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Northcross General Hospital just hired Emily as its new Quality Improvement/Evidence-Based Practice Director. To improve outcomes at the hospital, the administrators have asked Emily to establish the biggest issues facing patient care practices, research ways for improvement, and create a plan of action to apply improved practices. After performing many chart audits, Emily has found that the patients of Northcross General Hospital are slow to heal pressure ulcers, and she has found inconsistency in the way that the nurses are charting and performing dressing changes to these wounds. She has established that outcomes for pressure ulcer wound healing could be improved through using best practices.
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- How will Emily ensure that the best practices are being used?
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- Northcross General Hospital just hired Emily as its new Quality Improvement/Evidence-Based Practice Director. To improve outcomes at the hospital, the administrators have asked Emily to establish the biggest issues facing patient care practices, research ways for improvement, and create a plan of action to apply improved practices. After performing many chart audits, Emily has found that the patients of Northcross General Hospital are slow to heal pressure ulcers, and she has found inconsistency in the way that the nurses are charting and performing dressing changes to these wounds. She has established that outcomes for pressure ulcer wound healing could be improved through using best practices. Questions: What is Emily’s next step of action? Where will Emily find the information regarding evidence-based decision-making in order to find the best practice for healing pressure ulcers? Once Emily establishes the best practice needed for healing pressure ulcers, what may be her other…You are concerned that the IV catheter insertion technique and orientation program currently being used with new registered nurses is not as effective as other methods. How would you perform a systematic review of the evidence on this subject? How would you design a new clinical practice guideline for the facility once the systematic review is complete?You have just interviewed for two nursing positions and are trying to decide which job to pursue. During your first interview for a team member position, the nurse manger, Mr. Caruso, was cheerful, spoke highly of his current staff and complimented them for their ability to set goals and participate in decision making, listened to your ideas, and explored ways in which you could contribute to this team’s effectiveness. The second nurse manager, Mrs. Turner, was also cheerful and talkative. She provided you with a job description as a primary nurse caregiver, explained her expectations of you as new employee, and spoke of new programs she was attempting to implement. Both nurse managers talked about changes taking place in their facilities and the need for employees to remain flexible. a. Both nurse mangers spoke changes that were taking place in their facility. As a nurse, how can you assist your peers who are unhappy and seem to resist change even when it is positive?b. Think about…
- You have just interviewed for two nursing positions and are trying to decide which job to pursue. During your first interview for a team member position, the nurse manger, Mr. Caruso, was cheerful, spoke highly of his current staff and complimented them for their ability to set goals and participate in decision making, listened to your ideas, and explored ways in which you could contribute to this team’s effectiveness. The second nurse manager, Mrs. Turner, was also cheerful and talkative. She provided you with a job description as a primary nurse caregiver, explained her expectations of you as new employee, and spoke of new programs she was attempting to implement. Both nurse managers talked about changes taking place in their facilities and the need for employees to remain flexible. Guide Questions: Both nurse mangers spoke changes that were taking place in their facility. As a nurse, how can you assist your peers who are unhappy and seem to resist change even when it is positive?…You are a DNP graduate who is functioning in an education position in a large teaching medical center that is university-affiliated. You are concerned that the IV catheter insertion technique and orientation program currently being used with new registered nurses is not as effective as other methods. How would you perform a systematic review of the evidence on this subject? How would you design a new clinical practice guideline for the facility once the systematic review is complete?A post-operative hospital patient falls while trying to get out of bed after a dose of pain medication. A case review notes that the bed check alarm that would alert nurses when a patient gets out of bed was in place, but not turned on. Nursing staff members attend a mandatory in-service on post-operative care and patient safety. What can be measured to show this intervention was effective? Increased patient satisfaction scores Decreased patient pain medication use Increased staff use of safety practices Decreased patient fall risk scores
- In this assessment task, you will demonstrate your ability to identify a practice issue that requires an evidence-informed approach, develop a related clinical question, and search for evidence that may be used to answer this question. You will use this evidence, and the feedback from this assessment task, to inform and underpin the final assessment task, your research presentation. Instructions Identifies a topic that requires an evidencebased approach, and justifies its importance to nursing or healthcare practice Develop a searchable clinical question using an appropriate framework (question formula) Demonstrates the ability to locate research relevant to the topic, using a well-constructed search strategy; four articles identified. Include a screenshot of the search history from your database searches as an appendix to your report. The question and the articles you find to address this will form the basis for your second assessment task. (1000 words, +-10%) PLEASE NOTE: This…Select the correct answers 12) Which of the following is an element of placing patient's experience at the heart of healthcare? Select one: Resource processes and income None of the above Teamwork Environment of care 31) Supporting nurses in the work place is achieved by organization and clinical leadership True False 34) Which of the following is not and element of identifying standards in Clinical Governance? Research and development Whistle-blowing Clinical standards Evidence-based medicine 35) Quality improvement in clinical governance is achieved through which of the following: Acting to prevent errors Sentinel events Root cause analysis All of the above 36) The systemic evaluation process that identifies when and how a particular system may have failed refers to: Root cause analysis Clinical governance Quality management Failure effect analysis 46) The environment of care is important as it addresses changes in culture and behavior. True FalseDiscuss quality measures established by governing bodies and data sources that help improve patient outcomes and reduction in cost. Provide examples to support your discussion. Preventive care Readmission rates how preventive care could be a win-win situation for both patients and health care organizations ?
- Give typing answer with explanation and conclusion to all parts What is the value of an action plan in managing clinical symptoms? How can medical record reminders promote patient-centered care delivery? Identify tools that are useful in implementing quality improvement projects. Which of the tools are most useful when developing and implementing projects?The metrics by which a healthcare administrator is evaluated are far-reaching and have consequences that are felt from the board of trustees down to the patients and their families. Do some research and find an example of a publicized hospital error, mistake, or grievance. You may use any news story or Internet article as long as its source is reliable according to academic standards. Compose a debriefing of the situation covering the following: Describe the incident. Include relevant details and descriptions. Describe the patient and family reactions, when applicable. How did the hospital handle the situation? Did they acknowledge any wrongdoing? Did they defer to legal counsel for all inquiries? What remedy did the patient seek? Did the patient seek for punitive compensation, corrective care, etc.?The metrics by which a healthcare administrator is evaluated are far-reaching and have consequences that are felt from the board of trustees down to the patients and their families. Find an example of a publicized hospital error, mistake, or grievance. Compose a debriefing of the situation covering the following: Describe the incident. Include relevant details and descriptions. Describe the patient and family reactions, when applicable. How did the hospital handle the situation? Did they acknowledge any wrongdoing? Did they defer to legal counsel for all inquiries? What remedy did the patient seek? Did the patient seek for punitive compensation, corrective care, etc.? Describe the following as it applies to your scenario: How did the problem escalate through the chain of command? For example, if this was a patient- or care-related issue, who was informed first? Where would that information go next? If this was an employee issue, how was it reported and how did it escalate? Where do…