Explore the role of advancement in information technology and its effect in patient care.

 
Instructions
You are caring for five patients on a busy, 28-bed neurological medical-surgical unit, which recently transitioned to all electronic documentation and healthcare computerized provider order entry (CPOE). There is no longer any bedside paperwork.
All of your staff members have completed the required training and you have been assigned as expert lead for any questions that may arise during your shift. The expectation is that all nurses and clinical staff will document all care delivery in the bedside computers located in each patient’s room or via the workstation on wheels (WOW).
However, you have noticed a trend with experienced nurses spending extra time at the end of their shifts (30 or more minutes) documenting the nursing care provided during the shift. The expectation is that they should be documenting care delivery as soon as it is complete rather than at the end of their shifts.
Answer the following questions based on the information provided:

Explain how you would address the concern with the delay in nursing documentation with your team.
Do you see the transition to all electronic documentation as having a positive or negative effect on patient-centered care? Support your answer with evidence from the literature.
Explore the role of advancement in information technology and its effect in patient care. Does more technology use improve time with patients? Use at least two sources to support your response.

Differences between off campus emergency departments (OCEDs) and independent free standing emergency centers (IFECs).

Primary Task Response: Within the Discussion Board area, write 250-350 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

How healthcare services are provided is constantly changing.  While historically, emergency departments (ED) was physically located within the hospital building, the standalone Emergency Department also referred to as the Free Standing Emergency Department (FSED) has become a new model for delivery of emergency services within communities.   Consider yourself in the role of a consultant to a healthcare organization, financial manager, or ED administrative director. You have been asked to provide the CEO and leadership with pros and cons of establishing a Free Standing Emergency Department.  You are aware of the news stories about these types of facilities, and you will want to review The Washington Post article at this link as you prepare your review.

Include in your discussion:

Differences between off campus emergency departments (OCEDs) and independent free standing emergency centers (IFECs).  What would be the advantage to the healthcare organization of an OCED?
How would services provided be reimbursed either by private insurance or Medicare/Medicaid?
What are the advantages or disadvantages to the community of an FSED?  Would members of the community favor an OCED or an IFEC?
Why are most of the FSEDs located in Texas, Colorado and Ohio?
Based on your research and the news stories about FSEDs, what would you recommend to the CEO and Board of Directors?

NOTE: Use at least two scholarly references and cite using APA format.

Why is advancing your degree and knowledge important for nursing as a profession? Explain and give several reasons.

 
Assignment: Both parts below into one APA paper
Part 1: Continuing Education (Part 1 should be at least 750 words and include 2 outside references plus the textbook.)
Continuing education units are required for renewal of license (in some states) and for recertification. Continuing education opens doors to job opportunities. Answer the questions:

Why is advancing your degree and knowledge important for nursing as a profession? Explain and give several reasons.
How would you respond to a nurse that states: “I only want to live and work in a state that does not require continue education credits and I never want to advance my degree?” Explain in detail what you would say and why.

Part 2: Future of Nursing (Part 2 should be at least 1000 words and include 2 outside references and the textbook.)
Review the author’s vision in the textbook (Chapter 25), of the future of nursing and complete your own research to include the Institute of Medicine’s (IOM) report. 

Do you agree with the authors or do you have a different vision of nursing? Explain and provide examples as to why you do agree or do not agree.

Analyze the impact of economic, demographic and technological forces on health care delivery, and the concerns relating to ethical, legal, and social issues that influence nursing practice.

 
Reflection Artifact
Please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the bachelor’s/master’s level nursing competency/ies listed below. Then write a minimum of 1000 words in APA format describing how this course has helped you achieve these outcomes.

Analyze the impact of economic, demographic and technological forces on health care delivery, and the concerns relating to ethical, legal, and social issues that influence nursing practice.
Apply a solid foundation of research and theory, focusing on the interrelationships and application of these concepts to nursing practice, education, and leadership
Improve population health across the lifespan and across the continuum of healthcare environments through health promotion and disease prevention strategies
Explore leadership and management concepts that directly and indirectly influence the nature and functioning of the healthcare system and professional nursing practice
Assess health among a diverse patient population, devising strategies for the prevention and early detection of disease across the life span
Integrate professional values, attitudes, knowledge, and behaviors into nursing practice

Finally, chose one assignment that you feel best represents your learning in the course. Take a few minutes to revise it, according to comments from your professor. These can be submitted as two files.
Submit the assignments into the drop-box and save a copy of it in a folder on your personal computer.

Examine nursing roles that meet the emerging health needs of individuals, families, communities and populations.

  
Please follow all directions.  This week there is a discussion question in which you can use “I”.  The discussion is a reflection how you have met the course objectives listed in the syllabus.
 
 
Course Learning Objectives:
1.
Examine nursing roles that
meet
the
emerging
health
needs
of
individuals,
families,
communities
and
populations.
2.
Explore
historical,
legal,
social,
cultural,
political,
and
economic
forces
that
influence
the
client,
nursing
practice,
and
the
health
care
system.
3.
Evaluate
strategies
that
can
be
used
by
public
and
community
health
nurses
to
improve
the
health
status
and
eliminate
health
disparities
of
vulnerable
populations
4.
Predict
trends
in
lifestyles
that
will
affect
the
health
of
communities
and
the
future
challenges
for
nursing.
5.
Plan,
analyze,
implement
and
evaluate
public
health
surveillance
and
outbreak
investigation
6.
Develop
strategies
to
deliver
nursing
care
in
the
preparedness,
response,
and
recovery
phases
of
disaster
management
 
 
This week there is a discussion question in which you can use “I”.  The discussion is a reflection how you have met the course objectives listed in the syllabus.

Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives.

 For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature. 

Distinguish negligence from malpractice.

 

Risk management
Distinguish negligence from malpractice
Examine the Good Samaritan laws and their   relevance for health care deliverers.

 
List the elements of malpractice and give   examples of each element in professional nursing practice, including ways to   avoid or lessen the potential of future malpractice cases
0000 
https://www.napnap.org/sites/default/files/userfiles/for_providers/NP_Malpractice_FAQ_NSO.pdf

Describe reasons why bullying is a problem in nursing.

 
APA paper. This assignment should be between 750 and 1250 words in length and contain all four scholarly sources provided plus the textbook and one more scholarly source of your choice. Read the following 4 articles:
(from the ProQuest Library already in APA format for the Reference section)

Security InfoWatch. (2013). Responding to active shooters in hospitals. SecurityInfoWatch.Com. Retrieved from http://search.proquest.com/docview/1434488744?accountid=34574
Balingit, M. (2012, March 9). Hospital shootings shock Oakland 2 dead, 7 injured at Western Psych; Police kill gunman in exchange of fire. Pittsburgh Post – Gazette. Retrieved from http://search.proquest.com/docview/926869011?accountid=34574
Hospital Employee Health. (2013). Most hospital shootings are not preventable. Retrieved from http://search.proquest.com/docview/1282083457?accountid=34574

(from the World wide web already in APA format for the Reference section)

The Joint Commission. (2014, July). Preparing for active shooter situations. Quick Safety. Retrieved from https://www.jointcommission.org/issues/article.aspx?Article=h1wY0qOAjXjKMD9Np15aXCoh6JDFt4iaFxb%2f%2fTKfNWE%3d

Part 1: Active Shooters
First: Compare and discuss the information in the 4 articles above (any similarities, differences, surprises).  
Next: Answer these questions on your personal experience, you can use 1st person on this part: 

Has your workplace prepared for an active shooter? What is the protocol? What preparations has your hospital taken?
What is your responsibility as a nurse caring for patients?
Do you feel a live active shooter drill should take place, with live gunfire? Why or why not?

Part 2. Bullying in the nursing workforce has become an increasing topic of concern. Research this topic.

Describe reasons why bullying is a problem in nursing.
Provide suggestions for a new nurse who is being bullied by coworkers.
What is your responsibility if you see a fellow nurse being bullied?

Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice.

CO1: Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO1)

CO2: Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO2)

Think of the best leader or manager you have ever known (or your ideal leader or manager) in nursing or another field. How did this person lead others? How did you feel working with this leader? What impact did this person’s leadership style have on your future leadership?

references: Chamberlain College of Nursing. (2018). NR351 Transitions in Professional Nursing: Week 6 lesson. Downers Grove, IL: Online Publication.