the Evolution of Nursing Informatics

QUESTION

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.

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.

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

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Proposing Evidence-Based Change

Introduction

Note: Complete the assessments in the order in which they are presented.

Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement.

This assessment provides an opportunity to examine a local or regional health care issue from a global perspective.

Preparation

Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.

You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.

In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to:

  • Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete.
  • Review Guiding Questions: Proposing Evidence-Based Change [DOCX], which includes questions to consider and additional guidance on how to successfully complete the assessment.

Requirements

Complete this assessment in three steps:

  1. Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.
  2. Conduct a comparative analysis of different health care systems, focusing on one aspect of the system you are proposing to change.
  3. Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.

The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

  • Identify an aspect of a local or regional health care system or program that should be a focus for change.
  • Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
  • Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
    • Choose one of the following options for selecting the two systems or programs:
      • Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.
      • Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
    • Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
  • Explain why specific changes will lead to improved outcomes.
  • Determine the financial and health implications associated with the proposed changes.
    • Address the implications of making the changes.
    • Address the implications of not making the changes.
  • Write clearly and concisely in a logically coherent and appropriate form and style.
  • Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Document Format and Length
  • Use the Summary Report Template. This APA Style Paper Tutorial [DOCX] can help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from faculty.
  • Your summary report should be 4–5 pages in length, not including the title page and references page.
  • Be sure to apply correct APA formatting to all source citations and references.
Supporting Evidence

Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your comparative analysis.

Additional Requirements

Be sure to delete all directions from the template before submitting your summary report. In addition, proofread your report to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.

Portfolio Prompt: You may choose to save your summary report to your ePortfolio.

Competencies Measured

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

  • Competency 1: Identify the challenges and opportunities facing health care.
    • Identify an aspect of a local or regional health care system or program that should be a focus for change.
  • Competency 2: Compare the effects of different health care finance models and policy frameworks on resources and patient outcomes.
    • Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
    • Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
  • Competency 3: Evaluate the positive and negative influences of leaders on health care processes and outcomes.
    • Determine the financial and health implications of making—and not making—proposed changes to a health care system or program.
  • Competency 4: Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.
    • Explain why specific changes will lead to improved outcomes.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style consistent with applicable organizational, professional, and scholarly standards.
    • Write clearly and concisely in a logically coherent and appropriate form and style.
    • Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Grading Rubric:

1-  Identify an aspect of a local or regional health care system or program that should be a focus for change. 

Passing Grade:  Identifies an aspect of a local or regional health care system or program that should be a focus for change. Provides clear expectations for improvements substantiated by credible evidence. 

2-  Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. 

Passing Grade:  Defines desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes. Provides well-reasoned justification for the definition and exhibits insight into optimal health care solutions. 

3-  Explain why specific changes will lead to improved outcomes. 

Passing Grade:  Explains why specific changes will lead to improved outcomes. Draws well-substantiated conclusions that are in line with reasonable expectations. 

4-  Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. 

Passing Grade:  Analyzes two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Articulates insightful lessons learned from the analysis that have clear implications for U.S. health care. 

5-  Determine the financial and health implications of making—and not making—proposed changes to a health care system or program. 

Passing Grade:  Determines the financial and health implications of making—and not making—proposed changes to a health care system or program. Draws insightful, well-reasoned conclusions based on credible evidence. 

6-  Write clearly and concisely in a logically coherent and appropriate form and style. 

Passing Grade:  Writes clearly and concisely in a logically coherent and appropriate form and style. Main points, ideas, arguments, or propositions are well-developed and engaging. Adheres to all applicable disciplinary and scholarly writing standards and conventions. 

7-  Support assertions, arguments, propositions, and conclusions with relevant and credible evidence. 

Passing Grade:  Supports assertions, arguments, propositions, and conclusions with relevant, credible, and convincing evidence. Skillfully combines error-free source citations with a perceptive and accurate synthesis of the evidence. 

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Research Study is Usable for clinical Practice

ASSIGNMENT

How does a nurse know what (if any) knowledge in a research study is usable for clinical practice? What would a critical thinker look for in the evidence before deciding to change? What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice?

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Discussion Board (Alternative And Complementary Medicine )(Holistic And Allopathic Care).

QUESTION

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care.

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

Word limit 500 words.  Support your answers with the literature(3 Sources/ last 5 years) and provide citations and references in APA format.

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Multidimensional Nursing Interventions

ASSIGNMENT

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

Describe how this new knowledge will impact your nursing practice.

Course Competencies

1. Identify multidimensional nursing care strategies for clients with reproductive system disorders.

2. Determine appropriate multidimensional nursing interventions for clients with disorders of the urinary system.

3. Apply strategies for safe, effective multidimensional nursing practice when providing care for clients with upper respiratory disorders.

4. Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders.

5. Prioritize nursing care strategies for clients with cardiovascular disorders.

6. Integrate multidimensional nursing interventions when caring for clients with hematological disorders

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HEALTHCARE ORGANZATION PROJECT

ASSIGNMENT

Healthcare managers have different perceptions of team members, which tend to influence how they are treated. Sometimes, a healthcare manager could have the wrong perception of an employee. Theory X and Theory Y present two different views of how managers perceive workers in an organization. Your healthcare manager asks for your views on Theory X and Theory Y. Respond to the following:

  • Prepare a leaflet to explain Theory X and Theory Y to your healthcare manager.
  • Explain how the healthcare manager’s perception affects the attitude and behavior of healthcare workers.
  • Describe the 4 stages of perception.
  • Include a recommendation on how the participation of healthcare workers in decision making would lead to greater achievement for the healthcare manager, team members, and the organization.

Deliverable Requirements

  • Include at least 3 references
  • Use the APA format
  • Minimum of 3 pages

Submitting your assignment in APA format means, at a minimum, you will need the following:

  • Title page: Remember the running head. The title should be in all capitals.
  • Length: 3 pages minimum
  • Abstract: This is a summary of your paper, not an introduction. Begin writing in third person.
  • Body: This begins on the page following the title page and abstract page and must be double-spaced (be careful not to triple- or quadruple-space between paragraphs). The typeface should be 12-pt. Times Roman or 12-pt. Courier in regular black type. Do not use color, bold type, or italics, except as required for APA-level headings and references. The deliverable length of the body of your paper for this assignment is 3 pages. In-body academic citations to support your decisions and analysis are required. A variety of academic sources is encouraged.
  • Reference page: References that align with your in-body academic sources are listed on the final page of your paper. The references must be in APA format using appropriate spacing, hanging indent, italics, and uppercase and lowercase usage as appropriate for the type of resource used. Remember, the Reference page is not a bibliography but a further listing of the abbreviated in-body citations used in the paper. Every referenced item must have a corresponding in-body citation.

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Air Pollution

Question:

Illustrate the consequences of exposure to air pollution on human health? Discuss what actions can be taken to lower air pollution emission? Provide an example at a national or a global level?

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Analysing And Visualizing Data- Deep Forensics

ASSIGNMENT

 Select any example of a visualization or infographic, maybe your own work or that of others. The task is to undertake a deep, detailed ‘forensic’ like assessment of the design choices made across each of the five layers of the chosen visualization’s anatomy. In each case your assessment is only concerned with one design layer at a time.For this task, take a close look at the annotation choices:

  1. Start by identifying all the annotation features deployed, listing them under the headers of either project or chart annotation
  2. How suitable are the choices and deployment of these annotation features? If they are not, what do you think they should have been?
  3. Go through the set of ‘Influencing factors’ from the latter section of the book’s chapter to help shape your assessment and to possibly inform how you might tackle this design layer differently
  4. Also, considering the range of potential annotation features, what would you do differently or additionally?

Submit a two-page document answering all of the questions above.  Be sure to show the visualization first and then thoroughly answer the above questions. Ensure that there are at least two-peer reviewed sources utilized this week to support your work. 

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Data Analysis using Microsoft Excel

ASSIGNMENT

Using Microsoft Excel, enter the Age and Income data (textbook exhibit 7.17) into a spreadsheet.   

•From the material in slides 22-27 this week on the intuitive meaning of statistical correlation (especially slide 25), calculate the correlation between Age and Income in a similar way.  You should insert columns to show intermediate steps in calculating z-scores.

Note that the intent is that slide 25, (i.e.the single formula that summarizes correlation as the “average of the cross product of z-scores” is much easier to understand/memorize what correlation is really all about than a several page equation (as in the text).   Doing this exercise allows you to try this out for yourselves…. and when you you confirm that your calculations match the next step below…..;  you get to experience that “magical moment of insight!”.  

•Verify that this is equivalent to the correlation output in Excel’s Data Analysis routines (i.e. CORREL( ),  is an Excel function to check and compare your calculation with Excel’s. 

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Respiratory System Discussion

ASSIGNMENT

Define the four major functions of the respiratory system.

Explain involuntary control of respiration.

Review hypercapnia and hypoxemia, discussing symptoms of extremes in these areas

Each student must post (1) substantial initial post with a minimum of 250 words All posts and replies must contain at least (2) professional references, one may be the course textbook, properly cited in the current APA format Second one should be a reliable Journal Article

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