QUESTION DESCRIPTION

Read the following case study.

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.

You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Determine a plan of care for the patient using the nursing process.

Define each step of the nursing process and align each step to critical thinking and clinical decision-making processes.

Format your care plan as a concept map using visual presentation software, such as bubbl.us from the College of Education Technology Resource Library

1. Click Web Tools.
2. Click Collaboration & Productivity.

Format your alignment of the nursing process with the critical thinking process and clinical decision-making process in a document, table, or other visual representation approved by your instructor.

Click the Assignment Files tab to submit your assignment.

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Assignment 1: Critical Factors in Implementing an IT System in Health Facilities 

Due Week 6 and worth 300 points

Write a six to eight (6–8) page paper in which you:

1. Provide at least three (3) various reasons why some health care organizations have been reluctant to implement electronic medical records.
2. Discuss the essential manner in which the Health Insurance Portability and Accountability Act (HIPAA) impacts patient’s medical records. 
3. Determine the main advantages and disadvantages of the adoption of The HITECH (the Health Information Technology for Economic and Clinical Health) Act for health care professionals. Next, suggest one (1) strategy that the medical staff members could use in order to mitigate the main disadvantages in question.   
4. Review the typical workflow processes within health organizations, and decide the single most significant process that the health organization must eliminate in order to improve the service. Provide a rationale to support your response.
5. Analyze the primary ways in which the key federal initiatives impact the standards of health care information for patient privacy, safety, and confidentially.
6. Specify the fundamental advantages of applying an IT system within health care organizations. Predict new IT developments in the health care industry for the next two (2) decades. Justify your response.
7. Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines:

• This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Examine the impact technologies have on health care information systems. 
• Examine the systems development life cycle of a custom application and the selection of proprietary systems.
• Use technology and information resources to research issues in health information systems.
• Write clearly and concisely about health information systems using proper writing mechanics.

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A new director decides to reorganize the department you work in. This reorganization comes about without input from the employees and many of the nurses that you oversee are feeling resentful of the change. As a nurse leader, identify factors that may lead to conflict and ways you can manage them.( TWO PARAGRAPH ANSWER WITH TWO SOURCES APA Format)

Personal affiliations and networking are important for nursing leaders. Why are these important? How will they benefit you in your career future? Identify two affiliations or a situation in which you have networked for the health of a population or your community.( TWO PARAGRAPH ANSWER WITH TWO SOURCES APA Format)

How does the nurse manager or leader play a role in the reengineering of health care?( TWO PARAGRAPH ANSWER WITH TWO SOURCES APA Format)

ontinuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.( TWO PARAGRAPH ANSWER WITH TWO SOURCES APA Format)

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QUESTION DESCRIPTION

Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.

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ITS IMPORTANT TO MEET COMPETENCES .

REQUIRED RESOURCES TO DO THIS JOB ATTACHED AT THE END !!!

Create 1–2 page outlines of your response plan for three intervention scenarios.

Nurse leaders need to quickly identify a strategy for evaluating a nursing leadership problem and the dynamics related to the problem, in order to orchestrate intervention efforts and put together a plan of action that leads to stakeholder cooperation.

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

• Competency 1: Integrate key nursing leadership, management, and communication concepts into collaborative practice situations.       
  • (IMPORTAT) -Explain concepts of change theory and how it can be used as a tool to manage situations.
  • (IMPORTANT) -Describe an effective leadership style to address a problem.
• Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.       
  • (IMPORTANT) -Describe how outcomes or success of the style selected for each situation could be measured.
• Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.       
  • (IMPORTANT) -Explain how professional and legal standards guide the effective nurse leader when making decisions.
• Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.       
  • (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Preparation

Use the Capella library and the Internet to research change theory, leadership, and communication strategies. Use the Suggested Resources to research leadership and communication concepts and change theory.

• The challenge in this assessment is to create a response plan for several intervention scenarios.      
  • There are three deliverables required for this assessment.

Rationale for this assessment:

Nurse leaders solve problems or resolve conflict on a daily basis. Understanding how change theory can be applied to a situation and examining various types of interventions in advance can relieve pressure on the nurse leader and improve the workplace environment and outcomes. Rehearsing potential interventions provides a mental toolkit on which to rely during stressful times.

Your management training workshop continues:

The second day of HR’s Nursing Leadership Workshop is designed to help you identify and practice effective responses and interventions to common problems and situations. Participants are presented with three scenarios and must create a response plan for each scenario, in the form of a 1–2 page outline.

Deliverables: Submit three Response Plans to complete this assessment.

• Choose 3 of the 5 Intervention Scenarios linked in the Required Resources for this assessment.
• For each scenario you choose, develop a separate Response Plan in the form of a 1–2 page outline. 
  • Label each outline using the example below:        
    • Example: Response Plan for School Nurse.

Instructions

Analyze each Intervention Scenario and describe the leadership, communication, and management strategies you believe would be most effective for each situation.

Use the following subheadings to organize your Response Plan outline for each situation.

• Change Theory: Explain concepts of change theory and how it can be used as a tool to manage situations.      
  • Identify elements of change theory that fit best with the scenario.
  • How can you use change theory to deal with conflict?
• Strategies and Rationale: Describe an effective leadership style you would employ to address a problem.      
  • Explain the rationale for choosing a leadership strategy to solve a problem.
  • Identify interventions to address the problem.
• Expected Outcome: Describe how outcomes or success of the style selected for each situation could be measured.      
  • Describe how you could determine improved outcomes or measure success of the leadership style selected for each situation.        
    • What might go wrong and how would you deal with that?
• Professional Standards: Explain how professional and legal standards guide the effective nurse leader when making decisions.

Additional Requirements

• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: Each outline should be 1–2 pages double-spaced.
• Font and font size: Times New Roman, 12 point.
• Number of resources: Use a minimum of three peer-reviewed resources.

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