh, L. Y., Sum, C. F., … & Lim, S. C. (2018). Efficacy of self‐monitoring of blood glucose versus retrospective continuous glucose monitoring in improving glycaemic control in diabetic kidney disease patients. Nephrology , 23 (3), 264-268. Evidence-Based Practice Proposal Section A: Organizational Culture and Readiness Assessment

NURS-FPX4010 Assessment 1 Instructions: Collaboration and Leadership Reflection Video

Collaboration and Leadership Reflection Video

Project implementation in healthcare does not only help enhance care quality and patient safety since it also impacts healthcare professionals’ well-being. Before implementing any project in a healthcare setting, it is always important to engage all stakeholders, especially the nursing staff, to avoid resistance, like in the case of the Clarion Court Skilled Nursing Facility and Vila Health Network. Hence, as Shirey et al. (2020) postulate in their work, interprofessional collaboration is an essential aspect that all healthcare leaders should embrace to prevent resistance cases that may derail the project goals. One can easily identify that when Vila Health Network implemented Healthix, the nursing staff were not consulted and that no adequate training or mentorship was initiated by the nursing leaders and the healthcare administration. For instance, as soon as the Clarion Court administrator is summoned, he is already aware of the issue with Healthix implementation and even cites that the main issue emanated from the healthcare executive that does not support autonomy, which worsened the situation. In such a case, one can understand that the main problem is the dependency that the Clarion Court has on Vila’s executive irrespective of whether Vila’s decisions favor them or do not favor them. As a result, Clarion was required by the Vila administration to ensure that the implementation of Healthix would take the minimum costs while maximizing its profit NURS-FPX4010 Assessment 1 Instructions: Collaboration and Leadership Reflection Video. However, that would not be possible since any electronic health record sufficiency and success always depends on how well the healthcare has prepared its resources, including providing adequate knowledge to its nursing staff. That is because once the nursing staff embraces the new technologies, which include gaining new knowledge on how to operate them, the benefits become obvious while ensuring that the new technology considers patients’ safety. However, Vila Health Network seems more entitled to the benefits that Healthix will give the healthcare organization without considering the possible effects on their target patient population.

During holidays, I always volunteer in my home area healthcare facility since the hospital always slates few chances for willing nursing students to experience nursing practice in a healthcare setting. During Covid-19, healthcare facilities experienced problems since the number of patients increased, more than their employed registered nurses. In that case, most nurses were overworking, which led many of them to write to the management, notifying them that they were ready to quit due to the prevailing pressure. Instead of the management turning their back on the nursing staff, they notified all healthcare professionals in the organization concerning an urgent meeting that would be conducted into two groups. The first group was those nurses, physicians, doctors, nurse leaders, and IT specialists that worked during the day shift, whereas the other meeting would occur after the night-shift group was relieved of their duties. The main aim of the meeting was to gather evidence and brainstorm among the interprofessional professionals on the best ways to handle the current pressure. The two meetings agreed that the hospital needed to implement an electronic health record system to maintain order in how the patients arrive at the hospital, considering the lethal effects of Covid-19. The next was to find the most appropriate vendor and organize nursing training to ensure that the nurses have adequate knowledge about the electronic health record and all its protocols once the project is implemented. Surprisingly, during the review about the effectiveness of electronic health records, all nurses were comfortable operating it. That is unlike the Clarion Court nurses like Shonda McCrae, a registered nurse who articulates that Healthix was one of the worst electronic health record systems she has ever encountered. The reason is that the executive did not consult the healthcare professionals about what they needed after implementation; Chad Cook, an IT specialist, indicated that he almost quit anytime.

Effective communication is the best practice that can help an interdisciplinary team resonate appropriately with a project. According to Klingbeil and Gibson (2018), communication in healthcare should be taken as a basic need since once healthcare professionals engage in effective communication, patient safety is always at stake. For instance, the issue of incorporating Healthfix in Clarion Court would have been realized early enough if the project implementers had engaged methods like teach-back strategies and feedback from nurse informaticists and IT technicians that would help evaluates the continuation or access the risk that the project would pose to the nurses and the patients. As a result, the miscommunication led to the loss of capital resources and dissatisfaction of the project team, risking their well-being, especially mental wellness, due to the pressure Healthfix brought along. From my experience, I believe that embracing transformational leadership in a healthcare setting is essential. That is because Moon et al. (2019) assert that transformational leaders can easily motivate healthcare professionals and give them a sense of belonging, thus owning up to the project. In such a case, one will find that the project team members become more enlighted and enthusiastic about working towards the project goals by upholding integrity and higher moral values. In conclusion, I would advocate for healthcare organizations to embrace transformational leadership and effective communication strategies since they promote interprofessional collaboration NURS-FPX4010 Assessment 1 Instructions: Collaboration and Leadership Reflection Video.
 

References

Klingbeil, C., & Gibson, C. (2018). The teach-back project: a system-wide evidence-based practice implementation. 
Journal of Pediatric Nursing
, 
42
, 81-85. https://doi.org/10.1016/j.pedn.2018.06.002

Moon, S. E., Van Dam, P. J., & Kitsos, A. (2019, November). Measuring transformational leadership in establishing nursing care excellence. In 
Healthcare
 (Vol. 7, No. 4, p. 132). MDPI. https://doi.org/10.3390/healthcare7040132

Shirey, M. R., Selleck, C. S., White-Williams, C., Talley, M., & Harper, D. C. (2020). Sustainability of an interprofessional collaborative practice model for population health. 
Nursing Administration Quarterly
, 
44
(3), 221-234. doi: 10.1097/NAQ.0000000000000429

 

NURS-FPX4010 Assessment 1 Instructions: Collaboration and Leadership Reflection Video

Assessment 1 Instructions: Collaboration and Leadership Reflection Video

For this
assessment
you will create a 5-10 minute video reflection on an experience in which you collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration scenario and how it could have been better approached.

 

Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.

 

Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people’s actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.

 

As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement

 

Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.

 

References

Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.

 

Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.

 

Demonstration of Proficiency

Competency 1: Explain strategies for managing human and financial resources to promote organizational health.

Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.

Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.

Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.

Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.

Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

Communicate via video with clear sound and light NURS-FPX4010 Assessment 1 Instructions: Collaboration and Leadership Reflection Video.

The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.

Professional Context

This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.

 

Scenario

As part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.

 

You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

 

Instructions

Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the Vila Health: Collaboration for Change activity.

 

Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

 

Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.

Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.

Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.

Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.

Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style NURS-FPX4010 Assessment 1 Instructions: Collaboration and Leadership Reflection Video.

You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.

 

A simplified gap-analysis approach may be useful:

 

What happened?

What went well?

What did not go well?

What should have happened?

After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.

 

Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.

 

Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.

 

You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.

 

You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.

 

Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.

 

Additional Requirements

References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.

APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.

You may wish to refer to the Campus APA Module for more information on applying APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

 

Scoring Guide

Reflects on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes. Includes ways in which reflective nursing practice can help build a better understanding of past experiences to improve future practice decisions

Identifies how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature. Multiple authors from the literature are discussed.

Identifies best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals. Multiple authors from the literature are discussed.

Identifies best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work together more effectively. Multiple authors from the literature are discussed.

Communicates via video with clear sound and light. Content delivery is focused, smooth, and well-rehearsed NURS-FPX4010 Assessment 1 Instructions: Collaboration and Leadership Reflection Video.

The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting flawless adherence to APA format.

Affordable Care Act (ACA) Population Health Policy Analysis

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?

To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?

Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

Affordable Care Act (ACA) Population Health Policy Analysis

Population Health Policy Analysis

Introduction

Access to quality, comprehensive health services care is crucial to health promotion and maintenance,   disease management, and prevention of illnesses and the reduction of preventable disability and untimely deaths and the achievement of health equality for all people in the United States. The paper discusses a current health care policy intended to improve a particular population’s access to cost-effective and quality health care.

An explanation of the Policy

The Affordable Care Act (ACA) is a monumental health care legislation that was signed that was enacted in 2010.   The legislation intended to ensure more Americans had health insurance coverage and regulate the costs of health care services and improve the quality of the Country’s health care system.  The ACA majorly aimed at increasing coverage, and thus improving access to health care and at the end y improving health and reducing health disparities (Serakos & Wolfe, 2016).

How the Policy is Designed to Improve Cost-effectiveness and Health Equity for the Population

The ACA has several strategies to target diverse populations and make sure that more got covered. Young people can now stay on the insurance plans of their parents until they attain the age of 26.  Bigger employers are needed to provide comprehensive, affordable health time to employees who work full time. People without employer-sponsored insured are required to buy insurance individually or face a tax penalty. To help low-income families and individuals, the ACA expanded Medicaid eligibility to nonelderly individuals with a yearly income of 133% of FPL. These provisions aim to increase insurance coverage and also make insurance plans more affordable (French et al., 2016; Mclntyre & Song, 2019).

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The ACA has also reformed private insurance by imposing novel regulations on insurance firms and their policies. For instance, the ACA bans insurance firms from increasing the price of premiums for or decline to provide coverage to individuals with pre-existing medical conditions. Additionally, insurance policies are required to offer a bare minimum of preventive services without the requirement of cost-share (French et al, 2016) Affordable Care Act (ACA) Population Health Policy Analysis.

Is the Policy Financially Sound?

The ACA has led to increased coverage of millions of individuals and change the way health care is delivered. However, the policy seems not to be financially sound because it has led millions of people without coverage. According to Machikanti et al (2017), the majority of expansion under the ACA was based on the Medicaid expansion, which has not been working in favor of the middle and working-class who get less support, especially those earning over 400 percent of FPL. AS a result, enrollment to exchanges has been low, with the fraction of the employees getting health benefits from employers decreasing steadily.   These individuals are exposed to high premiums and huge out of cost expenses.

How the Policy Accounts for political and Legal Factors

The ACA accounts for numerous legal as well as political factors.  The legislation has endured numerous legislative challenges since it was passed. The House of Representatives has advanced more than fifty bills to revoke the entire ACA or some of its provisions, with the Senate voting in favor of some of them. The Trump administration has been undermining the law by making proposals to terminate financing or cost-sharing reductions and cutting funds directed towards enrollment outreach and education.  Also, the current government has given authority to states to modify their Medicaid programs in manners that could lead to reduced enrollment, for instance, by making it mandatory for disabled beneficiaries to work for them to be eligible for benefits (Mclntyre & Song, 2019).

The health policy has also faced legal battles, particularly concerning state Medicaid expansion. A key requirement of the ACA is for states to expand Medicaid to low-income individuals, which were seen as unconstitutional.  The 2012 ruling by the Supreme Court abates the power of the law to coerce states to expand Medicaid by offering states the choice of expanding Medicaid without the risk of losing federal funding (Callaghan & Jacobs, 2016; Mclntyre & Song, 2019). Another legal battle involves rolling back subsidies on the marketplaces.  Also, there is another ongoing litigation regarding regulations linked to contraceptive coverage (Mclntyre, & Song, 2019).

The Nursing Perceptive One Must Consider when Implementing the Policy

When implementing the ACA, nurses must provide quality and improve patient outcomes through care coordination. According to Cleveland et al (2019), in 2012, the hospital readmission reduction program was established under the ACA. The programs mandate hospitals to gather and file a report of the fraction of patients rehospitalized within thirty days following the discharge. It is deemed that lack of or poor coordinated care transitions and provision of poor quality care is the cause of high rates of readmission. Nurses can increase quality by assessing the healthcare resources and goals of the patient and recognizing the requirement for consultations and referrals with other specialists. As care coordinators or through direct care, nurses are essential in implementing the ACA and maximizing financial return Affordable Care Act (ACA) Population Health Policy Analysis.

The State, Federal and Global Goals the Policy is Related

The ACA is related to the federal, state, and global goals of enabling individuals to access health care services by expanding coverage and lessening of coverage and costs of health care services. Because the capability of a person to have access to health care services partly dependent on the accessibility of resources, insurance coverage immensely contributes to the accessibility as well as affordability of health care. The ACA increases the accessibility to health care by increasing the availability and affordability of health insurance and supporting states to expand their Medicaid programs by providing federal subsidies (Ruskin et al., 2016).

The ACA was well designed to achieve the aforementioned goals.  The ACA requires all people in the United States to possess health insurance and provides financial aid via cost-sharing reductions and tax credits and safeguards against medical bankruptcy. Also, the ACA imposes penalties for insurance firms who discriminate against individuals based on pre-existing conditions. The ACA created health insurance marketplaces that permit consumers to make comparisons of insurance options based on quality, benefits, and price. Also, the ACA seeks to ensure high-quality care ensuring accountability, promoting efficiency, and improving quality outcomes by emphasizing safety and prevention across healthcare settings (Ruskin et al., 2016).

According to Willison and Singer (2017), the ACA upgraded the scope and quality of coverage through making improvements in benefit design, entailing the implementation of the essential health benefits (EBHS). EHBS are minimum health benefits comprising of ten groupings of care, which must be covered by all small group and individuals plans, as well as marketplaces.

Around twenty million previously individuals have attained health insurance since the ACA was signed into law. This has in turn increased demand for health care services amid the surging shortage of health care providers in the country, including physicians and nurses. According to Potter et al (2017), the ACA impacts where and how nursing care is offered. More nursing services are required in community-based care settings.  Consequently, more nurses are required to practice in senior centers, schools, and community care centers. This requires nurses to be able to identify service gaps, assess for resources, and assist clients to receive care.

The Advocacy Strategies I would Employ on Behalf of My Population to ensure they have access to the Benefits of the Policy

As an advanced registered nurse, I can advocate for the training and employment of more nurses to increase the supply of nurses to ensure populations can benefit from the ACA.  I would also advocate for nurses to be allowed to practice autonomously because they can provide safe and quality care, and be acknowledged as full partners with doctors, Cleveland et al (2019) assert that eliminating obstacles to practice for nurse practitioners have enabled nurses to fully partner with doctors and other providers in most states.

From the Christian perspective, advanced registered nurses are morally and professionally obligated to engage in patient advocacy, promote health, and prevent diseases among diverse groups of individuals. Nurses have the responsibility can advocate the implementation of novel directions that will result in the promotion of health and prevention of disease among diverse populations regardless of their age, ethnicity, socioeconomic status, gender, and religion.  Nurses are inspired by the Bible to advocate as a scheme of fulfilling God’s command for them to seek justice. In Isaiah 1:17, the Bible directs individuals to seek justice and to break yokes of injustices (Isaiah, 58:6).  According to Cleveland et al (2019), Nurses constantly advocate for and offer life-sustaining and lifesaving care for fragile and vulnerable populations.  Nurses advocate for access to efficient, effective, and consistent health care for all individuals in society.

Conclusion

The ACA is an influential health care policy that expanded insurance coverage for Americans and reduced the costs of health care. designed with the key goal of increasing insurance coverage for vulnerable populations, the health policy has led to coverage of millions of Americans who were previously uninsured, including low-income individuals and people with chronic conditions as well as young adults Affordable Care Act (ACA) Population Health Policy Analysis. The ACA has increased availability and affordability of health insurance by supporting states to expand their Medicaid programs by providing federal subsidies The policy has also improved the quality of care by  establishing health care marketplaces which permit health care consumers to make comparisons of insurance options based on quality, benefits, and price

References

Callaghan, T., & Jacobs, L. R. (2016). Interest Group Conflict Over Medicaid Expansion: The Surprising Impact of Public Advocates.
American Journal of Public Health, 106
(2), 308-313. doi: 
10.2105/AJPH.2015.302943

Cleveland, K., Motter, T., & Smith, Y. (2019). Affordable Care: Harnessing Power of Nurses.
The Online Journal of Issues in Nursing, 24
(2), Manuscript 2.

French, M. T., Homer, J., Gumus, G., & Hickling, L. (2016). Key Provisions of the Patient Protection and Affordable Care Act (ACA): A Systematic Review and Presentation of Early Research Findings
. Health Services   Research, 51
(5), 1735-1771. doi: 
10.1111/1475-6773.12511

Machikanti, L., Helm, S., Beyamin, R. M., & Hirsch, J. A. (2017). A Critical Analysis of Obamacare: Affordable Care or Insurance for Many and Coverage for Few. 
Pain Physician, 20
(3), 111-138.

Mclntyre, A., & Song, Z. (2019). The US Affordable Care Act: Reflections and Directions at the close of a decade.
PLoS Medicine, 16
(2), e1002752. doi: 
10.1371/journal.pmed.1002752

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017).
Fundamentals of Nursing -E-BooK
.  New York: Elsevier Health Sciences.

Ruskin, K. J., Rosenbaum, S. H., & Stiegler, M. P. (2016).
Quality and Safety in Anesthesia and Perioperative Care.
  New York: Oxford University Press.

Serakos, M., & Wolfe, B. (2016). The ACA: Impacts on Health, Access, and Employment
.  Forum for Health Economics & Policy, 19
(2), 201-259. doi: 
10.1515/fhep-2015-0027

Willison, C. E., & Singer, P. M. (2017). Repealing the Affordable Care Act Essential Health benefits: Threats and Obstacles.
American Journal of Public Health, 107
(8), 1225-1226. doi: 
10.2105/AJPH.2017.303888
  Affordable Care Act (ACA) Population Health Policy Analysis

NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Interview and Interdisciplinary Issue Identification

My Interview with a fellow nurse working at our facility’s intensive care unit (ICU)department was very informative. I understood the root cause analysis of the increased prevalence of ventilator-associated pneumonia (VAP). Throughout the Interview, the colleague demonstrated a high rise of the infection, and was attributed to the various Gram-negative bacteria, for example, the pseudomonas aeruginosa, Escherichia coli, and Klebsiella pneumonia. Research by Papazian et al. (2020), states that they causative pathogens and the rate of drug resistance pathogens may vary depending on the hospital and the data of microbial surveillance needed in that particular region. She further went and showed me the various data statistics of each year on the ventilator-associated pneumonia, and the case was very high, which made me furious. I inquired from her if at all they have sought ways to overcome it, and she stated that they have been incorporating various evidence-based measures in practice and also administering the patients with the required drugs NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification.

As one of the healthcare team members, I was keen to inquire about the best indicator of ventilator-associated pneumonia in their facility. She told me that they have been conducting portable chest radiography on all the patients at risk of developing the infection and those with the signs. Other healthcare team members that I will work with will include the Intensive Care Nurse, the physician, the occupational therapist, and the Nutritionist. The Occupational therapist will engage the patient in numerous respiratory activities such as chest exercises that will help ease the secretions and manual chest exercises. For the nutritionist, he will regularly conduct an assessment of the patient’s macro and micronutrient needs; fluid and electrolyte balance issues. The evaluation was of the infection was also assessed using microbial analysis of the respiratory secretions, for example, sputum. An aggressive surveillance of the causative agent of the disorder is essential in understanding the leading factors of the ventilator-associated pneumonia and also the microbial milieu in each unit of care. I retrieved all the necessary information needed to review the relevant interventions to be put into place. I later thanked her for her precious time and then proceeded with my work.

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From the Interview, the issue raising the alarm is the increased rates of ventilator-associated pneumonia infections among the patients admitted to the Intensive care unit (ICU). Some of the relevant collaborative approaches from the literature that could aid in identifying the issue include the standardization of care using the SBAR approach and the use of E-consult coordination. According to Shahid and Thomas (2018), the Situation Background Assessment Recommendation tool helps the caregivers to communicate more effectively and accurately regarding the patient’s issues. This tool also facilitates the standardization of the communication process by guiding the interdisciplinary team to use the standardized forms and checklists when reporting on the various internal processes affecting them. The recommendation bit of the tool is now where all the healthcare teams will identify the potential solution to the issue that is occurring at the workplace.

The first step I will do with my other team members will be to adopt referral management software in practice to identify the person responsible for a particular patient problem. This is simply because each team member focuses on identifying patients’ needs and the care goals that need to be sorted. It is thus crucial for them to coordinate with the patient’s family members to ensure that they are educated on how to address the ongoing care and also how to prevent its recurrence (Karam et al.,2021). The team members can also engage in various activities such as physical exercise, hygiene measures, diet provision, and drug administration for prevention, especially for the patients on Mechanical ventilators. This care intervention ensures that the responsible care personnel is consulted on the most appropriate form of care to be implemented to overcome the issue at hand. Extensive education and training on the use of the approaches should be disseminated among the staff members and not solely reserved to be used by the top physicians and administrators NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification.

References

Karam, M., Chouinard, M. C., Poitras, M. E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review—i
nternational journal of integrated care
, 
21
(1).

doi: 10.5334/ijic.5518

Papazian, L., Klompas, M., & Luyt, C. E. (2020). Ventilator-associated pneumonia in adults: a narrative review. 
Intensive care medicine
, 
46
(5), 888-906.

Shahid, S., & Thomas, S. (2018). A narrative review is a situation, background, assessment, and recommendation (SBAR) communication tool for handoff in health care. 
Safety in Health
, 
4
(1), 1-9.

 

NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification

For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

 

As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:

 

The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).

 

You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.

 

It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.

 

Reference

Institute for Healthcare Improvement. (n.d.). How to improve. http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

 

Demonstration of Proficiency

Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

Summarize an interview focused on past or current issues at a health care organization.

Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.

Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.

Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.

Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.

Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Professional Context

This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.

 

Scenario

This assessment is the first of three related assessments in which you will gather interview information (Assessment 2); design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.

For this NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.

Remember: this is just the first in a series of three assessments.

Instructions

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.

 

When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

 

Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

 

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.

Additional Requirements

Length of submission: Use the provided template. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.

Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.

APA formatting: Make sure that in-text citations and reference list follow current APA style NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

 

Scoring Guide

Summarizes an interview focused on past or current issues at a health care organization. Notes strategies employed in the interview to ensure that sufficient information was gathered.

Identifies an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate, providing one or more specific reasons to justify this approach.

Describes potential change theories and leadership strategies that could help develop an interdisciplinary solution to an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.

Describes collaborative approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue. Notes which sources seem most credible or relevant to the specific organizational issue.

Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.

Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly. NURS-FPX4010 Assessment 2: Interview and Interdisciplinary Issue Identification

NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal

Interdisciplinary Plan proposal

As highlighted during the interview with a colleague in the Intensive care unit (ICU), compliance with better and evidenced-based practice interventions in reducing the prevalence of hospital-acquired infections at the workplace require interdisciplinary collaboration among the healthcare workers. Noncompliance to standard practices, for instance, hand hygiene for patients and providers’ utilization of the available personal protective equipment, increases the susceptibility to hospital-acquired infections, with Ventilator-associated Pneumonia being the most prevalent one (Papazian et al.,2020). The goal of the proposed plan is to ensure that the most effective evidence-based strategies needed to prevent the occurrence of Ventilator-associated Pneumonia at the facility are enforced with minimal resources. In my opinion, the most effective approaches that can be put into place to mitigate the occurrence of the VAP will include antimicrobial therapy, safety precautions when handling the patient, and venovenous extracorporeal membrane oxygenation (VV ECMO) NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal.

Ventilator-associated Pneumonia is a lung infection that usually develops when a person stays long in a mechanical ventilator. An infection tends to occur when microorganisms get into the tube and are transmitted to the patient’s lungs and upper airways in a critically ill patient. The resulting signs and symptoms of the affected person usually include purulent tracheal discharge, fever, respiratory distress and tracheal aspirate, and radiological evidence of Pneumonia. This condition is an interdisciplinary issue in that many healthcare personnel from various disciplines are required for it to be overcome and managed effectively. Some of the interdisciplinary personnel involved include the occupational therapist, the intensivist, the nurse and the physician. The occupational therapist will help engage the patient in various physical exercises such as chest exercises and manual lung hyperinflation to remove the secretions. The physician and the intensivist will be engaged in various tests and prescriptions of the recommended drugs to curb the issue. Incorporating all the above-named healthcare personnel will ensure that the patient attains a high-quality status and recovers promptly.

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Change theories in nursing represent generalized knowledge about how change works. For this case study, the primary long-term outcome that needs to be achieved before the impact of reducing hospital-acquired infections is the availability of various healthcare resources required to bring about change (Hussain et al.,2018). The most appropriate change theory that might bring about change in this field is the Kurt Lewins Unfreezing-Change-Refreezing Model. For change to occur, the theory requires that leaders reject prior knowledge and replace it with new information that they retrieve from various evidenced based sources. This theory is more likely to help the interdisciplinary team succeed in bringing about change since it emphasizes more on the importance of driving forces that push in for a change.

In lieu of that, the healthcare personnel will be required to let go of the old care pattern of caring for the patients hospitalized in the Intensive care unit and then integrate the new ways of care. The moving stage of the Kurt Lewin’s change model will persuade them that the initial status quo is not beneficial and may need to view the problem from a new dimension. Last stage is the refreezing stage, which involves establishing change as a new habit in the workplace NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal. Additionally, the transformational leadership will instill various change aspects in the change process as it will create valuable and positive change in the healthcare workers, minimizing the occurrence of hospital-acquired infections.

Some collaboration plans needed by the Interdisciplinary team to improve the likelihood of achieving the plan’s objective include information exchange activities, consultation, and intervention implementation. The physician must exchange relevant patient care information with the nurse and other healthcare teams to prevent medical errors in the care course. Some of the best practices of interdisciplinary collaboration may include infection prevention by an infection preventionist and a respiratory therapist at least twice a week(Flores et al.,2021).To add to that, the pharmacist will also be needed to calculate the exact dose needed to minimize the recurrence of the infection in the patient.

For the plan to succeed, some of the organizational resources that might be needed include the human resources, knowledge about infection prevention, equipment and supplies, and an adequate financial budget. The most important machine that will be required is the mechanical Ventilator, several endotracheal tubes, nasogastric tubes, and also a crash cart in case an emergency erupts when caring for the patient. The most crucial human resources that will facilitate the reduction of the Ventilator-associated Pneumonia will include the physician intensivist, pharmacists, physiotherapists, occupational therapists, and the social workers. Suppose the improvements described in the plan are not made. In that case, there is a high likelihood that the resources will go to waste, resulting in an increased mortality rate resulting from the infection NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal.

Financial budget

Expense

Cost to be Incurred

Purchase of the Equipment

2000$

Training of the Healthcare workers

1000$

Recruitment of the Healthcare workers

1000$

Insurance

500$

Personal Preventive Equipment’s

500$

Drugs

1000$

Soft ware

600$

Miscellaneous

500$

 

References

Flores‐Sandoval, C., Sibbald, S., Ryan, B. L., & Orange, J. B. (2021). Healthcare teams and patient‐related terminology: a review of concepts and uses. 
Scandinavian journal of caring sciences
, 
35
(1), 55-66.

https://doi.org/10.1111/scs.12843

Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. 
Journal of Innovation & Knowledge
, 
3
(3), 123-127.

https://doi.org/10.1016/j.jik.2016.07.002

Papazian, L., Klompas, M., & Luyt, C. E. (2020). Ventilator-associated Pneumonia in adults: a narrative review. 
Intensive care medicine
, 
46
(5), 888-906.

 

NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal

Assessment 3 Instructions: Interdisciplinary Plan Proposal

For this NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

 

The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a shared vision and team goals (Mulvale et al., 2016). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.

 

You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.

 

Demonstration of Proficiency

Competency 1: Explain strategies for managing human and financial resources to promote organizational health.

Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.

Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.

Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.

Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.

Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.

Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.

Reference

Mulvale, G., Embrett, M., & Shaghayegh, D. R. (2016). ‘Gearing up’ to improve interprofessional collaboration in primary care: A systematic review and conceptual framework. BMC Family Practice, 17.

 

Professional Context

This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.

 

Scenario

Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.

 

Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.

 

Instructions

For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.

 

The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.

 

Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.

 

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

 

Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.

Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal.

Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.

Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.

Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.

Additional Requirements

Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.

Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.

APA formatting: Make sure that in-text citations and reference list follow current APA style.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

 

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course
NURS-FPX4010 Assessment
3: Interdisciplinary Plan Proposal.

 

SCORING GUIDE

Describes an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes, including methods from the literature that may be used to determine success.

Explains a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan, providing real-world examples relevant to the health care organization that is the context for the plan.

Explains the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective, including best practices of interdisciplinary collaboration from the literature. Provides real-world examples relevant to the health care organization that is the context for the plan.

Explains organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if nothing is done to make the improvements sought by the plan. Provides real-world examples relevant to the health care organization that is the context for the plan.

Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.

Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Quotes and paraphrases correctly NURS-FPX4010 Assessment 3: Interdisciplinary Plan Proposal.

NURS-FPX 4010 Assessment 4 Stakeholder Presentation

Introduction to VAP – NURS-FPX 4010 Assessment 4 Stakeholder Presentation

ØVentilator-associated pneumonia is the most common lung infection when an individual is placed on a ventilator.

ØNormally the infection occurs when germs or other microbial enter through the ventilator machine.

ØThe CDC provides various guidelines that help in preventing its occurrence in practice.

The most common microbial agent for VAP is the staphylococcus aureus; here, the micro aspiration of the bacteria colonizes the oropharynx and the upper airways, which also seeds the lung due to the inhalation of the contaminated aerosols. Research by Luyt et al. (2020), states that the mortality that is associated with hospital-acquired Pneumonia is very high despite the availability of effective antibiotics. The adequacy of various antibiotics helps improves an individual’s state of health together with an improved prognosis. Other than microbial therapy, there exist other forms of treatment for VAP, for example, head elevation, oral hygiene with 2% chlorhexidine, and suctioning of secretions to be in a better position to curb its occurrence; there is a greater need to ensure that the healthcare workers work collaboratively.

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Relevance of the Interdisciplinary team – NURS-FPX 4010 Assessment 4 Stakeholder Presentation

ØWhile the indiscriminate use of antibiotics is a major cause of antimicrobial resistance, adequate use of the empiric antibiotics is a major determinant of a favorable outcome.

ØSome of the relevant interdisciplinary members that should be included in the care course include the intensivist, physician, nurse, medical intensive care unit occupational therapist, and the nutritionist.

ØThe team always aims to attain improved health outcomes and enhanced satisfaction for the clients.

In my opinion, the interdisciplinary team is the most effective approach to incorporate into the study simply because it is through them that various specific patient symptoms are recognized more easily. The inclusion of these teams will help achieve improved outcomes by implementing specific interventions that meet the client’s needs. In order to ensure maximum functioning of the team, an effective patient outcomes and also the roles of the multidisciplinary team should be clearly negotiated and defined (Papazian  et al.,2020).For this to happen, the team members need to ensure that trust and respect is enhanced and also ensure that there is a use of the skill mix within the team. By doing so, the patients’ current issues will be managed effectively since they have the prerequisite skills needed to meet their various needs.

 

Interdisciplinary Plan Summary – NURS-FPX 4010 Assessment 4 Stakeholder Presentation

ØThe main Goal of the interdisciplinary team is to ensure that the infections decrease.

ØThe objective is likely to be met following the implementation various evidence-based care strategies at the workplace.

ØEach team member will be involved in various strategies to decrease the rate of Ventilator-associated Pneumonia at the workplace.

Some of the activities that the interdisciplinary team will participate in include drug administration, oral hygiene for the patients, bed elevation, and monitoring of the patients on mechanical ventilation. The interventions are evidence-based and proven; hence, the likelihood of decreasing infection rates is very high. For instance, the occupational therapist will engage the patient in various functional independence activities of daily living and also decrease the time that the patient spends on the mechanical Ventilator. Besides that, the manager will also need to mobilize sufficient resources for the team and ensure that they are well utilized to meet the patient’s needs. This is likely to result in improved health outcomes and thus decrease the susceptibility to the infections.

Ways to Implement the Interdisciplinary plan in the team – NURS-FPX 4010 Assessment 4 Stakeholder Presentation

ØSome of the features of an effective interdisciplinary team include positive leadership, training, development, and the distribution of sufficient resources.

ØThere exist various competency statements that an effective interdisciplinary team should always demonstrate.

ØThe Kurt Lewin’s model is the most effective approach to implementing the plan in the team.

The increasing complexity of the skills and knowledge needed to provide a comprehensive care for the patients on mechanical ventilators is so alarming; thus, a great need to allocate the medical team to the patients based on their expertise. The first thing that should always be done in any healthcare facility is the training of the employees regarding the various interventions that might positively impact the patients’ health. After they have been trained on how the machines work and how the care is supposed to be given, they will be allowed to practice it as they ensure that they utilize the resources efficiently (Papazian et al.,2020). Lastly, the adoption of a waste management plan will help minimize a lot of wastage that could be incurred unexpectedly. The outcome criteria will help evaluate the effectiveness of the project once it is implemented, and also, the preliminary use analysis of the project will provide an overview of how the resources were used and also spent.

 

Strategies for Managing Human and Financial Resources – NURS-FPX 4010 Assessment 4 Stakeholder Presentation

ØStrategic human resource management at the workplace provides a framework linking people management and the development practices to ensure long-term organizational goals and outcomes.

ØSome of the strategies include,

Management of employee competency and development.

Ensuring that the employees’ workload is right.

Taking availability and accountability into account

Just in time model

At the workplace, skill management entails matching the organizational needs with the available ones. Employment of skilled employees helps ensure that the exact resources are used for the patient with those needs alone and not just wasting them anyhow. The Just in time model is one of the key measures that will help ensure that resources are not wasted. This model involves the production of only what is needed depending on the patient’s needs. The other intervention is the adoption of various Electronic Health Records that provides accountability about the resources that have been spent on any patient, depending on the needs. In the future, this will be very useful as the managers will use it as a baseline in determining the expected resources that need to be produced without a surplus.

 

Evaluation Methods – NURS-FPX 4010 Assessment 4 Stakeholder Presentation

ØA project needs careful planning, effective communication, and attention to succeed.

ØA successful outcome of the project is that which,

There is an increased patient satisfaction

Timely delivery of patient services

Projects fall within the budget

ØIn healthcare, the success of the projects is determined using three criteria, the Goal-based, process-based, and outcome-based criteria.

In healthcare, the evaluation of projects is conducted either monthly or annually, depending on the organization’s protocols. One of the evaluation criteria of the projects that I would use is the Goal based evaluation criteria, it provides the information pertaining how the program is working or operating as it tries to attain its goals (Lennox et al.,2018). It helps ensure that the program works as expected and implements various interventions to magnify its operations. The information on either pathogenicity or infectivity of Ventilator-associated pneumonia can help determine the effectiveness of the Evidence-based prevention strategies. A high infection rate of the VAP in the ICU will mean that the prevention strategies are ineffective and need to be modified.

 

Communication Strategies – NURS-FPX 4010 Assessment 4 Stakeholder Presentation

ØCommunication strategies in healthcare help in the spreading of knowledge and also the associated evidence-based care strategies to the patients and also the interdisciplinary team.

ØSome of the effective communication strategies for both parties include,

Turn-taking

Topic shifting

Active listening

Patient teach-back techniques

Following the patient’s discharge, communication about drug adherence and continuous exercise is paramount. The interdisciplinary team should ensure that they communicate the relevant information following patients’ discharge; this would help prevent the occurrence of infection recurrence. To the healthcare team, effective communication strategies will ensure that the exact care is provided to the patient, depending on their individual needs.

 

NURS-FPX 4010 Assessment 4 Stakeholder Presentation CONCLUSION

ØHealth education is very critical for any patient.

ØProper management of the healthcare resources also ensures that the patient pays for only what they have utilized.

ØIntegration of the most top-notch evidenced strategies helps minimize reinfection at a higher rate.

Targeted strategies to prevent VAP should be implemented to improve the patient’s outcomes and decrease their length of stay at the healthcare facilities. The frontline critical care nurses thus need to understand the factors that predispose the patients at risk of developing the VAP and institute the evidence-based practices that will not compromise the patients’ health.

 

References

Lennox, L., Maher, L., & Reed, J. (2018). Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare. Implementation Science, 13(1), 1-17.

Luyt, C. E., Sahnoun, T., Gautier, M., Vidal, P., Burrel, S., Pineton de Chambrun, M., … & Chastre, J. (2020). Ventilator-associated Pneumonia in patients with SARS-CoV-2-associated acute respiratory distress syndrome requiring ECMO: a retrospective cohort study. Annals of Intensive Care, 10(1), 1-10.

Papazian, L., Klompas, M., & Luyt, C. E. (2020). Ventilator-associated Pneumonia in adults: a narrative review. Intensive care medicine, 46(5), 888-906.

 

NURS-FPX 4010 Assessment 4 Stakeholder Presentation

Assessment 4 Instructions: Stakeholder Presentation

For this assessment you will create an 8-12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.

As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.

You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it requires just a few minutes of your time and is not graded.

 

Demonstration of Proficiency

Competency 1: Explain strategies for managing human and financial resources to promote organizational health.

Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.

Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.

Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.

Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.

Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.

Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

Slides are easy to read and error free. Detailed speaker notes are provided.

Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors.

Professional Context

This assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.

 

Scenario

In addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.

When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization NURS-FPX 4010 Assessment 4 Stakeholder Presentation.

 

Instructions

Please follow the Capella Guidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer to Capella University Library: PowerPoint Presentations.

 

Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

 

Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.

Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue NURS-FPX 4010 Assessment 4 Stakeholder Presentation.

Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.

Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.

Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.

There are various ways to structure your presentation; following is one example:

 

Part 1: Organizational or Patient Issue.

What is the issue that you are trying to solve or improve?

Why should the audience care about solving it?

Part 2: Relevance of an Interdisciplinary Team Approach.

Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?

How will it help to achieve improved outcomes or reach a goal?

Part 3: Interdisciplinary Plan Summary.

What is the objective?

How likely is it to work?

What will the interdisciplinary team do?

Part 4: Implementation and Resource Management.

How could the plan be implemented to ensure effective use of resources?

How could the plan be managed to ensure that resources were not wasted?

How does the plan justify the resource expenditure?

Part 5: Evaluation.

What would a successful outcome of the project look like?

What are the criteria that could be used to measure that success?

How could this be used to show the degree of success?

Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.

 

Additional Requirements

Number of slides: Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 8–12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.

Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas NURS-FPX 4010 Assessment 4 Stakeholder Presentation. Resources should be no more than five years old.

APA formatting: Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

 

SCORING GUIDE

Explains an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal, noting potential consequences of not addressing the issue.

Summarizes an evidence-based interdisciplinary plan to address an organizational or patient issue, noting specific sources of evidence used to develop the plan.

Explains how the interdisciplinary plan could be implemented and how the human and financial resources would be managed, providing real-world examples relevant to the context of the health care organization.

Proposes evidence-based criteria to evaluate the degree to which the project was successful in achieving the improvement goal, noting specific sources of evidence used to develop the criteria.

Slides are easy to read and clutter free. Slide background is “visually” pleasing with a contrasting color for the text and may utilize graphics. Detailed speaker notes are provided.

Organizes NURS-FPX 4010 Assessment 4 Stakeholder Presentation content with clear purpose/goals. Power point slides support main points, assertions, arguments, conclusions, or recommendations with relevant and evidence-based sources (published within 5 years) with a flawless APA formatted reference list.

Applying Library Research Skills – NHS4000: Developing a Health Care Perspective

The Application of Research Skills on the Problem of Medication Errors

The acknowledgement of human error as an important factor contributing to avoidable sickness and mortality by the healthcare sector paved the path for technology to become one of the most life-saving discoveries ever. The Institute of Medicine’s (IOM) role in this cannot be contested. The IOM report, To Err Is Human, caused the change of heart. It was discovered that close to one hundred thousand avoidable fatalities were happening in healthcare facilities as a result of human mistake (Bates & Singh, 2018). This annotated bibliography’s practice topic of concern, medication mishaps, falls squarely within this category. The purpose of this paper is to present an annotated bibliography of four current peer-reviewed articles on medication errors.

Problem Summary, Personal Interest, and Professional Experience with the Issue

Every healthcare facility is concerned about improving quality in relation to medication administration errors or MAEs. It has long been recognized that medication administration errors made by nurses have a major negative impact on morbidity and death. Research by the likes of Simiyu et al. (2018) has revealed that at about half of the time every day, wrong time administration of medications by nurses occurs. Then the second most common error is documentation of the medication given about a third of the time all day. Last is the error of wrong technique that happens about 28% of the time.

The fact that MAE repercussions are so severe is what piqued my curiosity in the aforementioned subject. Therefore, I am curious about practical ways to prevent MAEs. In my professional life, I have repeatedly encountered MAEs as a result of colleagues’ and even my own forgetting to give a patient their medication on time.

The Database Search Strategy Employed

To find data supporting preventive measures against MAEs, a search of the following databases was carried out: Scopus, PubMed, ScienceDirect, Cochrane, and CINAHL. Among the key words and phrases utilized in the search were “errors,” “medication administration,” “prevention,” and “nurses.” These were combined with the Boolean “AND” operator before being entered into the search engines of the pertinent databases. 951 items in all were discovered. There were 15 full-text articles left after abstracts and unclear articles were filtered out and removed. Below is a list of four of these with annotated bibliographies. Since they were all published in journals that underwent peer review, they are all reliable. Since they are all current and were all published within the last five years, they are also highly pertinent.

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The
Annotated Bibliography

Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia.
BMC Nursing, 19
(4), 1-9. 
https://doi.org/10.1186/s12912-020-0397-0

In tertiary care institutions in Ethiopia’s capital, Addis Ababa, the aim of this study was to evaluate the severity and contributing variables of errors in medication administration among nurses. The article was chosen because it specifically tackles the practice issue of MAEs among nurses. In this cross-sectional study, 298 randomly chosen nurses worked as nurses. The survey received 298 responses from nurses, or 98.3%. Of these, 203 (68.1%) acknowledged making errors in medicine administration in the previous twelve-month period preceding the study Applying Library Research Skills – NHS4000: Developing a Health Care Perspective.

Poor instruction, a lack of the administration of medicines recommendations, a dearth of professional experience, disruptions during the administration of medications, and late-night hours were all significant predictors of medication administration errors in this study. It may be necessary to retain experienced nursing staff, offer ongoing training on how to safely administer medications, make a medication administration guideline available for nurses to use, and create an environment that supports safe medication administration in order to improve the standard and safety of medication administration.

Weingart, S.N., Zhang, L., Sweeney, M., & Hassett, M. (2018). Chemotherapy medication errors.
The Lancet Oncology, 19
(4), e191–e199. 
https://doi.org/10.1016/S1470-2045(18)30094-9

The article’s goal is to provide information on the prevalence of pharmaceutical errors related to chemotherapy and suggest ways to avoid them. This article was chosen because it clearly addresses the practice problem that was selected, which is the justification. Even though chemotherapy is a well-established treatment option, mistakes can result in a significant risk of patient harm. The scientists examined published studies from 1980 to 2017 in order to appreciate the extent and type of medication errors in cancer chemotherapy and to find effective solutions to help minimize mistakes.

Chemotherapy errors arise at all stages of the medication usage process, impacting at least one to three percent of adult and pediatric oncology patients, and occurring at a rate of one to four per one thousand orders. One area where risk is increasing is the use of oral chemotherapy. Despite the fact that several of them seem to lessen chemotherapeutic errors, the bulk of therapies have little empirical support. More study is needed to understand and lower the incidence of chemotherapy drug mistakes.

Simiyu, K.N., El-Banna, H.M., Fattah, M.A., & Omondi, L.A. (2018). Nurses’ medication administration errors at medical surgical units.
American Journal of Nursing Science, 7
(3), 88-99.
https://doi.org/10.11648/j.ajns.20180703.12

The goal of the study was to evaluate medication administration mistakes made by nurses in general medical and surgical units. The main reason the article was chosen is that it discusses research done on MAEs by nurses working in medical-surgical units. Using stratified random sampling with the medical and surgical units as the strata, 100 nurses were proportionately selected for the descriptive cross-sectional study. The study included a total of 200 observations by adding two more observations of each nurse while dispensing medication. Two different technologies were used to obtain the data for the current inquiry.

The interviewer provided a questionnaire about medicine delivery errors as well as a disguised drug administration observation checklist. Data was collected over a period of four months and subsequently analyzed using descriptive and inferential statistics to seek for correlations between variables. The study’s findings revealed that, respectively, 27%, 23%, and 15% of the nurses who took part in it admitted to giving medication at the wrong time, at the wrong rate, or after getting a written order to stop. Nurses must recognize the prevalence of MAEs as a patient safety indicator in order to comprehend and prevent MAEs through rationalized drug management policies and guidelines.

Koyama, A.K., Maddox, C-S.S., Li, L., Bucknall, T., & Westbrook, J.I. (2019). Effectiveness of double checking to reduce medication administration errors: A systematic review.
BMJ Quality & Safety, 29
(7), 1-9.
http://dx.doi.org/10.1136/bmjqs-2019-009552

The study’s goal was to perform a systematic assessment of research that evaluated the evidence for the value of double checking in lowering MAEs. Because the paper focuses specifically on MAEs and their prevention, it was picked. Five databases were searched for studies examining the use and effectiveness of double checking on reducing medication delivery errors in a hospital setting.

A collection of thirteen research investigations were looked at, and it was found that double-checking adherence rates varied from 52% to 97% of administrations. The claim that a lower incidence of MAEs or less harm results from double versus single medication administration checks is not sufficiently supported by the available data. More research is required to demonstrate whether double checking actually improves patient safety to the point where the large costs required are justified.

Conclusion

The aforementioned annotated bibliography amply demonstrates that MAEs currently pose a concern to patient protection. Since nurses are the ones who deliver pharmaceuticals, evidence-based quality improvement activities aimed at them are required. The numerous recommendations for prevention that are backed up by literary evidence are the four sources analyzed in this annotated bibliography’s main contribution.

References

Bates, D.W., & Singh, H. (2018). Two decades since
To Err Is Human
: An assessment of progress and emerging priorities in patient safety.
Health Affairs, 37
(11), 1736-1743.

https://doi.org/10.1377/hlthaff.2018.0738

Koyama, A.K., Maddox, C-S.S., Li, L., Bucknall, T., & Westbrook, J.I. (2019). Effectiveness of double checking to reduce medication administration errors: A systematic review.
BMJ Quality & Safety, 29
(7), 1-9.
http://dx.doi.org/10.1136/bmjqs-2019-009552

Simiyu, K.N., El-Banna, H.M., Fattah, M.A., & Omondi, L.A. (2018). Nurses’ medication administration errors at medical surgical units.
American Journal of Nursing Science, 7
(3), 88-99.
https://doi.org/10.11648/j.ajns.20180703.12

Weingart, S.N., Zhang, L., Sweeney, M., & Hassett, M. (2018). Chemotherapy medication errors.
The Lancet Oncology, 19
(4), e191–e199. 
https://doi.org/10.1016/S1470-2045(18)30094-9

Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia.
BMC Nursing, 19
(4), 1-9. 
https://doi.org/10.1186/s12912-020-0397-0

 

Applying Library Research Skills – NHS4000: Developing a Health Care Perspective

Create a 2-4 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research, which will be a current health care problem or issue faced by a health care organization that is of interest to you.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 4. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:

Summarize the health care problem or issue.

Describe your interest in the topic.

Describe any professional experience you have with this topic.

Identify peer-reviewed articles relevant to health care issue or problem.

Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.

Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.

Use keywords related to the health care problem or issue you are researching to select relevant articles.

Assess the credibility and explain relevance of the information sources you find.

Determine if the source is from an academic peer-reviewed journal.

Determine if the publication is current Applying Library Research Skills – NHS4000: Developing a Health Care Perspective.

Determine if information in the academic peer-reviewed journal article is still relevant.

Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:

Identify the purpose of the article.

Summarize the information.

Provide rationale for inclusion of each article.

Include the conclusions and findings of the article.

Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.

List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.

Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.

Summarize what you have learned from developing an annotated bibliography.

Summarize what you learned from your research in a separate paragraph or two at the end of the paper.

List the main points you learned from your research Applying Library Research Skills – NHS4000: Developing a Health Care Perspective.

Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 2 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

Length: 2–4 typed, double-spaced pages, not including the title page and reference page.

Font and font size: Times New Roman, 12 point.

APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.

Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Content: Provide a title page and reference page following APA style.

References: Use at least four scholarly or academic peer-reviewed journal articles.

APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

Assess the credibility and relevance of information sources.

Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.

Summarize what was learned from developing an annotated bibliography.

Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

Apply academic peer reviewed journal articles relevant to the health care problem or issue being researched.

Produce text with minimal grammatical, usage, spelling, and mechanical errors.

Integrate into text appropriate use of scholarly sources, evidence, and citation style

Applying Library Research Skills – NHS4000: Developing a Health Care Perspective