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Devry NR 361 Entire Course-Latest 2015 October

(All Week Discussion And Assignments)

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Question

week 1 Moving Data to Wisdom (graded)

Reflect on the content from your readings and this week’s lesson. Then, think of a recent experience and describe how you mentally moved data through the stages of information and knowledge to wisdom. What information system(s) helped you move from data to wisdom? Keep this short like assessing a patient for congestive heart failure. How did you evaluate and combine the various pieces of data? What was the outcome of this process?

diiss 2

AACN Essentials Self-Assessment Results (graded)

Complete your Self-Assessment of the AACN Essentials located in Doc Sharing (Week 1). Note your total score. If you are willing, please share your total score with your classmates. Identify areas where your knowledge is lacking. Keep in mind that we are all “knowledge workers.” What areas of inquiry do you have as they relate to the essentials?

week 2

Experiences with Healthcare Information Systems (graded)

Share your experiences with healthcare information systems in your clinical setting. What are the pros and cons of patient care? If you are not currently working, think about your experiences as a consumer of healthcare services, keeping in mind that they are all around us regardless of where we obtain our own healthcare.

diss 2

Helping Aunt Mary (graded)

Your Aunt Mary is elderly and lives alone. She just returned from a visit with her primary care physician. She noticed today that Dr. Alice did not bring a chart into the exam room. Instead, she had a little computer. Aunt Mary is upset. She does not understand this new technology as it relates to her healthcare. What key concepts about EHRs would you include in an informal teaching plan for Aunt Mary?

week 3

Opportunities for Improvement with Usability and Interoperability (graded)

Usability and interoperability are major issues to consider in the development of healthcare information systems (HIS). How does your organization address these issues? Does the transfer of information occur smoothly, or do you need to re-enter data from one application to the next—such as patient information from the emergency room that does not transfer—along with the patient who is admitted to the critical care unit? Or what happens when the patient is discharged and the home care nurses have to start from scratch as they prepare the patient’s plan of care?

diss 2

Library Search for Telenursing Resources (graded)

This week's lesson points out key concepts in searching the National Library of Medicine's PubMed/MEDLINE database, the Chamberlain Library's EBSCO/CINAHL database, and Google Scholar. This week’s lesson directs you to links and resources on the basics of searching these three information sources. The tutorials are very helpful. You are strongly urged to view them prior to posting. Locate one article in each of the data sources to prepare your scholarly paper due during Week 4’s Telenursing: Is It in Your Future? Briefly summarize each article in your post.

week 4

Meaningful Use in Your Workplace (graded)

Meaningful Use is part of the EHR requirements targeted for completion in 2014. Meaningful Use was created in order to capture the right data to improve patient outcomes. With this in mind, how can you as a nurse ensure that Meaningful Use is being implemented into the EHR? If you were the nurse manager, how would you implement this documentation and ensure buy-in by your staff?

week 4

Your Patient Has a Personal Health Record (PHR)...Now What? (graded)

You are the nurse in a busy family practice clinic. A new patient presents with a personal health record (PHR). This is the first time that you have encountered a PHR. What are the advantages to PHRs? What are ways that you may access the patient’s PHR? What may be some obstacles that you encounter?

week 5

Uses of Standardized Nursing Terminology (graded)

From your practice standpoint, what have you read this week in your text or in the lesson that offered a new view or appreciation for standardized terminology? Be specific.

diss 2 Documentation and Reimbursement (graded)

What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system, and what are the implications for our nursing practice related to documentation?

week 6 Nursing Gains Visibility (graded)

Ever since the introduction of the Centers for Medicare and Medicaid Services (CMS) refusal of payment for hospital-acquired poor outcomes, nursing has gained visibility because these outcomes are nurse sensitive. Locate an article or website that refers to these nurse-sensitive outcomes and describe its findings.

diss 2

Alarms—What Do the Data Show? (graded)

The repeated sound of an alarm can be annoying to the patient, family, and staff. This can lead to someone shutting off the alarm. Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because an alarm was turned off. What do the data show about the value of alarms in general? Is alarm fatigue an issue?

weel 7

Use of Personal Communication Devices in Patient Care Settings (graded)

How can the use of the nurse's personal communication devices impact patient care either positively or negatively? Are there ethical and legal implications? Locate an article and share a brief summary of that article with your classmates.

Safe Nursing Care: Is There an App for That? (graded)

Andrea was working in the cardiac catheterization lab when a young woman undergoing a cardiac ablation started to have small seizures. The nurse noticed these symptoms and asked the physician to look at the patient. The physician asked Andrea to get his smart phone and film the seizures. This video message was sent to a neurologist, and he could tell from the video the part of the brain from which the seizures were emanating. This is one example of using technology. Does this count as safe care? Is there an app for that? If you could develop an app to enhance safe nursing care, what would it be like?

week 8 Reflective and Projected Practice (graded)

Prior to posting, complete the Week 8 AACN Essentials Self-Assessment located in Doc Sharing. Compare your scores from Week 1 to Week 8. How far have you come? How much further do you wish to go in furthering your competencies during the next 2 years of practice?

week 2

Patient Guide to the WWW:

Guidelines and Grading Rubric

Purpose

The purpose of this assignment is to demonstrate the skills of the professional nurse as a teacher and educator. You are to prepare a guide that will serve as a handout to assist a specific patient that you identify. Your guide or handout should help this patient find and evaluate reliable and accurate information on the Internet (websites) related to his or her disease process or diagnosis.

You will develop the guide using Microsoft PowerPoint. PowerPoint is a versatile application that lets you design slideshows and handouts. For this assignment, you will be using PowerPoint to create a guide or handout that you may print and give to patients and families. You will be submitting this PowerPoint file to the Dropbox.

Course Outcomes

This assignment enables the student to meet the following course outcome(s):

CO #8: Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. (PO #8)

Points

This assignment is worth a total of 175 points.

Due Date

The Patient Guide to the WWW PowerPoint assignment is due at the end of Week 2. Submit your completed assignment to the Patient Guide to the WWW basket in the Dropbox by Sunday; 11:59 p.m. mountain time. You may consult the Policies, under the Course Home tab, for details regarding late assignments. Late assignments will result in loss of points. Post questions about this assignment in the weekly Q & A Forum.

Directions

A. Use Microsoft PowerPoint to create four slides, which will be the basis of the guide or handout. You are encouraged to cite your source(s) as it relates to your criteria slide. Other citations are permitted, but this is not a requirement for the assignment.

1)Scenario Slide: This slide should include your name. Next, outline a brief scenario, then identify a patient who is seeking information about a specific disease process or diagnosis. Be sure to include the nurse’s assessment of learning needs and the patient or family member’s readiness to learn. Be specific.

Example:

Scenario for Mr. Jones

Jane Doe (your name here)

· Mr. Jones is a 54-year-old male recently diagnosed with pancreatic cancer.

· His wife has accompanied him to the oncologist’s office.

· Both have a high school education.

· Mr. Jones has no interest in his diagnosis; his father died at an early age from pancreatic cancer, and he thinks nothing can be done.

· Mrs. Jones is greatly interested in any treatment; she has been searching on the Internet for alternative cures.

· Mrs. Jones has asked the nurse for help on how to determine whether a website is credible.

2)Criteria Slide: This slide should address at least four (4) criteria used to evaluate websites. View Evaluating Internet Health Information: A Tutorial from the National Library of Medicine athttp://www.nlm.nih.gov/medlineplus/webeval/webeval_start.html, your text, and other references. The task is to explain how to determine the credibility of websites and teach it to the patient and/or caregiver described in the Scenario Slide. Concentrate on evaluation of information, not how to search. Assume that the patient or caregiver has basic Internet searching skills, a computer in the home, and can enter words in the query box in a search engine such as Google, Bing, Yahoo, and so forth. The idea is to teach your patients how to evaluate websites (suspect and credible) as they relate to a specific disease process or diagnosis.

The format of the criteria should be logical and easy to read, for example, a table, checklist, or Q & A. Be creative! Language should be appropriate for the educational level of the audience, in other words, the patient and/or caregiver as described in the Scenario Slide. Note: This is the only slide that requires a citation.

3)Suspect Site Slide: This slide should give the name and description of a suspect website. The suspect website must be related to the disease or diagnosis identified in the scenario. However, the site does not meet the criteria for a credible site, for example, gives inaccurate information, and so forth. You must provide a working link to the site. Wikipedia is not acceptable! Explain why the site is suspect based on the criteria you outlined in the Criteria Slide.

4)Credible Site Slide: This slide should give the name and description of a credible website that you would recommend to the patient and/or caregiver/family member. The website must be appropriate for the general public and address the disease process or diagnosis identified in the Scenario Slide. Avoid sites that are aimed at healthcare professionals. Explain why the site is credible based on criteria that you outlined in the Criteria Slide.

B. If you need assistance using PowerPoint, search tutorials about how to use PowerPoint on the Microsoft Office site.

C. The following are the scholarly writing requirements for this assignment:

a. Your name appears on the Scenario Slide.

b. Four slides should be submitted. Points will be deducted for additional slides.

c. The four slides pertain to the

I. scenario;

II. criteria for selection of credible sites;

III. suspect site; and

IV. credible site.

d. The links for the suspect and credible sites are working and formatted correctly.

e. Punctuation and sentence structure are correct with no spelling or grammatical errors.

f. Graphics, colored slides, and interesting backgrounds are welcome; however, they are not part of the criteria for this assignment and are not considered for grading purposes.

D. Review the section on Academic Honesty found in the RNBSN Policies. All work must be original (in your own words) unless properly cited.

Grading Criteria

Telenursing: Is It in My Future?

Guidelines and Grading Rubric

Purpose

The purpose of this assignment is to explore the specialty of telehealth, and more specifically telenursing, as one example of the use of technology in various practice settings. Advantages and disadvantages for the patient and legal and ethical principles for the nurse of this technology will be explored.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO #2: Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO #4)

CO #6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO #6)

Points

This assignment is worth a total of 200 points.

Due Date

Your completed paper is due at the end of Week 4. Submit it to the basket in the Dropbox by Sunday at 11:59 p.m. mountain time. Post your questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time will result in a deduction of points.

Background

Our text (Hebda, 2013) provides us with a broad perspective on telehealth. However, the specialty of telenursing is only briefly discussed. Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs. This technology includes the use of various applications based in various environments where registered nurses indirectly provide professional nursing care.

Scenario

The following scenario serves as the basis for your paper:

You have worked with Tomika for the past five years. Tomika shares with you that she has resigned and plans to work in an agency that installs telemonitoring equipment into the homes of those with chronic illnesses. Nurses monitor the patients using the equipment with the goal of detecting problems before patients need to be readmitted to the hospital. Tomika will be working from her own home, with occasional meetings at the agency. She would not be visiting her patients in their homes, but rather would be assessing and interacting with them via videoconferencing. She tells you that there are still job openings and encourages you to apply.

You are intrigued by this, and decide to investigate whether telenursing would be a good choice for you, too. Is telenursing in your future?

Directions

1. You are to research (find evidence), compose, and type a scholarly paper that describes telenursing as described above, and whether it is a good fit for you. Reflect on what you have learned in this class to date about technology, privacy rights, ethical issues, interoperability, patient satisfaction, consumer education, and other topics. Your text by Hebda (2013, Chapter 25) discusses telehealth in detail. However, your focus should be from the professional nurse’s role in telenursing. Do not limit your review of the literature to only what you read in your text. Nurses in various specialties need to know about the advantages and disadvantages of telenursing as it applies to their patients. For example, when you discharge a patient from an acute care setting, will a telenursing service assist that individual with staying out of the hospital? You may need to apply critical thinking skills to development of your paper. In the conclusion of your paper, describe your current employment situation, and whether a job in telenursing would, or would not, fit with your career goals and life situation once you graduate from Chamberlain.

2. Use Microsoft Word and APA formatting to develop your paper. Consult the Publication manual of the APA, 6th edition if you have questions, for example, margin size, font type and size (point), use of third person, and so forth. Take advantage of the writing service, Smarthinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home tab. Also, review and use the various documents in Doc Sharing related to APA.

3. The length of the paper should be 4–5 pages, excluding the title page and the reference page. Limit your references to key sources.

4. The paper should contain an introduction that catches the attention of the reader with interesting facts and supporting sources of evidence, which need to be mentioned as in-text citations. Keep in mind that APA guidelines state you are not to call this an “Introduction” but you should include it at the beginning of your paper. The Body should present the advantages and disadvantages of telenursing from your perspective as an employee, and the patient’s perspective as a recipient of the care nurses provide. The Conclusion and Recommendations should summarize your findings and state your position on whether you will apply for a position with the agency.

NOTE: Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in your own words) unless properly cited. This assignment will automatically be submitted through Turnitin, a plagiarism detection system.

Submit the completed paper to the Telenursing: Is It in My Future? by Sunday, 11:59 p.m. MT at the end of Week 4. Please post questions about this assignment to the weekly Q & A Forum so that the entire class may view the answers.

Grading Criteria