Category: Nursing

  • Spirituality Reflective Journal Paper

    Spirituality Reflective Journal Paper

    Spirituality, Religion, and Healthcare: A Reflective Stance on the Role of Spirituality in Nursing Practice and Patient Care

    Spirituality, Religion, and Healthcare: A Reflective Stance on the Role of Spirituality in Nursing Practice and Patient Care

    The advent of scientific medical practice has without doubt had an important impact on the perception of the significance of spirituality in healing. Scientism, which is the belief that every aspect of human life including illness and disease can be explained by scientific phenomena, is responsible for this. However, the reality that cannot be denied is that the spiritual aspect of the human person is as important as the biological aspect with regard to the treatment of disease. It is a known and accepted fact that spirituality and religion are helpful in assisting patients find some meaning at their moment of suffering (Puchalski, 2001) Spirituality Reflective Journal Paper. That spirituality has a major contribution to health and wellness is manifested by the acceptance in nursing practice of holistic patient care. A large base of evidence is available to support this practice which involves taking care of the patient in terms of the physical, emotional, psychological, and spiritual aspects. This paper is therefore a reflection of the importance of religion and spirituality in current nursing practice.

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    Mauk and Schmidt (2004) opine that health and spirituality have had an important nexus for a very long time. To begin with, the Christian Holy Bible is full of anecdotes cataloguing how the Prophets and later on Jesus himself used their intercessory powers with God to heal the sick and the infirm. For instance, when the Israelites were wandering in the wilderness and being bitten by wild snakes, God instructed Moses to erect a pole with the statue of a serpent. When a person who had been bitten by a poisonous snake looked at this statue, they immediately got healed and the effects of the poison were neutralised. At Capernaum, Jesus famously healed a paralytic man in front of a mass of people just by laying hands on them (White, 2011) Spirituality Reflective Journal Paper. These instances in the Christian narrative show that spirituality has been associated with healing for as long as the world has been in existence. Furthermore, God the creator has all the powers to heal any individual of their sickness and restore them back to health. How he does this has never been explained by science, since only the results of his work are visible but not the way he does it. This explains the categorisation of spiritual healings as miraculous acts or healing by God’s miracles (Orr, 2015).

    The Christian narrative holds that most of the human suffering through disease and illness result from the indiscretion and sinful ways of the human being. This happens when we forget that God exists and that we should always do what honors his name and brings good to the world. We thus tend to be forgetful about God when we are in good health, preferring to do worldly things because we can. However, when we get sick, we suddenly remember that God exists and has the power to heal and restore health. Luckily, God who is all-loving and forgiving does not discriminate and always welcomes the repentance of such a person as he gifts them with healing (White, 2011). This is the spiritual reality that every practising nurse needs to have in mind at all times. Even as we treat patients of their physical illness, nurses should remember the power of the spiritual in helping to restore the health of their patients. This they can achieve by harnessing the spirituality of their patients and encouraging them to have faith in their God who is the ultimate healer Spirituality Reflective Journal Paper. She should be clear that as human beings, nurses and physicians are just doing God’s work and leaving the actual healing to God. Theirs is to treat, but healing remains a prerogative of God the Almighty.

    The evidence that spirituality and health have been linked for a long time is still very apparent, for instance, in traditional complementary medicine. Cultures that place a lot of emphasis on traditional medicine such as in China and India have been known to be deeply spiritual (Mauk & Schmidt, 2004). This is because traditional medicine in these places is not only reliant on physical factors for healing, but also on spirituality and belief in a higher being. By invoking the power of spirituality in influencing the physical processes in the human body, these traditional medical practices have been known to be effective over the centuries in producing tangible results in terms of the healing of disease. The mantra of these therapies has of course always been a focus on the nexus bringing together the mind, the body, and the spirit. The important recognition here is that treating the body alone is not enough to achieve complete healing of the human being from disease. But by bringing in the spiritual aspect, holistic healing is achieved. Spirituality Reflective Journal Paper.

    As professional nurses, the guiding principle has always been caring for patients with compassion. What this means is that nurses have to share the suffering of their patients, even as they care for them (Orr, 2015; Puchalski, 2001). They have to feel how their patients are feeling by placing themselves in their shoes and being empathetic. Always encouraging the patients to have faith in God or a higher power does great miracles in complementing the physical treatments given to patients Spirituality Reflective Journal Paper. This is why holistic nursing practice is important with regard to the role of spirituality and religion in the restoration of health.

    References

    Mauk, K.L., & Schmidt, N.K. (2004).
    Spiritual care in nursing practice
    . Philadelphia, PA: Lippincott.

    Orr, R.D. (2015). Incorporating spirituality in patient care.
    American Medical Association Journal of Ethics, 17
    (5), 409-415

    Puchalski, C.M. (2001). The role of spirituality in healthcare.
    BUMC Proceedings, 14
    (4), 352–357. Doi: 10.1080/08998280.2001.11927788

    White, E.G. (2011).
    The ministry of healing
    . Guildford, UK: White Crow Books. Spirituality Reflective Journal Paper

     

    Department of Nursing

    Grading Criteria for Spirituality Reflective Journal Paper

     

    Course Number:

    Student Name:

    Date:

    You have been assigned required readings on spirituality in your course. You may choose one or more chapters from each assigned book to read.  You will then write a reflection paper regarding your thoughts, meaningful ideas, feelings, and/or reactions, and the application of these to nursing practice or your own spiritual growth and self-care.

                                                                                   
                           

    1. Paper is typed in at least 3 pages, double spaced and turned in on time via D2L or email to your professor, with  coversheet title page in APA format; thoughtful, suitable title

     10 Points

    2. Introductory paragraph is attention-getting

     

     10 Points

    Spirituality Reflective Journal Paper

    3.  Spelling, grammar, mechanics, and usage are correct throughout paper

     10 Points

    4. Thoughts are expressed in a coherent and logical manner.

    20 Points

    5. Viewpoints and interpretations are insightful, demonstrating an in-depth reflection.

    20 Points

    6. Concluding paragraph sums up information, reiterates ideas and opinions, and leaves reader with a call to action or something meaningful to remember

     10 Points

    7. Pertinent reference sources are skillfully woven throughout paper without over use of quotations but, rather, attempt to paraphrase

    10 Points

    8. References are properly cited in APA format with no plagiarism.

     5 Points

    9.  At least 3 references are cited in paper, including a reference from current class assigned chapter readings in Mauk, a reading in an assigned chapter in White, and one journal article of your own choice.

     5 Points

    Spirituality Reflective Journal Paper

     Total

    100 Possible Points

    Actual Points =

    References:

    Mauk, K. L., & Schmidt, N. K. (2004).
    Spiritual care in nursing practice
    . Philadelphia, PA: Lippincott.

    White, E. G. (2011).  The
    Ministry of healing
    . Guildford, UK: White Crow Books.

    Journal article:

    APA format reference that you may use for free:

    https://owl.english.purdue.edu/owl/resource/560/01/

     

    It is recommended that you upload your paper into Turnitin on D2L to check for plagiarism prior to submission to your professor.  Also, to check for correct grammar, use the Grammar Tutor on D2L. Spirituality Reflective Journal Paper

  • Executive Summary: Pharmacist-led Medication Therapy Management

    Executive Summary: Pharmacist-led Medication Therapy Management

    Quality Improvement (QI) refers to a “systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups.” Additionally, a QI program is designed to analyze, regulate, and improve the quality of various activities and processes, which are carried out in healthcare facilities to improve the overall outcomes in an organization. Healthcare organizations collect and analyze data in major areas, which enable them to implement change effectively Executive Summary: Pharmacist-led Medication Therapy Management. While various quality improvement programs can be implemented in the healthcare sector, the adoption of Pharmacist-led Medication Therapy Management (MTM) is recommendable for the healthcare organization.

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    The purpose of Pharmacist-led Medication Therapy Management (MTM) Initiative

    Pharmacist-led Medication Therapy Management (MTM) aims at optimizing patient therapy for various conditions. Care optimization is done by lowering the cost of healthcare services and improving clinical outcomes. This initiative will enable pharmacists to identify and prevent errors that are likely to occur while making prescriptions as well as educate patients regarding the appropriate and safe use of medications. Therefore, MTM will improve the overall adherence to medication as well as lower the cases of hospitalizations among patients with various conditions such as type II diabetes mellitus (Erku et al, 2018) Executive Summary: Pharmacist-led Medication Therapy Management.

    The Population targeted by MTM Initiative

    MTM initiative targets patients struggling with various conditions such as type II diabetes mellitus, asthma, and hypertension (Bajorek et al, 2016). Additionally, the MTM initiative targets primary care providers by enabling them to embrace a team-based approach in providing care services for underserved patients with various chronic conditions. Also, this initiative targets pharmacists who are involved in the prescription of various medications in the medical facility. Executive Summary: Pharmacist-led Medication Therapy Management.

    The Benefits of MTM Initiative

               
    MTM initiative accrues a wide range of benefits to individuals (patients and physicians) and the overall healthcare organization. First, this initiative enhances the recovery process since it improves disease state management and pharmacotherapy process. Additionally, the MTM initiative improves the level of patient adherence as well as health-related quality of life. Secondly, this initiative enhances the results of a physician by improving disease management process through the involvement of pharmacists Executive Summary: Pharmacist-led Medication Therapy Management. Finally, the implementation of MTM initiative will benefit the healthcare organization by reducing the level of medication-related adverse events, thus resulting in a good reputation and a positive image (Byre, 2019).

    The Interprofessional Collaboration required in the Implementation of MTM Initiative

               
    The implementation of MTM initiative in a healthcare organization requires the collaboration of healthcare practitioners who are involved during treatment and drug prescription processes. In particular, this initiative focuses on enhancing collaboration between physicians and pharmacist in the healthcare organization. Involving pharmacists in the healthcare team during disease management and medication enhances the pharmacotherapy of a specific disease, thus enhancing the quality of care delivery and overall patient outcomes (Dalton & Byrne, 2017).

    The Cost or Budget justification for MTM Initiative

               
    Budget justification indicates the proposed costs for the program. It will address every major cost categories, including salaries, equipment, fringe benefits, supplies and any other direct or indirect costs. First, salaries and wages indicate the list of individuals who will be involved in the project and the role of each one of them. Additionally, it will indicate the amount of money to be paid to each one of them using the project money. Secondly, budget justification indicates fringe benefits to be paid to each individual who will be involved during program implementation. This section should also disclose the method of calculation to be used when calculating fringe benefits. Thirdly, it should include the details of all the supplies/materials that are required during project implementation and their costs Executive Summary: Pharmacist-led Medication Therapy Management. Furthermore, all the required equipment and their respective prices should be included in the budget justification. Besides, all the consultants and their area of expertise should be included in the budget. The budget justification should capture the daily rate to be paid to each of the consultations. Finally, other direct costs should be included in the budget justification, including the respective amounts.

    The Evaluation of Pharmacist-led Medication Therapy Management (MTM) Initiative

               
    Three major strategies will be used to evaluate Pharmacist-led Medication Therapy Management (MTM) initiative. First, the evaluation will be based on a drastic reduction in the number of hospital admissions cases (Byre, 2019). For instance, a 25 percent decline in about 1,000 cases of hospital admissions will indicate the success of the program. Also, the evaluation of the initiative will be based on a reduction in ED visits (Byre, 2019). For example, around 25% decline in ED visits per 1,000 members will indicate that the program has been successful. Finally, the evaluation will be based on a decline in the average medication count (Byre, 2019). For example, the program might be considered successful if the number of patients in risk groups has declined significantly. Also, the success of the program can be based on a decline in the average medication count Executive Summary: Pharmacist-led Medication Therapy Management.

    In summary, the implementation of Pharmacist-led Medication Therapy Management (MTM) initiative will play a significant role in the healthcare organization. In particular, it will improve the overall adherence to medication as well as lower the number of hospitalizations among patients with various conditions.

    References

    Bajorek, B., LeMay, K, S., Magin, P., Roberts, C., Krass, I., & Armour, C, L. (2016). Implementation and evaluation of a pharmacist-led hypertension management service in primary care: outcomes and methodological challenges.
    Pharm Pract (Granada), 14(2):
    723. doi: 10.18549/PharmPract.2016.02.723

    Byre, A. (2019). Analysis Reveals that Pharmacist-led Medication Therapy Management Reduces Total Cost of Care.
    Health Catalyst
    . Retrieved from
    https://www.healthcatalyst.com/success_stories/medication-therapy-management-allina-health

    Dalton, K., & Byrne, S. (2017). Role of the pharmacist in reducing healthcare costs: current insights. 
    Integrated pharmacy research & practice
    , 
    6
    , 37.

    Erku, D. A., Ayele, A. A., Mekuria, A. B., Belachew, S. A., Hailemeskel, B., & Tegegn, H. G. (2017). The impact of pharmacist-led medication therapy management on medication adherence in patients with type 2 diabetes mellitus: a randomized controlled study. 
    Pharmacy Practice (Granada)
    , 
    15
    (3) Executive Summary: Pharmacist-led Medication Therapy Management.

     

    In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

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    The purpose of the quality improvement initiative.

    The target population or audience.

    The benefits of the quality improvement initiative.

    The interprofessional collaboration that would be required to implement the quality improvement initiative.

    The cost or budget justification. Executive Summary: Pharmacist-led Medication Therapy Management

    The basis upon which the quality improvement initiative will be evaluated.

    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.

    You are required to submit this Executive Summary: Pharmacist-led Medication Therapy Management assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

  • Performance Management System Interview Matrix Summary

    Performance Management System Interview Matrix Summary

    Performance Management Interview Matrix Summary

     

    Module 3 Assignment

     

    Performance Management System Interview Matrix Summary

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    Complete this matrix to summarize information from your interview with a nurse executive on the performance management system for the individual’s healthcare organization. Identify the nurse executive’s unit/department that is the specific focus of your evaluation. Performance Management System Interview Matrix Summary

     

    Characteristics/Factors

     

    Performance Management System for [specify nursing unit]

    System Features

    Employee Evaluation

    Criteria

    Sources of

    Evaluation Criteria
     

     

     

    How Criteria

    Communicated to

    Employees

    How Components of

    Performance Management

    Are Interconnected in the

    System

     

    How Information Collected,

    Maintained, Consolidated,

    and Summarized on

    Employee Performance

    and Retention
     

    Technology Integration

    in the System
     

    Privacy Protections

     

    System Analysis

    How System Supports

    Employee Development

     

     

    Performance Management System Interview Matrix Summary

     

     

    How System Supports

    Employee Retention

     

    Use of Peer Reviews/

    Multisource (360 degree)

    Feedback and

    Effectiveness

     

    How Training Used to

    Enhance Employee

    Performance

    and Retention

     

    How Training Used to

    Support Managers That

    Evaluate Performance

     

    Mechanisms for Employee

    Input on the System

     

    System Evaluation

    How Well System

    Supports Employee
    Performance Growth and

    Development
     

    How Well System

    Supports Employee

    Retention
     

    Performance Management

    System Strengths

     

    Performance Management

    System Weaknesses

     

    Overall Conclusions

     

    Performance Management System Interview Matrix Summary

  • Impacts of Employee Empowerment and Psychological Safety Essay

    Impacts of Employee Empowerment and Psychological Safety Essay

    A Comparative Look at Empowerment of Employees and Workplace Psychological Safety: Interviews with Employees in Healthcare, Automobile, and Finance Industries

    The three employees that were interviewed are from the healthcare industry, the finance industry, and the automobile industry. Alisonia who is a registered nurse is a best friend who has been a nurse for the last two years since her graduation. She works in a large healthcare organization with several hospitals across the state. Marx is my maternal uncle and has been an automobile salesperson for the last four years. Lastly, Marion is a family friend who is a teller at a local bank and has been at the job in the same position for the past three years. All the three interviews were conducted separately (but in-person) with each of the three participants Impacts of Employee Empowerment and Psychological Safety Essay.

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    The concept of employee empowerment, by definition, means that every employee in the organization is allowed to actively contribute to the organization’s processes and procedures. Literally speaking, the employee is given the power to suggest how things should be done, how improvements can be made to processes, and what measures can be taken to curtail problems within the organization. It also means that the employee is given the freedom to point out what is not right within the organization without fear of victimisation and/ or retribution (Lee et al., 2018; Asiri et al., 2016; Choi et al., 2016; Laschinger et al., 2013) Impacts of Employee Empowerment and Psychological Safety Essay. Employee engagement, on the other hand, is closely related to employee empowerment. It means that the leadership of the organization in which employees are empowered frequently seeks the input of the same employees when important decisions about procedures and processes are to be made. Engaging employees means that their suggestions about important issues within the organization are taken into account. They are made to feel that their views are important and that they themselves are important in the realisation of the goals of the organization.

    A Summary of the Views and Perceptions of the Interviewees

    Alisonia is a bedside registered nurse in the surgical unit of one of the chain of hospitals in the state. Having worked for two years in the same organization, she had a clear perspective of the state of employee empowerment and engagement within that healthcare organization. She clearly understood what empowerment meant and stated that she didn’t feel sufficiently empowered at her place of work. For instance, she felt that she lacked autonomy in the work that she does as a professional nurse. In her hospital, she feels that the work of the nurse manager seems to be to monitor the nurses under her to find out if they have made any mistake in the course of their work. This makes her tense and stressed every time the nurse manager is around her Impacts of Employee Empowerment and Psychological Safety Essay. She would have preferred to be left to do her duties without undue supervision because, as she states herself, she is a well-trained and qualified nurse. For instance, when doing a drug round, the nurse manager has the habit of exercising direct supervision by being physically behind her. She would have preferred that the manager be doing indirect supervision by letting them do the task and later report their result/ progress. Alisonia also felt that she is not sufficiently engaged at her work place. They are never asked what they think before major decisions affecting them as nurses are made. The management adopts a top-down approach to all issues. Because of this, she says that she may never even report a problem she has noticed at the workplace. This is because she will either be blamed for the problem or ignored altogether (A.N. Morales, personal communication, March 15, 2020).

    Marion has been a bank teller for the past three years. She says that her work is pretty much routine from day to day. Even though she has her immediate superior at the workplace, she says that it is not common to find him following her around. She feels that for the three years she has worked at the bank, she has been empowered to make decisions on her own and only report to her supervisor if she is not sure of what to do. She therefore feels quite empowered in her job. Furthermore, she states that there are weekly meetings in which the section manager sits down with them and they discuss how the past week has been. During these meetings, everyone of the employees is free to contribute and their views are included in the minutes of the meeting. On countless occasions, she has made suggestions that have ended up being implemented for the betterment of the work environment. Because of this, her opinion and feeling is that the management of the bank adequately engages its employees and takes their feelings and views seriously (M.A. Jeanice, personal communication, March 16, 2020)Impacts of Employee Empowerment and Psychological Safety Essay.

    Marx is my maternal uncle. Since he graduated from college, he has been working as a salesperson for the Ford Motor Corporation. This is his fourth year in the job and he is greatly satisfied with his job. Of the three interviewees, he is the one who appeared to feel the most empowered in his workplace. He stated that in his work, the only thing that he discusses with his immediate superior are the targets that he needs to achieve within a given period of time. After that, he has the autonomy to do his work as he deems fit. In doing so, also, he is provided with all the resources that he needs for his work. For him, he has more say in how he does his work as the company is only interested in results and the meeting of objectives. This, according to him, is testament enough that he is empowered in his work. Concerning employee engagement, Marx says that this has always gone hand in hand with the empowerment. In every sales meeting, it is what he has to say that is important as the managers realise that he is the one that talks directly with the customers and knows what they want. In all, he feels he is empowered, has the autonomy, and is engaged as much as he would wish for (M.J. Nelson, personal communication, March 18, 2020) Impacts of Employee Empowerment and Psychological Safety Essay

    Industry Comparison of Employee Empowerment and Engagement

    From the interviews, it is clear that employee empowerment and engagement within the healthcare industry is not exactly the same as that in other industries. In my opinion, this could be due to the difference in the nature of work that employees in these industries do. In healthcare, many organizations tend to prefer close supervision and monitoring of employees such as nurses because even small mistakes can be costly (malpractice litigation and vicarious liability). However, this is not to say that this is good practice. It has been shown that empowered employees are highly motivated and are more productive (Lee et al., 2018) Impacts of Employee Empowerment and Psychological Safety Essay. Not all healthcare industry organizations, however, give limited empowerment and engagement to their employees. That said, even those that have empowered their employees well cannot reach the levels of empowerment and engagement seen in other industries. As stated, the reason is that the healthcare industry is sensitive and highly regulated professionally.

    A Working Definition of Psychological Safety

    The concept of psychological safety at the workplace is related to the state of mind of the employee when they are at their workplace. It is how the employee feels as they carry out their day-to-day duties. For instance, does the employee feel free when they are carrying out their duties? Do they fear what might happen to them in the event that they made a small mistake in the course of their duties? Are they free to report any mistakes they may make without any fear of victimisation? These are the kinds of questions that define psychological safety in the workplace. An employee who cannot answer these questions favorably does not experience psychological safety at their workplace. This may affect their morale and workplace productivity (O’Donovan et al., 2019).

    Going by Alisonia’s account in the interview; she does not have psychological safety in the hospital in which she works. She is afraid of the nurse manager who seems to be exercising authoritarian leadership style. A lack of psychological safety is therefore evident in her workplace. Marion the bank teller has a high degree of psychological safety in her workplace. She feels valued and secure. Her opinion counts and she is not afraid of her supervisors and managers like Alisonia. Lastly, Marx has demonstrated that his workplace gives him the highest degree of psychological safety. He is extremely autonomous and decides how he does his work, as long as he meets the company’s sales projections. Compared to the other two, a possible reason for Marx’s high degree of psychological safety could be because his work does not involve staying in one location at the company. He moves around to where customers are and pitches for their car products outside the company’s premises. Impacts of Employee Empowerment and Psychological Safety Essay.

    Traditionally, psychological safety within healthcare organizations has not been as it should be. Authoritarian supervision and strict standard operating procedures have been the hallmark of professional work in healthcare, especially for nurses. The only health worker category that has been enjoying the greatest autonomy and psychological safety are the physicians. However, this is rapidly changing with the realisation that creating a conducive work environment motivates nurse employees and improves the quality of care given to patients. The manufacturing and financial industries enjoy a high degree of psychological safety. Only the hospitality industry is comparable to the healthcare industry as the waiters are analogous to the nurses in the healthcare industry. The tribulations waiters go through from customers and management are similar to the tribulations nurses go through from patients and nurse managers.

    From the foregoing, it goes without saying that a high degree of psychological safety, employee empowerment, and employee engagement in healthcare is a positive thing. This is because the presence of these factors motivates health workers, making them feel energised to work and deliver the highest quality of care. High psychological safety, empowerment, and engagement of employees are therefore directly correlated with patient safety.

    Leadership Strategies for Ensuring Psychological Safety, Empowerment, and Engagement

    The two tried and tested leadership strategies that are known to create a conducive work environment for employees and hence psychological safety are transformational leadership and consultation (Choi et al., 2016). Transformational leadership motivates, guides, appreciates, and values employees. A good example, generally, is my current healthcare organization in which there is only transformational leadership and a high level of empowerment, engagement, and psychological safety.

    References

    Asiri, S.A., Rohrer, W.W., Al-Surimi, K., Da’ar, O.O., & Ahmed, A. (2016). The association of leadership styles and empowerment with nurses’ organizational commitment in an acute health care setting: A cross-sectional study.
    BMC Nursing, 15
    (38), 1–10. Doi:10.1186/s12912-016-0161-7 Impacts of Employee Empowerment and Psychological Safety Essay

    Choi, S.L., Goh, C.F., Adam, M.B.H., & Tan, O.K. (2016). Transformational leadership, empowerment, and job satisfaction: The mediating role of employee empowerment.
    Human Resources for Health, 14
    (1), 73. Doi:10.1186/s12960-016-0171-2

    Laschinger, H.K.S., Wong, C.A., & Grau, A.L. (2013). Authentic leadership, empowerment and burnout: A comparison in new graduates and experienced nurses.
    Journal of Nursing Management, 21
    (3), 541–552. Doi:10.1111/j.1365-2834.2012.01375.x

    Lee, A., Willis, S., & Tian, A.W. (2018). When empowering employees works, and when it doesn’t.
    Harvard Business Review
    . Retrieved 19 March 2020 from
    https://hbr.org/2018/03/when-empowering-employees-works-and-when-it-doesnt

    O’Donovan, R., Ward, M., De Brún, A., & McAuliffe, E. (2019). Safety culture in health care teams: A narrative review of the literature.
    Journal of Nursing Management, 27
    (5), 871–883. Doi:10.1111/jonm.12740

     

    Note: You will begin this Assignment in Week 3, and it will be due by Day 7 of Week 4. Plan your time accordingly.

    How does healthcare compare with other fields in markers, such as employee empowerment and engagement? Investigating that question is one purpose of your Module 2 Assignment, for which you will interview three employees in different fields, with one individual in healthcare. You will also consider the theme of psychological safety, which you will explore in more detail in Week 4. Impacts of Employee Empowerment and Psychological Safety Essay

    Photo Credit: Getty Images/iStockphoto

    As you begin your Assignment, reflect on your own experiences and perceptions of a typical work environment within a healthcare setting. As a nurse executive, you will have greater influence over how the nurses you lead function within that environment. Recall examples from the Learning Resources of benefits when nurses are empowered and engaged. Consider how you can use the information you gain through this Assignment to develop your leadership skills, with the goal of providing support that is constructively impactful for nurses, patients, and a healthcare organization.

    To Prepare:

    Choose and secure the agreement of three individuals you know well (i.e., family and friends) to be interviewed on the topics of employee empowerment, engagement, and psychological safety in the workplace. One person you interview must work in a healthcare setting.

    Review the Learning Resources on employee empowerment, engagement, and psychological safety in the workplace. Consider definitions that clarify these concepts and which you can explain to your interview subjects in enlisting their participation and guiding responses.

    Access and review the document Employee Interviews: Guidelines and Questions, located in the Learning Resources, for guidance on planning, conducting, analyzing, and comparing the interview responses.

    Note: You are required to submit the signature of each person you interview to confirm the individual’s agreement to participate. Fill in Page 1 of the Employee Interviews: Guidelines and Questions document, print the page, and obtain the signatures. (There is a place for all three signatures on Page 1.) Scan and submit Page 1 as a separate Word file with your completed Assessment.

    Conduct a brief (20–30 minutes) phone or in-person interview with each individual. Speak with each person separately so that you have three sets of independent views to compare. Questions to ask are provided in the Guidelines document. Note the questions are repeated in a section for each interviewee. Take notes in the document, or record the interviews with each person’s permission.

    When you have completed all three interviews, review each individual’s experiences and sense of empowerment, engagement, and psychological safety at work. Compare and contrast the responses with the goal of arriving at clear conclusions on how the degree of employee empowerment, engagement, and psychological safety influences job performance, satisfaction, and morale. v

    Compare the responses of the individual who works in healthcare and your own experiences in professional practice in healthcare to the responses of your interviewees working in other areas. Consider conclusions you can make about employee empowerment, engagement, and psychological safety in healthcare compared with other professions.

    Consider quality care and safety issues in healthcare and the relationship among psychological safety, employee empowerment, and engagement as positive or negative factors.

    Consider strategies nurse executives can apply to improve or enhance employee empowerment, engagement, and psychological safety within healthcare settings.

    Assignment:

    Based on your
    three interviews
    and drawing on current literature, and from the perspective of a nurse executive’s role in supporting employee job performance and satisfaction, write an analysis that addresses, in 4–5 pages, the following points:

    Describe the three employees you interviewed, including their industries and job titles.

    Explain your working definitions of “employee empowerment” and “employee engagement” that are the basis of the interviews. Impacts of Employee Empowerment and Psychological Safety Essay

    Summarize how the interviewees characterized the culture of employee empowerment and engagement within their organizations.

    Analyze how employee empowerment and employee engagement within healthcare organizations compare with other industries.

    Explain your working definition of “psychological safety” that is the basis of the interviews.

    Summarize how the interviewees characterized the presence, absence, and/or degree of psychological safety within their organizations.

    Analyze how psychological safety within healthcare compares with other industries.

    Analyze how degree of psychological safety, employee empowerment, and engagement are positive or negative factors for quality care and safety issues within healthcare.

    From the position of a nurse executive, explain at least two leadership strategies you would recommend for actions to improve or sustain psychological safety, employee empowerment, and engagement within healthcare organizations. Speak generally, or specifically, to your current healthcare organization or one where you have worked in the past.

    Note: You began this Assignment in Week 3 and it will be due by Day 7 of Week 4. Plan your time accordingly.

    As you wrap up your analysis of the three interviews you completed, draw on the information and perspectives gained through the Learning Resources and Discussion, this week, to assess psychological safety in each workplace. As a nurse executive, you will have new avenues for making a difference for staff and patients. With those opportunities in mind, consider how to apply the insights you gain regarding psychological safety in healthcare settings.

    Photo Credit: Getty Images/iStockphoto

    To Prepare:

    Review Learning Resources that will guide your analysis of employee empowerment, engagement, and psychological safety.

    Use the Guidelines & Questions document, from the Learning Resources, to help you in completing your Assignment, including providing the signature sheet to confirm your three interviews.

    Resources

    Learning Objectives

    Students will:

    Explain concepts of employee empowerment and psychological safety*

    Analyze factors associated with high-performance teams*

    Analyze impact of psychological safety and employee empowerment on team decision making and performance *

    Explain leadership strategies to improve psychological safety and empowerment of employees in healthcare settings*

    * Objective is introduced this week and assessed in Week 4.

    Learning Resources

    Required Readings (click to expand/reduce)

    Asiri, S. A., Rohrer, W. W., Al-Surimi, K., Da’ar, O. O., & Ahmed, A. (2016). The association of leadership styles and empowerment with nurses’ organizational commitment in an acute health care setting: A cross-sectional study. BMC Nursing, 15(38), 1–10. doi:10.1186/s12912-016-0161-7

    Choi, S. L., Goh, C. F., Adam, M. B. H., & Tan, O. K. (2016). Transformational leadership, empowerment, and job satisfaction: The mediating role of employee empowerment. Human Resources for Health, 14(1), 73. doi:10.1186/s12960-016-0171-2

    Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2013). Authentic leadership, empowerment and burnout: A comparison in new graduates and experienced nurses. Journal of Nursing Management, 21(3), 541–552. doi:10.1111/j.1365-2834.2012.01375.x

    Lee, A., Willis, S., & Tian, A. W. (2018, March). When empowering employees works, and when it doesn’t. Harvard Business Review. Retrieved from https://hbr.org/2018/03/when-empowering-employees-works-and-when-it-doesnt

    O’Donovan, R., Ward, M., De Brún, A., & McAuliffe, E. (2019). Safety culture in health care teams: A narrative review of the literature. Journal of Nursing Management, 27(5), 871–883. doi:10.1111/jonm.12740

    Society for Human Resource Management (SHRM). (2017). 2017 Employee job satisfaction and engagement: The doors of opportunity are open [Executive summary]. Retrieved from https://www.shrm.org/hr-today/trends-and-forecasting/research-and-surveys/Documents/2017-Employee-Job-Satisfaction-and-Engagement-Executive-Summary.pdf Impacts of Employee Empowerment and Psychological Safety Essay

    Document: Employee Interviews on Empowerment and Psychological Safety: Guidelines & Questions (Word document)

    Required Media (click to expand/reduce)

    benedictineCVDL. (2018, July 6). Creating psychological safety at work in a knowledge economy – Amy Edmondson, Harvard [Video file]. Retrieved from https://www.youtube.com/watch?v=KUo1QwVcCv0

    Note: The approximate length of this media piece is 3 minutes.

    Fostering a Positive Workplace

    This video addresses defining qualities of a positive work environment and the decisive role of nurse executives and other leaders in developing that environment. Pay particular attention to the discussion of employee engagement and its connection to job satisfaction—and how nurse executives can troubleshoot to encourage deeper engagement. (11m)

    Accessible player

    Creating a Culture of Engagement

    Multiple experts offer advice and dynamic models of how to create an exemplary nursing staff through strategies that enhance engagement and empower nurses in healthcare settings. You may choose to skip the first section on hiring to go directly to the more relevant information for this module. (19m) Impacts of Employee Empowerment and Psychological Safety Essay

  • Interviews on Employee Empowerment and Psychological Safety

    Interviews on Employee Empowerment and Psychological Safety

    Employee Interviews: Guidelines & Questions

    Module 2 Assignment

    Interviews on Employee Empowerment and Psychological Safety

     

    Planning and Arranging the Interviews

    Identify three individuals to interview: one in healthcare and two from other fields or industries (e.g., state/local government; business). Choose family members and friends you know well that will be comfortable answering honestly. Interview each person separately, and plan for 20–30 minutes per interview. Confirm that all answers will be confidential, and each person will be identified by a pseudonym in the Assignment you submit.
    Note:
    You must request each person’s signature to confirm the interview. Fill in the information below, print out Page 1, and obtain the signatures Interviews on Employee Empowerment and Psychological Safety.
    Scan and submit Page 1 with your completed Assignment.

    Interviewee #1 Healthcare

    Name xxx

    Job Title Nurse

    BUY A PLAGIARISM-FREE PAPER HERE

    Years in Position Three

    Relationship to You Close friend

    Signature:

    Interviewee #2 (Industry) Automobile

    Name xx

    Job Title 

    Years in Position two

    Relationship to You Aunt

    Signature:

    Interviewee #3 (Industy) Finance

    Name xx

    Job Title Teller

    Years in Position Three

    Relationship to You Family friend

    Signature:

    Conducting the Interviews

    There are five sets of questions, which are repeated below for each interview. Also develop a working definition of “employee empowerment” and “psychological safety,” based on your own understanding, to anchor the interviews for you and to explain to your interviewees, as needed. Take notes on each person’s responses in the spaces on the right. If you record the interviews, be sure to get each person’s permission before you begin. You are still encouraged to take notes on the person’s responses as a safeguard in case there is a problem with the recording.

     

    Questions

     

    Interview #1 Healthcare

    1. What does “empowerment” mean to you as an employee?

    Note:
    Share your definition, as needed, and compare perspectives.

    Interviews on Employee Empowerment and Psychological Safety

    1: Responses

    2.
    Is autonomy in your job important to you? Why, or why not?

    Can you provide examples of how you are able to exercise autonomy in your job?

     

    Can you provide examples of areas where you would like to have additional autonomy but are constrained at this time?

     

     

    2: Responses

    3.
    Thinking about your organization (or department, unit):

    Have you been asked for input/advice on organizational (or department/unit) goals or processes?

    –
    If yes, is it important to you to give your opinion on organization-wide (department/unit) issues? Why, or why not?

    – Can you give examples of how you have provided input, and to what extent you felt your views were taken seriously, valued, and acted upon? (Probe as needed to uncover meaning in the answers.)

     

    – If no, would you like to be consulted? Why, or why not?

    – (For both yes/no): Can you provide examples of input that you would like to provide but feel constrained or inhibited to do so? Why do you feel constrained
    ?

     

    3: Responses

    4.
    How would you describe decision- making authority in your organization:

    Is it limited mainly to individuals at senior levels? Or are decisions made at multiple organizational levels? Interviews on Employee Empowerment and Psychological Safety
     

    4: Responses

    5.
    Do you feel comfortable making suggestions about:

     

    – How work is done in your organization (department/unit)?

    – The direction of the organization (department/unit)? 

     

    If you see a problem, are you comfortable pointing it out?

     

    – 
    If yes, what accounts for your comfort?

     

    – 
    If no, what accounts for your reluctance or holding back?

     

    5: Responses

     

    Questions

    Interview #2 (Industry)

    1. What does “empowerment” mean to you as an employee?

     Note:
    Share your definition, as needed, and compare perspectives.

     

    1: Responses

    2.
    Is autonomy in your job important to you? Why, or why not?

    Can you provide examples of how you are able to exercise autonomy in your job?

     

    Can you provide examples of areas where you would like to have additional autonomy but are constrained at this time?

     

    2: Responses

    3.
    Thinking about your organization (or department, unit):

     

    Have you been asked for input/advice on organizational (or department/unit) goals or processes?

    Interviews on Employee Empowerment and Psychological Safety

    –
    If yes, is it important to you to give your opinion on organization-wide (department/unit) issues? Why, or why not?

     

    – Can you give examples of how you have provided input, and to what extent you felt your views were taken seriously, valued, and acted upon? (Probe as needed to uncover meaning in the answers.)

     

    – If no, would you like to be consulted? Why, or why not?

    – (For both yes/no): Can you provide examples of input that you would like to provide but feel constrained or inhibited to do so?

     

    Why do you feel constrained
    ?

     

     

    3: Responses

    4.
    How would you describe decision- making authority in your organization?

    Is it limited mainly to individuals at senior levels?

     

    Or are decisions made at multiple organizational levels?

     

     

    4: Responses

    5.
    Do you feel comfortable making suggestions about:

     

    – How work is done in your organization (department/unit)?

    – The direction of the organization (department/unit)?

     

    If you see a problem, are you comfortable pointing it out?

     

    – 
    If yes, what accounts for your comfort?

    – 
    If no, what accounts for your reluctance or holding back?

     

     

     

     

     

    5: Responses

     

    Questions

     

    Interview #3 (Industry)

    1. What does “empowerment” mean to you as an employee?

    Note:
    Share your definition, as needed, and compare perspectives.

     

     

     

    1: Responses

    2. Is autonomy in your job important to you? Why or why not?

     

    Can you provide examples of how you are able to exercise autonomy in your job?

     

    Can you provide examples of areas where you would like to have additional autonomy but are constrained at this time?

     

     

    2: Responses

    3.
    Thinking about your organization (or department, unit):

    Have you been asked for input/advice on organizational (or department/unit) goals or processes?

    –
    If yes, is it important to you to give your opinion on organization-wide (department/unit) issues? Why, or why not?

     

    – Can you give examples of how you have provided input, and to what extent you felt your views were taken seriously, valued, and acted upon? (Probe as needed to uncover meaning in the answers.)

     

    – If no, would you like to be consulted? Why, or why not? Interviews on Employee Empowerment and Psychological Safety

    – (For both yes/no): Can you provide examples of input that you would like to provide but feel constrained or inhibited to do so? Why do you feel constrained
    ?

     

    3: Responses

    4.
    How would you describe decision- making authority in your organization?

    Is it limited mainly to individuals at senior levels?

     

    Or are decisions made at multiple organizational levels?

    4: Responses

    5.
    Do you feel comfortable making suggestions about:

     

    – How work is done in your organization (department/unit)?

    – The direction of the organization (department/unit)?

     

    If you see a problem, are you comfortable pointing it out?

     

    – 
    If yes, what accounts for your comfort?

    – 
    If no, what accounts for your reluctance or holding back?

     

     

     

    5: Responses

    Comparing and Analyzing the Interviews

    When you have completed all three interviews, review each individual’s responses and experiences, focusing particularly on each interviewee’s sense of empowerment, engagement, and psychological safety at work. Compare and contrast the responses, with the goal of arriving at clear conclusions on how degree of employee empowerment, engagement, and psychological safety influences job performance, satisfaction, and morale.

     

    Compare and contrast the responses of the individual who works in healthcare and your own experiences in professional practice in healthcare to the responses of your interviewees working in other areas. Interviews on Employee Empowerment and Psychological Safety Consider conclusions you can make about employee empowerment, engagement, and psychological safety in healthcare compared with other professions.

     

    Completing the Module 2 Assignment

    In a separate Word document, write 4–5 pages to produce an Interviews Summary and Analysis that includes the following:

     

    ·         Describe the three employees you interviewed, including their industries and job titles.

    ·         Explain your working definitions of “employee empowerment” and “employee engagement” that are the basis of the interviews.

    ·         Summarize how the interviewees characterized the culture of employee empowerment and engagement within their organizations.

    ·         Analyze how employee empowerment and employee engagement within healthcare organizations compare with other industries.

     

    ·         Explain your working definition of “psychological safety” that is the basis of the interviews.

    ·         Summarize how the interviewees characterized the presence, absence, and/or degree of psychological safety within their organizations.

    ·         Analyze how psychological safety within healthcare compares with other industries.

    ·         Analyze how degree of psychological safety, employee empowerment, and engagement are positive or negative factors for quality care and safety issues within healthcare. Interviews on Employee Empowerment and Psychological Safety

     

    ·         From the position of a nurse executive, explain at least two leadership strategies you would recommend for actions to improve or sustain psychological safety, employee empowerment, and engagement within healthcare organizations. Speak generally, or specifically, to your current healthcare organization or one where you have worked in the past.

    Final Submission

       In two separate Word files:

    ·         Interviews Summary and Analysis

    ·         Interviewees Information and Confirmation Signatures (Page 1 from this document) Interviews on Employee Empowerment and Psychological Safety

  • BMI using waist circumference for adults Essay

    BMI using waist circumference for adults Essay

    Adult BMI and Waist Circumference (WC): Purpose, Uses, Methodology, and Significance

    Waist circumference (WC) is a clinical assessment tool that is related to the body mass index (BMI). Despite the BMI being the most widely used assessment tool for obesity risk and nutritional status, the WC diagnostic tool brings an independent ability to predict the risk of obesity-related disorders such as type II diabetes mellitus, hypertension, cardiovascular disease, and dyslipidemia (Ball et al., 2019; NHLBI, n.d.). WC is used in healthcare to predict the risk of developing disorders associated with obesity such as cardiovascular disease of type II diabetes. It is widely recommended that WC be used in addition to the usual BMI. Zhu et al BMI using waist circumference for adults Essay. (2004) opine that WC and BMI should be used together to enhance the predictive power of the two tests, rather than using either alone. This is also the position reported by Freiberg et al (2008), indicating that the guidelines at the time of publication of their study were that BMI and WC be used together to predict obesity-related disease risk. This is specifically for those subjects with a BMI of between 25 kg/m
    2
    and 34.9 kg/m
    2
    (Freiberg et al., 2008). The rationale for using WC in conjunction with the BMI comes from conclusive studies that show that the BMI does not discriminate between a rise in lean body mass and a rise in adipose tissue (LeBlond et al., 2015). That is to say that BMI does not factor in the great variation in the distribution of body fat. And it is this BMI shortcoming that WC compensates for by factoring in regional adipose tissue. As it does this, however, WC still remains an independent predictor of cardiovascular risk among overweight subjects (Zhu et al., 2004). WC is not necessary in those that have a BMI of equal to or more than 35 kg/ m
    2
    . The cut-off for high risk has been placed at over 40 inches for men, and over 35 inches for women (NHLBI, n.d.). A high WC is therefore related to an increased risk of obesity-related illness BMI using waist circumference for adults Essay.

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    The Purpose of the Waist Circumference (WC)

    As stated above, the waist circumference serves as an independent predictor of risk for diseases and conditions that are associated with being overweight and obese. These are diseases such as dyslipidemia, hypertension, type II diabetes, and cardiovascular disease (heart disease). WC is a good clinical indicator of abdominal obesity and internal fat. It has been shown that persons with normal weight but increased WC possess an elevated risk of heart disease. Thus a high WC of >35 inches in women and >40 inches in men is tied to an increase in the chances of occurrence of these conditions (Ball et al., 2019). As already observed, WC is very useful an indicator in persons with a normal or overweight rating on the BMI scale. But a BMI of greater than 35 renders the WC ineffective in correctly predicting risk. Because of this, it is unnecessary to conduct this test on subjects with a BMI of more than 35 kg/ m
    2
    (class II and class III obesity) (NHLBI, n.d.) BMI using waist circumference for adults Essay.

    The WC is also important in that it is clinically used to calculate the waist-height ratio. The waist-height ratio is another important clinical predictor just like the WC. It has been shown to be strongly predictive of heart disease risk and type II diabetes mellitus in the adult population (Ball et al., 2019).

    How to Conduct a Waist Circumference Assessment

    The WC is taken at the point at which the iliac crest is most elevated. This should be done when the subject is standing upright and preferably holding their breath or having minimal respiration (Ball et al., 2019). This immediately shows that subjects who have postural problems may not fully benefit from this clinical tool as they may not assume the required posture. It is important that the subject does not alter their intra-abdominal pressure as this may lead to a reading that is erroneous.

    The Information that the Waist Circumference Gathers

    The weight circumference gathers information that is indicative of the amount of abdominal fat or visceral adipose tissue that the individual has. This is regardless of the BMI, as long as the BMI is below 35 kg/ m
    2
    (Ball et al., 2019; Zhu et al, 2004). It is this information that makes the WC have the independent power to predict the risk of developing conditions associated with being overweight or obese. The measurement makes use of a normal tape calibrated in inches and centimetres. As stated, the cut-off values are over 35 inches for women and over 40 inches for men (NHLBI, n.d.) BMI using waist circumference for adults Essay.

    The Validity and Reliability of the Waist Circumference Measure

    The WC as an independent predictor of disease risk is only accurate in the BMI range of 25 kg/ m
    2
    to 34.9 kg/ m
    2
    (Freiberg et al., 2008; NHLBI, n.d.). Above a BMI of 35 kg/ m
    2
    , the individual will have exceeded the cut-off values thereby invalidating the accuracy of the test. Within this range, however, the WC test is a dependable predictor that is strongest for the prediction of cardiovascular and obesity risk (Ball et al., 2019; Hammer & McPhee, 2018; Freiberg et al., 2008; Zhu et al., 2004; NHLBI, n.d.) BMI using waist circumference for adults Essay.

     

    References

    Ball, J.W., Dains, J.E., Flynn, J.A., Solomon, B.S., & Stewart, R.W. (2019).
    Seidel’s guide to physical examination: An interprofessional approach, 9
    th
    ed
    . St. Louis, MO: Elsevier Mosby.

    Freiberg, M.S., Pencina, M.J., D’Agostino, R.B., Lanier, K., Wilson, P.W.F.  & Vasan, R.S. (2008). BMI vs. waist circumference for identifying vascular risk.
    Obesity, 16
    (2), 463-469. Doi: 10.1038/oby.2007.75

    Hammer, D.G., & McPhee, S.J. (Eds). (2018).
    Pathophysiology of disease: An introduction to clinical medicine, 8
    th
    ed
    . New York, NY: McGraw-Hill Education. BMI using waist circumference for adults Essay

    LeBlond, R.F., Brown, D.D., & DeGowin, R.L. (2015).
    DeGowin’s diagnostic examination, 10
    th
    ed
    . New York, NY: McGraw Hill Medical.

    National Heart Lung Blood Institute [NHLBI] (n.d.).
    Guidelines on overweight and obesity: According to waist circumference
    . Retrieved 16 March 202 from
    https://www.nhlbi.nih.gov/health-pro/guidelines/current/obesity-guidelines/e_textbook/txgd/4142.htm

    Zhu, S., Heshka, S., Wang, Z., Shen, W., Allison, W.B., Ross, R. & Heymsfield, S.B. (2004). Combination of BMI and waist circumference for identifying cardiovascular risk factors in Whites.
    Obesity Research, 12
    (4), 633-645. Doi: 10.1038/oby.2004.73 BMI using waist circumference for adults Essay

     

    Assignment (3 pages, not including title and reference pages):

    Assignment Option 1: Adult Assessment Tools or Diagnostic Tests: BMI using waist circumference for adults

    Include the following:

    A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.

    What is its purpose?

    How is it conducted?

    What information does it gather?

    Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

    Resources:

    Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

    https://www.cdc.gov/obesity/childhood/

    LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical. BMI using waist circumference for adults Essay

  • NSG 530 Myocardial Infarction (MI) Case Study Assignment

    NSG 530 Myocardial Infarction (MI) Case Study Assignment

    Case Study Power Point Assignment

    Case Study Power Point Presentation

     

    Based on your readings throughout the course, choose a disorder/disease from your text and develop a power point presentation. The presentation must include:

    incidence, prevalence (include to a global perspective), pathophysiology of the disease/disorder to the cellular level, existing prevention and therapeutic measures, current or future research relevant to the disorder/disease. The presentation must specifically address how this disorder/disease impacts
    ONE
    of the following age groups: infant/child, adult, or elderly.

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    This presentation should be no more than 20 slides (excluding title and reference slide(s)). APA 6
    th
    ed. is required. A minimum of 4 references excluding your text is required.

     

    Criteria

    Points

    Topic Description
    : incidence, prevalence (include to a global perspective), pathophysiology of the disease/disorder to the cellular level, existing prevention and therapeutic measures, current or future research relevant to the disorder/disease. NSG 530 Myocardial Infarction (MI) Case Study Assignment

    60

    Application of disorder/disease
    : Specific to age group.

     

    20

    References:
    Use of 4 scientific references (excluding text).

     

    5

    Other Criteria
    : Length not to exceed 20 slides  (excluding title and reference slides). APA 6th ed. format required. Your PowerPoint should utilize graphics including but not limited to images, graphs, tables, etc. You may also audio record or voice over to provide an explanation of a slide.

     

    15

    Total Points

     

    100

     

    Myocardial Infarction (MI)

    [Name] [Course] [Institution]

    Myocardial Infarction (MI)

    Definition

    Coronary heart disease (CHD)

    Ischemic heart disease (IHD)

    STEMI

    – Myocardial infarction (MI) is the occlusion of a coronary artery that supplies blood to the heart muscle (myocardium), leading to deprivation of oxygen and glucose to the heart muscle (Chadwick et al., 2018).- The myocardium requires a continuous supply of glucose and oxygen to carry out the work of pumping blood to the body.- Myocardial infarction is a form of coronary heart disease (CHD) and is the most common of all of them.- It is also referred to as ischemic heart disease (IHD) because it is a result of myocardial ischemia. NSG 530 Myocardial Infarction (MI) Case Study Assignment

    – There are two types of MI, ST-elevation MI (STEMI) and non-ST-elevation MI or NSTEMI (Chadwick et al., 2018).

    – STEMI is MI in which there is an accompanying abnormality (elevation) in the ST segment of the patient’s electrocardiogram.

    Myocardial Infarction (MI)

    NSTEMI

    Modifiable risk factors

    Non-modifiable risk factors

    Age bracket most affected

    – NSTEMI, on the other hand, is MI in which the patient’s ECG does not show ST-segment elevation but the patient’s blood cardiac enzymes like troponin are elevated.- the modifiable risk factors for MI include smoking, physical inactivity, alcohol consumption and diet without sufficient fruits and vegetables (Chadwick et al., 2018).- The non-modifiable risk factors include hypertension, diabetes mellitus, and congenital dyslipidemia (Chadwick et al., 2018).- MI commonly affects persons from the age of forty and above. Above age 75 years, its incidence increases manyfold.

    Incidence of Myocardial Infarction

    Definition

    Morbidity and mortality

    Geographical disparities

    Age dynamics

    – The incidence of a disease in epidemiology means the number of new cases of the disease in a given period of time. In the case of MI, this is the number of new acute MI cases recorded.- Coronary heart disease (CHD) is the leading cause of morbidity and mortality globally. MI is a manifestation of CHD.- Data from studies shows that the incidence of MI is falling in developed countries but rising in developing countries. This has been attributed to better health care and education in the developed countries than in the developing ones (Chadwick et al., 2018).- MI is also rare in persons younger than forty years old. With increasing age, the risk of MI rises significantly.

     

    Incidence of Myocardial Infarction

    Incidence in the US

    Global incidence

    Black men

    White men

    – The global incidence of MI is 32.4 million MI cases per year (WHO, 2020).- The incidence in the United States is 525,000 per year, according to data from the American Heart Association (Chadwick et al., 2018).- in the US, data has shown that Black men are more affected than White men and women. The incidence among Black males in the US is 12.9 per 100,000 males.- The incidence in White males is 9.1 per 100,000 males (Chadwick et al., 2018).

    Incidence of Myocardial Infarction

    This is the incidence of MI in the US by age, sex, and race. The data is for the year 2015 by the American Heart Association (Chadwick et al., 2018).

     

    Incidence of Myocardial Infarction

    Black women

    White women

    Black race a non-modifiable risk factor

    -The incidence in Black women is 10.2 per 100,000 females.- The incidence in White women is 7.8 per 100,000 females.- From these statistics, it follows that being Black or of Black origin is a non-modifiable risk factor. Race and therefore genetics obviously has a part to play in the epidemiology of myocardial infarction.

    Prevalence of Myocardial Infarction

    This is a sample of age-specific prevalence of MI in the United Kingdom, with data from the year 2014 (Chadwick et al., 2018).

     

    Prevalence of Myocardial Infarction

    Definition

    The case of MI

    Sex disparity in prevalence

    Men

    – Prevalence of a disease condition like MI is the total number of cases of the disease existing among the population at a given point in time.- In the case of MI, the prevalence refers to all the acute MI cases (first MI attack for the patient) and all the MIs in persons that have already suffered a previous MI (Chadwick et al., 2018).- The prevalence of MI is higher in men than in women, in line with the incidence.- The prevalence of MI in men is 12% (Chadwick et al., 2018).

     

    Prevalence of Myocardial Infarction

    Women

    Acute MI

    Repeat MI

    -The prevalence of MI in women is less than half that of men at 5.5% (Chadwick et al., 2018).- All MIs that occur for the first time are referred to as acute MIs. A myocardial infarction is usually a medical emergency with time from the onset of symptoms being the most significant determinant of morbidity and mortality.- Repeat MI is a myocardial infarction that occurs in a person that has had a previous episode of MI that was successfully managed. NSG 530 Myocardial Infarction (MI) Case Study Assignment

    Pathophysiology of Myocardial Infarction

    This is irreversible cardiomyocyte injury when the myocardium experiences ischemia (Frangogiannis, 2015).

     

    Pathophysiology of Myocardial Infarction

    Atherosclerosis

    Cardiomyocyte physiology

    Ischemia

    Infarction

    -MI is the end result of atherosclerosis. This is the deposition of fatty plaques on the tunica intima or inner lining of the coronary arteries . Over time, these fatty deposits become large enough to begin occluding the lumen of the coronary arteries.- As a result, enough blood does not reach the myocardium distal to the occlusion.- The cardiomyocytes that form the myocardium normally generate energy for the pumping force of the heart in the form of ATP (adenosine triphosphate).- ATP is generated by an intracellular process known as oxidative phosphorylation. This process requires oxygen and glucose together with a favorable pH for the enzymes involved to act efficiently. NSG 530 Myocardial Infarction (MI) Case Study Assignment

    – With partial occlusion, ischemia results and the myocardium is starved of both oxygen and nutrients.

    – With total occlusion, the cardiomyocytes die and infarction (tissue death) results (Frangogiannis, 2015).

    Pathophysiology of Myocardial Infarction

    Stoppage of ATP generation

    Anaerobic glycolysis

    Lactic acidosis (myocardial)

    Intracellular cardiomyocyte acidosis

    -The starvation of the cardiomyocytes of oxygen and glucose leads to the cessation of oxidative phosphorylation and the generation of ATP through the normal pathway.- To continue their function for a short while, the cardiomyocytes resort to anaerobic glycolysis (ATP generation without oxygen). These cells do this by utilizing the intracellular stores of glucose.- However, anaerobic glycolysis inevitably results in the generation of toxic lactic acid (lactate) in the myocardium. This raises the pH in the cardiomyocytes and intracellular acidosis occurs (Frangogiannis, 2015).

    Pathophysiology of Myocardial Infarction

    Enzyme denaturing in the glycolytic pathway

    Disturbance in ionic balance

    Removal of potassium (K+) from cardiomyocytes

    Rise in intracellular sodium

    -The low pH denatures the enzymes involved in the glycolytic pathway and the process of generating ATP even by anaerobic glycolysis stops.- There is also ionic balance disturbance in that potassium is expelled from the inside of the cardiomyocytes. NSG 530 Myocardial Infarction (MI) Case Study Assignment- When the cardiomyocytes die, more potassium is expelled.- The expelled potassium causes the heart’s electrical excitability to reduce.

    – The intracellular levels of sodium also rise affecting further the normal physiology of the myocardium (Frangogiannis, 2015).

    – The sum total of this pathophysiology is that the myocardium dies and the heart becomes unable to carry out its systolic function.

    Prevention of Myocardial Infarction

    Exercise

    Diet with fruits and vegetables

    Low fat diet

    Cessation of alcohol drinking

    – Regular exercise has the benefit of burning excess fat in the body hence reducing the risk of MI.- Eating food with enough fruits and vegetables has also been shown to reduce the chances of getting a MI.- Taking a diet low in fat reduces circulating low density cholesterol in the blood that would form atherosclerotic plaques in the coronary arteries. NSG 530 Myocardial Infarction (MI) Case Study Assignment- Stopping drinking of alcohol will also help protect against MI (WHO, 2020).

    Prevention of Myocardial Infarction

    Cessation of smoking

    Avoiding overweight and obesity

    Proper management of diabetes

    Proper management of hypertension

    – Stopping smoking will also prevent against MI.- One should also avoid overweight and obesity for the same reasons of reducing bodily fat.- If one has existing diabetes of hypertension, these conditions should be properly managed because they are risk factors to a myocardial infarction.

    Secondary Prevention of Myocardial Infarction

    Aspirin

    ACE inhibitors

    Statins

    Beta blockers

    -Aspirin or acetyl salicylic acid (ASA) has been shown by randomized controlled trial evidence to help in thinning the blood and prevent the possibility of a clot forming and causing a myocardial infarction.- Angiotensin converting enzyme inhibitors (ACEI) also have proven to be useful in preventing recurrent MI in persons who have had a previous MI.- Statins are drugs that lower the levels of low density cholesterol in the body. They are useful in preventing recurrence of MI.- Beta blockers also do help in preventing a second MI.

    Secondary prevention of Myocardial Infarction

    Antihypertensive treatment

    Managing preexisting conditions

    Regular check-ups with ECG taking

    -If one is already suffering from hypertension, it is essential that it is managed and kept under control.- Any other preexisting condition must also be treated for better prevention of MI.- Lastly, a habit of regular check-ups with the taking of ECG is essential for asssment of potential risk in persons with a history of MI. NSG 530 Myocardial Infarction (MI) Case Study Assignment

    Therapeutic Measures of Myocardial Infarction

    Percutaneous coronary intervention (PCI)

    Coronary artery bypass graft (CABG) surgery

    Medical thrombolysis

    Management of hypertension

    -PCI is an invasive procedure that is undertaken as an emergency procedure to restore perfusion. A wire is introduced aseptically through the skin and the coronary artery occlusion is relieved physically.- The other alternative remedy is medical thrombolysis in which the occluding clot is dissolved using special medication. This is done if the patient is still stable and not in imminent danger of mortality.- If the MI is recurrent, the option of surgery may be considered (CABG).- Lastly but not least, any existing hypertension must be managed properly as well.

    Current Research on Myocardial Infarction

    Weight gain and the risk of cardiovascular disease

    Thrombo-inflammation in myocardial infarction

    Cardioprotective medication adherence

    Neutrophils and cardiovascular inflammation

    – Research on weight gain and MI published in the European Journal of Clinical Nutrition.- Research on thrombosis and inflammation in MI published in Nature Communications journal.- Research on medication adherence published in Scientific reports journal.- Research on cardiovascular inflammation published in the journal Nature Reviews Cardiology (Springer Nature Limited, 2020). NSG 530 Myocardial Infarction (MI) Case Study Assignment

    References

    Chadwick J.J., Davatyan, K., Subramanian, S.S., & Priya, J. (2019). Epidemiology of myocardial infarction.
    Intech Open
    . Doi:10.5772/intechopen.74768

    Frangogiannis, N.G. (2015). Pathophysiology of myocardial infarction.
    Comprehensive Physiology, 5
    , 1841–1875
    .
     Doi:10.1002/cphy.c150006

    Springer Nature Limited (2020).
    Myocardial infarction – latest research and reviews
    . Retrieved 26 March 2020 from
    https://www.nature.com/subjects/myocardial-infarction

    World Health Organization [WHO] (2020).
    Cardiovascular disease
    . Retrieved 25 March 2020 from
    https://www.who.int/cardiovascular_diseases/priorities/secondary_prevention/country/en/index1.html

    NSG 530 Myocardial Infarction (MI) Case Study Assignment

  • Creating Psychologically Safe Healthcare Teams Essay

    Creating Psychologically Safe Healthcare Teams Essay

    The Role of Nurse Leaders in Ensuring Psychological Safety to Team Members at the Healthcare Workplace

    Psychological safety is concerned with individual employee perceptions about the repercussions of their actions at the workplace with regard to interpersonal interactions. The nurse leader is one of the key persons in the organization who are crucial in creating a psychologically safe work environment (Sherman, 2012). She is expected to understand that workplace safety behavior is affected by various psychological factors (Kotzé & Steyn, 2013). Creating a healthy and supportive workplace environment as through transformational leadership is therefore paramount (Arnold et al., 2011) Creating Psychologically Safe Healthcare Teams Essay.

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    The nurse executive can therefore make the case for creation of a psychological safe workplace to the various team leaders by pointing out what needs to be done. She needs to let them know that in a psychologically unsafe workplace environment, nurses may not report problems or mistakes made out of fear of the repercussions and how the news will be received. She should thus make the point by letting the team leaders know that they need to (Sherman, 2012):

    Let team members freely speak their minds at all times.

    Allow for disagreements in an amicable and constructive way.

    Not hold mistakes against the team members who make them.

    Encourage the freedom of sharing information, whether positive or negative.

    Encourage open discussion of thorny issues, and

    Allow for contrary opinions.

    Creating Psychologically Safe Healthcare Teams Essay

    Presentation of the role of team leaders in creating a psychologically safe workplace environment is going to take place through training them to adopt a healthy and supportive workplace culture (Arnold et al., 2011). They will be trained to set workplace rules of engagement, encourage open two-way communication, create opportunities for bringing employees together, encourage appreciation of diversity, and value people (the team members) more than workplace processes (Forbes Coaches Council, 2017) Creating Psychologically Safe Healthcare Teams Essay. One of the challenges that might be faced in working with the team members to achieve this include encounters with difficult personality traits of some of the team leaders, such as the narcissistic personality trait. Overcoming this would require patience and a cognitive behavioral therapy (CBT) approach to training this particular type of team leader (APA, 2020).

    References

    American Psychological Association [APA] (2020).
    What is cognitive behavioral therapy?
    Retrieved 16 March 2020 from
    https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral

    Arnold, I.M.F., Mulvale, G., GermAnn, K., & Baynton, M. (2011). Opportunities abound to improve mental health and psychological safety in the workplace.
    Healthcare Papers, 11
    (Special Issue), 85-90. Doi: 10.12927/hcpap.2011.22414

    Forbes Coaches Council (November 15, 2017). 14 ways you can improve psychological safety at work.
    Forbes
    . Retrieved 16 March 2020 from
    https://www.forbes.com/sites/forbescoachescouncil/2017/11/15/14-ways-you-can-improve-psychological-safety-at-work/#6dee1ee85610

    Kotzé, M. & Steyn, L. (2013). The role of psychological factors in workplace safety.
    Ergonomics, 56
    (12), 1928-1939. DOI: 10.1080/00140139.2013.851282

    Sherman, R.O. (May 24, 2012). Creating psychological safety in our workplaces.
    Emerging RN Leader
    . Retrieved 16 May 2020 from

    Creating Psychological Safety in Our Workplaces

     

    To Prepare:

    Review the Learning Resources on psychological safety. In particular, review the video resources featuring Amy Edmondson, a Harvard professor and expert on psychological safety in the workplace.

    Consider the role of team leaders in creating psychologically safe environments, and based on the resources provided, the specific benefits for healthcare organizations. Creating Psychologically Safe Healthcare Teams Essay

    Reflect on your role as a nurse executive and how you would explain to team leaders and other managers in a healthcare setting their roles in creating psychologically safe environments for team members, including benefits for teams and the organization. Consider possible types of resistance from team leaders and others, and how you would respond.

    By Day 3 of Week 4

    Post the following:

    A brief explanation of how, as a nurse executive, you would make the case to team leaders in a healthcare setting for the importance of developing a culture of psychological safety for team members. Describe how you would present the role of team leaders in creating psychologically safe environments, challenges you might face in working with team leaders on this goal, and how you would respond to overcome those challenges Creating Psychologically Safe Healthcare Teams Essay. Cite the Learning Resources or other literature to support your post.

    Environments are generally fashioned by the people in charge and changing how people react and respond is not as simple as flipping a switch—or even issuing a directive. It often requires providing strong evidence that encourages a change in behavior.

    For this Discussion, you will explore the process of creating psychologically safe healthcare teams by considering how you would educate others about the necessity of providing psychological safety and, specifically, how to achieve it.

    To Prepare:

    Review the Learning Resources on psychological safety. In particular, review the video resources featuring Amy Edmondson, a Harvard professor and expert on psychological safety in the workplace.

    Consider the role of team leaders in creating psychologically safe environments, and based on the resources provided, the specific benefits for healthcare organizations Creating Psychologically Safe Healthcare Teams Essay.

    Reflect on your role as a nurse executive and how you would explain to team leaders and other managers in a healthcare setting their roles in creating psychologically safe environments for team members, including benefits for teams and the organization. Consider possible types of resistance from team leaders and others, and how you would respond.

    By Day 3 of Week 4

    Post the following:

    A brief explanation of how, as a nurse executive, you would make the case to team leaders in a healthcare setting for the importance of developing a culture of psychological safety for team members. Describe how you would present the role of team leaders in creating psychologically safe environments, challenges you might face in working with team leaders on this goal, and how you would respond to overcome those challenges. Cite the Learning Resources or other literature to support your post.

    Psychological Safety

    How, as a nurse executive, you would make the case to team leaders in a healthcare setting for the importance of developing a culture of psychological safety for team members.

    Psychological safety in a healthcare working environment refers to the belief that an employee will not be punished, or face humiliation for speaking their concerns, questions, or mistakes (Aranzamendez, James, & Toms, 2015). Teams that make mistakes tend to be more successful compared to those that avoid mistakes or criticize employees for making mistakes (Newman & Donohue, 2017). This is because when an organization creates an environment where people feel safe and comfortable enough to take up challenges and risks, innovation in such a workplace is enhanced. As a nurse executive, I would build a case for more innovation, creativity, and team participation through the creation of a workplace that nurtures psychological safety. Creating Psychologically Safe Healthcare Teams Essay

    Describe how you would present the role of team leaders in creating psychologically safe environments.

    The first step is to let the team leaders know that the most effective way of creating a psychologically safe place is through leading by example. Team leaders will be tasked with asking for upward feedback from their subordinates; acknowledging their own mistakes; be open to listening to opinions that differ from their own; encourage reports as well as make themselves approachable to team members. The second step would encourage active listening. Team leaders can take actions that show they are actively listening to their team members such as switching off phones during meetings; repeating what a team member says to show the team leader understands; encourage more questions to be asked to improve participation, and actively asking opinions from employees who rarely speak.

    Challenges you might face in working with team leaders on this goal, and how you would respond to overcome those challenges

    One of the major challenges that I am likely to face with team leaders is a lack of trust (Jones & Van de Ven, 2016). Team leaders may feel they cannot trust the new change; have suspicions as to why the change is being made; or believe that their job is under question. They may also fear that one of the team members may look for reasons to complain about their leadership skills if the team member’s feedbacks are not handled o their satisfaction. To counter this, as a nurse executive I will need to reassure the team leaders that I understand their fears and proceed to help them understand that the new approach will impact the work of every staff member (Will, 2015). I will also ensure that the team leaders embrace the vision of better service delivery and how integrating the new changes would be in line with this vision. Creating Psychologically Safe Healthcare Teams Essay

    References

    Aranzamendez, G., James, D., & Toms, R. (2015, July). Finding antecedents of psychological safety: A step toward quality improvement. In 
    Nursing forum
     (Vol. 50, No. 3, pp. 171-178).

    Jones, S. L., & Van de Ven, A. H. (2016). The changing nature of change resistance: An examination of the moderating impact of time. 
    The Journal of Applied Behavioral Science
    , 
    52
    (4), 482-506.

    Newman, A., Donohue, R., & Eva, N. (2017). Psychological safety: A systematic review of the literature. 
    Human Resource Management Review
    , 
    27
    (3), 521-535.

    Will, M. G. (2015). Successful organizational change through win-win. 
    Journal of Accounting & Organizational Change Creating Psychologically Safe Healthcare Teams Essay
    .

  • NURS 6053 Emotional Intelligence & Transformational Leadership Theories in Practice

    NURS 6053 Emotional Intelligence & Transformational Leadership Theories in Practice

    NURS 6053

    Discussion 1: Leadership Theories in Practice

    A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

    However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

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    Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

    To Prepare:

    Review the Resources and examine the leadership theories and behaviors introduced.

    Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments. NURS 6053 Emotional Intelligence & Transformational Leadership Theories in Practice

    Reflect on the leadership behaviors presented in the three resources that you selected for review.

    Assignment

    Post
     two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

     
    APA 6
    th
    edition

    No Running head or page number

    No cover pages

    Peer reviewed articles/journals not to be older than 5 years

    Please formulate according to instructions provided

     

    Practical Examples of How Emotional Intelligence in Nurse Leadership and Transformational Leadership Can Create Healthy and Productive Work Environments NURS 6053 Emotional Intelligence & Transformational Leadership Theories in Practice

    Two of the leadership traits and skills that I have observed working well in nurse leaders in a healthcare organization setting are transformational leadership and emotional intelligence (EI). Transformational leadership is a type of leadership that is accommodating, understanding, appreciative, empathetic, and supportive. It results in the creation of a very conducive work environment that motivates the nurses working in it under the transformational leader to give only their best (Cheng et al., 2016). This translates to better quality nursing care offered by the motivated nurses and overall improved patient outcomes. In a health organization I worked in, there was a nurse leader who managed the renal unit but who was always harsh, retributive, and judgemental. The nursing staff under her were always stressed and demotivated. As a result, the unit’s nurse turnover was very high – above the institution’s average. After she was finally removed from the position and another more transformational nurse leader appointed, the change was noticeable. Staff became more motivated and willing to work. She listened and encouraged everybody. She also consulted and was never judgemental.

    Emotional intelligence (EI) is also closely related to transformational leadership. It is the ability to appreciate one’s own feelings and emotions together with those of others, and regulating both sets accordingly (Phillips & Harris, 2017; Raghubir, 2018). EI also facilitates a positive and welcoming work environment. It therefore motivates nurses thereby impacting positively on the quality of nursing care and patient outcomes (Raghubir, 2018). In yet another institution I worked in, a nurse manager I worked under had very high EI. Through her ability to manage her emotions and understand mine too, I had very high job satisfaction and completed all the tasks delegated to me in the shortest time possible and excellently. NURS 6053 Emotional Intelligence & Transformational Leadership Theories in Practice

    These two factors – emotional intelligence and transformational leadership – were effective to a very high extent and made the workplace very enjoyable to work in.

    References

    Cheng. C., Bartram, T., Karimi, L. & Leggat, S. (2016). Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses.
    Personnel Review, 45
    (6), 1200 – 1216.
    http://dx.doi.org/10.1108/PR-05-2015-0118

    Phillips, J. & Harris, J. (2017). Emotional intelligence in nurse management and nurse job satisfaction and retention: A scoping review protocol.
    JBI Database of Systematic Reviews and Implementation Reports, 15
    (11), 2651–2658. DOI: 10.11124/JBISRIR-2016-003300

    Raghubir, A.E. (2018). Emotional intelligence in professional nursing practice: A concept review using Rodgers’s evolutionary analysis approach.
    International Journal of Nursing
    Sciences
    . Doi: 10.1016/j.ijnss.2018.03.004 NURS 6053 Emotional Intelligence & Transformational Leadership Theories in Practice

  • Healthcare Budget Request – Estimating Expenses for Tele-Health Services

    Healthcare Budget Request – Estimating Expenses for Tele-Health Services

    The Estimated Expenses and Return on Investment (ROI) for Tele-Health Services

    Telehealth Expense Estimation & Return on Investment (ROI) Calculation

    Equipment & Other

    Cost (USD)

    Telemedicine cart

    5000

    Routers

    10000

    Digital camera

    12000

    Telemedicine software:

    For live video conferencing

    20000

    For store-and-forward telemedicine

    18000

    For remote monitoring of patient data

    15000

    Overhead & miscellaneous costs

    60000

    Training of assisting staff

    30000

    Computers & related hardware

    30000

    Total expense

     

     

     

    200000

     

    Projected Income Over a Five Year Period

    Year

    2020

    2021

    2022

    2023

    2024

    Income (USD)

    288000

    360000

    432000

    504000

    576000

    Total income in USD over 5 Years

    2160000

    Return on Investment (ROI) Calculation

    ROI =

    Net Income

    Cost of Investment

    ROI =

    2160000 – 200000

    200000

    ROI =

    1960000

    200000

    ROI =

    9.8

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    Summary of Analysis and Interpretation of Results

    The return on investment or ROI is a financial profitability ratio that indicates the financial benefit gained by an investor with regard to the initial cost of their investment. A high ROI ratio means that the financial benefit from the investment is also high. For instance, a ROI of 1.0 means that there is a return on investment of 100% on the initial financial outlay. The ROI ratio assists an investor to make the decision whether to invest in a venture or not. It can also be negative in value, meaning a negative return on investment or a lack of gain (CFI Education, Inc., 2020) Healthcare Budget Request – Estimating Expenses for Tele-Health Services.

    In this calculation, the initial projected financial outlay or expenses amount to USD 200000. Most of this will go into the purchase of the equipment necessary for the virtual patient visits (Hayes, n.d.). The equipment include amongst others a telemedicine cart which can be wheeled from one office to another while carrying the telemedicine paraphernalia, a high resolution digital camera, and telemedicine software to run the operation (eVisit, 2018).

    In calculating the income, some assumptions have been made. First, it is assumed that the average number of patients that will be seen daily in the first year will be twenty. The clinician will be working for five days in a week on telemedicine consultations. Second, it is assumed that the number of patients will increase by five per day in each subsequent year up to a total 40 patients per day in the fifth year (2024). Using the formula for calculating ROI (net income minus cost of investment), we get a net income of USD (2160000-200000) which is USD 1960000 and divide it by 200000 to get
    9.8
    . Healthcare Budget Request – Estimating Expenses for Tele-Health Services This investment therefore has the potential of bringing a return of 980% in a span of 5 years. It is therefore a worthwhile healthcare investment for the organization to put money in.

    References

    CFI Education Inc. (2020).
    ROI formula (Return on Investment)
    . Retrieved 18 March 2020 from
    https://corporatefinanceinstitute.com/resources/knowledge/finance/return-on-investment-roi-formula/

    eVisit (May 25, 2018).
    Telemedicine equipment
    . Retrieved 19 March 2020 from
    https://evisit.com/resources/telemedicine-telehealth-equipment/

    Hayes, H. (n.d.).
    What should you charge for telemedicine visits
    ? Retrieved 18 March 2020 from
    https://blog.evisit.com/charge-telemedicine-visits

     

    For this Assignment you will calculate estimated expenses associated with a proposed new healthcare product or service (tel-health). You will also estimate revenues and calculate a return on the proposed investment.

    To Prepare

    • Reflect on the healthcare product or service solution you have proposed for your healthcare organization. Consider expenses (including any capital expenditures) that will be required to implement your product or service.

    • Reflect on the estimated revenues (if any) that your proposed solution will generate.

    • Reflect on the need for financing to meet the estimated expenses associated with your idea.

    • For each of the above, consult with your internal financial counselor as needed.

    Healthcare Budget Request – Estimating Expenses for Tele-Health Services

    The Assignment: Estimating Expenses

    Conduct an analysis of estimated expenses and revenues associated with your product or service idea by completing the following:

    Part 1: Expense/Revenue/ROI Analysis:Excel Document

    Open your Healthcare Budget Request workbook that you created in Week 2, and navigate to the “Estimated Expenses” worksheet. Using the Healthcare Budget Request Workbook Step-by-Step Guide for guidance, create a worksheet that records the following:

    • Each of the estimated expenses associated with your proposed idea, including startup expenses. Be sure to label each appropriately, with enough description to make it clear what the item is and what the estimated cost involves.

    • Each of the estimated revenues associated with your proposed idea. Be sure to label each appropriately, with enough description to make it clear what the item is and any necessary details regarding sources of revenues (including reimbursements) Healthcare Budget Request – Estimating Expenses for Tele-Health Services.

    • Calculate the total estimated expenses and revenues for the next 5-year period.

    • Calculate the Return on Investment (ROI) for your proposed idea.

    NOTE: You will copy your worksheet and analysis onto the Healthcare Budget Request Template (Word document) for submission.

    Part 2: Summary of Analysis and Interpretation of Results:

    Create a brief (1- to 2-page) description of your analysis that clearly describes the estimated financial impact of your proposed idea. Interpret the results by explaining what your ROI calculation means to the organization Healthcare Budget Request – Estimating Expenses for Tele-Health Services.