WK8

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Be sure to provide 5 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

Please be sure to follow EACH AND EVERY BULLET POINT.

Make sure to ANSWER EACH QUESTION ACCURATELY.

(TOPIC: In Attachment**)

***Please be sure to include all information from the attachment in the assignment*****

Please use the template attached to complete the assignment.

*****PLEASE VIEW THE VIDEO, FOLLOW THE GUIDELINES ATTACHED, AND CRITIQUE THE ATTACHED *********

USE TEMPLATE ATTACHED*****

P1   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178610

P2   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178611

P3   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178612

P4   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178613

Replies-Mreen

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I have to write a reply to each of the texts in the document attached below, they must be 200 words each and include references.

DB

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Respond to this discussion using two scholarly references  APA format

 Nursing staffing shortages are among the most significant national stressors within the United States healthcare system. Specifically, the nursing shortage has increased dramatically following the COVID-19 outbreak due to a rise in demand for healthcare services. Nurses enhance patient care quality, safety, efficiency, and timeliness to achieve desired health outcomes (Bakhamis et al., 2019). Additionally, nurses transform healthcare organizations through leadership roles (Broome & Marshall, 2021). Therefore, the nursing shortage affects the US healthcare system adversely.

            The shortage of nurses has impacted our healthcare organization negatively. Nurses’ workload has increased substantially in the healthcare organization to meet the high demand for healthcare services. Studies show that healthcare outcomes in medical facilities significantly depend on nurses’ workload (Norful et al., 2018). Therefore, nurses’ job performance, productivity, and ability to provide high-quality and safe patient care have been compromised, resulting in adverse health outcomes. The social determinant with the most significant effect on the nursing shortage is the decrease in nursing graduates in the United States. A lower number of nurse graduates is a significant challenge facing the United States healthcare system (Chan et al., 2021). As a result, it is challenging to meet the high demand for nurses nationwide. 

            The management has introduced various measures to address the nursing shortage in the healthcare organization. First, the organization hires contract nurses to meet the high nurse demand. Additionally, nurses are hired depending on the demand for healthcare services. For instance, more critical care nurses are hired to meet the increased demand for healthcare services in the emergency department during the COVID-19 pandemic. These measures resolve nursing in the healthcare organization, improving the quality and safety of patient care.

                                                                                                                            References

Bakhamis, L., Paul, D.P., Smith, H., & Coustasse, A. (2019). Still an Epidemic: The Burnout Syndrome in Hospital Registered Nurses. Healthcare Management; 38(1):3-10

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.

Chan, G. K., Bitton, J. R., Allgeyer, R. L., Elliott, D., Hudson, L. R., & Burwell, P. M. (2021). The impact of COVID-19 on the nursing workforce: a national overview. Online Journal of Issues in Nursing, 26(2), 1–17.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256.

Nursing assignment

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To Prepare:

· Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

· Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

· Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

· Briefly and generally explain the policy or regulation you selected.

· Address the impact of the policy or regulation you selected on system implementation.

· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

· Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

· Use APA format and include a title page, in-text citations, and reference page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

public health

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Social determinants of health (SDOH). 

Name the 5 domains of Healthy People 2030. What is the objective of Healthy People?

Select 1-2 overarching goals and describe the impact on health, well-being and quality of life.

Describe the current status of the overarching goals you selected.

Connection

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It has been documented and demonstrated that a safe work environment that prioritizes process improvement produces positive patient experiences. An effective physician-nurse leader connection is one of the essential elements of this setting. Talk about an instance when you attempted or failed to involve a physician leader in patient experience initiatives. 

What might you have changed or improved upon? 

What worked if you were successful? 

Did any of these initiatives result in safer or better outcomes for patients? Why, or why not?

Nursing Grand Round Presentation

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Assignment Directions: 

  1. Review your participant’s holistic assessment form from week 3 as well as feedback from your instructor. Make sure your participant and medical condition are approved before creating the presentation.
  2. Using the Grand Rounds Slide Outline provided, create a 10-slide presentation. You should have one slide for each content area. Do not include more content slides. You may include an additional reference slide if needed. Slide design should be professional and engaging for the target audience.  Review the grading rubric for details and expectations. 

informatics

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During the course, you have done a thorough analysis of a company and the health care subsector in which the company operates now is the time to look at all your findings and insights and frame the situation of the company in terms of cost, access, and quality. Specifically:

  1. Are there any major cost-containment policies or practices from private insurers or the government that affect your company? Are there any internal/ competitive forces that are trying to do the same?
  2. How does your company (and industry) is assessed in terms of its ability to offer access to all populations?
  3. What kind of quality assessment and assurance is done? Are there any positive or negative stories about the quality of health care services of the organization?

Nursing

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EBP PICO question Does the use of a flutter valve compared to no use of a flutter valve affect the outcomes of post op patients? Use 3-5 EBP journal articles less than 5 years .

fundamentals M 2 b

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Respond to Kaffy

Ensuring accurate and confidential documentation in nursing is crucial for patient care, legal compliance, and maintaining the integrity of healthcare records. However, nurses face several challenges in achieving this goal. Three prominent challenges include workload, knowledge, and complex documentation systems.

Firstly, nurses often contend with heavy workloads that can make it challenging to dedicate sufficient time to accurate and complete documentation. The demands of patient care, frequent interruptions, and the need to juggle multiple tasks can sometimes hinder their ability to maintain comprehensive records (Cimino, 2013).

Secondly, nurses need to possess a deep understanding of documentation policies, procedures, and the legal implications of inaccuracies or omissions in their records. Knowledge gaps in these areas can result in documentation errors that compromise patient care and expose healthcare facilities to legal risks (Cimino, 2013).

Thirdly, the documentation systems that nurses use can be complex and not always user-friendly. Navigating these systems effectively requires training and familiarity, and any difficulties in system operation can affect the accuracy and confidentiality of documentation (Cimino, 2013).

To overcome these challenges, nurses can take proactive steps:

Workload Management: Nurses can prioritize their documentation tasks and seek opportunities to delegate tasks when possible. Utilizing informatics tools can help automate certain documentation processes, alleviating some of the time constraints (American Nurses Association, 2020).

Knowledge Enhancement: Nurses should seek out training programs related to documentation policies, procedures, and legal implications. They can also collaborate with colleagues or healthcare professionals for guidance and clarification on documentation-related queries.

System Proficiency: To tackle the complexities of documentation systems, nurses should invest time in learning how to use them effectively. They can also report any system-related issues to their supervisors, advocating for improvements where necessary (American Nurses Association, 2020).

The integration of informatics into nursing practice can play a transformative role in addressing these challenges. Informatics tools can:

Automate Documentation: By automating routine documentation tasks like generating nursing notes or medication administration records, informatics can significantly reduce the time burden on nurses, allowing them to allocate more focus to patient care.

Provide Alerts and Reminders: Informatics systems can offer real-time alerts and reminders, ensuring that nurses complete documentation tasks in a timely and accurate manner. These cues can be invaluable in preventing oversights (American Nurses Association, 2020).

In summary, informatics offers a multifaceted solution to the challenges nurses face in documentation. By automating tasks, providing reminders, improving data access, and enhancing security, it empowers nurses to deliver more accurate, complete, and confidential documentation while mitigating the obstacles presented by workload, knowledge, and complex systems.

References

Nursing Documentation and Informatics: A Core Competency for Nurses. (2020). American Nurses Association

Cimino, J. J. (2013). Nursing Documentation: Informatics for the 21st Century. (4th ed.).

Respond to Muni

1.Data Accuracy and Completeness: 

Maintaining the accuracy and completeness of patient information is one of the biggest issues in nursing documentation. The many duties that nurses must complete may cause them to forget to record important patient information or cause mistakes. Keeping the record updated in real-time may also be difficult if the patient's health changes quickly.

Strong observational and documenting abilities would be needed to overcome this difficulty. Peer evaluations, training workshops, and regular audits of medical records can all be beneficial. Electronic health record (EHR) solutions offered by informatics can significantly contribute to the reduction of errors by automatically recording and updating some patient data (such as vital signs from connected monitors).

2.Confidentiality and Privacy: 

Maintaining patient data security In nursing practice, confidentiality is essential. However, problems might occur as a result of unauthorized access, data breaches, or even an inadvertent disclosure of private information during normal conversations.

Nurses can avoid this by properly following HIPAA rules and upholding their professional limits. Staff members should receive comprehensive cybersecurity training and should only access patient data when necessary. Data security can be strengthened with the use of informatics systems like EHRs, which can assist with access controls, encryption, and audit trails to trace who is accessing data.

3.Time Constraints: 

Due to their busy schedules and time constraints, nurses may struggle to accurately and swiftly record patient information. As a result, there can be a delay in recording or inaccurate data.

This challenge can be lessened with good time management techniques and delegating when appropriate. Informatics is involved once again in this situation. Technologies like speech-to-text software and electronic health records (EHRs) help speed up the documentation process and note-taking. Nurses can document data at the point of care more quickly with the use of mobile devices.

Keep in mind to comment on other entries and offer helpful criticism. To improve our collective nursing practice, we may all benefit from exchanging real-world experiences and solutions.

REFERENCE

· https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111626/

· https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-019-4661-x

· https://www.nuance.com/asset/en_uk/collateral/healthcare/ebook/eb-nuance-nurse-clindoc-screen.pdf

· https://www.frontiersin.org/articles/10.3389/fcomp.2021.624555/full