Reflect on your experience with searching the database. Did you note any difficulties when searching for an article? What steps/strategies did you find helpful for locating a peer-reviewed article? Would this database be useful to your colleagues? Would you recommend this database?

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nursing

Order Description
To prepare:

Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
Begin searching for a peer-reviewed article that pertains to your practice area and is of particular interest to you.
Identify the database that you used to search for a peer-reviewed article in your area of practice and interest.
Reflect on your experience with searching the database. Did you note any difficulties when searching for an article? What steps/strategies did you find helpful for locating a peer-reviewed article? Would this database be useful to your colleagues? Would you recommend this database?
Once you have select your peer-reviewed article, evaluate its strengths and weaknesses in terms of scholarly writing, bias, opinion, quality of evidence, and appropriateness to its target audience.

Cornell University Library. (2010). Distinguishing scholarly journals from other periodicals. Retrieved from http://guides.library.cornell.edu/scholarlyjournals

This online article from the Cornell University Library distinguishes scholarly journals from other periodic literature and provides the general criteria that define an academic journal.
Eaton, S. E. (2010). Reading strategies: Differences between summarizing and synthesizing. Retrieved from http://drsaraheaton.wordpress.com/2010/09/29/reading-strategies-differneces-between-summarizing-and-synthesizing/

The author proposes that critical reading must include using critical thinking to create “new” information and insights from this information.
Walden University. (2012b). Walden University: Academic integrity & Turnitin. Retrieved from http://writingcenter.waldenu.edu/809.htm

Review the resources presented at this website, including the Walden Turnitin and Academic Integrity Online Tutorial and the information provided in the “How to Read a Turnitin Originality Report” section of this website.

 

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WRITE a brief description of the informatics functional area in which you are interested. (EDUCATION AND CAREER ADVANCEMENT) Then, identify at least four ANA, TIGER

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Nursing Informatics Competencies

Nursing Informatics Competencies

Order Description

PREPARE BY:
•Review nursing informatics competencies such as those outlined by the American Nurses Association (ANA), the Technology Informatics Guiding Education Reform (TIGER),

and the Quality and Safety Education for Nurses (QSEN).

•Review media presentation Competencies for Nurse Informaticists, and reflect on the competencies outlined by the presenters. (THIS IS THE MEDIA PRESENTATION, PLEASE

USE AS ONE OF THE RESOURCES: •Laureate Education, Inc. (Executive Producer). (2012a). Competencies for nurse informaticists. Baltimore: Author. )

•Recall the informatics functional area you identified. (THE FUNCTIONAL AREA I HAVE CHOSEN IS EDUCATION AND CAREER ADVANCEMENT) With this in mind, what competencies

would be most important for you to master? How might you go about developing these competencies?

•Create a list of competencies you would like to master.

ASSIGNMENT:
WRITE a brief description of the informatics functional area in which you are interested. (EDUCATION AND CAREER ADVANCEMENT) Then, identify at least four ANA, TIGER

and/or QSEN competencies that you believe to be vital for success in this functional area, and justify your choices. Explain how you might successfully develop and

master each of these competencies.

OTHER RESOURCES TO USE:
•Technology Informatics Guiding Educational Reform. (n.d.). Informatics competencies for every practicing nurse: Recommendations from the TIGER Collaborative.

Retrieved from http://www.tigersummit.com/uploads/3.Tiger.Report_Competencies_final.pdf

•Quality and Safety Education for Nurses. (2012). Informatics. Retrieved from http://qsen.org/competencies/graduate-ksas/#informatics

 

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Clearly describe the ethical issue including definition(s), brief history and all subtypes/ sub-issues on the issue. Gives 4 or more examples.

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An Ethical Dilemma in Nursing – Rational sucide

Order Description

1. Clearly describe the ethical issue including definition(s), brief history and all subtypes/ sub-issues on the issue. Gives 4 or more examples.

2. Explain why this is an ethical issue in nursing and health care. Gives at least 3 potential impacts in nursing

3. Describe the viewpoints (3 pro and 3 con) this ethical issue Include the position(s) of 3 or more professional nursing organization(s) regarding this issue.

4. Choose one of the pros or cons previously discussed; explain your PERSONAL position. Include, in your discussion, FOUR professional values as expressed in THE ANA CODES OF ETHICS AND OTHER NURSING PROFESSIONAL DOCUMENTS . Be certain to include documentation

5. CLEARY DISCUSS 5 OR MORE STRATEGIES that nurses collectively, could further enhance ethical nursing practice on a daily basis. (Take this opportunity to be creative and identify what you might do to facilitate ethical nursing practice )

 

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Appreciating the research process in nursing Appreciating the research process in nursing Order Description ASSESMENT TASK AND STUDENT GUIDANCE To critique one given research article, focusing on the research question, methodology, sample, method of data collection, key findings and implications for practice. There should be evidence of an appropriate critique framework chosen for the structure of the critique. (2000 Words) You can choose one article from the following 2: Quantitative: Nagl-Cupal et al 2014 Prevelance and effect of care giving on children Journal of Advanced Nursing 70(10) 2314-2325 Qualitative Martinez-Marcos, M and C.De la Cuesta-Benjumea 2014 How women care givers deal with their own long-term illness: a qualitative study Journal of Advanced Nursing 70(8) 1825-1836 Guidelines For Assignment The following are module specific guidelines for the assessment to help you gain an understanding of the requirements of the assessment and should guide the amount of word space you allot to each section. Introduction (200 words) In this section you should introduce your essay and consider; Context of the assignment, rationale for choice of article, critique framework for analysis Main Body Background/Literature review (400 words) In this section, you should consider; Research topic and the Literature review in the research paper The aims, objectives or hypotheses of the research Design (1000 words) In this section you should consider; Methodology (qualitative or quantitative) Sample and sampling, Methods of data collection Rigour and ethics Findings (200 words) In this section you should consider; Method of analysis and results (key findings) Summary and conclusions (200 words) In this section, you should consider the researcher’s conclusions and /or recommendations for nursing practice What are your own conclusions of this critique? Are there any implications for nursing or your practice? Title Appreciating the Research Process in Nursing Code NI502 Level 5 Credit rating 10 Pre-requisites Meets Progression Requirements to Year 2 of the Course Type of module Extensive Aims To develop an understanding of the research process and its application to nursing practice. Learning outcomes/objectives By the end of the module, the student will be able to: 1. Explain and understand the context of nursing research and evidence based nursing; 2. Demonstrate a comprehensive understanding of the research process; 3. Be able to distinguish between quantitative and qualitative methodologies; 4. Analyse the comparative strengths and limitations of quantitative and qualitative research; and 5. Discuss the relevance of research within the context of evidence based practice.. Content Context of nursing research and evidence based nursing. The research process in quantitative and qualitative research. The research question and literature review. Quantitative and qualitative research methodologies. Methods of collecting and analysing data. Ethico-legal issues relating to research. Service user involvement in research. Establishing research quality: Rigor, reliability and validity. Dissemination of research findings for practice, education and further research.

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Appreciating the research process in nursing

Appreciating the research process in nursing

Order Description

ASSESMENT TASK AND STUDENT GUIDANCE

To critique one given research article, focusing on the research question, methodology, sample, method of data collection, key findings and implications for practice. There should be evidence of an appropriate critique framework chosen for the structure of the critique. (2000 Words)

You can choose one article from the following 2:

Quantitative:
Nagl-Cupal et al 2014 Prevelance and effect of care giving on children
Journal of Advanced Nursing 70(10) 2314-2325

Qualitative
Martinez-Marcos, M and C.De la Cuesta-Benjumea 2014 How women care givers deal with their own long-term illness: a qualitative study
Journal of Advanced Nursing 70(8) 1825-1836

Guidelines For Assignment
The following are module specific guidelines for the assessment to help you gain an understanding of the requirements of the assessment and should guide the amount of word space you allot to each section.

Introduction (200 words)
In this section you should introduce your essay and consider;
Context of the assignment, rationale for choice of article, critique framework for analysis

Main Body
Background/Literature review (400 words)
In this section, you should consider;
Research topic and the Literature review in the research paper
The aims, objectives or hypotheses of the research

Design (1000 words)
In this section you should consider;
Methodology (qualitative or quantitative)
Sample and sampling,
Methods of data collection
Rigour and ethics

Findings (200 words)
In this section you should consider;
Method of analysis and results (key findings)

Summary and conclusions (200 words)
In this section, you should consider the researcher’s conclusions and /or recommendations for nursing practice

What are your own conclusions of this critique? Are there any implications for nursing or your practice?

Title
Appreciating the Research Process in Nursing

Code
NI502
Level
5
Credit rating
10
Pre-requisites
Meets Progression Requirements to Year 2 of the Course

Type of module
Extensive
Aims
To develop an understanding of the research process and its application to nursing practice.
Learning outcomes/objectives
By the end of the module, the student will be able to:

Appreciating the research process in nursing

Appreciating the research process in nursing

Order Description

ASSESMENT TASK AND STUDENT GUIDANCE

To critique one given research article, focusing on the research question, methodology, sample, method of data collection, key findings and implications for practice. There should be evidence of an appropriate critique framework chosen for the structure of the critique. (2000 Words)

You can choose one article from the following 2:

Quantitative:
Nagl-Cupal et al 2014 Prevelance and effect of care giving on children
Journal of Advanced Nursing 70(10) 2314-2325

Qualitative
Martinez-Marcos, M and C.De la Cuesta-Benjumea 2014 How women care givers deal with their own long-term illness: a qualitative study
Journal of Advanced Nursing 70(8) 1825-1836

Guidelines For Assignment
The following are module specific guidelines for the assessment to help you gain an understanding of the requirements of the assessment and should guide the amount of word space you allot to each section.

Introduction (200 words)
In this section you should introduce your essay and consider;
Context of the assignment, rationale for choice of article, critique framework for analysis

Main Body
Background/Literature review (400 words)
In this section, you should consider;
Research topic and the Literature review in the research paper
The aims, objectives or hypotheses of the research

Design (1000 words)
In this section you should consider;
Methodology (qualitative or quantitative)
Sample and sampling,
Methods of data collection
Rigour and ethics

Findings (200 words)
In this section you should consider;
Method of analysis and results (key findings)

Summary and conclusions (200 words)
In this section, you should consider the researcher’s conclusions and /or recommendations for nursing practice

What are your own conclusions of this critique? Are there any implications for nursing or your practice?

Title
Appreciating the Research Process in Nursing

Code
NI502
Level
5
Credit rating
10
Pre-requisites
Meets Progression Requirements to Year 2 of the Course

Type of module
Extensive
Aims
To develop an understanding of the research process and its application to nursing practice.
Learning outcomes/objectives
By the end of the module, the student will be able to:

1. Explain and understand the context of nursing research and evidence based nursing;
2. Demonstrate a comprehensive understanding of the research process;
3. Be able to distinguish between quantitative and qualitative methodologies;
4. Analyse the comparative strengths and limitations of quantitative and qualitative research; and
5. Discuss the relevance of research within the context of evidence based practice..

Content
Context of nursing research and evidence based nursing.
The research process in quantitative and qualitative research.
The research question and literature review.
Quantitative and qualitative research methodologies.
Methods of collecting and analysing data.
Ethico-legal issues relating to research.
Service user involvement in research.
Establishing research quality: Rigor, reliability and validity.
Dissemination of research findings for practice, education and further research.

3. Be able to distinguish between quantitative and qualitative methodologies;
4. Analyse the comparative strengths and limitations of quantitative and qualitative research; and
5. Discuss the relevance of research within the context of evidence based practice..

Content
Context of nursing research and evidence based nursing.
The research process in quantitative and qualitative research.
The research question and literature review.
Quantitative and qualitative research methodologies.
Methods of collecting and analysing data.
Ethico-legal issues relating to research.
Service user involvement in research.
Establishing research quality: Rigor, reliability and validity.
Dissemination of research findings for practice, education and further research.

 

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Write a 6 to 10 page paper that includes the following elements: • Establish a dedicated quality improvement team: Who do you want on your team? Will they be appointed or volunteer? How many members will be on the team, etc? • Establish aims/goals related to the problem (written in measurable terms) • Identify benchmarks and guidelines against which you want to compare your patients: identify best practices from the literature

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Nursing informatics – Prescribing antibioitics for Bronchitis

Nursing informatics – Prescribing antibioitics for Bronchitis

Order Description

Content: You’re a masters prepared nurse who has a concern about one of the clinical issues listed above. You decide to write a quality improvement proposal to address

the issue in your clinical practice.

1. You are part of a medium sized team practice (inpatient unit or outpatient clinic). At a team meeting concerns were brought up by administrative staff concerning

one of the issues you choose to address the topic – Prescribing of antibiotics for bronchitis. The issue is of concern to the team. You volunteer to head a QI effort

to address the issue. How are you going to approach this problem?
2. Write a 6 to 10 page paper that includes the following elements:
• Establish a dedicated quality improvement team: Who do you want on your team? Will they be appointed or volunteer? How many members will be on the team, etc?
• Establish aims/goals related to the problem (written in measurable terms)
• Identify benchmarks and guidelines against which you want to compare your patients: identify best practices from the literature
• Specify 2-5 outcome indicators
• Develop a Chart Audit form. What data are going to be collected? These should relate to the goals of the QI project and the quality outcome indicators that you

identified after reviewing best practices and guidelines.
• Recommend at least 2 evidence-based clinical interventions designed to improve practice
• Conclusion – brief review of key points
• Incorporation of professional literature to support discussion; cited using correct APA format – (Pls address this part in the write up)

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Identify at least 4 key issues the client might face after discharge. What are the strategies you are going to use to address these issues?

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analyse the client’s details to identify and prioritise key health problems, related nursing goals and interventions aimed at achieving safe and quality care for that client, including discharge planning.

Instructions
Based on one of the case studies provided below and drawing on evidence-based literature, analyse the client’s details to identify and prioritise key health problems, related nursing goals and interventions aimed at achieving safe and quality care for that client, including discharge planning.

Your report should include the following:

Introduction (100 words)
Identify the case and outline the purpose and structure of the report.

Assessment (100 words)
Identify two nursing assessment tools that you would use to develop a current profile of your client’s health status and explain your choice.

Client’s Health Problems (350 words)
Identify THREE (3) health problems specific to your client and prioritise these problems to ensure safe and quality care of your client. Justify the prioritisation you decided.

Goals (150 words)
Based on the health problem you prioritised as the most urgent, identify 2 goals or desired outcomes for your client.

Interventions (350 words)
Identify two interventions for each of the 2 goals and provide rationales for interventions.

Discharge (350 words)
Identify at least 4 key issues the client might face after discharge. What are the strategies you are going to use to address these issues?

Conclusion (100 words)
Summarise the major points of this report, and stress the importance of the report.

References
Harvard Referencing System

Case study ONE
Mr Wilson, a 70 year old man, presented to the emergency department (ED) accompanied by his neighbour at 10:15AM. He looked exhausted and found it hard to talk in long sentences due to difficulty in breathing, even at rest. Mr Wilson said that he caught a ‘flu’ about a week ago, and it was not getting any better despite his drinking plenty of water and taking paracetamol. He was also feeling very tired, and did not have the energy to prepare breakfast that morning. He stated that this might be because he has not been sleeping very well at night, as he has been needing extra pillows to sit up to help his breathing.

You noticed pitting oedema on his lower legs. Mr Wilson has had several heart attacks, with the last one occurring 18 months ago. Following this, he was diagnosed with congestive heart failure. He had an echocardiogram that showed he had a left ventricular ejection fraction (LVEF) of 30%. He also has a history of hypertension, osteoarthritis and cataract in the right eye. Mr Wilson lives by himself in a two-story unit. His wife, who was the primary carer for him, died 6 months ago. According to his neighbour, Mr Wilson has been withdrawn and depressed since his wife passed away. The neighbour helps Mr. Wilson as much as he can, as Mr Wilson does not have any other family.

OR

Case study TWO
Cheryl–Warra Allen, a 52 year old Aboriginal woman, was brought into the emergency department (ED) by ambulance with acute shortness of breath. Cheryl has had previous ED admissions since relocating to Adelaide, from the remote Aboriginal community Poonindie, 3 years ago. Her previous medical history includes Type 2 Diabetes Mellitus (T2DM), Hypertension, and end-stage kidney disease (ESKD) for which she has hemodialysis treatment 3 times per week. Cheryl says that she has missed dialysis this week due to unforeseen family reasons and her blister pack of medications show that Cheryl had not taken her medications for 3 days. Her weight, on admission to ED, was 9kg above her ideal body weight.

The on-call nephrologist orders emergency hemodialysis for Cheryl whilst the ED nurses provide respiratory support with oxygen via a non-rebreather mask, at 15L per minute. Cheryl is transferred to the Renal Ward immediately post the emergency hemodialysis treatment.

On arrival to the ward, Cheryl needs assistance to transfer from the wheelchair to the bed, where she immediately asks you lift the back of the bed up so that she can sit upright in bed. You notice that she has peri-orbital odema and the oxygen mask has left indentations on her cheeks. She also appears to be working hard to breathe and is speaking in short sentences only. Despite this, Cheryl says that she would like a cup of tea.

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Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.

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Systems Theory – Nursing

Order Description
To prepare:
Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).

Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.

Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback.

Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.

Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.

Research professional standards that are pertinent to your identified problem.

Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate.

(Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

To complete:
Write a 3- to 5-page paper that addresses the following:

Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.

Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).

Based on this information, explain how you would address the problem as follows:
Formulate a desired outcome.

Identify goals and objectives that would facilitate that outcome.

Translate those goals and objectives into policies and procedures for the department or unit.

Describe relevant professional standards.
Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.
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Create a proposal for your Design for Change Capstone Project. Open the template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced.

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Nursing Milestone #2

Nursing Milestone #2

Order Description

Capstone Project Milestone #2:
Design for Change Proposal Guidelines
PURPOSE
You are to create a Design for Change proposal inclusive of your PICO and evidence appraisal information from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes.
CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)
CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)
DUE DATE
Milestone #2 consists of the proposal for your Design for Change Capstone Project. Submit this Milestone to the Dropbox by the end of Week 4.
POINTS
Milestone #2 is worth 225 points.
DIRECTIONS
1. Create a proposal for your Design for Change Capstone Project. Open the template in Doc Sharing. You will include the information from Milestone #1, your PICO question, and evidence appraisal, as you compose this proposal. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced.
2. The format for this proposal will be a paper following the Publication manual of APA 6th edition.
3. The paper is to be four- to six-pages excluding the Title page and Reference page.
4. As you organize your information and evidence, include the following topics.
a. Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution.
b. Change Plan: Write an overview using the John Hopkins Nursing EBP Model and Guidelines (2012)
i. Practice Question
ii. Evidence
iii. Translation
c. Summary
5. Citations and References must be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.
6. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.
Here is the PICO question I used for Milestone#1-
For the hospitalized patient, is it more beneficial to utilize a computerized systematic reminder based system, versus traditional written protocols that lack follow-up assessment, for indwelling urinary catheter removal to obtain lower incidences of catheter associated urinary tract infections (CAUTIs) measured over the length of stay? Here is the evidence appraisal info I used in Milestone #1- Evidence Appraisal Worksheet
PICO Question: For the hospitalized patient, is it more beneficial to utilize a computerized systematic reminder based system, versus traditional written protocols that lack follow-up assessment, for indwelling urinary catheter removal to obtain lower incidences of catheter associated urinary tract infections (CAUTIs) measured over the length of stay?

APA Reference for Article
Give the APA-formatted reference for the article. Type of Source
*Research: Peer-reviewed article
*Non-research systematic review, clinical practice guidelines, organizational experience, or expert opinion/case study/literature review Strength of Research
Discuss the strength of the sources.
Report if evidence is High, Good, or Low/Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality. Brief Description of Research
Address the questions.
*How does the information in the article apply to the project problem or proposed intervention?
*Summarize in your own words.
* Include results of the study and how these results are applicable to your project.
* What is the recommendation of the source for clinical practice?
1 Author Unknown. (Jan/Feb2015). American Nurse. Vol. 47 Issue 1, p11-11 This article is a peer reviewed article that offers clinical practice guidelines to prevent CAUTIs by first determining the need for a urinary catheter. This article shows evidence of high quality because it is sponsored The American Nurses Association.
(ANA) has spearheaded an initiative to reduce catheter-associated urinary tract infections (CAUTIs) — one of
the most common and costly infections contracted by patients in hospitals through an assessment and decision-making tool RNs and other clinicians can use at the bedside to determine the best way to provide care. The CAUTI Tool, designed to prevent harm and save lives, incorporates best practices based on Centers for Disease Control and Prevention (CDC) guidelines. The CAUTI Tool is a one-page guidance to assist clinicians in determining whether a urinary catheter is appropriate to insert; recommending alternative treatments for urinary retention and incontinence; evaluating indicators for timely catheter removal to prevent harm; and following a checklist on catheter insertion and cues for essential maintenance and post-removal care.
2 Mori, Candace. “A-Voiding Catastrophe: Implementing a Nurse-Driven Protocol”. MEDSURG Nursing. Jan/Feb2014, Vol. 23 Issue 1, p15-28 This is a peer reviewed article based on extensive literature, case study research, and expert opinion that was conducted to establish an awareness and severity of the problem of over use of indwelling catheters. From there, a prevalence study was done to establish the need within the hospital. A surveillance study tool was developed to evaluate all patients with indwelling urinary catheters. This article is of high quality given the fact it is provides both the literature review and the survey data, and provides the necessary evidence to implement a nurse-driven urinary catheter removal protocol to reduce the duration of catheter use. Because nurses spend substantial time with the patient, the assumption was nurses would be the most instrumental in affecting catheter use.
Facilities implementing a combination of nurse-led interventions may assist in preventing and/or decreasing CAUTI rates
?Choice to continue or discontinue indwelling catheter is through collaborative discussion with physician. Based on these indications, a nurse-driven protocol was developed to allow nurses to discontinue urinary catheters without a physician’s order if the appropriate indications were not met.
3 Palmer, Jennifer A.; Lee, Grace M.; Maya Dutta-Linn, M.; Wroe, Peter; Hartmann, Christine W. (Jan/Feb 2013). “Including Catheter-Associated Urinary Tract Infections in the 2008 CMS Payment Policy: A Qualitative Analysis” Urologic Nursing. Vol. 33 Issue 1, p15-23 This is a peer reviewed article based on clinical practice guidelines. The study presented in this article addresses the impact of the 2008 nonpayment policy of the Centers for Medicare and Medicaid Services (CMS) on catheter-associated urinary tract infections (CAUTIs) from the perspective of infection preventionists. With rich qualitative data, it sheds light on the day-to-day impact of this recent health policy on CAUTI prevention. This article is of high quality given the subject of the hospital being responsible for “footing the bill” of any hospital acquired CAUTIs if the proper precautions of preventing CAUTIs are not implemented. Established clinical guidelines that exist for preventing CAUTIS.
CAUTI is related to reasonably modifiable factors, including method and duration of catheter use and catheter care. Increasingly focused on improving quality of care and minimizing preventable harms occurring in health care settings, payers have begun to link reimbursement to quality through pay-for-reporting and pay-for-performance programs.
In an example of this, the Centers for Medicare and Medicaid Services (CMS) is using a novel approach to link payment and quality. With the passage of the Deficit Reduction Act of 2005 and the implementation of the Final Rule in October 2008, CMS no longer pays hospitals for the additional cost of care resulting hospital acquired conditions
4 http://www.cdc.gov/HAI/ca_uti/uti.html This is a non research systematic review website that gives research on clinical practice guidelines on hospital acquired infections, with emphasis on CAUTIs. The article is of good quality because it is sponsored by a government agency, The Centers for Disease Control.It provides information on CAUTIs without using medical jargon that a lay person can understand. Appropriate selection of catheter with respect to gender, length, material, size, and balloon volume is important
?Duration may be short or long-term
Bladder health begins to deteriorate if drainage bags are used for about six months
?Discomfort, blockage, and trauma to the urethra may be associated with indwelling catheter use
?Consideration between indwelling catheter placement and intermittent straight-catheterization is necessary to ensure proper emptying of the bladder and also accurate recording of the measurement. Understanding the impact that prevention practices have on patient care decisions is critical for developing more effective approaches
?By understanding these perceptions, successful uptake of key patient safety practices and thus safer care for hospitalized patients can occur
?An educated hospital staff can work more efficiently towards the goal of decreased incidence of CAUTI.

 

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Discuss how the nurse manager might use benchmarking to compare the unit with other departments in terms of productivity, budgeting, educational activities, and shared governance.

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There are only 2 discussion questions. Each can be about 1/2 page or more. At least 1 reference per discussion question.

Discussion questions:

 

Question 1:

 

Benchmarking compares services provided with those provided by other organizations. This technique can be applied at many levels from the system to the unit level. Review your textbook for a discussion on this topic and also visit the South University library for current articles on Benchmarking.  After reading and reflecting on this information,  post a response including your ideas on the following questions:

 

Discuss how the nurse manager might use benchmarking to compare the unit with other departments in terms of productivity, budgeting, educational activities, and shared governance.

 

How does benchmarking improve “team” performance?

 

How does it promote healthy competition and unit pride?

 

How can benchmarking be used in your plan of action?

 

 

 

 

 

Question 2:

 

The establishment of a competent information management structure is a high priority for any health care organization.  Over the last few years, there has been a growing interest in the development of electronic health records as an integral portion of this structure.  While implementation of an electronic health record is expensive, most health care organizations believe that the implementation is worthwhile.  After a review of current literature and your textbook, post your answers to the following questions.

 

  1.  How does an organizations strategic plan relate to a decision to purchase information technology such as an electronic health record system?
  2. What are the known incentives for implementation of an electronic health record?
  3. What is the role of nursing in the development of these records?

 

What is the role of a nurse who specializes in nursing informatics?

 

 

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