Tag: Clinical-Nursing

  • Nurse Informatics Essay Example

    Nurse Informatics Essay Example

    Week 3 Discussion Post

    I work in an outpatient primary care/ specialty care (geriatrics) practice that is part of a large accountable care organization within a large hospital system. The practice operates based on value-based repayment that is achieved through care coordination efforts, wellness initiatives, and preventative care. According to Donatelli and Meyers (2014), “value-based care, informed by data, interpreted and applied by expert nurses, is best care for our patients” (p. 35). Improvement specialists are nurse informaticists within the organization that help the individual practices track, manage, and predict care utilization, health maintenance activities, and goal progress Nurse Informatics Essay Example.

    Typically, interactions with improvement specialists occur via pre-scheduled virtual meetings in which data is analyzed and reviewed. In addition to data review, the improvement specialists also provide suggestions for how to incorporate new initiatives into daily workflows and how new or existing functions within the EHR can be utilized to improve patient interactions. Elsayed et al. (2016) recognize the topics covered during these interactions as critical functions for nursing informaticists that lead to improved nursing care. While these interactions provide a lot of useful information, the meetings are not specific to individual practices which can lead to unnecessary information overload. Some of the strategies I would suggest to improve the interactions with the improvement specialists are meeting with practices individually rather than presenting to groups of practices and providing data information to practices ahead of time for review Nurse Informatics Essay Example.

    Nursing informaticists proved to be invaluable during the COVID-19 pandemic due to the rapid changes needed in healthcare to continue to provide patient care safely. The evolution of nursing informatics as a specialty is expected to continue to improve quality of patient care through improved clinical decision-making tools and integration of evidence-based practice in EHRs (McGonigle & Mastrian, 2017). Additional roles that can be taken on as the specialization continues to expand include policymakers, educators, and operational owners, as these nurses are well prepared to find, analyze, and integrate data to improve healthcare and operations (Schoenbaum & Carroll, 2021). As new technologies continue to be developed, I would expect to see more team-based care and improved continuity of care through virtual communications.

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    References

    Donatelli, D. & Meyers, E. (2014). Nursing analytics: Using cost and quality information to improve patient care. 
    Patient Safety & Quality Healthcare, 11
    (2), 32-37.

    Elsayed, I. A., El-Nagger, N., & Mohamed, H. A. A. (2016). Evolution of nursing informatics: A key to improving nursing practice. 
    Research Journal of Medicine and Medical Sciences, 11
    , X-X7.

    McGonigle, D. & Mastrian, K. (2017). 
    Nursing informatics and the foundation of knowledge
    . (4
    th
     ed). Jones & Bartlett Learning.

    Schoenbaum, A. E. & Carroll, W. M. (2021). Nursing informatics key role in defining clinical workflow, increasing efficiency, and improving quality. 
    Healthcare Information Management and Systems Society
    . 
    https://www.himss.org/resources/nursing-informatics-key-role-defining-clinical-workflow-increasing-efficiency-and

    Discussion: Interaction Between Nurse Informaticists and Other Specialists

    Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

    Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

    In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved Nurse Informatics Essay Example.

    To Prepare:

    Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

    Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

    By Day 3 of Week 3

    Post
     a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

    By Day 6 of Week 3

    Respond
     to at least 
    two
     of your colleagues
    * on two different days
    , offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

     This is an interesting topic to dive into; sometimes, we do not realize that the shift in reimbursement has gone from a fee-for-service matrix to one that is service-based and value-driven. There is rapid change occurring in the U.S. healthcare system. Under the changes instituted in 2015, the switch to a performance-based fee system was begun( Squitieri, Bozic, & Pusic, 2017). I believe that is what you are referring to in your post. Do the information specialists track visits and satisfaction within your clinic? I know I work in an outpatient wound care clinic Once a week, and there are times where corporate team members come and analyze our process for the clinic from check-in time to discharge.  In your workplace, do providers get reimbursed at a higher rate if their scores go up? I know that this, at one point, led to providers overprescribing pain medication to get a good patient score. I know that informatics is implementing change and improving flows within nursing and the medical field. I assume that the informatics team members in your facility are implementing  EBP and screening tools into your workflow (McGonigle & Mastrian 2017)to determine the amount of time each patient could require or flag certain patients who may need their annual bloodwork, be missing diagnostic testing. That is good that you guys at least interact with your Data department; I am not sure how I would contact mine; however, I am sure this is cause I  work the night shift, and if there was a need, I could track down the appropriate person Nurse Informatics Essay Example. Good Post, thank you!

    References:

    McGonigle, D. & Mastrian, K. (2017). 
    Nursing informatics and the foundation of knowledge
    . (4
    th
     ed). Jones & Bartlett Learning.

    Squitieri, L., Bozic, K. J., & Pusic, A. L. (2017). The role of patient-reported outcome measures in value-based payment reform. 
    Value in Health
    , 
    20
    (6), 834-836 Nurse Informatics Essay Example.

  • Discussion: Interaction Between Nurse Informaticists and Other Specialists

    Discussion: Interaction Between Nurse Informaticists and Other Specialists

    Main Post

    Nurse informaticists and information technology professionals are crucial to keep a hospital running. Unfortunately, we often only see these professionals when new software or technology is rolling out or there is a malfunction of some type. Of course, these professionals are continuing to keep things running without always working with bedside health professionals. As time goes on in health care, the more computer proficient we all become. Ways, the bedside health care worker, can be a better student for the nurse informaticist or information technology professional is to pay attention. As much as many of us hate learning new technology, if we pay attention to the expert, we can streamline whatever new software or product. If you pay attention during the demonstration of new software and become a superuser for the floor, fewer information classes will be needed for new software. In reverse, the information technology professional or nurse informaticist also needs to listen to feedback. The bedside nurse will work will the latest software and give valuable information on how to make software and technology more user-friendly. For instance, if there is a long, arduous computer program for the operating room and the bedside nurse has feedback on how to shorten the form, it is a win-win Discussion: Interaction Between Nurse Informaticists and Other Specialists. Nursing informatics continues to grow, and most bedside nurses today use substantially more technology than they did even five years ago. This evolution helps give nurses programs that safeguard the patient and nurse. The profession of nursing informatics also continues to grow, with colleges now offering specific nursing informatics degree programs. It has been shown that nurses that are competent in nursing informatics increase patient safety (Jouparinejad et al., 2020). The nurse informaticist may also safeguard the patient to avoid the patient’s record being stolen by the dark web (Kim, 2020). No matter what your role in nursing is going forward in health care, nurses must have some competencies in nursing informatics (Murphy et al., 2018).

    References

    Jouparinejad, S., Foroughameri, G., Khajouei, R., & Farokhzadian, J. (2020). Improving the informatics

    competency of critical care nurses: results of an interventional study in the southeast of Iran Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    BMC Medical Informatics and Decision Making, 20(1), 220.

    https://doi-org.ezp.waldenulibrary.org/10.1186/s12911-020-01244-5

    Kim, L. (2020). Cybercrime, ransomware, and the informatics nurse. Nursing Management, 51(5), 10–12.

    https://doi-org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000659448.63050.f1

    Murphy, J., Honey, M., Newbold, S., Weber, P., & Wu, Y. H. (2018). Forecasting Informatics

    Competencies for Nurses in the Future of Connected Health. Studies in Health Technology and

    Informatics, 250, 58–59 Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    Discussion: Interaction Between Nurse Informaticists and Other Specialists

    Nature offers many examples of specialization and collaboration. Ant colonies and bee hives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize by tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.

    Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

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    In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

    To Prepare:

    Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

    Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

    By Day 3 of Week 3

    Post
     a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

    By Day 6 of Week 3

    Respond
     to at least 
    two
     of your colleagues
    * on two different days
    , offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    response

    I share your concern since I have gone through the same issue. Superusers on the floor is a great idea. Feedback by nurses is also important. According to Murphy (2010), nursing informatics today has evolved to be an integral part of health care delivery and a differentiating factor in the selection, implementation, and evaluation of health information technology that supports safe, high-quality, patient-centric care. Nurses are a patient’s lifeline in numerous ways. In today’s digital world, nurses must be aware of the risk of data and system tampering. The incorporation of informatics makes up able to detect potential threats and problems associated with the integrity and security of the data system. For example, it assists in compliance with HIPPA. The software installed will provide the data regarding each user. Due to the strict recommendation that only team members who are directly involved in patient care are allowed to look u patient information, the branch of nursing informatics reduces cybercrime as well.

                                                                                                 References

    Kim, Lee JD, CISSP, CIPP/US, FHIMSS Cybercrime, ransomware, and the informatics nurse, Nursing Management (Springhouse): May 2020 – Volume 51 – Issue 5 – p 10-12 DOI: 10.1097/01.NUMA.0000659448.63050.f1

    Murphy, J. (2010). Nursing informatics: The intersection of nursing, computer, and information

    sciences. Nursing Economics, 28(3), 204-7.

    https://search.proquest.com/docview/577364695?accountid=6724

    HIPAA Checklist: Securing Healthcare Organizations with Zero Trust

     

     

    response 2

    Great post! This information is very accurate. Technology is advancing every day with the Electronic Health Record (HER) and documentation systems. The physicians, nursing staff and healthcare team does try their best to keep things going if there is a malfunction. The facility I work in has down time every so often during night shift. It is planned ahead of time so we can plan with additional staff as well as have paper documentation and forms ready incase of an emergency or new orders are obtained. During down time, there are risks of increased error, orders being missed or not complete and increase in time management. These things are some of the reasons to why technology is important in the health care setting to being with (2019, AHP) Discussion: Interaction Between Nurse Informaticists and Other Specialists.

    The facility I work in has super-users as well. Each unit has designated staff that go through additional education courses on the roll out of new equipment or technology. This helps patient care, nurse competency and keeps things moving on the unit. Nurses are knowledge workers every day. They learn and process expertise in a particular area or field of study and distribute their knowledge through teaching, demonstration, and patient care to create the biggest benefit possible (2017, McGonigle & Mastrian).

    References

    Avant Healthcare Professionals. (2019, September 1
    st
    ). How Technology is Impacting Nursing

    Practice in 2020. https://www.avanthealthcare.com/blog/articles/how-technology-is-

    impacting-nursing-practice-in-2019.stml.

    McGonigle, D., & Mastrian, K.G. (2017). Nursing Informatics and the Foundation of Knowledge

    (4
    th
     ed.). Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537-

    551). Burlington, MA: Jones & Bartlett Learning Discussion: Interaction Between Nurse Informaticists and Other Specialists.

  • NURS 6051 Assignment: The Nurse Leader as Knowledge Worker

    NURS 6051 Assignment: The Nurse Leader as Knowledge Worker

    The Nurse Leader as a Knowledge Worker

    Transforming Nursing and Healthcare Through Technology

    The Concept of Knowledge Workers

    Greatly related to the purpose of nursing and its process

    A serial and goal-oriented endeavor that involves:

    Steps and actions

    Operations

    Performance

    The concept has evolved consistent with healthcare reform’s emphasis on:

    More access

    Higher quality

    Lower costs

    Today, knowledge workers utilize technology and data systems to:

    Engage in evidence-based decision making

    Speed up diagnosis and treatment NURS 6051 Assignment: The Nurse Leader as Knowledge Worker

    The Concept of a Knowledge Worker

    The concept is significantly related to the purpose of nursing. According to Conrad and Sherrod (2011), any exploration of the epistemological foundation of the profession must consider nursing as a process. It is a serial and goal-oriented endeavor that involves various steps, actions, operations, and performance between a patient and a practitioner. The concept of a knowledge worker has evolved consistent with healthcare’s reform emphasis on more access, higher quality, and lower costs (Pritchard, 2006). These factors have incentivized the application of technology and the creation of systems for data aggregation and analysis. Furthermore, the concept of knowledge workers has changed as the need for standardization has grown. Today, knowledge workers are required to utilize technology and data systems to engage in evidence-based decision-making. They should also use the technology to speed up diagnosis and treatment through better medical and nursing information sharing NURS 6051 Assignment: The Nurse Leader as Knowledge Worker.

    Nursing Informatics

    Combines nursing with information and analytical sciences

    Supports identification, description, administration, and representation of data

    Nursing informatics plays roles, such as:

    Aiding in healthcare promotion

    Dealing with current challenges like an aging population or nurse shortages

    Most value stems from documentation

    Nursing Informatics

    As a specialty, nursing informatics combines nursing with information and analytical sciences to support identification, description, administration, and representation of data, information, and knowledge in practice. According to Darvish et al. (2014), nursing informatics plays numerous roles. It aids in healthcare promotion. Tellingly, a technologically rich environment facilitates a higher quality of care and improves patient safety. Nursing informatics also helps healthcare institutions and organizations better deal with current challenges, including an aging population, shortage of doctors and nurses, and incidence and prevalence of chronic conditions through the provision of data. Majorly, value has been realized through documentation – electronic charting – which ensures that nurses can obtain information quickly and efficiently to improve workflow NURS 6051 Assignment: The Nurse Leader as Knowledge Worker.

    Nurse Leaders as Knowledge Workers: Their Role

    Nurse leaders need skills to gather and analyze data.

    They play key roles, including:

    Harnessing the potential of electronic systems

    Translating patient findings

    Advocating for the integration of technology

    Empowering others to aggregate data and recognize patterns

    Technology role models and change agents

    The Role of a Nurse Leader as a Knowledge Worker

    Nurse leaders need to develop skills for gathering data, its analysis and have the capacity to identify clinical trends and patterns. In patient-care delivery and decision making, they should possess essential knowledge worker skills, including data gathering and knowledge usage and building. The nurse manager should also be equipped with the required tools necessary to harness the potential of electronic data systems. They should be ready and prepared to translate patient findings and associated information into knowledge to inform and drive positive patient outcomes (Westra et al., 2015). Nurse leaders should also advocate for integrating electronic technologies in their departments, motivate adoption by instilling a sense of excitement for the changes and promote literacy. Additionally, the nurse leader must empower others to aggregate data and recognize patterns to deliver seamless and effective patient-care services. As technology role models, nurse leaders must possess competence in dealing with data, EMRs, and online research. They are also change agents and departmental gatekeepers regarding the need to implement new systems or not. Finally, as critical communicators, nurse leaders appraise others of data findings, benchmarks, and the outcomes posted by a department or unit NURS 6051 Assignment: The Nurse Leader as Knowledge Worker.

    Hypothetical Scenario

    Involves a male patient

    Complained of a cough after visiting the psychiatric medical surgical unit

    Patient had labored breathing, limited oxygen, and elevated respiration

    Data that could be used in the scenario includes:

    Values from the DynaMap, vitals machine, or respiratory rate

    Images from the x-ray

    Numeric data from digital monitors and magnetic resonance imaging outputs

    Other data includes the patient’s complaints and any further assessment

    The hypothetical scenario involved a personal experience, where a male patient complained of a cough after visiting the psychiatric medical unit. The patient experienced labored breathing, oxygen was on the lower end, and the respiratory rate was elevated. A chest x-ray was ordered. Data that could be used in the scenario includes values from the DynaMap, vitals machine, and the respiratory rate. Other data includes the x-ray image, graphic monitor displays, and a magnetic resonance imaging output. Furthermore, the patient’s complaints and further assessment can be done to provide more data. The EMR provides an archive for future reference NURS 6051 Assignment: The Nurse Leader as Knowledge Worker.

    Hypothetical Scenario Cont’d

    The data can provide knowledge, such as:

    Steps or actions needed to identify the cause of the problem

    The condition presented by the patient, such as pneumonia or pulmonary embolism

    Whether presented symptoms are just a false alarm and inconsequential

    Knowledge-based systems can show steps to be taken or evidence-based practice

    New or entry nurses can rely on knowledge based software, including:

    Mosby Nursing Skills

    Lippincott Nursing

    Knowledge provided by the data includes steps to identify the problem facing the patient, the exact condition they suffer from, or establishment of a false alarm. Nurses can use knowledge-based systems to identify the steps to follow or evidence-based practice. Common systems used by entry level nurses include Mosby Nursing Skills and Lippincott Nursing NURS 6051 Assignment: The Nurse Leader as Knowledge Worker.

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    References

    Conrad, S., & Sherrod, D. (2011). Nurse managers as knowledge workers. 
    Nursing Management
    , 
    42
    (2), 47-48.

    Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. 
    Global Journal of Health Science
    , 
    6
    (6), 11.

    Pritchard, A. M. (2006). Leadership, innovation, and knowledge workers in health-care reform. 
    The Canadian Nurse
    , 
    102
    (5), 13.

    Westra, B. L., Clancy, T. R., Sensmeier, J., Warren, J. J., Weaver, C., & Delaney, C. W. (2015). Nursing knowledge: Big data science—Implications for nurse leaders. 
    Nursing Administration Quarterly
    , 
    39
    (4), 304-310.

     

    Assignment:
    The Nurse Leader as Knowledge Worker

    The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book,
    The Landmarks of Tomorrow
     (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

    Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

    In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

    Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

    To Prepare:

    Review the concepts of informatics as presented in the Resources.

    Reflect on the role of a nurse leader as a knowledge worker.

    Consider how knowledge may be informed by data that is collected/accessed NURS 6051 Assignment: The Nurse Leader as Knowledge Worker.

    The Assignment:

    Explain the concept of a knowledge worker.

    Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

    Include one slide that visually represents the role of a nurse leader as knowledge worker.

    Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

    NURS_5051_Module01_Week02_Assignment_Rubric

    Grid View

    List View

    Excellent

    Good

    Fair

    Poor

    Develop a 5- to 6-slide PowerPoint presentation that addresses the following:

    ·   Explain the concept of a knowledge worker.

    ·   Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

    32 
    (32%)
     – 35 
    (35%)

    The presentation clearly and accurately explains the concept of a knowledge worker.

    The presentation clearly and accurately defines and explains nursing informatics with a detailed explanation of the role of the nurse leader as a knowledge worker.

    Includes: 3 or more peer-reviewed sources and 2 or more course resources.

    28 
    (28%)
     – 31 
    (31%)

    The presentation explains the concept of a knowledge worker.

    The presentation defines and explains nursing informatics with an explanation of the role of the nurse leader as a knowledge worker.

    Includes: 2 peer-reviewed sources and 2 course resources.

    25 
    (25%)
     – 27 
    (27%)

    The presentation inaccurately or vaguely explains the concept of a knowledge worker.

    The presentation inaccurately or vaguely defines and explains nursing informatics with an inaccurate or vague explanation of the role of the nurse leader as a knowledge worker.

    Includes: 1 peer-reviewed sources and 1 course resources.

    0 
    (0%)
     – 24 
    (24%)

    The presentation inaccurately and vaguely explains the concept of a knowledge worker or is missing.

    The presentation inaccurately and vaguely defines and explains nursing informatics with an inaccurate and vague explanation of the role of the nurse leader as a knowledge worker or is missing.

    Includes: 1 or fewer resources.

    ·   Develop a simple infographic to help explain these concepts.

    14 
    (14%)
     – 15 
    (15%)

    The presentation provides an accurate and detailed infographic that helps explain the concepts related to the presentation.

    12 
    (12%)
     – 13 
    (13%)

    The presentation provides an infographic that helps explain the concepts related to the presentation.

    11 
    (11%)
     – 11 
    (11%)

    The presentation provides an infographic related to the concepts of the presentation that is inaccurate or vague.

    0 
    (0%)
     – 10 
    (10%)

    The infographic provided in the presentation related to the concepts of the presentation is inaccurate and vague, or is missing.

    ·   Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data. Be sure to incorporate feedback received from your colleagues’ replies.

    32 
    (32%)
     – 35 
    (35%)

    The presentation clearly and thoroughly includes the hypothetical scenario originally shared in the Discussion Forum, including a detailed and accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data NURS 6051 Assignment: The Nurse Leader as Knowledge Worker.

    28 
    (28%)
     – 31 
    (31%)

    The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an accurate examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data.

    25 
    (25%)
     – 27 
    (27%)

    The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague or inaccurate.

    0 
    (0%)
     – 24 
    (24%)

    The presentation includes the hypothetical scenario originally shared in the Discussion Forum, including an examination of the data used, how the data might be accessed/collected, and the knowledge that could be derived from the data that is vague and inaccurate, or is missing.

    Written Expression and Formatting – Paragraph Development and Organization:

    Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.

    5 
    (5%)
     – 5 
    (5%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

    4 
    (4%)
     – 4 
    (4%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

    3.5 
    (3.5%)
     – 3.5 
    (3.5%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

    0 
    (0%)
     – 3 
    (3%)

    Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5  (5%)  – 5  (5%) Uses correct grammar, spelling, and punctuation with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) grammar, spelling, and punctuation errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. 5  (5%)  – 5  (5%) Uses correct APA format with no errors. 4  (4%)  – 4  (4%) Contains a few (1-2) APA format errors. 3.5  (3.5%)  – 3.5  (3.5%) Contains several (3-4) APA format errors. 0  (0%)  – 3  (3%) Contains many (≥ 5) APA format errors. Total Points: 100 Name: NURS_5051_Module01_Week02_Assignment_Rubric NURS 6051 Assignment: The Nurse Leader as Knowledge Worker

  • Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion

    Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion

    By Day 3 of Week 1

    Post
     a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

     

    I work in a nursing home part-time. There is a nursing shortage currently possibly due to Covid 19, as some nurses I know are laid off and abusing the unemployment extra money. It could also be the facility that constantly had problems stemming from management. There is an average of 75 residents in the facility at any given time. The nursing home utilized trained medical assistants (TMA) on a medication cart during some shifts and two licensed nurses in the building at night, LPNs and 2-3 CNAs. There is an abundance of office people that only work from 9-5 and have all weekends off. When nurses in hospitals complain of nursing to staff ratio, they have nothing in nursing homes. I feel that after you have lived your entire life working, raising a family, and contributing to society—you deserve better than going to a nursing home. The residents may or may not get bathed regularly, the food is horrible and not nutritional, and many things fall through the cracks. One thing that would be beneficial is if management used the Management Information System outlined in the text to develop routine reports for decision making (McGonigle & Garver Mastrian, 2018). A periodic report used by management could schedule CNAs and nursing staff according to resident needs

    Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion

    .

    My other job is comprehensive home care. We are in the dark ages as we still use paper charting. I have tried to suggest using an electronic system so I would be able to bring a laptop to my client’s homes when assessing them. Sweeney reiterates, “Providers who do not typically use an EHR are now finding themselves in a learning curve while still maintaining their patient caseload and providing comprehensive care (para 4).” Our home care agency just changed the entire paperwork trail for the third time in three years, and electronic records would save time and money in the long run. The home care agency did incorporate electronic training in the field staff as home care is a rural entity. Some of my clients are veterans. The Veteran Administration uses telehealth and other components to keep their patients in communication with the providers, such as electronic scales and blood pressure monitors that send data directly to their provider. A few clients also have IPads to communicate face to face. In The Future of Home Health Care: Workshop Summary (Demiris, Kaushal, & Nilsen, 2015),

    Nilsen noted that the workshop started from the assumption that technology could enhance health outside of hospitals and nursing homes by improving and sustaining health and increasing the quality of life; by allowing people to live at home longer; by reducing health care costs, especially the cost of unnecessary hospitalizations and rehospitalizations; and by reducing the strain on the health care workforce and family caregivers Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion. Further, the participants looked for ways to use technology’s strengths to facilitate communication and data collection.

    Since working home care after starting in a nursing home and assisted living, I strive to keep my clients healthier in their home, hoping they can enjoy living out their lives in the place they have worked hard to achieve.

    References

    Demiris, G., Kaushal, R., & Nilsen, W. J. (2015, August 4). 
    The Future of Home Health Care: Workshop Summary.
     (N. A. Press, Producer) Retrieved 2021, from NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.: https://www.ncbi.nlm.nih.gov/books/NBK315926/?report=printable

    McGonigle, D., & Garver Mastrian, K. (2018). 
    Nursing Informatics and the Foundation of Knowledge
     (Fourth ed.). (J. &. Learning, Ed.) Retrieved 2021

    Sweeney, J. (2017, Winter). Healthcare Informatics. 
    Online Journal of Nursing Informatics, 21
    (1).

     

    By Day 6 of Week 1

    Respond
     to at least 
    two
     of your colleagues
    * on two different days
    , asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion.

    response

    Your post concerning the staffing issues and nursing homes hit home with me.  As a teenager, I volunteered once a week on the weekends at a local nursing home. I would spend time with the residents, and they would typically want to sit and talk, or occasionally they would ask me to read to them.  You could tell, though, that they just wanted to spend time with someone.  It was heartbreaking to hear their life stories, to know that they have gone through and then see that no one visits them. Your statement that the residents deserve better than a life in a nursing home is true in many cases.

    Nevertheless, the disappointing truth is that people need skilled facilities and nursing homes in many cases as they age.  Data from the Nursing Home Abuse Center (2019) states that 1.4 million people live in nursing homes in the United States.  According to the National Institute of Aging (2021), skilled living facilities are needed for services that include nursing care, 24-hour supervision, three meals a day, and assistance with everyday activities. Rehabilitation services, such as physical, occupational, and speech therapy, are also available Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion.

    Since data shows there is a significant need for skilled facilities to provide various services to the elderly, the least we can do is provide proper care.  Proper care will not happen without adequate staffing. The evidence that proper staffing is crucial in health care is staggering.  Data and research repeatedly demonstrate that staffing ratios affect every aspect of patient care, including length of stay and mortality rate.  Even though I already responded to our classmate Joseph with this information, I will include the information for you again for reference.  Halm et al. (2005) indicates a direct correlation between staffing ratios and patient mortality rates.  Griffiths et al. (2018) directly correlate staffing ratios and patients’ length of stay.

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    For supervisors still not convinced that staffing at nursing homes is crucial, they should refer to the guidelines set forth by Medicare and Medicaid.  The Reform of Requirements for Long-Term Care Facilities Act, which went into effect as of November 28, 2016, has precise wording for nursing home staff ratios (Centers for Medicare and Medicaid Services, 2021).  This Act states that a nursing home “must have sufficient nursing staff with the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable level of physical, mental, and psychosocial well-being of each resident, as determined by resident assessment and individual plans of care in considering the number, acuity, and diagnoses of the facility’s resident population in accordance with the facility assessment required at Section 483.70(e)” (Cornell Law, 2021).

    Hopefully, one day we will see a time when nursing homes have the staff they need, and the patients obtain the care they deserve Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion.

    REFERENCES

    Centers for Medicare and Medicaid Services. (2021, April 9). 
    Nursing Homes | CMS
    . https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Nursing-Homes

    Cho, E., Park, J., Choi, M., Lee, H. S., & Kim, E. Y. (2017). Associations of Nurse Staffing and Education With the Length of Stay of Surgical Patients. 
    Journal of Nursing Scholarship
    , 
    50
    (2), 210–218. https://doi.org/10.1111/jnu.12366

    Cornell Law. (2021). 
    42 CFR § 483.35 – Nursing services.
     LII / Legal Information Institute. https://www.law.cornell.edu/cfr/text/42/483.35#:%7E:text=%C2%A7%20483.35%20Nursing%20services.,-The%20facility%20must&text=(3)%20The%20facility%20must%20ensure,in%20the%20plan%20of%20care.

    Griffiths, P., Ball, J., Bloor, K., Böhning, D., Briggs, J., Dall’Ora, C., Iongh, A. D., Jones, J., Kovacs, C., Maruotti, A., Meredith, P., Prytherch, D., Saucedo, A. R., Redfern, O., Schmidt, P., Sinden, N., & Smith, G. (2018). Nurse staffing levels, missed vital signs and mortality in hospitals: retrospective longitudinal observational study. 
    Health Services and Delivery Research
    , 
    6
    (38), 1–120. https://doi.org/10.3310/hsdr06380

    Halm, M., Peterson, M., Kandels, M., Sabo, J., Blalock, M., Braden, R., Gryczman, A., Krisko-hagel, K., Larson, D., Lemay, D., Sisler, B., Strom, L., & Topham, D. (2005). Hospital Nurse Staffing and Patient Mortality, Emotional Exhaustion, and Job Dissatisfaction. 
    Clinical Nurse Specialist
    , 
    19
    (5), 241–251. https://doi.org/10.1097/00002800-200509000-00007

    National Institute of Aging. (2021). 
    Residential Facilities, Assisted Living, and Nursing Homes
    . https://www.nia.nih.gov/health/residential-facilities-assisted-living-and-nursing-homes

    Nursing Home Abuse Center. (2019, October 18). 
    Facts and Statistics about U.S. Nursing Homes
    . https://www.nursinghomeabusecenter.org/informative/facts-statistics-nursing-homes/#:%7E:text=Across%20the%20U.S.%2C%20there%20are,are%2085%2D94%20years%20old Nursing Staffing Essay – The Application of Data to Problem-Solving Discussion.

  • Behaviorism Essay

    Behaviorism Essay

    Skinner’s “radical behaviorism” proposes that behavior, rather than cognitive processes, should be the primary topic of study in the field of psychology. As bold of a statement as this is, I can argue that it is true. Behaviorism was proposed by a trailblazing psychologist who goes by the name of B.F. Skinner. He states that the study of conscious mental life simply did not exist and that it was time for the field of psychology to join others as a natural science (Moore, 2011). By doing so, he’s transitioning from the subjective point of view to objective which requires measurement through direct observation. Radical behaviorism was founded during a period of modernism where multiple scholars and individuals transitioned away from the traditional way of thinking (Moxley, 2004) Behaviorism Essay. Cognitive processes was the first study completed in the field of psychology and it had researchers consumed for many years. However, during the period of modernism, behaviorism was introduced and suggested that cognitive processes were not a thing because they could not be directly observed.

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    Moore, J. (2011). Behaviorism. 
    The Psychological Record, 61
    (3). 449-463. 
    https://doi.org/10.1007/BF03395771
     Credit Line: Behaviorism by Moore, J., in The Psychological Record, Vol. 61/ Issue 3. Copyright 2011 by Denison University. Reprinted by permission of Denison University via the Copyright Clearance Center. Licensed in 2021.

    Moxley, R. A. (2004). Pragmatic selectionism: The philosophy of behavior analysis. The Behavior Analyst Today, 5(1), 108-125. 
    https://doi.org/10.1037/h0100137

     

    Discussion: Behaviorism

    Photo Credit: Vitezslav Vylicil – stock.adobe.com

    One skill of an applied behavior analyst is collaborating to identify negative behaviors an individual is exhibiting and then developing treatments for those behaviors (e.g., strategies, interventions, etc.) to help them change the behaviors and derive improved outcomes for themselves. Radical behaviorism posits there is a science of behavior that has shown the environment as a significant cause of behavior and that experiential factors play a primary role in determining behavior (Cooper et al., 2020). The strategies and interventions of the applied behavior analyst represent efforts to change maladaptive behavior by systematically employing techniques that control circumstances in which negative behaviors arise and helping individuals learn and apply new skills.

    For example, if a child in a classroom is repeatedly leaving their seat during instruction (i.e., maladaptive behavior), an applied behavior analyst would work with the child to identify the factors contributing to the maladaptive behavior and then develop strategies or interventions to generate more appropriate behavior by the child.

    For this week’s Discussion, you will consider your perspectives on radical behaviorism and its learning principles.

    Reference:

    Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). 
    Applied behavior analysis
     (3rd ed.). Pearson. 

    To Prepare

    Review the Learning Resources for this week as well as the required weekly media program to gain an understanding of radical Behaviorism Essay

    Think about whether you concur with the learning principles of radical behaviorism.

    By Day 4 of Week 3

    Post
     an explanation of whether you agree or disagree with the following statement, and why or why not:

    Skinner’s “radical behaviorism” proposes that behavior, rather than cognitive processes, should be the primary topic of study.

    Read
     your colleagues’ postings.

    Note:
     For this discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the 
    To Participate in this Discussion
     link, then select 
    Create Thread
     to complete your initial post. Remember, once you click on 
    Submit
    , you cannot delete or edit your own posts, and cannot post anonymously Behaviorism Essay. Please check your post carefully before clicking on
    Submit
    !

    By Day 6 of Week 3

    Respond
     to at least 
    two
     colleagues’ posts by expanding on each colleague’s rationale for why they agree or disagree with Skinner’s proposal. Justify your response.

    Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources.

    Return
    to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments Behaviorism Essay.

    I agree with Skinner’s radical behaviorism approach because I believe that behavior can describe the function of a consequence much more appropriately than the mental state of an individual. Skinner suggests that “behavior is a function of our environmental circumstances and its context” (Cooper, Heron, and Heward, 2020). In other words, whenever we act or behave, we are influenced by what is taking place within that moment and within that environment. It is when we understand the context of what is happening and the environment that it is happening in that we are able to correlate our behaviors and our responses to the consequences of what has occurred.  Moore (2011) suggests that the “basis of behavior is not simply concerned with the way something acts, but also what is going on within the environment that is manipulating the behavior”. Because our cognitive process typically expresses the cause of our behaviors, it is my opinion that the cause of a behavior is not understood without first understanding the function. I believe that when we are born, we go through different innate experiences that help us process our surroundings and inform us on how to interact with them. Moore (2011) also explains how the function of our “behavior is relative to variables at the level of phylogeny, ontogeny, or culture”. It also “reflects on the factors that are naturally within us and those that we experience within our environment” (Moore, 2011).

    References

    Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson.

    Moore, J. (2011). Behaviorism. The Psychological Record, 61(3), 449–463. 
    https://doi.org/10.1007/BF03395771  
     Behaviorism Essay

  • Healthcare Information Technology Trends Essay

    Healthcare Information Technology Trends Essay

    Discussion: Healthcare Information Technology Trends

    Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

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    In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment Healthcare Information Technology Trends Essay.

    To Prepare:

    Reflect on the Resources related to digital information tools and technologies.

    Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

    Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

    By Day 3 of Week 6

    Post
     a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

    The use of telehealth has dramatically increased since the COVID-19 pandemic began. The need for social distancing to decrease the spread of the virus has impacted how we look at healthcare. Telehealth provides healthcare and health information through multiple technological systems such as the telephone, videophone calls, and the computer (McGonigle & Mastrian, 2017). Working in a cardiovascular intensive care unit (CVICU), our surgeons perform open-heart surgeries daily during the week. Some of these surgeries are urgent or emergent, and pre-operative workups can be done in the hospital or not at all. However, in most cases, our patients come in for surgery from getting an outpatient pre-operative workup. Most of their workup is now being done via telehealth appointments Healthcare Information Technology Trends Essay.

    Often our patients are older and are not as up-to-date with the rapidly growing technologies being used more regularly. Telehealth poses a challenge for older patients who are either unable to use and understand the technology or do not have the technology to support the telehealth platforms. In a 2013 study looking at how the older population views telehealth technology, the participants expressed their personal health information being hacked or seen by unauthorized persons (Cimperman, Brenčič, Trkman, & Stanonik, 2013).

             Data breaches and the potential for unauthorized people to see personal health information is a considerable risk associated with telehealth. The 2013 study also mentioned that the older population’s primary resource for technological support is their family members, but most wanted their family to access limited health information (Cimperman, Brenčič, Trkman, & Stanonik, 2013). Since telehealth can provide so much health information such as test results and text messages to and from your physician, it can be risky to have that information exposed. However, having access to that information can also be viewed as a benefit. With telehealth, patients can real-time chat with medical staff, chat via phone or video chat, and use remote monitoring (Telehealth.hhs.gov, 2021). Telehealth is also very cost-effective and saves patients on travel time. Telehealth has changed significantly since the COVID-19 pandemic, and new laws continue to change the way it functions. Recent laws now allow physicians to use more popular video chat applications such as Skype or Facebook Messenger video chat, making telehealth easier for some patients (Telehealth.HHS.gov, 2021).

             I believe the electronic health record (EHR) is the most promising for impacting healthcare technology in nursing practice. Having a patient’s health record in a digital format provides easy access for nursing staff to see previous health information and easily add new data to the patient’s chart for future reference. This way, health information is not as easily lost as it was with paper charting. Information can be shared instantaneously with multiple providers involved in the patient’s care. As a nurse, documenting and filing new data is much more organized and more accessible, allowing the nurse to spend more time at the bedside. Because of these reasons, having EHRs dramatically continues to improve patient care outcomes, efficiencies, and data management Healthcare Information Technology Trends Essay.

    References

    Cimperman, M., Brenčič, M. M., Trkman, P., & Stanonik, M. D. L. (2013). Older Adults’ Perceptions of Home Telehealth Services. 
    Telemedicine and E-Health
    , 
    19
    (10), 786–790. 
    https://doi.org/10.1089/tmj.2012.0272

    McGonigle, D., & Mastrian, K. G. (2017). 
    Nursing informatics and the foundation of knowledge
     (4
    th
     ed.). Burlington, MA: Jones & Bartlett Learning.

    Telehealth.HHS.gov. (2021, May 19). 
    What is telehealth? | Telehealth.HHS.gov
    . https://telehealth.hhs.gov/patients/understanding-telehealth/?gclid=CjwKCAjw_o-HBhAsEiwANqYhp11CR4OTX65JuJK3by8oakcNj0oBzZxgK_qQDXnumAA4DO0yGeMu5RoC90gQAvD_BwE

     

    By Day 6 of Week 6

    Respond
     to at least 
    two
     of your colleagues
    * on two different days
    , offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

    Telemetry had me stumped in nursing school. Could it be because I do not like math? Kudos for working in the intensive care cardiac unit. I suppose some of your patients utilized telehealth via home cardiac monitoring before surgery. Just wondering how often you must deal with pediatrics. An article uses telehealth home monitoring called REACH to keep in touch with parents of infants with complex congenital heart disease who received surgery with their first 21 days of life. However, in a 4-month trial of testing REACH, stress between the two parenting groups was equal, and the results concluded that using the REACH telehealth system did not improve parent or infant outcomes (Medoff Cooper, et al., 2020). I can imagine, in this case, that telehealth would not significantly improve as parents would be too worried about their child to appreciate it Healthcare Information Technology Trends Essay.

    The legislation created the Expanded Telehealth Access Act, which expands the types of providers that can recoup Medicare costs when providing care using telehealth (REPRESENTATIVES SHERRILL, MCKINLEY REINTRODUCE BIPARTISAN LEGISLATION TO INCREASE ACCESS TO TELEHEALTH SERVICES., 2021). Telehealth is especially important during the Covid crisis pandemic. So many seniors living at home and not living in assisted living facilities or nursing homes were at high risk, as we all found out later. This technology is crucial if they do not need emergent care and can video conference with their primary provider via telehealth.

    As you mentioned, technology is complicated for the senior population. However, one college is doing something about it. Randolph Community College in Asheboro, North Carolina, offers courses to teach seniors basic computer skills, such as Zoom. They are also offering beginning computer classes for further computer skill learning (Floyd, 2021). Computer courses are sweet, and I bet more than just this community college is jumping on this bandwagon. Video conferencing with family was so important during this pandemic as many people were isolated. I know that there were more suicides than average in my area due to lack of jobs, social distancing, and lack of consistent communication of proper techniques to prevent catching the virus.

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    References

    Floyd, C. (2021, April 17). 
    Community college teaching seniors basic computer skills
    . Retrieved 2021, from Spectrum News 1: https://spectrumlocalnews.com/nc/triad/news/2021/04/17/community-college-teaching-seniors-basic-computer-skills

    Medoff Cooper, B., Marino, B. S., Fleck, D. A., Lisanti, A. J., Golfenshtein, N., Ravishankar, C., . . . Curley, M. A. (2020, September 1). Telehealth Home Monitoring and Postcardiac Surgery for Congenital Heart Disease. 
    Pediatrics Official Journal of the American Academy of Pediatrics, 146
    (3) Healthcare Information Technology Trends Essay. doi:10.1542/peds.2020-0531

    (2021, March 23). 
    REPRESENTATIVES SHERRILL, MCKINLEY REINTRODUCE BIPARTISAN LEGISLATION TO INCREASE ACCESS TO TELEHEALTH SERVICES.
    Washington: States News Service. Retrieved 2021, from States News Service: https://go-gale-com.ezp.waldenulibrary.org/ps/i.do?p=EAIM&u=minn4020&id=GALE|A656029603&v=2.1&it=r&sid=ebsco Healthcare Information Technology Trends Essay

  • Behaviorism Assignment

    Behaviorism Assignment

    Photo Credit: Monkey Business – stock.adobe.com

    In this week’s Learning Resources you read about Skinner’s radical behaviorism. Skinner’s learning principles can be applied in the areas of behavior management and education. For example, “reinforcement” is one of Skinner’s learning principles and refers to anything that increases the likelihood a response will recur. In a classroom, this learning principle can be seen in the form of a “token economy,” whereby the teacher awards tokens immediately after a desirable behavior as a technique to reinforce the desirable behavior and decrease undesirable behavior. The tokens can later be exchanged for a meaningful item or privilege Behaviorism Assignment.

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    For this Assignment, you will describe specific instances in your own life experiences, or life experiences you have observed in others, that seem to be consistent with Skinner’s learning principles and use your own judgment to evaluate their effectiveness and appropriateness.

    To Prepare:

    Review the Learning Resources for this week to gain an understanding of the learning principles of Skinner’s radical behaviorism, including the weekly media video and the interactive media, “Skinner’s Radical Behaviorism.

    Identify at least two specific instances in your own life experiences, or life experience you have observed in others, that seem to be consistent with Skinner’s learning principles, either from the behavior management side (e.g., reinforcement, extinction, time out, token economies) or from the educational side (e.g., behavioral objectives, self-paced learning).

    Assignment 
    (1–2 pages)

    Write a description of at least two specific instances in your own life experience, or life experiences you have observed in others, that seem to be consistent with Skinner’s learning principles. These can be either from the behavior management side (e.g., reinforcement, extinction, time out, token economies) or from the educational side (e.g., behavioral objectives, self-paced learning). Briefly describe these instances and comment on their effectiveness and appropriateness (in your judgment).

    Be sure to support your Assignment with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or internet for peer-reviewed articles to support your Assignment. Use proper APA format and citations, including those in the Learning Resources Behaviorism Assignment. 

    By Day 7 of Week 3

    Submit 
    your Assignment.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:Behaviorism Assignment

  • Healthcare Information Technology Trends

    Healthcare Information Technology Trends

    I currently work in a small community hospital that is part of a bigger network. We are one of six hospitals spanning 3 hours away in either direction. Being part of a bigger network provides great resources for our facility but is difficult to maintain continuity at times. A few of the other hospitals are in larger cities, while our community has fostered this small, positive hospital since 1911. Family physicians have grown the hospital prior to hospitalists becoming the new thing. We now have telemedicine and consults that are performed from a distance. Nurses that are performing assessments and being the eyes and ears using technology. While for years I have found this to be unsafe and ineffective, I do believe that there is some benefit to this type of medicine. Do I want a cardiologist trusting an LPN to assess my condition and provide concrete evidence? Probably not
    Healthcare Information Technology Trends
    .

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    Test results, radiology exams, diagnostic studies, assessments etc are all data/information that is relayed from our mothership. We can provide the services and perform all the required testing, however, the information is sent to the mothership and diagnosed from a distance. Our facility is limited in its specialty practices. Our ED physician can make decisions immediately in the case of an emergency but must consult our mothership where the specialists are located.

    Time is of the essence and by taking the time to reach out to our other facilities, lives are at risk. Physicians are properly educated and should be granted the opportunity to treat their patients. If assistance or a second opinion is needed, then our network should be available. Otherwise, let the physicians and nurses do what they do best and “treat” our patients. This also poses a HIPPA issue as well. We should not be accessing records of patients that we are not treating. Patients enter the ED to obtain treatment locally, not at a hospital that is 3 hours away. We form our best assessments by “laying eyes of the patient” when sending information to the mothership, their assessment is based on black and white. How comfortable does that make you feel like a patient? The information, however, would be relayed quickly and efficiently using the integrated system between hospitals Healthcare Information Technology Trends.

    With the lack of providers in rural areas, legislatures continue to push for the needs of APP’s to practice to their full capability to assist in the curtailment of the shortage while providing quality care to our communities. Physicians are retiring at a record level and there must be providers available to provide medical treatment. Telemedicine could be a benefit in this type of setting to assist APP’s with the diagnosis and treatment of difficult cases. Patients will have the ability to remain at home, get evaluated and treated, and follow up with other physicians, if necessary, with the use of telemedicine. Patients will also have the availability of seeking treatment from well-known physicians in other states without leaving their homes. This is a huge benefit to rural communities that do not have access to the best technological advances in medicine. If utilized as a benefit to the patient and not as a convenience for facilities, telemedicine can provide many benefits such as saving money, efficiently and effectively care for patients, accessibility, etc. I do not believe that this is an end-all to medicine because I am a strong believer in putting your eyes, ears, and hands-on your patients, but it is definitely a benefit to have for quick and effective treatment. The quick treatment will assist in early diagnosis and improvements in patient health and outcomes. If a provider is able to diagnose a heart or lung condition with the use of diagnostic studies and telemedicine, prompt treatment will eliminate the long process of waiting on an appointment while the condition worsens or even worse causes the demise of the patient Healthcare Information Technology Trends.

    References

    Benefits of Telemedicine
    . Johns Hopkins Medicine. (n.d.). https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicine.

    Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018, March). 
    Leveraging health care reform to accelerate nurse practitioner full practice authority
    . Journal of the American Association of Nurse Practitioners. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6800077/.

    Issues at a Glance: Full Practice Authority
    . American Association of Nurse Practitioners. (2021, January). https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-brief Healthcare Information Technology Trends.

    Discussion: Healthcare Information Technology Trends

    Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

    In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment Healthcare Information Technology Trends.

    To Prepare:

    Reflect on the Resources related to digital information tools and technologies.

    Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

    Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

    By Day 3 of Week 6

    Post
    a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples Healthcare Information Technology Trends.

    I have used electronic medical records (EMRs) and electronic health records (EHRs) interchangeably until I learned they are not the same. Electronic health records focus on the patient’s total health, and they reach out beyond the health organization that initially collected that information (Garrett & Seidman, 2011). Electronic medical records are more localized and more difficult to transparent with other health organizations or practices. Spending years in the emergency department and having the opportunity to be a travel nurse, I have worked with many EMRs. Out of the seven hospitals, I spent time at, only one made it relatively easy to obtain records from outside facilities. Having the ability to look at a patient’s health gave nursing and providers a better picture of the patient and their health. You can track compliance or noncompliance to medications or specialist appointments. Having access to patient records right at your fingertips can help clinicians make swifter diagnoses and get a fuller patient picture, especially when patients may not effectively verbalize their health history or complaints.
     

    A huge challenge with electronic medical records is the possibility of a security breach. Many hospitals and organizations have gone to lengthy measures to ensure a patient’s medical information remains safe and is not accessed by anyone but their care team. For example, many systems have an audit tool that allows tracking who has been in a patient’s chart and what information they accessed (Menachemi & Collum, 2011).
     

     
    Having an electronic health record has many benefits. With the use of tracking and alerts, physicians can maintain best practices for their patients. It can notify them when a patient’s immunizations are due, notification of abnormal labs, or when a medication was ordered but is contraindicated by an allergy. Physicians who use HER have a lower rate of medication errors such as dosing levels or frequency, which, in turn, aids patient safety (Aldosari, 2017) Healthcare Information Technology Trends.
     

     
    The further we can integrate EMRs to EHRs, all providers can quickly obtain quicker patient information in giving the patient the best clinical outcomes. Combining a patient’s entire medical record gives clinicians a better picture of the patient’s health and goals. A comprehensive HER can significantly improve patient outcomes, especially knowing many patients are not privy to their medications or health concerns.

    Aldosari, B. (2017). Patients’ safety in the era of EMR/EHR automation.
     
    Informatics in Medicine Unlocked
    ,
     
    9
    , 230–233. https://doi.org/10.1016/j.imu.2017.10.001
     

    Garrett, P., & Seidman, J. (2011, January 4).
     
    EMR vs EHR – What is the difference?
     
    Health IT Buzz. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference.

    Menachemi, N., & Collum, T. (2011). Benefits and drawbacks of electronic health record systems.
     
    Risk Management and Healthcare Policy
    , 47. https://doi.org/10.2147/rmhp.s12985
     

    By Day 6 of Week 6

    Respond
     to at least 
    two
     of your colleagues
    * on two different days
    , offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

     Interesting point you made about the difference between EMR’s and the EHR. I think most of us use these terms interchangeably, and going forward, I will try to correct that issue. One of the issues with EMR or also patient portals is, in fact, protecting that information from cybercriminals.These types of systems are very appealing to cybercriminals. They contain valuable information, and it is all centrally located while there are many access points into the system. They are also remarkably vulnerable to penetration because of the fluid and always-evolving nature of a patient’s medical care and because of the number of clinicians, facilities, and transactions required to connect patient care across multiple settings.( Koppell &  Kuziemsky, 2019)   One important difference between the two is. Usually, the EHR’s have simple information like medication lists, patients problems, and demographics.  Han, Gleason, Sun, Miller, King, Chow, Anderson, Nagy, & Bauer, 2019). They do not always have a high value in data; however, they can help gain information to access more sensitive information. It is a big responsibility for companies one I wonder if they considered before transitioning over to electronic record keeping Healthcare Information Technology Trends.

    References:

    Han, H.-R., Gleason, K. T., Sun, C.-A., Miller, H. N., Kang, S. J., Chow, S., Anderson, R., Nagy, P., & Bauer, T. (2019). Using Patient Portals to Improve Patient Outcomes: Systematic Review.  
    JMIR Human Factors
    ,  
    6
     (4), e15038. https://doi-org.ezp.waldenulibrary.org/10.2196/15038

     

    KOPPEL, R., & KUZIEMSKY, C. (2019). Healthcare Data Are Remarkably Vulnerable o Hacking: Connected Healthcare Delivery Increases the Risks. 
    Studies in Health Technology & Informatics
    , 
    257
    , 218–222. https://doi-org.ezp.waldenulibrary.org/10.3233/978-1-61499-951-5-218

    response 2

    Well done with your post. I agree with you you that Electronic medical records are more localized and more difficult to transparent with other health organizations or practices. One of the challenges of using the e-MAR (electronic medical records) is that most healthcare professionals have limited knowledge on how to use the system. My organization has fully implemented electronic health records, with electronic medical administration records (e-MAR) being the most recent addition. The e-MAR is a system designed to aid healthcare providers in the real-time transmission of information while guaranteeing that only authorized employees have access to it. One of the difficulties with using the e-MAR is that most healthcare practitioners are unfamiliar with how to utilize it. New nurses who have never used the system before or who have not gotten proper training may find it challenging to use. As a result, they may enter medicine orders incorrectly into the system.

    The two most notable advantages of e-MAR are accuracy and flexibility. In terms of precision, e-MAR reduces medication administration errors. Any order that is mistakenly entered, such as ordering the wrong dose, is flagged or hard stopped by the system. When it comes to flexibility, using Emar eliminates the challenge of finding time to administer medications or organize patient records. It makes it easier to keep track of med passes, which is the procedure of giving medications to patients. A flexible record med pass not only minimizes medication errors, but it also allows employees to focus on other patient-care activities Healthcare Information Technology Trends.

    ORDER NOW

    References

    Alanazi, A., Alomar, M., Aldosari, H., Shahrani, A., & Aldosari, B. (2018). The effect of electronic medication administration records on the culture of patient safety: a literature review. 
    Data, Informatics and Technology: An Inspiration for Improved Healthcare
    , 223-226.

    McGonigle, D., & Mastrian, K. (2021). 
    Nursing informatics and the foundation of knowledge
    . Jones & Bartlett Publishers Healthcare Information Technology Trends.

  • Parsimony Essay

    PSYC 6717 week 2 Assignment: Parsimony Essay

    BCBA’s use techniques precluding essential consistent clarifications, either experimentally, prior to inspecting more intricate or dynamic data. The thought prompts the idea of making the least presumptions essential while clarifying a circumstance or thing. Parsimony  incorporates the most fundamental straightforward clarifications that attention exclusively on the most pertinent realities and information accessible while ignoring any remaining elements.

    Parsimony  takes a stab at lucidity through straightforwardness while talking about a forthcoming intercession with a parent or educator. Parsimony is proper in the accompanying manners:

    Parsimony  is a more productive strategy for deciding the most straightforward, least convoluted response for a situation or perception.

    Parsimony  is useful in both learning and educating.

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    Parsimony  s assesses direct effects, is tendency movements to moderation as a method for accomplishing lucidity utilizing the least stages, with the least assets, to show up at the best outcome. Thus, it suggests seeking after the most productive and approach plausible by the parent or an educator. Parsimony  tracks down the most essential and right clarification for cerebrum cycles and human activities. PSYC 6717 week 2 Assignment: Parsimony Essay

     

    Actual points, exercises, looks, test results, and different subtleties are inadequate in depictions or clarifications. An instructor might have to realize this to convey viably to understudies.

    PSYC 6717 week 2 Assignment: Parsimony Essay

    Parsimony additionally makes correspondence simpler and improves the probability that the data is perceived. In showing new ideas, language and suitable models ease understanding. Better arrangement will furnish educators and guardians with a simple method to show understudies and young people separately. Parsimony  in brain science is direct, reasonable, and significant. It’s likewise important that the clarifications are right and dependable. Parsimony  in brain research is significant to conduct experts when managing emotional well-being hardships.

     

    References

    Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). 
    Applied behavior analysis
     (3rd ed.). Pearson.

    Epstein, R. (1984). The principle of parsimony and some applications in psychology. The Journal of Mind and Behavior, 119-130

     

    PSYC 6717 week 2 Assignment: Parsimony Essay

    Photo Credit: iushakovsky – stock.adobe.com

    For this week’s Discussion, you examined a common set of assumptions characterizing the behavior of behavior analysts. One of those assumptions is the Law of Parsimony. The history and etymology of the word parsimony is from the Latin 
    pars-
    , meaning “to act sparingly, be thrifty (with), refrain from” (Merriam-Webster, n.d.). By extension, the Law of Parsimony posits that given two explanations for a given phenomenon, you should choose the simplest scientific explanation that fits the evidence parsimony essay.

    Ultimately, an important purpose for using parsimonious interpretations is to enable a principle of economy when determining where new findings might incorporate into the existing knowledge base of a given field. By way of illustration, consider the following review regarding negative symptoms in schizophrenia. In the review, the authors identify a lengthy list of nearly 20 negative schizophrenia symptoms ranging from different forms of affect issues to poor grooming to asociality. Applying the law of parsimony (referred to as Occam’s Razor in the review) the authors simplified their evidence by stating, “…we propose that while negative symptoms are varied and broad in both their clinical presentation and longitudinal course, they can all be subsumed under the concept of avolition. As the primary construct, avolition translates to decreased functional performance, a hallmark of schizophrenia’s longer-term outcome but identifiable in its earliest stages” (Foussias, & Remington, 2010).

    For this Assignment, you will consider why parsimony is an important construct a behavior analyst might use when communicating interventions to a parent or teacher.

    References:

    Foussias, G., & Remington, G. (2010). Negative symptoms in schizophrenia: Avolition and Occam’s razor. 
    Schizophrenia Bulletin
    , 
    36
    (2), 359–369. https://doi.org/10.1093/schbul/sbn094

    Merriam-Webster. (n.d.). Parsimony. Retrieved February 6, 2021, from https://www.merriam-webster.com/dictionary/parsimony parsimony essay

    To Prepare:

    Review this week’s Learning Resources about parsimony.

    Consider practical ways parsimony might be used by a behavior analyst.

    Assignment 
    (1 page)

    Write an explanation addressing why parsimony is important for a behavior analyst when communicating a prospective intervention to a parent or teacher. Be parsimonious in your response.

    Be sure to support your Assignment with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or the internet for peer-reviewed articles to support your Assignment. Use proper APA format and citations, including those in the Learning Resources.

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    By Day 7 of Week 2

    Submit 
    your Assignment.

    Submission and Grading Information

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    Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.

    Click on the 
    Week 2 Assignment Rubric 
    to review the Grading Criteria for the Assignment.

    Click on the 
    Week 2 Assignment 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click on 
    Open
    .

    If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    Click on the 
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     PSYC_6717_Week2_Assignment_Rubric

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    Excellent

    Good

    Fair

    Poor

    Content

    10.5 
    (70%)
     – 12 
    (80%)

    Assignment demonstrates an 
    excellent 
    understanding of 
    all 
    of the concepts and key points presented in the text/s and Learning Resources. Assignment provides significant detail including multiple relevant examples, discerning ideas, and evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

    8.5 
    (56.67%)
     – 10.25 
    (68.33%)

    Assignment demonstrates a 
    good 
    understanding of 
    most 
    of the concepts and key points presented in the text/s and Learning Resources. Assignment includes moderate detail, discerning ideas, and sufficient evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

    5 
    (33.33%)
     – 8.25 
    (55%)

    Assignment demonstrates a 
    fair 
    understanding of the concepts and key points as presented in the text/s and Learning Resources. Assignment may be 
    lacking 
    in detail and specificity and/or may not include sufficient pertinent examples, discerning ideas, evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

    0 
    (0%)
     – 4.5 
    (30%)

    Assignment demonstrates 
    poor understanding
    of the concepts and key points of the text/s and Learning Resources. Assignment is missing detail and specificity and/or does not include any pertinent examples discerning ideas, or sufficient evidence from scholarly sources (i.e., Learning Resources, Walden Library, and/or internet).

    PSYC 6717 week 2 Assignment: Parsimony Essay

    Writing

    3 
    (20%)
     – 3 
    (20%)

    Assignment is 
    well 
    organized, uses scholarly tone, follows APA style, uses original writing and proper paraphrasing, contains very few or no writing and/or spelling errors, and is 
    fully 
    consistent with graduate-level writing style. Assignment contains 
    multiple
    , appropriate and exemplary sources expected/required for the assignment (i.e., Learning Resources, Walden Library, and/or internet).

    2 
    (13.33%)
     – 2 
    (13.33%)

    Assignment is 
    mostly
     consistent with graduate-level writing style. Assignment may have some small or infrequent organization, scholarly tone, or APA style issues, and/or may contain a few writing and spelling errors, and/or somewhat less than the expected number of or type of sources (i.e., scholarly sources from the Learning Resources, Walden Library, and/or internet).

    1 
    (6.67%)
     – 1 
    (6.67%)

    Assignment is 
    somewhat below
     graduate-level writing style, with multiple smaller or a few major problems. Assignment may be lacking in organization, scholarly tone, APA style, and/or contain many writing and/or spelling errors, or shows moderate reliance on quoting versus original writing and paraphrasing. Assignment may contain inferior sources (number or quality of scholarly sources from the Learning Resources, Walden Library, and/or internet).

    0 
    (0%)
     – 0 
    (0%)

    Assignment is 
    well below
     graduate-level writing style expectations for organization, scholarly tone, APA style, and writing, or relies excessively on quoting. Assignment may contain few or no quality sources (i.e., scholarly sources from the Learning Resources, Walden Library, and/or internet).

    Total Points: 15

    Name: PSYC_6717_Week2_Assignment_Rubric mn PSYC 6717 week 2 Assignment: Parsimony Essay