Promoting Quality and Safety: The Role of the Nurse.

Promoting Quality and Safety: The Role of the Nurse Objective Describe the nurse’s role in promoting quality care and patient safety among the interdisciplinary health care team Discussion Overview In this discussion forum, you will describe the role of the nurse in promoting quality care and patient safety to the interdisciplinary team for a selected evidence-based practice issue. Deliverables Participation in the discussion forum, including the following: Response to the initial questions Responses to at least two other students posts Step 1 Read the case scenarios. A group of nurses working on a medical-surgical unit at General Hospital learns that there has been an increased incidence of falls in elderly patients on the unit over the past two months. They recognize that this is a serious concern. This group is charged with the task of assisting in the investigation into the cause of these falls.   The nurses investigation leads to two findings. Falls on the unit primarily occurred in patients with impaired mobility or impaired cognition who were trying to get out of bed on their own to use the restroom. Based on these findings, the nurses will be reporting their recommendations for resolving the issue to members of the interdisciplinary team on the unit (such as other staff nurses, advanced practice nurses, physicians, physical and occupational therapists, pharmacists). Step 2 Post a response to the discussion board. In your response, address the following questions: What recommendations could be made by the nurses in this scenario to promote quality and safety in regards to decreasing falls? What would be the best way for this group of nurses to disseminate their findings to the members of the interdisciplinary team and other staff members (such as nursing assistants) on the unit? Describe one reliable source that can be used to identify evidence-based reports and clinical practice guidelines related to this situation and remember to cite your source.

Discuss the synopsis of an article from the Journal of Counseling & Development that speaks to the therapeutic alliance in counseling relationships.

Read Bobby’s article on the evolution of CACREP discuss one or two points regarding the historical aspects of ACA/CACREP that you found interesting. Explore the various divisions of ACA and talk about the branch that most relates to the professional licensure/certification path of school psychology.   Discuss the synopsis of an article from the Journal of Counseling & Development that speaks to the therapeutic alliance in counseling relationships.

Describe how to handle the shooting episode.

You are still the head of administration at the same child welfare institution that was described in the previous submission. You have now got used to the employment conditions, working hours and HSE. A collective agreement has been entered into with the Trade Union, and you have registered the company with NHO Service. But at one of the institutions, Solbekk with a total of twelve employees, there is still a lot of unrest. Environmental worker Lisbeth thinks she has been bullied by the shop steward Nils, because she refuses to organize. She says that she has felt bullied for a long time, not only by Nils, but by “everyone”. Nils tells you on the phone that Lisbeth is definitely not being bullied, but that she is a problem because she does not cope with the young people, and her behavior can trigger episodes of violence. Lisbeth wants you to do something with the bullying, Nils wants you to do something with the work environment in general and with Lisbeth in particular. Anton, who heads the Solbekk unit, thinks they are difficult to deal with both, and says that there is a conflict between them that he does not want to get involved in. He thinks most things work well, and that both exaggerate. A third employee, Kirsten, has been on sick leave for four months, without any kind of follow-up from Anton. No one really knows what’s wrong with her. You got to know about this because there was a letter from NAV asking for minutes from the follow-up meetings, which thus turn out not to have been held. In between all this, an accident happens in another of the homes. You hear about the accident via the general manager of the home, who calls and tells that one of the young people shot with an air pistol and hit an employee in the face, in the edge of one eye. The employee went to the emergency room, where the doctor on duty thought the eye would be fine again in a couple of weeks. There is no other documentation of the incident other than this telephone conversation between the general manager of the home and your friend, the head of the institution. Describe how to handle the shooting episode. Then make a plan for how to get the conditions at Solbekk in order. The plan should include both possible measures and what kind of meetings you should hold with whom, and what instructions you should give them.

Module 3: Videotape Assignment for Generalist Practice Skills (graded).

Purpose: The purpose of this assignment is to have students begin practice generalist practice skills and to identify the appropriate times to use skills of verbal following, exploration and focusing. Course Outcome CO3: Demonstrate knowledge of diverse populations and identify and utilize client-practitioner attributes from a strengths and empowerment perspective.

Establish an Upgrade homegrown EHR to a commercial, off the shelf (COTS) system that is meaningful use (MU) certified

3HS executives want to upgrade their homegrown EHR to a commercial, off the shelf (COTS) system that is meaningful use (MU) certified. As the chief procurement officer for the system, the vice president for support services has been designated as the lead for this project. She has asked you for guidance in understanding MU and its implications.   Provide a white paper to aid in decision making. In informal conversation, the support services vice president has indicated she wishes to better understand Meaningful Use Certified EHR Technology, the applicable statutes and regulations and why they were enacted, and the benefits of a MU Certified EHR Technology system, including incentives and penalties if the current system was to remain in place. The decision will also be heavily influenced by factors such as average costs and an average time to make such an upgrade, so examples from other health systems such as Kaiser Permanente, DoD, or VA would be valuable. Be sure to furnish evidence to support any statements and quantify evidence with numeric figures, not generalities like enormous, huge, many, most, increased, decreased, high costs, or lower costs. This white paper should be in APA format and be no more than 5 pages excluding the cover page, table of contents, abstract, appendices, and references.

Describe the teaching experience and discuss your observations.

Describe the teaching experience and discuss your observations. The written portion of this assignment should include: 1.     Summary of teaching plan 2.     Epidemiological rationale for topic 3.     Evaluation of teaching experience 4.     Community response to teaching 5.     Areas of strengths and areas of improvement

Global Economic and Political Issues

Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas. The importance of trade continues to be a debated topic because the gains are not always quantifiable by those involved. Some would argue that due to a significant difference in wages and regulations, free trade is not always fair trade and that free trade agreements are used by companies to simply chase lower wages and fewer regulations. In the United States, this has been an ongoing debate in regard to both the North American Free Trade Agreement (NAFTA) and the normalized trade relationship with China. Take some time to read the following articles before beginning your post: Free Trade vs. Fair Trade U.S. Trade Strategy: Free Versus Fair Based on what you have read, please address the following questions: Which do you feel is a better approach, free or fair trade, and why? Given the concept of comparative advantage, should we even be discussing free versus fair trade? Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions: What did you learn from your classmate’s posting? What additional questions do you have after reading the posting? What clarification do you need regarding the posting? What differences or similarities do you see between your posting and other classmates’ postings? For assistance with your assignment, please use your text, Web resources, and all course materials. References Drezner, D. W. (2006). U.S. trade strategy free versus fair. Council on Foreign Relations. Retrieved from www.cfr.org/content/publications/attachments/CPCTrade.pdf Gillikin, J. (2017). Free trade vs. fair trade. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/trade-vs-fair-trade-1683.html

Describe the state of liberation (mokṣa) according to Yajñavalkya in Brihadaranyaka 61-63.

In about one double-spaced page, answer one of the following questions. For this kind of brief response, full citations are not necessary. Parenthetical citations of the form (Brihadaranyaka XX, Pali Canon XX) where the title is in italics and “XX” represents the page number are fine.  Since you have very limited space, it is best to skip a conventional introduction. Focus on answering the question(s).    1. Describe the state of liberation (mokṣa) according to Yajñavalkya in Brihadaranyaka 61-63. How does one achieve liberation? Why does liberation mean having no perceptions or thoughts? If one has no perceptions or thoughts, how can liberation be bliss? 2. According to the Upaniṣads, why must the atman exist and what essential properties does it have? What is a fundamental assumption that is the basis for the idea of atman? Give at least one objection to the Upaniṣads’ conception of atman.   3. What did the Buddha mean by saying there is no self? What is a person, if not a self? Analyze one Buddhist argument for non-self. Does this argument succeed in proving there is no self?