Implementation Of A New Computer System

Assignment Overview

This assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.
For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues

§ Reference slide – list of academic references, using APA style

o Ensure to support the content of your slides with research from your text or the LRC.

Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians.

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

PowerPoint Presentation

Directions:

1. Review the case study and select one of the committee roles.

2. Download the PowerPoint template (Week 2 Assignment Template).

· The link to this template can be found in your Blackboard course in Week 2.

3. Select one of the following roles on the committee

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

4. Use the PowerPoint template to create slides that:

· Identify one or more issues, related to your role on the committee

· Identifies probable cause(s) of identified issue(s)

· States proposed solutions or processes to address the identified issues

§ Solutions are supported by specific rational and research.

· Includes a reference slide – a list of academic references, using APA style

5. Ensure to support the content of your slides by the case study, research from your text, or the LRC.

Nursing Assessment

Tympanic Membrane and Thyroid Gland

Using the South University Online Library or the Internet, research the tympanic membrane and the thyroid gland. Based on your findings, create a 5- to 6-page Microsoft Word document that includes:

Information about a minimum of two health assessment histories.
The possible findings for the tympanic membrane.
Information on how to examine the thyroid gland using both the anterior and posterior methods.
A concise note in the subjective, objective, assessment, and plan (SOAP) format with each patient’s encountered findings.
For a review of SOAP notes:
SOAP Documentaion
Information about laboratory tests that may be used for screening clients and the expected normal levels for each test.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.

INPATIENT AND OUTPATIENT SERVICES – APA Citation Guidelines

You have been named the Administrative Director at Trident International Hospital (TIH) and will be presenting your PPT to the Board of Directors at TIH for approval. TIH is restructuring to meet the current needs of their consumers.

For this assignment, you are responsible for creating a department organizational chart for both the inpatient and outpatient departments at TIH. Using the research and information presented in your Case 1 assignment, you should:

Design a department organization chart for TIH’s inpatient and outpatient department.
You may create your own or use the one of the templates at the following link: http://templatelab.com/organizational-chart-templates/#.
Include in the charts at least 2 units in each department, e.g., acute inpatient units, inpatient rehabilitation, skilled nursing, etc. (An example of a department organization chart can be access here: http://annals.org/data/Journals/AIM/20209/10FF4.jpeg)
In the slides following each chart you are to:
Describe the personnel that will staff these units.
Explain the importance of having your chosen units.
Explain how the chosen units meet the needs of health care consumers.

Your PPT should be professional and provide substantial information about the two departments at TIH.

Your presentation should be at least 5-6 slides (not including the title and reference slide). Speaker notes are required.
Assignment Expectations

Conduct additional research to gather sufficient information to support your design of your department organization chart.
Limit your PPT to a maximum of 6 slides.
Support your powerpoint with peer-reviewed articles, with at least 3-4 references. Use the following source for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.
For additional information on reliability of sources review the following source: https://www.edb.utexas.edu/petrosino/Legacy_Cycle/mf_jm/Challenge%201/website%20reliable.pdf.

using Teacher-Written Praise Notes to Promote a Positive Environment in a Middle School

Read selected sections of Nelson, J. A. P., Young, B. J., Young, E. J., & Cox, G. (2010). Using teacher-written praise notes to promote a positive environment in a middle school. Preventing School Failure, 54(2), 119-125. You should read the Abstract, Introduction, Participants and Setting, Procedure, Measures (paragraph 1 only), Data Analysis (paragraph 1 only), Results (paragraph 1 only), and Discussion (paragraph 1 and 2 only). This article is available at http://library.gcu.edu:2048/login?url=http://search.proquest.com.library.gcu.edu:2048/docview/603227825?accountid=7374.

In an essay of 500 words, use the scenario presented in part 1a, above, to answer the following questions:

What statistical test was used in Nelson et al., (2010)?
Did the authors use the correct statistical test? In other words, what was their rationale for using this test (i.e., were the variables discrete or continuous and was the test appropriate for this type of data?)
What was the research question? How did the statistical test address and answer the research question?
How did the authors interpret the results of this study?

This assignment requires that at least two additional scholarly research sources related to this topiAnalysis of Researchc, and at least one in-text citation from each source be included.

Breast Conditions

Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:
Case Study 1:

You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments. Finally, explain strategies for educating patients on the disorder.

HLT-310V Module 2 DQ 1 The Death Of Ivan Ilych By Tolstoy

Refer to the GCU Introduction, The Death of Ivan Ilych by Tolstoy and the three concepts of the “healing environment” found in chapters 7-9 of Called to Care: A Christian Worldview for Nursing. What is the phenomenology of illness and disease (i.e. the personal “what it is like”)? Cite references from your reading to support your answer.

What is a personal analysis of your own experience with illness and disease and how several factors colored that experience? How can you relate to The Death of Ivan Ilych?

Compare And Contrast Cultures Paper

Details:

It is important to identify and understand your own family culture in order to be able to understand and respect other cultures. Interview a family member, and an individual from another culture with which you are unfamiliar. Some examples of an individual from another culture to consider for the assignment include a neighbor, coworker, patient, or friend. Please inform the individuals of the purpose of this assignment and make sure you receive their consent.

Interviews:

Review the “Family Interview” template prior to the interview. Additional space is designated on the template for you to create three additional questions to ask both interviewees (family member and person from another culture). Additional questions should be relevant to the readings or discussion and should provide value to the interview by helping to understand culture.

Some of the questions may include:

Family beliefs: Have they changed over generations?
Educational and occupational status in the culture and in the family
Communication methods: verbal and nonverbal
Current family goals/priorities
Family member roles and organizational systems
Spiritual beliefs: current practice and death and dying
Alternative lifestyles
Work attitudes and structure

Written Paper:

Using the “Family Interview” template, interview your designated family member and the person from another culture. Be sure to write your responses in a way that will assist you in writing your paper. After the interview is completed, write a paper of 750-1,000 words that includes the following:

An introductory paragraph with the reasons for selecting the interviewees.
A summary of the responses from the interview template gathered from the interviewees.
A comparison and contrast of your findings between the two interviewees.
A reflective concluding paragraph on how family roles affect the cultural domains and relationships for each individual.

General Requirements:

Submit both the completed “Family Interview” template and the written paper” to the instructor.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

HLT-324V-RS-FamilyInterviewTemplate.docx

Practice Issue and Evidence Summary Guidelines

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)
CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets called the Practice Issue and Evidence Summary Worksheets. (Links to an external site.)Links to an external site. Complete both worksheets

Practice Issue Worksheet Directions

A tutorial with tips for completing this assignment may be viewed at https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.
Choose the ONE systematic review topic that is of most interest to you, or most relevant to your practice situation, from the List of Approved Systematic Reviews (Links to an external site.)Links to an external site..
Follow the grading criteria below to formulate your practice issue, which must be based on the topic of the systematic review you have selected.
Use the worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions.
Your practice issue will be the same for all three Milestone assignments in this course.
Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

Develop an evidence summary by following the grading criteria below.
Document this on the evidence summary portion of the worksheet.
You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.
Please type your answers directly into the worksheet.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately
References

Krogstad, J. M. (2015). Reflecting a racial shift, 78 counties turned majority-minority since 2000. Pew Research Center. Retrieved from http://www.pewresearch.org/fact-tank/2015/04/08/reflecting-a-racial-shift-78-counties-turned-majority-minority-since-2000/

O’Daniel, M., & Rosenstein, A. H. (2008). Professional communication and team collaboration. In R. G. Hughes (Ed.). Patient safety and quality: An evidence-based handbook for nurses. Rockville: MD: Agency for Healthcare Research and Quality.

Rogers, E. M. (1995). Diffusion of innovations (4th ed.). New York, NY: Free Press.

Sanson-Fisher, R. W. (2004). Diffusion of innovation theory for clinical change. Medical Journal of Australia, 180, 55-56.

The Joint Commission. (2009). The Joint Commission guide to improving staff communication(2nd ed.). Oakbrook Terrace, IL: Joint Commission Resources.

The Joint Commission. (2015). Quick safety: Overcoming the challenges of providing care to LEP patients. Retrieved from https://www.jointcommission.org/issues/article.aspx?Article=07L7HYJFF9ixfyUPFpDzwohKEfieQSJZAT2%2bhFsYXm0%3d

Vardaman, J. M., Cornell, P., Gondo, M. B., Amis, J. M., Townsend-Gervis, M., & Thetford, C. (2012). Beyond communication: The role of standardized protocols in a changing health care environment. Health Care Management Review, 37(1), 8897. doi:10.1097/HMR.0b013e31821fa503
Rubric

The Elderly

Scenario:

As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.

This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits weredue to colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.

Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of.

Instructions:

Read the scenario above and answer the following questions:
What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health?
Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. Why would they be appropriate?
What activities related to health promotion and disease prevention would you plan for the late fall?
How would you evaluate your nursing interventions? What criteria would you use to evaluate care?
Your response should be 50 – 100 words.

Advanced Pathophysiology Across The Lifespan

Question 1.

A female patient is suspected of having psoriasis. Which of the following aspects of the woman’s history and her care provider’s assessment would be potential contributors to her health problem?

The woman takes an angiotensin-converting enzyme inhibitor for the treatment of hypertension. She has been diagnosed with arthritis.

The woman has a family history of diabetes.

Skin trauma of any kind often precedes an outbreak.

The woman has dark skin.

Question 2.

Which of the following pathophysiologic phenomena would be most indicative of ankylosing spondylitis?

Loss of motion in the spinal column and eventual kyphosis

A progressive loss of range of motion in knee and hip joints

A facial “butterfly rash” and multiorgan involvement

Decreased bone density in long bones

Question 3.

The father of an 18-month-old girl noticed a small vesicle on her face several days ago. The lesion ruptured and left a straw-colored crust that remained on the girl’s face. The eruption of new vesicles has prompted him to bring the child to the emergency department. Which of the following treatments for the child’s skin problem is most likely?

A topical antifungal ointment

An oral corticosteroid

An antiviral ointment

A topical antibiotic

Question 4.

Which of the following statements best conveys an aspect of the process of keratinization?

Keratin cells synthesized in the dermis migrate to the surface over 20 to 30 days.

Mitosis that begins with the cells of the stratum granulosum results in a continual supply of new keratinocytes.

The stratum germinativum continuously produces new keratinocytes to replace losses.

The basal cells of the epidermis migrate to the skin surface at a rate that matches superficial losses of skin cells.

Question 5.

A 35-year-old woman who has been in recovery from alcoholism for 2 years presents at her primary care nurse practitioner’s office with chronic hip pain. She reports that as part of her commitment to her recovery, she began exercising regularly about a year earlier. After a month or two, her hip began to hurt when she ran on the treadmill. She stretches, has had a physical trainer check her form to ensure that it is correct, and rests adequately between each workout. Six months ago the pain began awakening her at night, and now it is constant. She is not aware of any injury to her hip and has no other outward symptoms. Which of the following is most likely to be the cause of her pain?

Hematogenous osteomyelitis

Osteomyelitis with vascular insufficiency

Tuberculosis of the bone

Osteonecrosis

Question 6.

Clinical investigation of a 40-year-old female patient with diverse dermatologic signs and symptoms has focused on the woman’s basement membrane. Which of the following skin functions would a clinician most likely attribute to a region of the integument other than the basement membrane?

Lack of sensory nerve impulse conduction

Formation of blisters on various skin surfaces

Lack of adhesion between the dermis and epidermis

Large immunoglobulin deposits

Question 7.

An 80-year-old female with a diagnosis of osteoporosis receives daily supplements of calcitonin in the form of a nasal spray that she instills each morning. Which of the following phenomena would her care providers expect to result from her supplementation?

Decreased serum calcium levels

Increased bone resorption

Acceleration of osteoclast action

Increased bone formation

Question 8.

A 41-year-old woman has been diagnosed as having a loose body of cartilage in her left knee. What data would be most likely to lead clinicians to this conclusion?

A visible hematoma is present on the anterior portion of the knee.

The woman experiences intermittent, painful locking of her joint.

Computed tomography indicates a complete tear of her knee ligament.

An X-ray shows that her femoral head and tibia are no longer articulated.