Clinical Prevention Intervention and Evaluation.

/in /by

Nursing homework help
e
Topic 1: Nutrition, Exercise, Stress Management: Clinical Prevention Intervention and Evaluation.
Read the required reading. You have a client from a vulnerable population, such as an economically disadvantaged and older adult, who needs to begin lifestyle changes with nutrition, exercise and stress management modifications. Discuss how you would approach nutrition, exercise and / or stress management counseling. Address food aid programs that would be appropriate for referral. What exercise recommendations would be appropriate for your client/s. Comment on stress management factors that may need addressed with your choice of the vulnerable population.

identify any genetic predisposition your chosen population has to a particular disease and develop primary practice interventions that reflect the cultural considerations of the population

/in /by

 
Nursing homework help
Overview: This week, you’ll identify any genetic predisposition your chosen population has to a particular disease and develop primary practice interventions that reflect the cultural considerations of the population. Then, you’ll develop culturally appropriate, measureable interventions to help your population members maintain an optimal state of health, avoiding the problem that you identified them being at risk for developing.
Practicum Discussion: Culturally aware nurses recognize that states of health are revealed differently across cultures and ethnicities. Culture and ethnic background will affect the way each individual responds to health, illness, and death (Stanhope & Lancaster, 2016). These nurses are also aware of their own biases, which may affect the care they provide to others (Stanhope & Lancaster, 2016). Because most nurses work in institutions with individual patients, they are accustomed to delivering culturally competent care on a one-on-one basis. When a public health nurse deals with a population, he or she must consider how the population culture affects the ways in which the community nurse may interact. This can be with regard to the provision of education or mass health care needs such as those required in a foodborne illness, if mass vaccinations are needed for a communicable disease outbreak, or if education is required to prevent heart disease. In addition to understanding the nuances of the culture of a population, community health nurses must understand the role genetics play in health. Some disorders, such as glaucoma and diabetes, have a genetic link, as do some cancers, such as breast and ovarian.
Please discuss the following questions in your Practicum Discussion:
Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?
Are there any cultural considerations that might inform your approach to caring for this population?
Does your population have a genetic predisposition to the health care problem you have identified?
Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?

What are the advantages of standardizing coding terminologies? And what is the best way to achieve consistency for information systems?

/in /by

Nursing homework help
What are the advantages of standardizing coding terminologies? And what is the best way to achieve consistency for information systems?
As Dr. John Glaser notes in the “What Is Health Informatics?” media presentation (assigned in Week 1), a group of physicians may use many different terms to describe one patient’s painful experience. This simple example can be extrapolated to guide your thinking about the obstacles that have arisen for information system development because of the varied and complex nature of health care.
In this week’s Discussion, you evaluate the interoperability and coding challenges encountered in today’s health care organizations.
To prepare:
Think about how controlled terminology and standards facilitate information sharing, for example, sharing data between an emergency care clinic and a pharmacy or between a primary care physician’s office and a specialist’s office.
Reflect on the national health IT agenda as presented in the Learning Resources.
Consider challenges health care providers are facing in light of the national health IT agenda related to sharing data across information systems and/or controlled terminology standards. What strategies could a health care organization use to address interoperability challenges? Conduct additional research as necessary to determine possible solutions.
By tomorrow Wednesday 09/13/17, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list below. Include the level one headings as numbered below:
post a cohesive response that addresses the following:
1) Evaluate the challenges that health care organizations may face when sharing data across systems.
2) Using your professional experience and/or information gathered through research, provide at least two specific examples of interoperability challenges.
3) Propose at least two strategies a health care organization might implement to address interoperability challenges.
Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.
Chapter 13, “Standards and Interoperability
This chapter introduces the definition, standards, and challenges of interoperability. The authors also detail the impact that interoperable systems will likely have on the future of electronic health records (EHRs) in response to the national health IT agenda.
Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.
Trends in Care Delivery Models and Innovation” (pp. 63-66)
This excerpt gives examples of projects that are being used to accelerate informatics implementations in organizations.
Grain, H. (2010). Clinical terminology. Studies in Health Technology and Informatics, 151, 70-83.
This article begins with an historical overview of computer use in the health care industry. Then it takes an in-depth look at the incentives being used to increase the percentage of practice settings that comply with the integration of electronic health records and interoperable technologies.
Hovenga, E. J. (2010). National standards in health informatics. Studies in Health Technology and Informatics, 151, 133-155.
This article provides an in-depth review of the development of national standards. It includes a look at the components of standards and how they affect the interoperability of systems.
Kuperman, G. J., Blair, J. S., Franck, R. A., Devaraj, S., & Low, A. F. H. (2010). Developing data content specifications for the Nationwide Health Information Network Trial Implementations. Journal of the American Medical Informatics Association, 17(1), 6-12.
The authors of this article use the experiences of the Nationwide Health Information Network’s Trial Implementations project to describe the process and challenges of developing content specific standards.
Truran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information management practice. Health Information Management Journal 39(2), 37-39.
Real-world examples are used in this article to predict how the management of health information will change as standardized terminologies are implemented within practice settings.
American Nurses Association (2006). ANA recognized terminologies and data element sets.
Retrieved from http://www.nursingworld.org/npii/terminologies.htm
By navigating through this website, you can see the table that shows the data sets recognized by the American Nurses Association.
Centers for Disease Control and Prevention. (2009). Health data standards.
Retrieved from http://www.cdc.gov/nchs/about/health_data_standards.htm
This website provides a link to two organizations that focus on health standards and statistics. The first organization that you may choose to view is the National Committee on Vital and Health Statistics, which was established by Congress and advises the Department of Health and Human Services. The second is called the Public Health Data and Standards consortium, a not-for-profit organization that works with a variety of agencies, associations, and organizations.
Logical Observation Identifiers Names and Codes (LOINC®). (2011).
Retrieved from http://loinc.org
Access this website to gain information on LOINC’s universal coding system for laboratory and clinical observations.
Saba, V. (2011). Clinical Care Classification System.
Retrieved from http://www.sabacare.com/
At this website, you can view the framework of the Clinical Care Classification (CCC) coding structure. Use the side tabs to view the features that make this coding terminology widely accepted as a means to document patient care in electronic health care records.
U.S. National Library of Medicine. (2011). Unified Medical Language System® (UMLS®).
Retrieved from http://www.nlm.nih.gov/research/umls
The Unified Medical Language System uses its three tools, or Knowledge Sources, named Metathesaurus, Semantic Network, and SPECIALIST Lexicon and Lexical Tools to combine many popular standards and terminologies used in the health care industry. This integrated system facilitates interoperability between computer systems.
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: The standardized representation of health information. Baltimore, MD: Author.
Note: The approximate length of this media piece is 16 minutes.
This week’s media presentation introduces the importance of standardized data in interoperable systems.
Optional Resources
Konicek, D. (2010, March 1-4). Foundations of nursing informatics: SNOMED CT: Terminology implications for meaningful use. Session presented at the HIMSS 10 Annual Conference and Exhibition, Georgia World Conference Center, Atlanta, GA.
Retrieved from http://www.himss.org/content/files/proceedings/2010/FNI4.pdf
ABC Coding Solutions. Retrieved from http://www.alternativelink.com/ali/home/

Consider how you could reach this target population to gather data. What are some challenges you might encounter?

/in /by

 
Nursing homework help
Sampling
The temptation to form premature theories upon insufficient data is the bane of our profession.
—Sherlock Holmes (from The Valley of Fear, by Sir Arthur Conan Doyle)
Sherlock Holmes, the great fictional logician, may have made this reprimand in reference to the science of criminal investigation, but the underlying principle holds true for all branches of research. Now that you have identified a research problem and developed hypotheses, the next step is to identify your sample and begin gathering data that will answer your research questions. The process of sampling to gather data is a crucial step in the research process in that you must be sure that the instruments and sample population mesh well with the study’s goals and objectives so that they will produce valid and reliable results.
For this Discussion, you identify a target population and sample appropriate for addressing the research problem you formulated in the Week 2 Discussion. (see attached file).
To prepare:
Review this week’s media presentation and consider Dr. Pothoff’s comments on sampling.
Recall the research problem, question, and hypothesis you developed in Week 2’s Discussion. With this in mind, ask yourself: What population is most relevant, and accessible, for exploring my research problem?
Consider how you could reach this target population to gather data. What are some challenges you might encounter?
Determine a data collection approach for your target population. Develop an informed rationale for selecting that approach.
By tomorrow Wednesday 09/13/17, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:
Post a cohesive response that addresses the following questions:
1) What are the researchable populations in your area of practice? Which would be most appropriate for use in your research study?
2) What are the challenges of obtaining a sample from this population? How could you address those challenges?
3) What approach would you use to collect data from the sample? Provide a rationale for the approach you choose based on this week’s Learning Resources.
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Quantitative research: Sampling. Baltimore, MD: Author.
Note: The approximate length of this media piece is 7 minutes.
In this week’s video, the presenter explores some key considerations in health care research for the sampling process.
Required Readings
Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.
Chapter 15, “Sampling”
Chapter 15 introduces key concepts and components of sampling theory and the sampling process. The chapter discusses several important sampling considerations, including target population, hypothetical population, accessible population, elements, subjects, participants, and generalizability of research findings based on sampling methods.
Chapter 20, “Collecting and Managing Data”
Chapter 20 explains how data collection is an integral part of research and presents methods for collecting and managing data.
Corrigan, P. W., Tsang, H. H., Shi, K., Lam, C. S., & Larson, J. (2010). Chinese and American employers’ perspectives regarding hiring people with behaviorally driven health conditions: The role of stigma. Social Science & Medicine, 71(12), 2162–2169. doi:10.1016/j.socscimed.2010.08.025
This article discusses a mixed-method study of the work opportunities for people with behaviorally driven health conditions such as HIV/AIDS and drug and alcohol abuse. The article describes the results of qualitative interviews and quantitative surveys of employers in China and the United States in an effort to analyze employer perspectives, stigma, and the possibility for stigma change.
Williams, H., Harris, R., & Turner-Strokes, L. (2009). Work sampling: A quantitative analysis of nursing activity in a neuro-rehabilitation setting. Journal of Advanced Nursing, 65(10), 2097–2107.
This article describes a quantitative research study on the amount of time nurses spend on direct patient care in a neuro-rehabilitation setting. The article offers suggestions for future studies that focus on work sampling and discusses how staffing requirement estimates should consider indirect care and non-patient activities in addition to direct patient care needs.
Optional Resources
Fawcett, J., & Garity, J. (2009). Evaluation of samples. In Evaluating research for evidence-based nursing (pp. 91–131). Philadelphia, PA: F. A. Davis. Retrieved from http://ezp.waldenulibrary.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2010424062&site=ehost-live&scope=site
Walden University. (n.d.). Collecting quantitative data. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_collecting_quantative_data.html