P1


Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Deactivated

 

Karan Kortlander 

 

1 posts

 

Re:Topic 1 DQ 1

 

The Scientific Management movement occurred with theorist Frederick Winslow Taylor. Taylor’s philosophy focused on the belief that making people work hard as possible was not as efficient as utilizing how the work was performed. According to Leading and Management book the scientific management theory is “based on the idea that there is one best way accomplish a task” (Yoder-Wise, 2011). Scientific Management states that all humans are motivated by money and that there should be separation between management and workers (Lecture 1, n.d).  This leads to management making decisions without input from employees and employees just doing what they are told.  This was believed to be the best and most productive way to manage. 

 

I have worked as a hospice nurse case manager out on the field and it can be very challenging at times. One of the things I saw inefficient while working out on the field was the lack of communication between per diem, on-call staff, and the assigned nurse case manager. Unfortunately, there was a time when I worked for a hospice company that did not supply per diem staff with computers. This problem would make it very hard for the assigned case manager and the per diem staff. The per diem staff was unable to retrieve records of the client and the assigned case manager was unable to know what was addressed or done with the client during the visit. The per diem staff failed to leave nursing notes in the client’s chart making it difficult once again to know what was assessed at time of visit. The per diem staff also had difficulties knowing what medications the client was on because it was prohibited to leave a medication list at the client’s home and the per diem nurse didn’t have a computer. The hospice company failed to include the per diem staff for regular interdisciplinary meetings that would have helped address many nursing problems.

 

I have worked for a couple of different hospices and I see progress being made. Currently the hospice I work for incorporates mandatory interdisciplinary bi-weekly meetings with the staff. The interdisciplinary meetings give opportunity for the staff to bring forth ways to communicate more efficiently as a team. The email system is also used and all staff including per diem is included when addressing client concerns. The per diem staff has been given computers to be able to have access to the client’s information and allow the nurse to chart. This process makes it easier for the assigned nurse case manager to see what problem/s was addressed in the plan of care. Communication is essential in all type of work but extremely essential when you are out in the field.

 

 

 

Reference:

 

 

 

Yoder-Wise, P. (2011). Leading and Managing in Nursing, 5th Edition. [VitalSource Bookshelf Online]. Retrieved from https://pageburstls.elsevier.com/#/books/978-0-323-06977-9/

Lecture 1 (n.d.). NRS-451V, Pheonix, AZ. Grand Canyon University

COMMENT DANILO

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

In my field of work, they said losing someone is painful because we “do not want to be separated from our friends and family, even if it means moving on to a better life” (Shelly & Miller, 2006). According to Shelly & Miller, (2006), “regardless of how much we love and trust God, most of us fear death”. As for me, I don’t want to witness death, but in our line of work whether you like it or not, witnessing death is inevitable.

In my nursing career, I seldom encountered or witness death maybe 2 or 3 times. One that is lingering to my memory is the 80-year-old woman who was very pleasant and communicative. In my three days of taking care of her, every time I administered her medicine, she started to tell me a story and asked me how I am and my family, and then she started to tell me a story about her herself and her family. I don’t know why I enjoy hearing her stories and our conversation. That is why, I always put her at last list in giving medication. She said, she was ready to face her creator that why she doesn’t want any measures to revive her in case she is dying. I enjoyed listening to her stories because it reminds of my late grandmother who also loved to tell me stories when I was small kid. She has also had resemblance of my grandmother who was thin and skinny and always have smile on her face. On the third day of my shift, she said she was sad because she missed her son who lives in California, who cannot visit her because he was also sick, but she countered not to worry and continue her story about her family. That night, we ended our conversation with happy thoughts and smile on our face and I told her that she will home soon and see her son. At past midnight, our tele tech. called me to check Room 7 for asystole. I hurried went to the room and check on her and found that she was already gone. I was so sad and cannot explained the feeling as if I lose someone who was dear to me. I called her family to informed of them that she passed away. When her family came, I stood beside them and silently prayed for eternal repose of her soul. In the end, I know that she left this world in peace and smile on her face.

As a Christian, we often fear of death because it is painful and hard to lose our beloved, even though we know it is the end of their suffering and hardship. My experience in witnessing death, reminds me that life is short and anything can happen even in the midst of life, that is why we should love one another and enjoy our family and life because we never knew when death will come.

Reference:

Shelly, J. A., & Miller, A. B. (2006). Called to Care a Christian Worldview of Nursing (2 ed.). Retrieved from http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

WIKKI WEEK 1

Week 1 Course Wiki: Click the link below to access the course wiki. Once you have accessed the Wiki, click Create Wiki Page on the action bar to create your own wiki page. Please add meaningful titles to your wiki pages so they are easy to scan in the side panel. You are able to edit any page you want. However, do not delete something any else has written. Feel free to use the Comments function also. After several pages are added, use a page’s contextual menu and select History to see how a page has been edited.

This is a graded, collaborative learning activity. Please add meaningful titles to your wiki pages so they are easy to scan in the side panel.

 

 

CPT Coding Week 1 Wiki Rubric:

 

 

 

A quality wiki page is created. The writing is clear and concise and relevant to the topic. The wiki page has a meaningful title page for ease of scanning in the side panel.  All questions in the “ICD-10”  topic are answered.   50 points

 

 

 

The writing is original and free of writing and spelling errors.  Citation and references are used appropriately using APA 6th edition format.   25 points

 

 

 

The wiki page includes a link to one credible site that has information on the topic.  25 points

 

 

ICD-10 (Improved Care Diagnosis) 10th Edition

 
  • When was it mandated to begin? Why were there delays? 
  • Why is the change being made to ICD-10?  
  • What are the advantages of this change? Are there any disadvantages?
  • What does it mean to physicians and other health care providers?

 

 

 

EXAMPLE

 

ICD-10 (Improved Care Diagnosis) 10th Edition

Created By Anonymous on Tuesday, August 6, 2013 3:28:04 PM EDT

last modified by Daniel Hornstein on Monday, June 12, 2017 1:16:20 AM EDT

 

  • When was it mandated to begin? Why were there delays? 
  •     ICD-10 was mandated to be in full use on October 1, 2015.  There were final delay to keep giving ample time for providers to all fall into compliance with the change, as well as makng sure that HIPPA is on the same page. 
  • Why is the change being made to ICD-10?  
  •      There are changes done for to comply and expand with current, treatments.. There are 1943 changes to  codes being used and being added as of 2017.
  • What are the advantages of this change? Are there any disadvantages?
  •     There is plenty of advantages as the freeze that was in place for new, and updated codes and there activity. There will be easier diagnosis as well as better communication. The changes are also helping a lot with fraud and abuse, of different patient accounts. There really isn’t any disadvantages that I am reading from the CDC website about ICD-10 and what it is doing to make healthcare coding and billing easier. 
  • What does it mean to physicians and other health care providers?
  •     These changes will better the treatment and diagnosis for the physicians and providers, it will have easier mortality,, and morbidity comparison, It will enhance the outcomes to the patients, with easier clinical decisions being made. All in all there will be better improved quality of data, received, better diagnosis of patient care and treatment. It will also provide a better tracking system all around to enhance the quality of patient care

 

 

Reference:

International Classification of Diseases, (ICD-10-CM/PCS) Transition – Background. (2015, October 01). Retrieved June 12, 2017, from https://www.cdc.gov/nchs/icd/icd10cm_pcs_background.htm

 

 

P4

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Ijeoma Igbokwe 

 

1 posts

 

Re:Topic 1 DQ 1

 

Scientific management theory was developed by a theorist called Frederick Taylor, he developed this theory to improve the work efficiency. (Dininni, 2017) This theory asserts that every management body must identify the best ways to get the work done efficiently, this includes ways to train workers who are would competent to produce the best in what they are assigned to do. Setting up a reward system for the workers to improve their productivity is also one of the main goals for this theory (Dininni, 2017)  

 

Hospitals could use this theory to design their management structure, staffing and units to care for a specific number of patients. A nurse manager would utilize this theory to evaluate nurses’ performances based on the set objectives, evaluate the number of patients seen, and documentation details. (Feigenbaum, 2017) This theory strongly believes that incentives and rewards are the driving forces behind good performance and increased productivity. When a worker is rewarded, he puts in his/her best.

 

Inefficient routines

 

One of the routines I noticed working in the nursing home is that most of the times, some of the prescribed medications are not reviewed for several weeks or even months, especially topical medications. The nurses would be signing in the MAR that the medication was given for a very long time even though the patient’s symptoms are no longer there, simply because the medication was not reviewed by the prescriber and discontinued. Another problem is the lack of communication among the nurses, some nurses forgets to document important information about patients care sometimes, for example patient’s follow-up appointment and lab results. The management decided to eliminate the unit managers due to financial problems, then shifting the workloads of the managers to floor nurses who have huge workloads, causing some nurses to quit, then creating staff shortage.

 

                                                                       Participative decision

 

Involving everyone including the house keepers to spot and report change in condition on the residents. This was the idea of the nurses to involve other staff to report any change of condition using “stop and watch paper”. For example, if you notice a resident was not limping yesterday, but limping today, you must report that to the nurse for assessment. This effort has helped identify even small skin breaks for prompt intervention.

 

 

 

Reference

 

Dininni. J (2017) Management Theory of Frederick Taylor, Business.com Retrieved from https://www.business.com/articles/management-theory-of-frederick-taylor/

 

Feigenbaum. E. (2017) Theories in Healthcare Management. eHow. Retrieved from http://www.ehow.com/info_8146054_theories-healthcare-management.html

 

 

 

 

 

COMMENT TANIA

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

 

As a nurse leader, to see the hospital implement an outreach program which will benefit needy members of the community, I will different communication methodologies to develop a shared vision with the stakeholders. In this case stakeholders involve healthcare providers, the government, humanitarian organizations, non-governmental organizations, and the entire community. Communication is the act of exchanging information between groups or individuals or simply the act of communicating. Through information acquired through communication, it is possible to assess and know your performance through the following key components of communication done face to face: words, body language, and tone.Leaders in this profession of nursing  are expected to be attentive to their patients when they have  something to say.

 In order to develop and manage in nursing leadership with your stakeholders a shared vision of the following nonverbal cues must be implemented: control facial expressions,good eye contact, posture.It is the responsibility of the nurse leader to establish the culture of communication in the department .Communication would be made depending on the stakeholders being addressed. For the governments and other organization, written communication would be used. Official or formal letters would be send to these organization notifying them about the project and make requests for funding. Creating a communicating structure can be fostered by being visible and for having accessibility an open door policy is important. This can comprise weekly newsletters, meetings for staffs on monthly basis and on bulletin boards having notes .

 However, for my colleagues in the field of healthcare, face to face communication would be enhanced utilized so as to come up with the best strategy to attain the vision. For the entire community, posters will do better. Print outs would be hanged all over to pass the message to the members of the public. Technological development and innovations have simplified the way of life. In this regard, social media platforms such as Tweeter and Facebook would act as key means to pass the message across all community members especially the youths .

 In conclusion, any interaction must offer dialogue an opportunity for the purpose of sharing concerns or requesting for clarifications or asking questions regarding the same. In scenarios where it appears to be  impossible due to of constraints such as  time,  it is crucial to offer chances for an audience to have a follow-up. The most crucial communication factors include regular frequency, consistency, and chances to provide comment or feedback.

Reference

Jones, R. (2007). Nursing leadership and management: theories, processes, and practice. Philadelphia, PA: F.A. Davis Co.

Barker, A. (1992). Transformational nursing leadership: a vision for the future. New York: National League for Nursing Press.

 

COMMENT TUNESHA

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..bETWEEN 150-200 WORDS

 

Emotional intelligence is the intersection of thinking and emotion. Skill building and training in positive thinking and a focus on positive emotions assist nurses to better listen, encourage, motivate, and create connections (Huber, 2014). Having self awareness simply means that you understand you. You have an awareness of what makes you tick as well as what makes your heart sing or sink.  When you know your strengths and weaknesses as a person, you can then start to understand why you feel the way you do and what makes you feel the way you feel. When you can learn to understand your own emotions, as well as how to control them, you can identify their impact to you and those in your team (Candy, 2016).  

I have a personal example of this from a current situation that I am facing on my job in which I am the program manager. In the last two months I have had two of my staff to move from our area.  Recently, one of the two Nurses I have left has decided to transfer to another clinic to “work less days”. She is fully aware that this will only leave our program with one nurse other than myself. This nurse shared this information to me openly in front other team members (Charge nurse, Social worker, dietician, secretary). It was so quiet you could hear a pin drop. I politely said ok, I want you to do what is going to make you happy and work for your family. Now the other team members didn’t take this news so calmly. What I have learned through the years from trial and error is that as the Leader I cannot allow my feelings to control my behavior. Deep down inside I wanted to scream because it takes 6 months for a new nurse to take call and train patients and I’m in school. To this day my staff are still not aware of how I really feel about the situation. As the leader of our program I could not afford to display the heart drop in my heart that I felt deep down inside because I didn’t want to envoke uneccessary anxiety on them. Surprisingly they have come to privately stating how surprised they were that  I was able to remain so calm after hearing that another nurse was leaving. Of course after hearing that I could only say “Thank you Lord” because that is an area that I have really had to seek God’s help with. 

 

Candy, L (2016). Emotional Intelligence Theory: Highlighting and Developing Leadership Skills. Retrieved 7/4/2017 from http://www.educational-business-articles.com/emotional-intelligence-theory/

Huber, D (2014). Leadership & Nursing Care Management, 5th Edition. Retrieved 7/4/2017 from https://pageburstls.elsevier.com/#/books/9781455740710/cfi/0!/4/2/2@0:51.6

 

 

 

P#4

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  90 words.

 

 

 Deactivated

 

Jamella Miller 

 

1 posts

 

Re:Topic 2 DQ 2

 

Phenomenological qualitative research is used when you are describing an event, phenomenon, or activity. In this form of study interviews, watching videos, reading documents, and visiting places or events are done to help understand the meaning of what is being studied (Sauro,2015). This form of study often hold interviews between 5 and 25 of common themes to build a significant database to lookup help validate your findings (Sauro, 2015). Phenomenologists often refer to the “lived experience” and data is often limited to interviews, while findings are reported as a rich description of the experience drawing on characteristics identified during data analysis (Ploeg,1999). 

 

Ethnography qualitative research is when you put yourself in the target participant’s environment to get a better understanding of the goals, challenges, motivations, themes, and cultures that emerge. In this study, you do not rely on interviews or studies that other people participate in you get the experience firsthand (Sauro,2015). 

 

These two studies are very different in the way the information is collected for the studies being done. The ethnography study is all observed by the person conducting the study from a firsthand view so that the data is not collected from multiple people. The phenomenological study is done by using multiple interviews and reading data collected by multiple other people and basing the data off what other people have gathered (Sauro, 2015).  

 

                                                                              References:

 

 

 

Ploeg, J. (1999). Identifying the best research design to fit the question. Part 2: qualitative design. Retrieved from http://dx.doi.org/10.1136/ebn.2.2.36

 

 

 

Sauro, J. (2015). 5 Types of Qualitative Methods. Retrieved from http://www.measuringu.com/blog/qual-methods.php

 


 

Class 1 unit 3 comment 2

 

Guidance and Coaching Role Differences

The role of teaching and coaching as a registered nurse has similarities and differences with the role of guidance and coaching as an advanced practice nurse. The main similarity between the two roles is patient education. Patient education is done by registered nurses and advanced practice nurses to inform patients about medical procedures, treatment choices, and their medical conditions (Hamric, Hanson, Tracy, & O’Grady, 2014, p. 185). Hameric et al. (2014) explains that patient education is often included in guidance and coaching (p. 185). 

Although there are similarities between these two roles, I feel there are more differences than similarities. As a registered nurse when I am teaching and coaching patients I tend to do more teaching and coaching about disease management rather than disease prevention. For example, in the long-term cares setting I may be teaching a patient with congestive heart failure how to lower sodium intake and about the importance of wearing their compression stocking and taking their diuretics to manage their disease. This process follows more closely with the sickness model rather than the wellness model. It would be much more beneficial to teach the patient prior to the congestive heart failure about blood pressure management, low sodium intake, weight loss, and exercise to prevent the congestive heart failure. This would follow more closely with the wellness model. Hamric et al. (2014) describes the advanced practice nurses’ role of guidance and coaching has a holistic approach centered around disease prevention and early interventions (p. 184, 193). I believe this is a very important difference between the role of the registered nurse teaching and coaching and the advanced practice nurse guidance and coaching. 

I feel that the most important difference between these two roles is the use of motivational interviewing. As stated in Hamric et al. (2014) motivational interviewing is a technique used by advanced practice nurses to motivate and empower their patients to improve their own health (p. 186). This is achieved by using active listening and open-ended questioning to better understand the patient’s motivation and use this information to empower the patient to make better health care decisions (Hamric et al, 2014, p. 199-200). As a registered nurse this is not a concept I was familiar with and had not previously learned about in my undergraduate degree. This is a very different way to guide and coach patients. I am so used to correcting patient’s misinformation and teaching them about the “right” way to do something. This is a very interesting concept to me which I look forward to exploring. 

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. (2014). Advanced practice nursing: 

            an integrative approach (5th ed.). St. Louis, MO: Elsevier/Saunders.

comment ijeoma

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

You have an idea to improve patient care that you would like upper management to support and fund. What type of communication tool would you use to present your idea and why?

It is good to prepare yourself by researching almost everything about the ideas you have before formal presentation. Good and proper preparation and practice could help boost someone’s confidence. First, I would share my ideas with my colleagues, their feedback could give me a hint on how the management might react or the questions they might ask. One of the keys to a successful upward communication is the emphasize the benefits of the ideas to the patient’s care rather than the processes and background details, because when you speak upward (top management), the audience wants to address the questions that are most relevant to them, rather than how you get there, so it is important to be precise and clear when communicating (Grant, 2017)

Communication vary among groups, the tools, channels, and pattern used determines its effectiveness, communication could be transmitted through both verbal or non-verbal modes. Formal and informal methods also may be use when communicating. (Huber, 2014)

The communication tools I would use is the leaflets because information contained on it, is precise, clear and on point. It could contain some graphics that could engage and sustain the attention of the readers.

Email could also be used, because it is faster to disseminate information via emails and to a larger number of audience wherever they are, even people on vacation could access the information.

Presentation; Power-point presentation would be ideal because voluminous information can be compressed to a smaller, but concise, clear, and precise. There is an opportunity to answer questions asked and get feedbacks. There could be opportunity to have physical contacts with people.

Holding a meeting could also be beneficial as well, to better explain the ideas to the board members, especially to convince them to support and fund the ideas that would greatly benefit patient care delivery.  

 

References

Grant. A (2016) Your Guide to Communicating with Upper Management. Fast Company. Retrieved from https://www.fastcompany.com/3049998/your-guide-to-communicating-with-upper-management

Huber, D. (2014). Leadership and nursing Care Management (5th ed.). Maryland Heights, MO: Saunders Elsevier. ISBN-13: 9781455740710

Assignment 3: Quantitative Annotated Bibliography

Hi, are you able to complete the assignment below by tonight at 8:00 pm? Thanks

 

Assignment 3: Quantitative Annotated Bibliography

In this week’s discussion question you were asked to consider a potential problem (HEART DISEASE) that you would like to investigate through nursing research. For this assignment you will review current research from South’s Online Library and provide a critical evaluation on that research through an annotated bibliography. An annotated bibliography is a brief summary and analysis of the journal article reviewed. For more information on annotated bibliographies please visit Purdue’s OWL: https://owl.english.purdue.edu/owl/resource/614/01/

A total of four annotated bibliographiesare to be submitted (not to exceed one page each). The articles must come from nursing scholarly literature and may not be older than 5 years since publication. Please note that the articles must be research based and reflect a quantitative methodology (review our reading assignments). Web pages, magazines, textbooks, and other books are not acceptable. 

Each annotation must address the following critical elements:

 

  • Explanation of the main purpose and scope of the cited work
  • Brief description of the research conducted
  • Value and significance of the work (e.g., study’s findings, scope of the research project) as a contribution to the subject under consideration
  • Possible shortcomings or bias in the work
  • Conclusions or observations reached by the author
  • Summary as to why this research lends evidence to support the potential problem identified specific to your role option.