2023 Your initial response to the Discussion topic should be a minimum of 200 words What is

2023 Nursing Discussion

Your initial response to the Discussion topic should be a minimum of 200 words What is 2023

Your initial response to the Discussion topic should be a minimum of 200 words. 

What is the difference between quantitative and qualitative research? Visit the Library and locate at least one research article that used quantitative research methods and another that used qualitative methods. Why did the researchers use the chosen method to complete their research? Was it effective?

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2023 Discussion Question 1 Children and adults often present with complaints of ear pain Your differential

2023 Nursing Reserved for Expert_Reseracher

Discussion Question 1 Children and adults often present with complaints of ear pain Your differential 2023

Discussion Question 1

Children and adults often present with complaints of ear pain. Your differential diagnoses should include otitis media and otitis externa, in addition to other possibilities such as foreign body obstruction and cerumen impactions. Give a brief overview of otitis media and otitis externa, including signs and symptoms of the most common causative agents for both. In addition, discuss the physical exam findings that you might see with the conditions when visualizing various parts of the ear such as ear canal or the tympanic membrane. How will your assessment of the ear differ in children versus adults? What would be essential health history questions to ask patients that present with ear pain and why? Support your answers with appropriate references.

Discussion Question 2

Discuss the physical assessment of a patient who presences with the complaint of cervical lymphadenopathy. What are the specific lymph nodes that you will assess? How do you palpate the lymph nodes and what are the normal versus abnormal findings? In the presence of abnormal findings, what diagnostic tests would you order and why? Also, what are the possible differential diagnoses and would your recommendations differ for adult, pediatric, and geriatric patients?

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2023 TOPIC Interdisciplinary collaboration Discuss the role of the Aboriginal and Torres trait

2023 Nursing Assignment – Medical / Nursing tutors only

TOPIC Interdisciplinary collaboration Discuss the role of the Aboriginal and Torres trait 2023

  

TOPIC:

Interdisciplinary collaboration – Discuss the role of the Aboriginal and Torres trait Islander health worker. What strengths do they bring to the interdisciplinary team? What are their limitations? How do nurses and Aboriginal and Torres Strait Islander health workers optimise each other’s role in this context?

Report presentation structure 

Individuals must address their allocated topic in their report. Your report should be structured as follows: 

1. Introduction – introduce your topic. 

2. Discussion – demonstrate your understanding of this topic through:

a. defining the associated key concepts 

b. discussing the contemporary relevance of the topic to the Aboriginal and Torres Strait Islander peoples’ health context. Use the prescribed readings and broader resources to support your discussion. 

2. Conclusion – summarise the main points of your report.

3.Your Report should be written in third-person style

· Times New Roman, font size 12.

APA 6th edition style referencing 

Include a complete reference list on a new page.

· Include total word count.

NEED AT LEAST 14 REFERENCES (MUST BE RELATED TO ABORIGINAL AND TORRESS STRAIT ISLANDER PEOPLE) NO OLDER THEN 2010 

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2023 This is a Masters 2 page response to this discussion post needs

2023 Nursing FOR Phd isaac newton

This is a Masters 2 page response to this discussion post needs 2023

This is a Masters 2 page response to this discussion post needs to be in APA format and have 3 references one being from walden university library.  Please state retrieved from walden universtiy library when placing in references   I will attach a article that is in resources.  The text book is McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Koppel, R., & Kreda, D. A. (2010). Healthcare IT usability and suitability for clinical needs: Challenges of design, workflow, and contractual relations. Studies in Health Technology and Informatics, 157, 7–14.

Retrieved from the Walden Library databases.

 

NURS 6051-7: Transforming Nursing & Healthcare Through Technology

Week 7 Discussion

As the complexity of healthcare increases and becomes more reliant on information technology, it is important that all nurses, especially those in informatics, are familiar with workflow analysis and how a workflow may be influenced by technology (McGonigle & Mastrian, 2015).  Although technology can greatly improve an organization’s safety, quality, and efficiency, implementing new technology without consideration as to how workflow is impacted may lead an opposite effect of more danger and inefficiency instead (McGonigle & Mastrian, 2015). 

Workflow and Vendor Selection

In the two years that I have been at my organization, I was directly involved in the planning and implementation of the introduction of a new technology that would utilize barcode scanning for storing and administering breast milk.  During this project we were asked to map our current and proposed future workflows after receiving education and an overview of the new program we would be using.  Although we were able to outline inefficiencies in the current process, we were only able to correct them in the future state as far as the new technology would allow.  Identifying and outlining the current workflow before a vendor is even selected would have made it possible to design a truly ideal future workflow and see what how different vendors could help us accomplish it and which would work best for our organization (U.S. Department of Health & Human Services, n.d.).  Ideal future state workflows should not have to accommodate a system but rather find a system that best accommodates them, then proposed workflows can be adjusted once an appropriate vendor and program is selected (U.S. Department of Health & Human Services, n.d.).

Concept 2

When I assisted in the planning and implementation of the breast milk scanning system there were team members who had been trained in EQIP processes which is a type of performance improvement tool.  They provided us with a quick overview of how to put together flowcharts and asked us to put them together for our areas current workflow.  Although having the overview of flowcharts and an example to refer to was helpful, it would have also been helpful to understand each of the steps involved in mapping workflow with flowcharts.  Those steps include selecting the process to be evaluated and what team members should be involved, creating a preliminary flowchart, adding detail to it, selecting individuals to observe or interview to assess its correctness, and updating the flowchart based on those interviews and observations (U.S. Department of Health & Human Services, n.d.).   The use of swim-lanes and determining value added versus non-value added steps that can be eliminated would have also been useful training to receive in order to develop the best future state workflow possible (McGonigle & Mastrian, 2015). 

Usability Tools

A last concept that I found very interesting from the U.S. Department of Health and Human Services (n.d.) is the use of usability tools and evaluations.  These tools can be used before purchasing a system to see how well it may work with the needs of an organization or after its purchase to determine what improvements can be made (U.S. Department of Health & Human Services, n.d.).   Usability tools can also be used during the planning and design phase of a project in order to gain access to feedback from frontline users and suggestions for designs and workflow (U.S. Department of Health & Human Services, n.d.).   I feel that using ttols such as this during the optimization phase of the several different IT system builds we have put forth in the last few years could help us to see if the future state we had proposed has been obtained and what improvements we can make to get them closer to fruition.

Article Summary

Saleem, Patterson, Militello, Render, Orshansky, and Asch (2005) performed an observational study in order to determine the barriers and facilitators to health care professionals using computerized clinical reminders (CRs) efficiently and effectively.  During their observations they found barriers with subcategories that involved lack of coordination or confusion between nurses and clinicians; lack of coordination involving paper workarounds during patient intake and examination; addressing CRs while not with the patient which did not allow for optimal answering; perceptions of not enough time, CRs not being a core activity, and documentation being duplicated by CRs; CRs not having appropriate answer selections, freezing requiring them to be abandoned, or differing from clinical judgement of the provider; and limitations to technology such as speed and difficulty finding CRs (Saleem et al., 2005).  The facilitators discovered were limiting the number of CRs that fire, have computers located in efficient spaces, and integrate CRs into the workflow (Saleem et al., 2005).

With the barriers and facilitators identified by Saleem and his colleagues (2005) it would be beneficial for my organization to perform similar observations and record what is found within it.  Recently in my organization there has been much discussion regarding alert fatigue and how alerts may be ignored if staff are inundated by them every shift.  Observations and interviews with front line staff could help us to have an idea of where we still have barriers and workarounds that need to be improved.

Monitoring Technology and Workflow

The addition of technology to improve the quality of care cannot stop at implementation alone but must be monitored to ensure the goals of implementation are being met (McGonigle & Mastrian, 2015).  If technology is implemented and end state workflow is not assessed, there is no way for an organization to know whether the technology is improving care or impeding it by causing potentially dangerous workarounds due to inefficiencies, etc (McGonigle & Mastrian, 2015).  Instead, monitoring of process metrics associated with the system and workflow for potential weaknesses and performance improvement needs should be a continual duty of an organization (McGonigle & Mastrian, 2015).

 

References

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Saleem, J., Patterson, E., Militello, L., Render, M., Orshansky, G., & Asch, S. (n.d). Exploring barriers and facilitators to the use of computerized clinical reminders. Journal Of The American Medical Informatics Association, 12(4), 438-447.  Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1174889/?tool=pubmed

U.S. Department of Health & Human Services. (n.d.). Workflow assessment for health IT toolkit. Retrieved, June 18, 2012, from http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865

 

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