NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment Example

NURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project Assignment

NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment Brief

Course: NURS 5052 – Essentials of Evidence-Based Practice

Assignment Title: NURS 6052/5052 EB002 Module02 Identifying Research Methodologies Evidence-Based Project Assignment

Assignment Overview

In this assignment, you will engage in a clinical inquiry to explore the difference between common practice and best practice within healthcare settings. By critically analyzing peer-reviewed research articles, you will identify clinical areas of interest and investigate research methodologies employed to maintain or improve clinical practices.

Understanding Assignment Objectives

The primary objective of this assignment is to develop your skills in identifying and critically analyzing research methodologies used in clinical inquiry. You will select a specific clinical issue of interest and explore relevant peer-reviewed articles to understand the aims, methodologies, and strengths of the research conducted.

The Student’s Role

As a student undertaking this assignment, your role is to:

• Identify a clinical issue of interest within the healthcare context.
• Conduct a comprehensive search using appropriate keywords in Walden Library databases to locate relevant peer-reviewed research articles.
• Reflect on the selection process and analyze the methodologies employed in the identified research articles.
• Utilize the Matrix Worksheet template to document and critically evaluate each selected article’s research methodology.

Competencies Measured

This assignment assesses the following competencies:

• Ability to formulate clinical questions for inquiry.
• Capacity to conduct effective literature searches in academic databases.
• Skill in critically analyzing research methodologies employed in peer-reviewed articles.
• Understanding of the importance of evidence-based practice in healthcare decision-making.

You Can Also Check Other Related Assessments for the NURS 5052 – Essentials of Evidence-Based Practice Course:

NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment Example

NURS 6052/5052 EB001 Module01 Where in the World Is Evidence-Based Practice Discussion Assignment Example

NURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Example

NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment Example

Identifying Research Methodologies in Clinical Inquiry

Clinical issues significantly impact the quality of care, health providers’ well-being, patient safety, and service delivery. Workplace incivility, characterized by disrespect and discourteous actions among employees, is prevalent in nursing practice and can profoundly affect confidence, interprofessional collaboration, teamwork, and productivity if left unchecked. Moreover, it adversely affects psychological well-being, leading to anxiety, burnout, and high job turnover rates. Effective management of nursing incivility is crucial to enhancing and promoting quality care and patient safety. The following matrix worksheet presents four research articles addressing nursing incivility in the workplace.

Full Citation of Selected Articles

 

Article #1	Article #2	Article #3	Article #4
Kile, D., Eaton, M., DeValpine, M., & Gilbert, R. (2018). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552. https://doi.org/10.1111/jonm.12709	Asghari, E., Abdollahzadeh, F., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163. https://doi.org/10.4103/1735-9066.205966	Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410. https://doi.org/10.1177/2165079918771106	Razzi, C. C., & Bianchi, A. L. (2019). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. Nursing Forum, 54(4), 526-536. https://doi.org/10.1111/nuf.12366

 

Why Chosen & Relation to Clinical Issue

Article #1: This article was chosen for its comprehensive approach to enhancing awareness and utilizing educational programs to reduce nurse-to-nurse incivility. It underscores the importance of cognitive rehearsal techniques in managing and coping with incivility, supporting employees’ mental preparedness to address workplace stressors.

Article #2: Selected due to its focus on the detrimental effects of workplace incivility on healthcare workers’ health and patient care, providing insights into preventive strategies from nurses’ perspectives.

Article #3: This article aims to control workplace incivility by proposing practical interventions and evidence-based strategies, emphasizing the negative impact of incivility on nurses’ emotional well-being and patient safety.

Article #4: Chosen for its approach of implementing a quality improvement program through cognitive rehearsal training, aiming to promote a healthy workplace and enhance job satisfaction and commitment among nurses.

Aims of Research

Article #1: To raise awareness among nurses and reduce the impact of incivility by implementing cognitive rehearsal techniques.

Article #2: To prevent workplace incivility in healthcare settings from the perspective of nurses.

Article #3: To effectively control workplace incivility through proposed interventions.

Article #4: To educate nurses on identifying and managing incivility through cognitive rehearsal training.

Research Methodologies Used

Article #1: Mixed methods approach combining qualitative and quantitative methods, utilizing surveys before and after cognitive rehearsal training to assess effectiveness.

Article #2: Qualitative methods using semi-structured interviews and purposive sampling to explore nurses’ perspectives on incivility prevention.

Article #3: Quantitative research methodology conducting a systematic review of studies on workplace incivility.

Article #4: Quantitative research utilizing the nursing incivility scale (NIS) to evaluate the effectiveness of cognitive rehearsal educational modules.

Strengths of Research Methodologies

Article #1: Mixed methods provide comprehensive insights by addressing qualitative and quantitative aspects simultaneously, enhancing understanding and data validity.

Article #2: Qualitative methods allow in-depth exploration of incivility issues, providing nuanced insights into nurses’ experiences.

Article #3: Systematic reviews offer a robust synthesis of existing evidence, providing reliable information for clinical decision-making.

Article #4: Quantitative methods maintain objectivity and accuracy in data collection, ensuring reliability and validity of results.

In conclusion, these articles contribute valuable perspectives and interventions to address workplace incivility among nurses. Their methodologies, whether mixed, qualitative, or systematic, offer distinct strengths in understanding, preventing, and managing incivility. By synthesizing these findings, evidence-based practices can be developed to reduce incivility, promote a positive work environment, and enhance patient care.

References

Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility?: Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157-163.

Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health & Safety, 66(8), 403-410.

Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2019). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543-552.

Razzi, C. C., & Bianchi, A. L. (2019, October). Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training. Nursing Forum, 54(4), 526-536.

Detailed Assessment Instructions for the NURS 6052/5052 EB002 Identifying Research Methodologies Evidence-Based Project Assignment

Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

By Day 7 of Week 3

Submit your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
• Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.
• Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
• Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)

Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x

Note: You will access this article from the Walden Library databases.

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

Note: You will access this article from the Walden Library databases.

Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-b). Evaluating resources: Primary & secondary sources. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/evaluating/sources

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-i). Quick Answers: What are filtered and unfiltered resources in nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/73299

Document: Matrix Worksheet Template (Word Document)

Required Media

Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu.be/IsAUNs-IoSQ

Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu.be/cwU8as9ZNlA

Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

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NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment

NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment

Assignment Objectives

• Evaluate a recent healthcare policy or regulation related to nursing informatics.
• Analyze the impact of the selected policy or regulation on healthcare system implementation.
• Assess how the policy or regulation affects clinical care, patient/provider interactions, and workflow.
• Identify organizational policies and procedures designed to address the implications of the selected policy or regulation.

Student’s Role

As a professional nurse, you are expected to apply your expertise in understanding and communicating healthcare policies and regulations. This assignment requires you to analyze and interpret the impact of a specific nursing informatics-related policy or regulation within a healthcare setting.

Competencies Measured

This assignment assesses your ability to:

• Evaluate legislative policies and regulations in the context of health and nursing informatics.
• Analyze the influence of policies and regulations on healthcare system operations and patient care delivery.
• Demonstrate knowledge of organizational policies and procedures aimed at compliance with healthcare regulations and standards.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment Example

Policy/Regulation Overview

The Medicare Access and CHIP Reauthorization Act (MACRA), enacted in 2015, represents a significant milestone in healthcare reimbursement, aiming to transition from traditional volume-based payment models to value-based care approaches. This legislation, replacing the Sustainable Growth Rate (SGR) formula, introduced two key payment tracks: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). MIPS amalgamates multiple prior quality programs—Physician Quality Reporting System, Value-Based Payment Modifier, and Medicare Electronic Health Record Incentive Program—into a comprehensive framework assessing performance based on quality, resource utilization, clinical practice enhancements, and meaningful use of certified electronic health record (EHR) technology (Centers for Medicare & Medicaid Services [CMS], n.d.; HealthIT.gov, 2018a). MACRA’s enactment signifies a paradigm shift towards incentivizing healthcare providers for delivering superior care outcomes and embracing value-based practices (American Association of Nurse Practitioners, 2018).

Impact on System Implementation

The implementation of MACRA has necessitated significant investments in advanced health information technology (HIT) infrastructure within healthcare systems. This includes upgrading or adopting electronic health record (EHR) systems capable of capturing and reporting the quality measures required for MIPS participation. These systems incorporate clinical decision support tools that prompt providers to adhere to evidence-based guidelines and track patient outcomes effectively (Centers for Medicare & Medicaid Services [CMS], n.d.; HealthIT.gov, 2018a).

In addition to upgrading EHR systems, successful MACRA implementation requires the integration of population health management tools into HIT systems. These tools enable healthcare organizations to monitor and manage patient populations more effectively, which is essential for meeting MACRA’s objectives of improving care quality and outcomes (McGonigle & Mastrian, 2017). This comprehensive approach to HIT infrastructure enhancement is crucial for healthcare systems to adapt to the shifting landscape of value-based care incentivized by MACRA.

Impact on Clinical Care, Patient/Provider Interactions, and Workflow

The enactment of MACRA has significantly influenced clinical care delivery, patient-provider interactions, and workflow within healthcare settings. With a heightened emphasis on value-based care and quality improvement, healthcare providers are incentivized under MACRA to prioritize preventive services and enhance care coordination (CMS, n.d.). This shift towards value-based care has reshaped patient interactions, making them more data-driven and focused on achieving improved health outcomes (HealthIT.gov, 2018b).

Healthcare providers now leverage technology, such as electronic health record (EHR) systems and patient portals, to engage patients in shared decision-making and monitor health outcomes over time. For instance, patient portals enable patients to access their health information, communicate with providers, and actively participate in their care, promoting patient engagement and empowerment (Centers for Medicare & Medicaid Services [CMS], n.d.).

Additionally, workflow redesign has become imperative to meet MACRA requirements effectively. Healthcare teams are now collaborating more closely to optimize patient outcomes and ensure compliance with quality reporting measures outlined by MACRA (McGonigle & Mastrian, 2017). This collaborative approach emphasizes the integration of technology and evidence-based practices to achieve the goals of value-based care and quality improvement mandated by MACRA.

Organizational Policies and Procedures

To effectively address the requirements of MACRA, healthcare organizations have implemented a comprehensive set of policies and procedures aimed at optimizing compliance and improving patient care outcomes.

Firstly, organizations have invested in advanced Health Information Technology (HIT) systems, including Electronic Health Records (EHRs) with integrated clinical decision support, to facilitate accurate and timely reporting of quality measures essential for MIPS participation (HealthIT.gov, 2018a). This infrastructure upgrade ensures that providers have the necessary tools to document and report quality measures effectively.

Continuous education and training programs are conducted to equip providers with the knowledge and skills required to navigate MACRA guidelines successfully (American Association of Nurse Practitioners, 2018). These educational sessions ensure that providers understand their roles in achieving performance goals under MACRA and remain updated on best practices in quality reporting and care delivery.

Healthcare organizations have established care coordination initiatives leveraging HIT tools to enhance communication and collaboration among providers, ultimately leading to improved patient outcomes (McGonigle & Mastrian, 2017). By implementing care coordination programs aligned with MACRA’s emphasis on coordinated care, organizations optimize resource utilization and patient care delivery.

Regular performance monitoring and feedback mechanisms are employed to track progress towards MACRA goals and identify areas for improvement using data analytics (CMS, n.d.). This continuous monitoring enables organizations to make data-driven decisions, enhancing quality reporting and care delivery processes.

Furthermore, healthcare organizations promote patient engagement through various strategies, including patient portals, telehealth services, and shared decision-making tools (HealthIT.gov, 2018b). These initiatives empower patients to actively participate in their care, improving patient-provider communication and overall care quality.

Lastly, dedicated compliance officers oversee MACRA compliance within organizations, conducting regular audits to identify and address compliance gaps and ensure adherence to regulatory requirements (CMS, n.d.). This proactive approach to compliance management minimizes risks associated with non-compliance and reinforces organizational commitment to meeting MACRA standards.

Conclusion

In conclusion, MACRA has driven significant transformations in healthcare policy and practice, emphasizing value-based care approaches and necessitating organizational adaptations to optimize compliance and enhance patient care outcomes. The successful implementation of MACRA requires a coordinated effort involving HIT infrastructure enhancements, provider education, care coordination initiatives, patient engagement strategies, and rigorous compliance oversight. By embracing these changes, healthcare organizations can effectively navigate the evolving landscape of value-based reimbursement and deliver higher-quality care to patients.

References

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare & Medicaid Services [CMS]. (n.d.). MACRA. Retrieved from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

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

Detailed Assessment Instructions for the NURS 6051/5051 TN006 Policy Regulation Fact Sheet Assignment

Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
• Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Learning Resources

Required Readings

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

• Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.). Laws & regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Required Media

Laureate Education (Producer). (2018). Health Informatics & Population Health Analytics: Privacy, Security, and Ethics [Video file]. Baltimore, MD: Author.

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NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Paper Example

NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment

NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Assignment Brief

Course: NURS 5051 – Transforming Nursing and Healthcare Through Technology

Assignment Title: NURS 6051/5051 TN003 Module03 Big Data Risks and Rewards Discussion Assignment

Assignment Overview

In this assignment, you will explore the risks and rewards associated with utilizing big data in healthcare systems. Big data refers to large, complex datasets that offer valuable insights when analyzed using specialized approaches. As healthcare professionals, understanding how to leverage big data effectively is crucial for improving patient care and optimizing clinical outcomes.

Understanding Assignment Objectives

The main objectives of this assignment are:

• Analyze the potential benefits of incorporating big data into clinical systems.
• Identify challenges and risks associated with utilizing big data in healthcare settings.
• Propose strategies to mitigate these challenges and maximize the benefits of big data in clinical practice.

The Student’s Role

As a student in this assignment, your role is to critically evaluate the impact of big data on healthcare systems. Reflect on your experiences with health information management and consider how big data can influence clinical decision-making and patient outcomes.

Competencies Measured

This assignment measures your ability to:

• Apply knowledge of informatics principles to healthcare data management.
• Analyze the implications of standardized terminologies on healthcare practice.
• Evaluate strategies for mitigating risks associated with big data utilization in clinical settings.

You Can Also Check Other Related Assessments for the NURS 5051 – Transforming Nursing and Healthcare Through Technology Course:

NURS 6051/5051 TN001 Module01 The Nurse Leader as Knowledge Worker Assignment Example

NURS 6051/5051 TN002 Module02 The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Assignment Example

NURS 6051/5051 TN004 Module04 The Use of Clinical Systems to Improve Outcomes and Efficiencies Literature Review Assignment Example

NURS 6051/5051 TN005 Module05 The Role of the Nurse Informaticist in Systems Development and Implementation Portfolio Assignment Example

NURS 6051/5051 TN006 Module06 Policy/Regulation Fact Sheet Assignment Example

NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Paper Example

Benefit of Utilizing Big Data in Clinical Systems

The use of big data in clinical systems offers significant advantages by enhancing evidence-based practice and improving patient outcomes. When we talk about big data in healthcare, we’re referring to the analysis of large datasets containing patient information, treatments, outcomes, and more. This analysis helps identify patterns and trends that can guide clinical decisions.

For example, in home healthcare, big data can be used to analyze rehospitalization rates. By looking at large amounts of patient data, such as past treatments and conditions, healthcare providers can pinpoint factors contributing to readmissions. This insight allows for targeted interventions—like better discharge planning or follow-up care—which can ultimately improve patient outcomes and reduce unnecessary hospital stays.

Wang, Kung, & Byrd (2018) highlight that big data enables a broader view of evidence-based practice, allowing clinicians to make informed decisions based on comprehensive datasets. This can lead to more effective treatments tailored to individual patient needs.

Challenge of Integrating Big Data into Clinical Systems

Despite its benefits, integrating big data into clinical systems comes with challenges. Chief nurse executives often face the daunting task of managing vast amounts of data, leading to information overload and potential inefficiencies (Thew, 2016). Each healthcare system may use different formats and definitions for data, making it challenging to unify and analyze information effectively.

For instance, when analyzing specific patient data, the definition of terms like “diagnosis” or “treatment” might vary between different electronic health record systems. This lack of standardization complicates data analysis and hinders efforts to derive meaningful insights.

Mitigation Strategy for Addressing Big Data Challenges

To address these challenges, healthcare organizations can implement proactive strategies focusing on data standardization. Bates et al. (2014) emphasize the importance of establishing uniform data formats and definitions across systems. By ensuring internal consistency in how data is represented and interpreted, healthcare providers can streamline data analysis processes.

For example, implementing standardized data exchange protocols like HL7 FHIR (Fast Healthcare Interoperability Resources) facilitates seamless data sharing between different systems. This promotes data consistency and interoperability, enabling more accurate and reliable insights from big data analytics.

In addition, investing in advanced analytics tools that automate data processing and interpretation can significantly alleviate the burden on clinicians. These tools not only enhance efficiency but also allow healthcare providers to focus more on patient care rather than data management.

References

Bates, D. W., Saria, S., Ohno-Machado, L., Shah, A., & Escobar, G. (2014). Big data in healthcare: Using analytics to identify and manage high-risk and high-cost patients. Health Affairs, 33(7), 1123-1131.

Thew, J. (2016, April 19). Big Data Means Big Potential, Challenges for Nurse Execs. Health Leaders. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs.

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126, 3-13.

Response 1

Your insights into data overload for nurse executives are pertinent to the discussion. In addition to data standardization, healthcare organizations should invest in robust data governance strategies to ensure data quality and interoperability across systems. For instance, establishing clear policies and procedures for data collection, storage, and sharing can help maintain data integrity and streamline information management processes. Implementing data governance frameworks, such as data stewardship programs, can empower clinicians to make informed decisions based on reliable and consistent data.

Response 2

I appreciate your focus on the benefits of big data in improving evidence-based practice. Another strategy to mitigate data standardization challenges could involve collaborative efforts between healthcare organizations to establish industry-wide data standards. By working together to define common data elements and formats, healthcare providers can enhance data interoperability and facilitate seamless information exchange. For example, initiatives like the Observational Health Data Sciences and Informatics (OHDSI) collaborative aim to develop shared data standards that enable large-scale analytics across diverse healthcare settings.

Detailed Assessment Instructions for the NURS 6051/5051 TN003 Big Data Risks and Rewards Discussion Assignment

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

• Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
• Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Submission and Grading Information

Learning Resources

Required Readings

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

• Chapter 22, “Data Mining as a Research Tool” (pp. 477-493)
• Chapter 24, “Bioinformatics, Biomedical Informatics, and Computational Biology” (pp. 537-551)

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw

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NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment

NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment

Assignment Overview

In this assignment, you will analyze a global health issue by comparing and contrasting the approaches taken by the United States and another selected country. Through the completion of a Global Health Comparison Matrix and a narrative statement outlining a plan for social change, you will delve into key aspects of healthcare policies, social determinants of health, governmental approaches, and the impact on nursing roles and local healthcare organizations.

Understanding Assignment Objectives

The primary objectives of this assignment are to:

• Compare and contrast healthcare policies related to a selected global health issue in the U.S. and another country.
• Analyze how social determinants of health influence the chosen global health issue.
• Evaluate governmental strategies regarding cost, quality, and access to healthcare for the identified issue.
• Examine the impact of healthcare policies on the global population and the role of nurses.
• Assess the effects of global health issues on local healthcare organizations and policies in both countries.
• Develop a plan for social change that integrates a global perspective into local nursing practice and leadership roles.

The Student’s Role

As a student undertaking this assignment, your role is that of a critical analyst and advocate for global health equity. You will explore complex healthcare systems and policies to identify strengths, weaknesses, and areas for improvement in addressing a global health issue. Furthermore, you will envision strategies for effecting social change through the incorporation of a global lens into local nursing practice and leadership.

Competencies Measured

This assignment will assess your ability to:

• Analyze healthcare policies and their impact on global health issues.
• Integrate knowledge of social determinants of health into healthcare policy analysis.
• Evaluate governmental approaches to healthcare delivery in different countries.
• Articulate the role of nurses in addressing global health challenges.
• Synthesize how global health issues influence local healthcare organizations and policies.
• Develop a strategic plan for incorporating a global perspective into local nursing practice and leadership.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Example

Part 1: Global Health Comparison Matrix

Aspect	United States	Japan
Health Issue	Aging Population	Aging Population
National Policies	The United States addresses the challenges of an aging population through a combination of federal programs such as Medicare, Medicaid, and the Older Americans Act. Medicare provides health insurance for Americans aged 65 and older, covering hospitalization, outpatient care, and prescription drugs. Medicaid supports low-income elderly individuals, covering long-term care services. The Older Americans Act funds community-based services like nutrition programs and caregiver support.	Japan’s response to its aging population is anchored in its Long-term Care Insurance System (LTCI) and the Medical Insurance System for the Aged. The LTCI, introduced in 2000, provides universal coverage for long-term care services, including home care and institutional care. The Medical Insurance System for the Aged ensures healthcare access for elderly citizens through insurance coverage for medical services and medications.
Strengths of Policies	The strength of U.S. policies lies in their comprehensive coverage for seniors. Medicare emphasizes preventive care, reducing the burden of chronic diseases. The Older Americans Act supports community-based programs, promoting social engagement and well-being among the elderly.	Japan’s policies excel in ensuring universal coverage for long-term care, reducing financial barriers to essential services. The focus on community-based care fosters independence and reduces institutionalization rates among the elderly.
Weaknesses of Policies	Despite its comprehensive coverage, the U.S. healthcare system faces challenges related to high costs and disparities in access. The cost of Medicare and Medicaid continues to rise, impacting government budgets. Disparities in healthcare access persist based on socioeconomic factors, affecting the quality of care for vulnerable elderly populations.	Japan’s aging population poses funding challenges to its healthcare system. The LTCI system faces financial strain due to the growing number of elderly beneficiaries. Access to services remains a challenge in rural areas, where healthcare infrastructure is less developed.
Social Determinants of Health	In the United States, social determinants such as income, education, and geographic location significantly impact the health outcomes of the elderly. Low-income seniors face barriers to accessing quality care, resulting in health disparities across populations. Geographic disparities in healthcare access contribute to variations in health outcomes among elderly individuals.	In Japan, social determinants like strong social support networks and cultural attitudes towards aging influence the health and well-being of the elderly. Family-based care remains prevalent, with cultural norms emphasizing filial piety and intergenerational support.
Government’s Approach (Cost, Quality, Access)	Cost: The U.S. healthcare system faces escalating costs driven by technological advancements and an aging population. Quality: Emphasis on innovation and advanced technologies leads to high-quality care but also contributes to rising healthcare expenditures. Access: Disparities persist in healthcare access, impacting the quality of care received by elderly individuals.	Cost: Japan’s healthcare system grapples with the financial burden of caring for its aging population. Quality: The emphasis on community-based care and integrated services ensures high-quality care for the elderly. Access: Challenges in rural areas necessitate investment in healthcare infrastructure to improve access to services for elderly residents.
Impact on Global Health	The U.S. influences global health policies through initiatives aimed at addressing aging-related challenges. Research funded by U.S. institutions contributes to global understanding of geriatric care and age-related diseases. Collaboration with international partners enhances knowledge sharing and capacity building in aging-related research and policy development.	Japan’s innovative approaches to elder care, particularly its LTCI system, serve as a model for other countries facing aging populations. International collaborations in research and policy development promote the adoption of best practices in geriatric care worldwide.
Impact on Nursing Role	The aging population in the U.S. underscores the importance of geriatric nursing. Advanced practice nurses play a critical role in managing complex health issues among elderly patients, emphasizing preventive care and health promotion.	Japan’s emphasis on community-based care and interdisciplinary collaboration expands the role of nurses in gerontological care. Geriatric nurses in Japan are integral to care teams, providing holistic support to elderly patients and their families.
Impact on Local Healthcare Organizations	In the U.S., healthcare organizations are adapting to the needs of an aging population by expanding geriatric services and integrating technology into elder care. Innovations in home-based care and telemedicine improve access and quality of care for elderly patients.	Japan’s healthcare organizations prioritize community-based services and invest in elder-friendly infrastructure. The integration of technology, such as robotics and telehealth, enhances care delivery and supports aging in place initiatives.

 

Part 2: Plan for Social Change

As a nurse leader committed to advancing global perspectives in local healthcare practices, advocating for age-friendly policies and fostering international collaborations are essential components of promoting social change. This plan outlines specific strategies to incorporate a global lens into local practice, emphasizing the importance of cultural competence, research collaboration, community engagement, and policy advocacy.

Firstly, advocating for age-friendly policies requires engagement with policymakers and stakeholders to prioritize investments in long-term care infrastructure and community-based services for the elderly. Research has shown that age-friendly environments contribute to improved quality of life and health outcomes for older adults (World Health Organization, 2007). By advocating for policies that support aging in place and promote intergenerational programs, nurse leaders can influence the development of inclusive healthcare systems that address the diverse needs of elderly populations.

Secondly, education plays a crucial role in enhancing cultural competence among healthcare providers. Training programs on cultural sensitivity and diversity are essential to understanding the unique aging experiences of diverse populations (Jeffreys, 2015). By providing ongoing education and resources, nurse leaders can empower healthcare teams to deliver person-centered care that respects individual beliefs, values, and preferences.

Thirdly, fostering international collaborations in aging-related research is vital for identifying best practices and innovative approaches to elder care. Research partnerships enable knowledge exchange and capacity building across borders, leading to improved care outcomes and policy development (Mukaetova-Ladinska et al., 2019). By engaging in collaborative research projects, nurse leaders contribute to the global body of knowledge on aging and promote evidence-based practices in local healthcare settings.

Lastly, community engagement is essential for raising awareness about aging issues and promoting age-friendly initiatives. Community forums, outreach programs, and partnerships with local organizations enable nurse leaders to connect with stakeholders and mobilize resources to support elderly populations (Winters et al., 2020). By collaborating with community leaders and advocates, nurse leaders can drive grassroots efforts that promote social inclusion and well-being among older adults.

Incorporating a global perspective into local practice represents a commitment to advancing health equity and social change. By advocating for age-friendly policies, fostering cultural competence, engaging in collaborative research, and promoting community engagement, nurse leaders can contribute to creating inclusive healthcare systems that prioritize the needs of aging populations both locally and globally.

References

Jeffreys, M. R. (2015). Teaching Cultural Competence in Nursing and Health Care: Inquiry, Action, and Innovation (2nd ed.). Springer Publishing Company.

Mukaetova-Ladinska, E. B., Stuart-Hamilton, I., Wilcock, G. K., & Benson, D. F. (2019). Case Studies in Geriatric Mental Health: Alzheimer’s Disease and Other Dementias. Springer Publishing Company.

World Health Organization. (2007). Global Age-Friendly Cities: A Guide. World Health Organization.

Winters, C. A., Bartlett, R., Day, R. A., Gaitz, C. M., & Hill, A. M. (2020). Global Perspectives on Human Migration: An Introduction. Springer Nature.

Detailed Assessment Instructions for the NURS 6050/5050 PA006 Global Healthcare Comparison Matrix and Narrative Statement Paper Assignment

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve NURS 6050 Policy and Advocacy for Improving Population Health.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415.

Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1).

Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81.

World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/

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NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Paper Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment

NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment

Assignment Overview

In this assignment, you will analyze advocacy and the role of the nurse in healthcare program design and implementation. You will explore the vital role of nurses in advocating for and contributing to the design and implementation of healthcare programs. Like the collaborative relationship between honeyguide birds and honey badgers, nurses collaborate with diverse healthcare professionals to develop effective programs that address healthcare needs.

Assignment Objectives

• Investigate the role of nurses in healthcare program design and implementation.
• Advocate for a specific healthcare program within the context of nursing leadership.
• Reflect on the impact of nurses’ advocacy efforts in shaping healthcare program outcomes.

Student’s Role

As a student in NURS 6050/5050 PA004, your role is to assume the perspective of a nurse preparing for an interview with a professional organization/publication. You will present insights into the nurse’s role in program design and implementation, emphasizing collaboration and advocacy in healthcare settings.

Competencies Measured

• Leadership: Demonstrate leadership in advocating for nursing involvement in healthcare program development.
• Advocacy: Showcase the nurse’s role as an advocate for patient populations in program design.
• Collaboration: Highlight the importance of interdisciplinary collaboration in creating effective healthcare programs.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Paper Example

In recent decades, the healthcare landscape in the United States has evolved significantly from a biomedical model towards a biopsychosocial framework, particularly in addressing chronic diseases (Aggar et al., 2021). This shift has seen the emergence of interventions that emphasize social elements of care, such as health coaching, social prescribing, and community-based initiatives aimed at improving overall well-being and disease management (Carnes et al., 2017). Social prescription programs, like music on prescription, have shown promise in enhancing self-care skills, reducing complications, and addressing health disparities by fostering social support networks (Alliance for Healthier Communities, n.d.). To explore the nursing role in program design and implementation, I conducted an interview with a nurse executive manager (NE) from TGK Hospital, discussing the institution’s music on prescription initiative.

Interviewer: Tell us about a healthcare program within your practice. What are the costs and projected outcomes of this program?

Interviewee: The music on prescription program at TGK Hospital aims to connect elderly patients with chronic illnesses, such as Alzheimer’s dementia, cancer, and depression, to community-based music programs. The estimated annual cost of the program is approximately $45,000, with projected outcomes including improvements in general, mental, and emotional well-being, enhanced quality of life, and reduced levels of anxiety and depression (Husk et al., 2019). Ultimately, these outcomes translate into cost savings by reducing hospitalizations and enabling staff to focus on clinical priorities.

Interviewer: Who is your target population?

Interviewee: Our target population primarily comprises elderly patients diagnosed with chronic illnesses, especially those vulnerable to social isolation and its associated health impacts.

Interviewer: What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

Interviewee: Nurses play a crucial role in program design by identifying patients at risk of social isolation and those who would benefit from social prescription interventions. Their frontline experience and patient interactions inform program design decisions and contribute to the effectiveness of interventions (Pescheny et al., 2018).

Interviewer: What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

Interviewee: As a geriatric nurse practitioner, I advocate for vulnerable elderly patients by leveraging my clinical experience to highlight the impact of social isolation on health outcomes. I actively participated in evidence-based research to support the adoption of music on prescription, influencing program design and implementation (Aftab & Shah, 2017).

Interviewer: What is the role of the nurse in healthcare program implementation? How does this role vary between the design and implementation of healthcare programs? Can you provide examples?

Interviewee: Nurses facilitate program implementation by establishing patient referrals and connecting them with appropriate services. During program design, nurses contribute to screening procedures and operational frameworks, ensuring alignment with patient needs. In implementation, nurses act as program champions, fostering community engagement and monitoring outcomes (Pescheny et al., 2018).

Interviewer: Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Interviewee: A successful program implementation requires collaboration across disciplines. Physicians are essential for identifying patients eligible for social prescriptions. Nurses, including community-based assistants, bridge patients to services based on individual needs. Hospital management plays a crucial role in resource allocation and strategic support for implementation (Alliance for Healthier Communities, n.d.).

Conclusion

The interview with TGK Hospital’s NE highlights the integral role of nurses in program design and implementation, particularly in social prescription initiatives like music on prescription. Nurses’ expertise in patient care and community engagement ensures that programs are tailored to meet the needs of vulnerable populations, ultimately improving health outcomes and reducing healthcare costs.

References

Aftab, A., & Shah, A. A. (2017). Behavioral emergencies: Special considerations in the geriatric psychiatric patient. Psychiatric Clinics of North America, 40(3), 449–462.

Aggar, C., Thomas, T., Gordon, C., Bloomfield, J., & Baker, J. (2021). Social prescribing for individuals living with mental illness in an Australian Community setting: A pilot study. Community Mental Health Journal, 57(1), 189.

Alliance for Healthier Communities. (n.d.). Social prescribing. Retrieved from https://www.allianceon.org/Social-Prescribing

Carnes, D., Sohanpal, R., Frostick, C., Hull, S., Mathur, R., Netuveli, G., Tong, J., Hutt, P., & Bertotti, M. (2017). The impact of social prescribing service on patients in primary care: A mixed-methods evaluation. BMC Health Services Research, 17(1), 1–9.

Husk, K., Elston, J., Gradinger, F., Callaghan, L., & Asthana, S. (2019). Social prescribing: Where is the evidence? British Journal of General Practice, 69(678), 6–7.

Pescheny, J., Pappas, Y., & Randhawa, G. (2018). Social prescribing: Implementation and delivery. International Journal of Integrated Care, 18(s2), 214.

Detailed Assessment Instructions for the NURS 6050/5050 PA004 Advocating for the Nursing Role in Program Design and Implementation Paper Assignment

Assignment: Advocating for the Nursing Role in Program Design and Implementation

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives NURS 6050 Policy and Advocacy for Improving Population Health.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

• Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
• Select a healthcare program within your practice and consider the design and implementation of this program.
• Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

• Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
• Who is your target population?
• What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
• What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
• What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
• Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 5, “Public Policy Design” (pp. 87–95 only)
• Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)
• Chapter 9, “Interprofessional Practice” (pp. 152–160 only)
• Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

Congress.gov. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementation. Academy of Management Review, 21(4), 1055–1080.

Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.

Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretion. Public Management Review, 16(4), 527–547 NURS 6050 Policy and Advocacy for Improving Population Health.

Required Media

Laureate Education (Producer). (2018). Getting your Program Designed and Implemented [Video file]. Baltimore, MD: Author.

 Laureate Education (Producer). (2018). Health policy and politics [Video file]. Baltimore, MD: Author.

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