Tag: Clinical-Nursing

PMHNP clinical interview

Despite what you may believe (or may have been told), there is no such thing as one “right” way to do an interview. In fact, there are numerous books written about the various ways of conducting the clinical interview. In actual clinical practice, you will find the format that “works” best for you and addresses your unique strengths and the needs of the client.

In this Discussion, you will practice finding the interview format that works for you and share those ideas with your colleagues for feedback PMHNP clinical interview.

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Learning Objectives

Students will:

Develop formats for initial interviews of mental health clients

Note:

Develop an interview format you would use for an initial interview of a client.

By Day 3

Post:

Attach the interview format document you would use for an initial interview of a client.

Describe what interview format your preceptor uses for the initial interview of a client.

Describe which element of your interview format is most helpful in your practice. PMHNP clinical interview

Discussion: Applying Measurement Tools – Healthcare Effectiveness Data and Information Set (HEDIS)

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes. Discussion: Applying Measurement Tools – Healthcare Effectiveness Data and Information Set (HEDIS).

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Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old) Discussion: Applying Measurement Tools – Healthcare Effectiveness Data and Information Set (HEDIS).

Nr 509 week 7 alternative writing assignment

1. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.

2. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”

3. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation.

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4. Organize the headings and content of your paper using the outline below:

o Select a body system relevant to the lesson from the previous week for the topic of this paper..(ABDOMINAL SYSTEM)

o Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable) Nr 509 week 7 alternative writing assignment.

o Provide an overview of the objective data and expected normal physical examination findings for this body system..

o Explain special physical assessment examination techniques or procedures specific to assessing this body system.

o Analyze and discuss how you might adapt your physical assessment skills or interviewing techniques to accommodate each of the following specific populations:

 Infant/pediatric

 Pregnancy

 Geriatric

o Identify one major disease or disease process that may significantly impact this body system.

o Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process Nr 509 week 7 alternative writing assignment.

o Summarize the key points.

o References in correct APA format Nr 509 week 7 alternative writing assignment

HLT-308V Organizational Risk Management Interview

Organizational Risk Management Interview

The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

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Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below. HLT-308V Organizational Risk Management Interview.

In your interview, address the following:

Risk management strategies used in the organization’s risk control program, along with specific examples.

How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.

Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).

Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.) HLT-308V Organizational Risk Management Interview.

Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.

Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

Prepare this assignment according to the 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.

 

Course Code

Class Code

Assignment Title

Total Points

HLT-308V

HLT-308V-O500

Organizational Risk Management Interview

150.0

Criteria

Percentage

1: Unsatisfactory (0.00%)

2: Less Than Satisfactory (65.00%)

3: Satisfactory (75.00%)

4: Good (85.00%)

5: Excellent (100.00%)

% Scaling

100.0%

Risk Management Strategies Used in the Risk Control Program

10.0%

Risk management strategies used in the risk control program are not included.

Risk management strategies used in the risk control program are partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

Risk management strategies used in the risk control program are present, but minimal detail or support is provided for one or more components.

Risk management strategies used in the risk control program are described in full. The submission encompasses essential details and provides appropriate support.

Risk management strategies used in the risk control program are comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

How the Risk Management Program Addresses Key Professional, Legal, and Ethical Issues

10.0%

A description of how the risk management program addresses key professional, legal, and ethical issues is not included.

A description of how the risk management program addresses key professional, legal, and ethical issues is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

A description of how the risk management program addresses key professional, legal, and ethical issues is present, but minimal detail or support is provided for one or more components.

A description of how the risk management program addresses key professional, legal, and ethical issues is complete. The submission encompasses essential details and provides appropriate support.

A description of how the risk management program addresses key professional, legal, and ethical issues is comprehensive, supported by detailed, relevant examples. Level of detail is appropriate.

Facility Policies for Managing Emergency Triage in High-Risk Areas of Health Care Service Delivery

10.0%

An explanation of the facility policies for managing emergency triage in high-risk areas of health care service delivery is not included.

HLT-308V Organizational Risk Management Interview

An explanation of the facility policies for managing emergency triage in high-risk areas of health care service delivery is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

An explanation of the facility policies for managing emergency triage in high-risk areas of health care service delivery is present, but minimal detail or support is provided for one or more components.

An explanation of the facility policies for managing emergency triage in high-risk areas of health care service delivery is described in full. The submission encompasses essential details and provides appropriate support.

An explanation of the facility policies for managing emergency triage in high-risk areas of health care service delivery is present and comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

Challenges the Organization Faces in Managing and Controlling High-Risk Health Care

10.0%

A description of the challenges the organization faces in managing and controlling high-risk health care is not included.

A description of the challenges the organization faces in managing and controlling high-risk health care is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

A description of the challenges the organization faces in managing and controlling high-risk healthcare is present, but minimal detail or support is provided for one or more components.

A description of the challenges the organization faces in managing and controlling high-risk health care is complete. The submission encompasses essential details and provides appropriate support.

A comprehensive description of the challenges the organization faces in managing and controlling high-risk health care is provided. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

Strategies the Facility Utilizes to Monitor and Maintain Its Risk Management Program

10.0%

A description of the strategies the facility utilizes to monitor and maintain its risk management program is not included.

A description of the strategies the facility utilizes to monitor and maintain its risk management program is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

A description of the strategies the facility utilizes to monitor and maintain its risk management program is present, but minimal detail or support is provided for one or more components.

A description of the strategies the facility utilizes to monitor and maintain its risk management program is complete. The submission encompasses essential details and provides appropriate support.

A description of the strategies the facility utilizes to monitor and maintain its risk management program is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

Assessment of the Risk Management Program Inclusive of Health and Legal Concerns HLT-308V Organizational Risk Management Interview

15.0%

An assessment of the risk management program inclusive of high-risk health care and legal concerns is not included.

An assessment of the risk management program inclusive of high-risk health care and legal concerns is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

An assessment of the risk management program inclusive of high-risk health care and legal concerns is present, but minimal detail or support is provided for one or more components.

An assessment of the risk management program inclusive of high-risk health care and legal concerns is described in full. The submission encompasses essential details and provides appropriate support.

An assessment of the risk management program inclusive of high-risk health care and legal concerns is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

Proposed Action Steps to Improve the Risk Management Program Inclusive of Rationale

10.0%

An inventory of the proposed action steps to improve the risk management program inclusive of rationale is not included.

An inventory of the proposed action steps to improve the risk management program inclusive of rationale is partially incorporated, but the information provided is incomplete, inaccurate, or otherwise deficient.

An inventory of the proposed action steps to improve the risk management program inclusive of rationale is present, but minimal detail or support is provided for one or more components.

An inventory of the proposed action steps to improve the risk management program inclusive of rationale is described in full. The submission encompasses essential details and provides appropriate support.

An inventory of the proposed action steps to improve the risk management program inclusive of rationale is comprehensive. The submission incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate.

Thesis Development and Purpose

5.0%

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

5.0%

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

5.0%

Template is not used appropriately, or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style

5.0%

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage

100%

HLT-308V Organizational Risk Management Interview

Practice Experience: Applying Measurement Tools to a Practice Problem

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Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem and associated challenges impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.). Perform an existing evidence review on your practice problem and search for evidence that demonstrates how your practice problem is measured across the country.

Post a description of the measures identified from the interviews, the challenges to obtaining the data that were discussed, and a summary of how this quality indicator is measured in the literature. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available. Practice Experience: Applying Measurement Tools to a Practice Problem.

Building a Comprehensive Health History Essay

PATIENT:

55-year-old Asian female living in a high-density public housing complex:

•

• How would your communication and interview techniques for building a health history differ with each patient?

• How might you target your questions for building a health history based on the patient’s social determinants of health?

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• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?

• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration Building a Comprehensive Health History Essay.

• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. Building a Comprehensive Health History Essay.

Practice Experience: Applying Measurement Tools to a Practice Problem

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Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem and associated challenges impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.). Perform an existing evidence review on your practice problem and search for evidence that demonstrates how your practice problem is measured across the country.

Post a description of the measures identified from the interviews, the challenges to obtaining the data that were discussed, and a summary of how this quality indicator is measured in the literature. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available. Practice Experience: Applying Measurement Tools to a Practice Problem.

NURS 6051 Week 1 Discussion – To err is human sample essays

In nursing, there are many times we rely on data. The American Nurses Informatics Association’s mission statement is “to advance nursing informatics through education, research, and practice in all roles and settings.” Without crucial data such as vital signs, lab work, radiographic readings, and other useful technology, how can healthcare professionals perform their jobs effectively and treat patients? How does staff communicate pertinent data? Electronic medical records such as Meditech and Epic keep staff up to date on patients and their status. Poor patient outcomes would be the result of incomplete and incompetent data.

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There is a scenario that comes to mind when a patient’s life depended on how I interpreted the data after his surgical procedure (kidney stone removal). After the patient arrived from recovery, he started shivering uncontrollably. Yes, that can be a common side effect of anesthesia, but that is usually immediately post-operatively. Noticing the intense shivering, I took his temperature, and it read 106 degrees Fahrenheit. I then rechecked it due to the insanely high number. Heart rate was in the 110s to 115s, and blood pressure was dangerously low in the 60s over 30s. With my knowledge and nursing background, I immediately thought of urosepsis. I notified the rapid response team, and ancillary departments arrived at our unit to assess and gather the appropriate diagnostics tests. We increased his fluids and started antibiotics NURS 6051 Week 1 Discussion – To err is human sample essays.

Without noticing his shivering and taking his temperature, urosepsis would have taken over his body, and this patient could have quickly perished. His lactate level was an eight, which indicates organ failure. This patient did end up in the ICU but soon recovered due to my quick actions and responding to his vital signs. In nursing, we rely on various machines and devices to provide feedback on a patient’s condition. This feedback then interprets the appropriate care needed and plan of action for this patient.

Before this class, I did not know Nursing Informatics was an actual concept that pertained to me. However, now that I have learned the concepts of informatics in nursing practice, I realize that I integrate informatics every day. Nagle, Sermeus, and Junger (2017) stated that a wide array of emerging technologies and increases in data analytics make the integration of informatics imperative into every area of nursing NURS 6051 Week 1 Discussion – To err is human sample essays. While working in the field of nursing, new technology is always emerging. Therefore, it is critical to keep up on the latest research and grow our knowledge. This scenario is where we, as nurses, integrate informatics into our practice.

According to our readings, McGonigle and Mastrian (2017) described knowledge as an awareness and understanding of a set of information and ways that information is useful to support a specific task or arrive at a decision. My patient above, I went by what his vitals were telling me, and I quickly made an action plan gained from knowledge with past experiences. NURS 6051 Week 1 Discussion – To err is human sample essays.

References

American Nurses Informatics Association. (2020). https://www.ania.org/about-us

McGonigle, D., & Mastrian, K.G. (2017). Nursing Informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Barlett Learning.

Nagle, L., Sermeous, W., & Junger, A. (2017). Evolving Role of the Nursing Informatics Specialist. Evolving Role of the Nursing Informatics Specialist, 212-221.

SECOND SAMPLE DISCUSSION

Week 1 discussion 6051N

Clear The Err

Taking into consideration the article released by the Institute of medicine parentheses (IOM) parentheses, and bringing awareness surrounding patient safety parenthesis( Plawecki & Amrhein,, 2009). As human mistakes are bound to happen: as a society, we must learn from those mistakes. Sharing information is important to improvements patient safety. The way we share the information should be done in a concise, safe and easy to use manner. The capital IOM was influential in bringing awareness to the need for an increase in accountability for patient safety comes outcomes. Thus, the birth of the electric electronic medical record charting in the advancement of technology integration into the healthcare field. Health care systems now have a more standard size system in place that protects patients. While technologies can be overwhelming to use at times, it can help protect patients in improve patient safety outcomes(Plawecki & Amrhein, 2009) NURS 6051 Week 1 Discussion – To err is human sample essays.

Quality Chasm: Current Role

I worked in the area to focus on training and past experiences. The manager would often say do it the way you were trained. The staff will comment this is how we have always done it. The manager was not a nurse, and I had a concern with this as she could not understand the implications of certain actions as it related to patient safety and nursing. Most of the action were not evidence-based practice. However, move into an inpatient. There has nurse managers and nursing educators have made a difference in the way care is delivered. The focus now is on evidence based practice. When practices and policies are change, staff is updated and give information about what evidence shows (Wakefelid,2008).

References:

Plawecki, L. H, Amrhein, D. W. (2009). Clearing the err.. Journal of Gerontological Nursing, 35(11), 26-29. Retrieved from https://web-a-ebscohost-com.ezp.waldenulibrary.org

Walkfeild, M.K. (2008). The Quality Chasm series: Implications for nursing. In R.G. huges €, Retrieved from https://class.waldenu.edu/bbcswebdav. NURS 6051 Week 1 Discussion – To err is human sample essays.

ABDOMINAL SYSTEM – Nr 509 week 7 alternative writing assignment

1. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.

2. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”

3. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation.

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4. Organize the headings and content of your paper using the outline below:

o Select a body system relevant to the lesson from the previous week for the topic of this paper..(ABDOMINAL SYSTEM)

o Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable).

o Provide an overview of the objective data and expected normal physical examination findings for this body system..

o Explain special physical assessment examination techniques or procedures specific to assessing this body system.

o Analyze and discuss how you might adapt your physical assessment skills or interviewing techniques to accommodate each of the following specific populations: ABDOMINAL SYSTEM – Nr 509 week 7 alternative writing assignment

 Infant/pediatric

 Pregnancy

 Geriatric

o Identify one major disease or disease process that may significantly impact this body system.

o Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process.

o Summarize the key points.

o References in correct APA format ABDOMINAL SYSTEM – Nr 509 week 7 alternative writing assignment

Measurement of Performance; Quality Assurance, Peer Review

Discussion for Module 7 – Measurement of Performance; Quality Assurance, Peer Review

7 7 unread replies. 7 7 replies.

The topic for this week is regarding measuring the performance of APNs (and PAs, if they are to be part of your health system):

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1. How are you going to measure performance in general?

2. Are you going to include peer review in assessing performance? Be sure to address the readings regarding the pros and cons of peer reviews.

3. How are you going to ensure that APNs (and perhaps PAs) will address the issues related to cultural diversity and patient care? Measurement of Performance; Quality Assurance, Peer Review