DEVELOPING A SHARED VISION

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
Reorganization in Response to Merger or Consolidation of Services
Layoffs as a Result of Declining Revenues
Influx of Registry, Part-Time, and Temporary Contract Staff
Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
Poor Job Satisfaction Rates Resulting in Turnover

DEVELOPING A SHARED VISION.

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

Inform the staff of the two issues (from the topics provided) your organization is facing.
Describe the impact of these issues on your department.
Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Successful completion

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Assignment: Electronic Health Record

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT;Assignment: Electronic Health Record

Week 4 Selling Your System Presentation Imagine that you are a project manager at an electronic health record company that has recently bought their competitor. You are going into a facility that has been using the old competitor’s system and you will be in charge of discussing the effects of upgrading or changing EHR systems. Using the course materials and a minimum of two outside resources, discuss the implications of upgrading or changing to a different EHR. Include the process, the people involved, and the training needed, as well as the positive and negative outcomes that may occur during transition. Keep in mind that you work for the EHR company, and you need to focus on selling the new system to the facility. Use the Kaltura recording tool to create your presentation. It should be no more than five minutes in duration and should include audio with your integrated PowerPoint. Please see the Getting Started with Kaltura link in the main menu if you need to review how to use the recording tool.

An electronic health record (EHR) is the systematized collection of patient and population electronically-stored health information in a digital format.^[1] These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.^[2]

A decade ago, electronic health records (EHRs) were touted as key to increasing of quality care. Today, providers are using data from patient records to improve quality outcomes through their care management programs. Combining multiple types of clinical data from the system’s health records has helped clinicians identify and stratify chronically ill patients. EHR can improve quality care by using the data and analytics to prevent hospitalizations among high-risk patients.

EHR systems are designed to store data accurately and to capture the state of a patient across time. It eliminates the need to track down a patient’s previous paper medical records and assists in ensuring data is accurate and legible. It can reduce risk of data replication as there is only one modifiable file, which means the file is more likely up to date, and decreases risk of lost paperwork. Due to the digital information being searchable and in a single file, EMRs (electronic medical record) are more effective when extracting medical data for the examination of possible trends and long term changes in a patient. Population-based studies of medical records may also be facilitated by the widespread adoption of EHRs and EMRs.

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metadata

Your proposal will serve as the beginning of a conversation between you and me about your final essay. I want to know what topic you are discussing and what you intend to say about it. You’ll need to limit yourself to a single issue because this is only a 4 – 7 page paper.
Your thesis will be your conclusion about your columnist’s viewpoint on a certain issue or your viewpoint on a current topic. The substance of your essay will support that thesis with examples from at least 3 – 5 sources.
Your proposal will consist of five parts:
Your topic – What issue will you discuss? It might be your columnist’s view on an issue or your own opinion about a current topic
Your thesis – A complete sentence about your topic – what will you argue in your essay?
Your background with your topic – Have you researched it before? Have you written papers on this topic? It’s fine if you have, but I’ll need to know that this is a separate paper, written specifically for this class. What is your reason for choosing this topic.
Possible research you might use as a basis for your argument. Please don’t write “Google.” I know you’ll use Google.
Any sort of problems you foresee? Will you be able to find enough information? Will the information be mostly biased one way or another?
Course Objectives for this assignment –
Critical thinking, reading, and writing
Metacognition and transfer

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Reflect on the EBP models presented in the Learning Resources and their application in clinical practice.

Evidence-Based Practice

Within a busy healthcare environment, it can be difficult to recognize the influence of theory; yet theory plays a critical role in nursing practice as well as nursing research. The ultimate purpose of learning about theory in this course, and throughout the DNP program, is to strengthen your ability to promote evidence-based practice. Consider what you have learned in this course about the relationships among philosophy, science, theory, and practice; how could the insights you have gained help you to facilitate the application of evidence-based practice in a health care setting? How can an EBP model support this application?

For this Discussion, you will consider the various EBP models as well as the difference between EBP and clinical research.

To prepare:

Reflect on the EBP models presented in the Learning Resources and their application in clinical practice.
Recall the clinical practice problem you identified for Application #5, and consider which EBP model would best support investigating that problem.
Also, contemplate the difference between the application of research in evidence-based practice and clinical research and the role of the DNP-prepared nurse in both.

By tomorrow Wednesday 8/9/17, write a minimum of 550 words essay with a minimum of 3 references that include the level one headers as numbered below:

post a cohesive response that addresses the following:

Which EBP model would best support the exploration of the practice problem you utilized for Application #5? Include a brief summary of your practice problem and the rationale for your EBP model selection.
Provide a summary of how evidence-based practice differs from clinical research, and include your perception of the role of DNP-prepared nurses in both.

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 19, “Application of Theory in Nursing Research”
Chapter 19 delves into the application of theory to nursing research and provides examples of its importance and use.

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.

Review Chapter 1, “Discovering the World of Nursing Research”
Review Chapter 1 focusing on how theory is applied to nursing through evidence-based practice.
Chapter 19, “Evidence Synthesis and Strategies for Evidence-Based Practice”
This section of Chapter 19 presents strategies for transitioning the nursing profession toward EBP.

Fitzpatrick, J. (2010). Connecting or disconnecting the dots between research and evidence-based practice. Applied Nursing Research, 23(1), 1. doi:10.1016/j.apnr.2009.10.001

This brief editorial calls for practitioners to be aware of the difference between research and evidence-based practice.

Ganz, F., Fink, N., Raanan, O., Asher, M., Bruttin, M., Nun, M., & Benbinishty, J. (2009). ICU nurses’ oral-care practices and the current best evidence. Journal of Nursing Scholarship, 41(2), 132–138. doi:10.1111/j.1547-5069.2009.01264.x

This article explores the use of evidence-based practices in the ICU.

Kenny, D. J., Richard, M. L., Ceniceros, X., & Blaize, K. (2010). Collaborating across services to advance evidence-based nursing practice. Nursing Research, 59. S11–S21.

This article discusses the implementation of EBP through the collaborative efforts of nurses at two medical facilities.

Krom, Z., Batten, J., & Bautista, C. (2010). A unique collaborative nursing evidence-based practice initiative using the Iowa model: A clinical nurse specialist, a health science librarian, and a staff nurse’s success story. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 24(2), 54–59. doi: 10.1097/NUR.0b013e3181cf5537

This article discusses the efforts of a clinical nurse specialist, a health science librarian, and a staff nurse to heighten staff nurse awareness of the evidence-based practice process.

University of Iowa Hospitals and Clinics (2010). The Iowa model of evidence-based practice. Retrieved from http://www.uihealthcare.org/otherservices.aspx?id=1617

This website provides numerous resources that explain and support the Iowa Model of EBP.

Required Media

Laureate Education (Producer). (2011). Theoretical and scientific foundations for nursing practice: An evidence-based practice model [Video]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 10 minutes.

In this media presentation, Dr. Kathleen White discusses the Johns Hopkins model for evidence-based practice. Dr. White presents how the model was developed and provides examples of how each stage of the model is applied in nursing practice.

Optional Resources

Dufault, M. (2004). Testing a collaborative research utilization model to translate best practices in pain management. Worldviews on Evidence-Based Nursing, 1. S26–S32. doi:10.1111/j.1524-475X.2004.04049.x

Fineout-Overholt, E., & Johnston, L. (2005). Teaching EBP: Asking searchable, answerable clinical questions. Worldviews on Evidence-Based Nursing, 2(3), 157–160.

Maramba, P., Richards, S., Myers, A., & Larrabee, J. (2004). Discharge planning process: applying a model for evidence-based practice. Journal Of Nursing Care Quality, 19(2), 123–129.

Newhouse, R.P. (2007). Diffusing confusion among evidence-based practice, quality improvement, and research. JONA: The Journal of Nursing Administration, 37(10), 432–435. doi:10.1097/01.NNA.0000285156.58903.d3

Newhouse, R., Dearholt, S., Poe, S. Pugh, L., & White, K. (2005). Evidence-based practice: Practical approach to implementation. Journal of Nursing Administration, 35(1), 35–40.

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