Physician Incentives in Managed Care and Healthcare Ethics

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Physician Incentives in Managed Care and Healthcare Ethics

Review the paper by A. Mains, A. Coustasse, K. Lykens: Physician Incentives: Managed Care and Ethics  at this link: http://ispub.com/IJLHE/2/1/12416 and answer the questions below.

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1. Consider this idea from the paper: “Medicine is a moral enterprise. Because MCOs are involved in the delivery of medical care, they too, are moral entities. However, MCOs are also businesses.”

2. Explain the idea that the authors sought to convey.

3. Discuss the physician’s dual function under an MCO model of care.

4. What concerns do you have about the physician- patient relationship under MCOs?

Expectations: 

1. Limit your responses to a maximum of two pages, not including title and reference pages.

Physician Incentives Managed Care and Ethics Review

2. Be sure to utilize at least 3-4 scholarly references to support your discussions.

3. Be sure to properly cite your references within the text of your assignment and listed at the end.

4. Be sure to apply critical thinking skills to the write-up of your assignment, especially numbers 2, 3, and 4 above.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

In a competitive, monetized medical system, a clash of principles is inevitable; however, amid the tumult in the medical marketplace, the underlying tenets of emergency medical ethics remain inviolate. Although the goals of providing excellent and cost-effective care are not mutually exclusive, the conflicts encountered can only be resolved by appeal to a higher goal: the good of the patient. Both MCOs and EPs must function as agents of individual patients first and foremost. The enterprise of healthcare rests on fidelity, integrity, and trust; therefore, physicians and MCOs must accept and take seriously their important moral, legal, and social obligations to patients and society. Otherwise, third-party cost considerations and provider greed irreversibly could pervert the practice of medicine and destroy the last vestiges of fidelity in the patient-physician relationship.

Artistic Expression

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Artistic Expression

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Artistic Expression

Artistic Expression: Caring Concept Assignment Purpose Nursing practice is both an art and a science with caring as a central concept to nursing practice and the profession of nursing. Caring is influenced by the nurse’s knowledge, skills, and attitudes formed through lifelong learning and experiences. The purpose of this assessment is to explore definitions of caring in nursing. Students will create a definition of caring and an artistic expression of their perception on caring. Course Outcomes Through this assessment, the student will meet the following Course Outcomes. CO 1: Examine roles and competencies of master’s-prepared nurses essential to performing as leaders and advocates of holistic, safe, and quality care. CO 2: Apply concepts of person-centered care to nursing practice situations. Total Points Possible This assessment is worth 125 points. Due Date Submit your file(s) by 11:59 p.m. MT Sunday at the end of Week 2. Requirements Criteria for Content Take a moment to reflect on how you demonstrate caring in your current professional .

Artistic Expression

Create an original artistic representation of your perception on caring in nursing. Drawings should be formatted on an 8 x 10 document and submitted as a PDF Poems or short-story – word document 1 page in length In a one- to two-page written paper, address the following. The importance of caring to nursing practice and the profession A personal definition of caring; include principles of holistic care Definitions of caring found in nursing literature that support your perspective on caring An explanation of the artistic expression you chose and how it represents caring Summary of key concepts presented in the paperPreparing the paper Submission Requirements Application: Use Microsoft Word 2013™ to create the written component of this assessment. Length: The paper (excluding the title page and reference page) should be at least one but no more than two pages. Artistic representation submitted as an 8X10 PDF or word document A minimum of three (3) scholarly literature references must be used. Submission: Submit your files labeled Lastname_First Initial_Wk2Assignment_Caring Best Practices in Preparing the Project The following are best practices in preparing this project. Review directions thoroughly. Follow submission requirements for selected type of artistic expression. Make sure all elements on the grading rubric are included. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. Ideas and information that come from scholarly literature must be cited and referenced correctly. A minimum of three (3) scholarly literature references must be used.

Artistic Expression

NRS-410V Module 5: Diabetes

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NRS-410V Module 5: Diabetes

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NRS-410V Module 5: Diabetes

Pathophysiology and Nursing Management of Clients Health – Disorders of the Digestive and Musculoskeletal System

Grand Canyon University

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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.

NRS-410V Module 5 Evidence-Based Practice Project—Intervention Presentation on Diabetes [12 Slides]

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

1.A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
2.A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

NURS 6053

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NURS 6053

NURS 6053 Interprofessional Organizational and Systems Leadership

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Week 4 Discussion

Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

Review the Resources and examine the leadership theories and behaviors introduced.

Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

Reflect on the leadership behaviors presented in the three resources that you selected for review.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

NSG 601

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NSG 601

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NSG 601

7 7 unread replies. 32 32 replies.

Please review the Discussion Board Requirements in the rubric.  For the discussion boards each week, please answer the questions in light of your future role according to your program track.  For example if you are a nurse educator student, consider answering the questions from the perspective of a clinical adjunct or full time faculty member.

  • Identify two barriers to change in your organization that are also prevalent in the research literature on change management.  Cite at least one current research article to support your post.
  • Create a tagline for your project that will assist to promote enthusiasm and “buy in” from colleagues.  Discuss the rationale for your choice.  What strategies to promote and sustain change does your tagline employ?
  • Consider a creative communication tool to demonstrate your tagline to the group.  You tube, a short video, song, demonstration, or graphic would be ideal!
  • Critically analyze and provide feedback to at least two of your peers.

Initial post is due Thursday by 11:59 PM EST, and at least two peer response posts are due Sunday by 11:59 PM EST.

NSG 601 Module 7 Discussion

Identify two barriers to change in your organization that is also prevalent in the research literature on change management.  Cite at least one current research article to support your post.

according to NSG 601 Module 7 Discussion, a barrier to change that is noted in the literature is staff resistance. This is typical because of the belief in increased workloads or disruption of familiar workflow patterns (Laker et al., 2019). Sufficient time should be allocated for training so staff can receive adequate training and education with respect to the unique needs of patients. Another barrier to change is culture change. Organizational culture change or adjustment should be addressed by leadership that is completely transparent with data, clear and positive messages to staff, and providing constant reinforcement to staff about the importance of following new processes (Laker et al., 2019).

Create a tagline for your project that will assist to promote enthusiasm and “buy in” from colleagues.  Discuss the rationale for your choice.  What strategies to promote and sustain change does your tagline employ?

Tagline: Boarding in the ED is the equivalent of closing lanes on a busy freeway.

Rationale: The process of triage in the emergency department (ED) allows prioritization of treatment based on presentation and acuity as stated in NSG 601 Module 7 Discussion. When patients board in the ED, these processes get impeded, and it causes a bottleneck effect which ultimately causes a cascade of other issues. This tagline gives a simple perspective to something that most adults have experienced or at least witnessed. The strategy is to promote a positive streamline in the system by providing evaluation, stabilization, and treatment for all patients.

Consider a creative communication tool to demonstrate your tagline to the group.  Youtube, a short video, song, demonstration, or graphic would be ideal!

Boarding in the ED is the equivalent of closing lanes on a busy freeway. 

Reference

Laker, C., Cella, M., Agbediro, D., Callard, F., & Wykes, T. (2019). The side effects of service changes: exploring the longitudinal                     impact of participation in a randomized controlled trial (DOORWAYS) on staff perceptions of barriers to change. BMC                       psychiatry, 19(1), 407. https://doi.org/10.1186/s12888-019-2370-6

What a creative tagline and association to “jammed traffic” it really makes me think about the effects of boarding in the ED “downstream”.  I do not know anything about patient flow in the ED, however I do know the effects of closing lanes on traffic and the problems that can arise. When I was a floor RN I remember having to take ED patients even when our floor was in absolute chaos; if the patient was stable he went to the floor. I can not imagine having patients, especially psychiatric, boarding in the ED. Does this impact the ED nurse to patient ratio? The ED is not designed to meet needs associated with the mentally ill, these visit occupy 42% increased provider time (Nordstrom et al., 2019). I would imagine that if any interventions help alleviate this time constraining factor, there would be 100% buy in.

Reference

Nordstrom, K., Berlin, J.S., Nash, S.S., Shah, S.B., Schmelzer, N.A., & Worley, L.L.M. (2019). Boarding of mentally ill patients in emergency department: American Psychiatric Association resource document. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health 20(5). Doi:10.5811/westjem.2019.6.42422

Mark,

NSG 601 Module 7 Discussion states that, you make a number of good points. I worked in the ED for 2 years and it is a completely different world than the floors or ICU. The organization I worked at used an acuity system, but the problems arose when this is not used correctly. At times the triage nurse would not get the complete story. This leads to acuity changes. For instance, if a patient comes in with N/V, but does not indicate they hit their head, this initiates two different treatment plans.

Boarding in the ED is a nightmare. Do you feel it has increased due to COVID or is there a pattern throughout the year/seasons. I am currently working in ICU and we have had to take floor patients to get them out of the ED and board in ICU. This creates further problems as it uses critical care resources that are now not available to the patients and hospital.

Sincerely,

Your post was well stated, clear, and concise. I agree with the barriers you have brought to the attention through this post, staff resistance, and culture change. Both are difficult to change without good leadership from the organization. In your tagline, you discuss the process of streamlining the system in the emergency department through triage. Working in the emergency department myself I fully understand overcrowding and boarding of patients as it’s a real crisis. Without control in the front (triage) then it makes it extremely difficult to manage care appropriately for patients waiting to be seen in the ED. Currently, at my assignment, the triage area has a physician that sees each patient, assesses and evaluates them, while providing treatment or orders to assist in spreading up the care of the patients. This decreases delays in care and increases patient morale all while maintaining quality patient care. Having tools and guidelines in triage is essential to perform appropriate assessments and pair the correct acuity level based on current symptoms to each patient. In one article I found they used a tool called the AIFELL score. according to NSG 601 Module 7 Discussion, this triage score considered symptoms, laboratory studies, and radiological images to identify appropriate admissions of people with COVID-19 who are critical patients (Levenfus et al., 2020). The tool allowed for a more streamlined approach as the pandemic made it difficult to know who is most appropriate for admission.

-Chelsea Kimball

References

Levenfus, I., Ullmann, E., Battegay, E., & Schuurmans, M. M. (2020). Triage tool for suspected covid-19 patients in the emergency room: Aifell score. The Brazilian Journal of Infectious Diseases, 24(5), 458–461.

Nursing and Midwifery

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Nursing and Midwifery

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Discussion: Nursing and Midwifery

Purpose

You are to locate and document research databases that relate to a significant clinical nursing issue of your choice. The research databases may be labeled as such, or may be collections of research studies and reports. You are not looking for research or articles, you are looking for new databases.

Course Outcomes
This assignment enables the student to meet the following course outcome:

CO 1:  Examine the sources of evidence that contribute to professional nursing practice. (PO #7)

Due Date: You are to identify a total of five research databases (or collections of research-based evidence) that are relevant to a significant clinical nursing issue that is important to you. Submit the descriptions using the form provided in Doc Sharing to the Week 3 Dropbox by 11:59 p.m. Sunday (MT).

Points
The assignment is worth a total of 175 points. Please see the grading rubric for details.

Requirements
1.  Choose a topic of interest to you that is a significant clinical nursing issue. Please note that the databases you identify could be useful sources of information for your Capstone project in NR451, so choose your topic thoughtfully.

2.  Download the NR439_Research_Database_Form from Doc Sharing and type information about each database directly onto the form. Your paper does NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling, syntax, and write in complete sentences.

3.  Save the file by clicking Save as and adding your last name, e.g., NR439_Research Database_Smith.docx.

4.  Describe your topic of interest. This is worth 15 points.

5.  Locate a total of five research databases  related to your topic. Each research database description is worth 30 points. You may search for these in various locations, e.g., the Internet or the CCN Library.  You may NOT choose the databases that are already familiar to you – MEDLINE, PUBMED (which also indexes MEDLINE), GOOGLE SCHOLAR, and CINAHL. Instead, you are expected to expand your knowledge of evidence-based sources. Places to help you begin include your textbook, which lists databases and websites that report research. The Chamberlain online library (http://library.chamberlain.edu)  gives you access to several databases and provide tutorials for searching. Government sites such as those at the National Institutes of Health offer collections of research on a variety of subjects. The key to choosing the databases is that each contains research-based evidence that also pertains to your topic of interest. Again you are looking for new databases to use in the future and not articles related to your nursing clinical issue.

6.  Review each database to gather information to create a description for the assignment. Each description must:

a.  identify the title of the research database;

b.  describe the location of the research database in a way that a reader could find it. This should be the URL. This URL should take you to the home page of the database.

c.  name owner or publisher of the source;

d.  describe the research database. This must be in your own words and not copied and pasted from the original source. Include the purpose of the database and the subject matter it covers. This may be two to three sentences; and

e.  explain how the research found in the database relates to your topic of interest. This may be an two or three sentences.

7.  Submit to the Research Database basket in the Dropbox by 11:59 p.m. MT Sunday at the end of Week 3. Please post question about this paper in the Q & A Forum.

Example
The following is an example of a description for JBI:

Title of Database:Joanna Briggs Institute for Evidence-Based Nursing and Midwifery

Location of Database (URL): www.joannabriggs.edu.au

Owner or publisher of Database: Joanna Briggs Institute for Evidence-Based Nursing and Midwifery (JBI)

Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers:

The Joanna Briggs Institute is an international not-for-profit Research and Development Organization that provides evidence-based resources for healthcare professionals in nursing, midwifery, medicine, and allied health. Those with membership are able to obtain evidence-based practice information from systemic reviews, evaluation reports, electronic journals, best-practice information, and consumer healthcare information.

Explain how the source relates to your topic of interest:

JBI is relevant to my topic of interest because it provides reports, systemic reviews, journal

articles, and best-practice information on current issues in healthcare. Hospital

readmissions are a major issue in healthcare. The database had several resources

addressing the problem of hospital readmissions and identifying strategies for

improvement.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

  • Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
  • Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
  • One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
  • I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

  • Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
  • In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
  • Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
  • Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

  • Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
  • Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
  • I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

  • I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
  • As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
  • It is best to paraphrase content and cite your source.

LopesWrite Policy

  • For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
  • Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
  • Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
  • Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

  • The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
  • Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
  • If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
  • I do not accept assignments that are two or more weeks late unless we have worked out an extension.
  • As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

  • Communication is so very important. There are multiple ways to communicate with me:
    • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
    • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Discussion: Nursing and Midwifery

Discussion: Nursing and Midwifery

Shared Governance in Nursing

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Shared Governance in Nursing

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Shared Governance in Nursing

This process involves an arrangement through which healthcare professionals such as nurses express and accomplish their duties with a higher level of specialized independence.

Shared decision making is one of the principals of governance. Participation and involvement of healthcare providers in the management and decision-making process in their organizations are significant for the achievement of quality care. Involving all healthcare stakeholders such as nurses in the decision-making process allows each employee to voice their opinions and share their opinions with others. Besides, it encourages a sense of teamwork among employees (Porter-O’Grady & Malloch, 2015). For instance, involving nurses in decision making helps in making critical decisions related to patient care. However, for nurses to be incorporated they must be aware of their contributions to the organization and the mission and values of the institution.

The aim of shared governance in nursing is to allow for affordable service delivery and empowering healthcare professionals. However, for this to occur, the making of decisions must happen at the point of service. This means that the structure of the management must be decentralized and accountability and employee partnership must occur at the point of service (Wilson, 2013). Besides, fostering employee partnership at the point of service is essential to building healthy relationships and fulfilling the mission of the healthcare system.

Recognizing and accepting the operations or the roles that every individual plays in the healthcare system is based on how well the individual performs. All members are allowed to operate in their areas of expertise to contribute to the well-being of the system and make changes that can make the system better (Porter-O’Grady & Malloch, 2015). For instance, members can be involved in operations such as joint staffing participatory in an attempt to achieve the best patient care outcomes.

In conclusion, involving all healthcare stakeholders such as nurses in the decision-making process allows each employee to voice their opinions and share their opinions with others. Besides, the aim of shared governance in nursing is to allow for affordable service delivery which must happen at the point of service.

 

References

Porter-O’Grady, T., & Malloch, K. (2015). Leadership in nursing practice : changing the landscape of health care. Leadership in Nursing Practice, 1-598.

Wilson , E. M. (2013). Evaluating Shar aluating Shared Governance F ernance For Nursing Ex or Nursing Excellence cellence . University of Nevada, Las Vegas, 1-102.

Paper details
How inequality could have been based on how women have been seen throughout history. Based on the
system of accountable care, much has come to light regarding the centrality of the theme relating to complex
adaptive systems and that also enlists professional shared governance in health care systems (Porter-O’Grady
& Malloch, 2016). “Three major components of convergence in a structure are necessary to ensure structural
integrity in the system: governance, operations, and service” ( Porter-O’Grady & Malloch, 2016, p. 344). Can
you explain what these components are about?
Reference: Porter-O’Grady, T., & Malloch, K. (2016). Leadership in nursing practice: Changing the landscape of
health care, (2nd. ed.). Burlington, MA: Jones & Bartlett Learning

AHS 7670: Integrated Treatment

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AHS 7670: Integrated Treatment

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AHS 7670

Wilmington University

AHS

Description

After reviewing the resources for this week…

Please complete a 3-5 page reaction paper addressing the following areas:

  • Name and describe the 3 treatment models.
    • Why is integrated treatment the preferred treatment model for co-occurring disorders?
    • Name two (2) barriers to implementing integrated treatment services.
    • Name two (2) strategies to overcome the barriers that you noted.
  • Describe the eight (8) basic essential qualities of effective treatment programs for co-occurring disorders.
    • What risks would occur if one of these qualities were left out?
    • Why is it important to coordinate with other supportive services when treating co-occurring disorders?

Resources:

Please read Chapters 1 & 2 in this course text:

Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health & Substance Use Disorders – Blueprints for Action

Please read Chapter 3 in this course Supplemental Reading Resource:

Substance Abuse and Mental Health Services Administration.

Please read this course Supplemental Reading Resource:

Please read Chapter 1 in this course Supplemental Reading Resource:

ADDITIONAL RESOURCES:

  • This site includes flashcards that outline the various models of addiction.

NURS 6512 Child Assessment

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NURS 6512 Child Assessment

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NURS 6512 Child Assessment

A nurse is assessing a 3-year-old child at a well-child visit. Which of the following should the nurse report to the provider?

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results. NURS 6512 Week 3 Assessment Tools and Diagnostic Tests in Adults and Children

NURS6512: Under Three Year Child Assesment

Much information can be obtained by observing the
child’s spontaneous activities while the history is
being conducted, without touching the child.

NURS 6512 Child Assessment Assignment

For this
purpose it is useful to have an age-appropriate toy
available. Approach infants and young children slowly
and start by playing with them to gain their trust.
For a young child, do as much of the physical
examination as possible with the child either being
held by the parent or caregiver or supported on that
person’s lap.
Generally, the least stressful parts of the exam should
come first, with more intrusive or distressing parts
later (for example, examination of the pharynx and/
or ears with the child restrained). Allowing the child
to play with the equipment can often decrease anxiety
about certain parts of the exam.

NURS 6512 Child Assessment Assignment
One must choose the quietest moment to do the
respiratory and cardiac exam. This is usually at
the beginning of the exam. The order of the
examination must be varied to suit the situation.
Care should be taken to select appropriate-sized
equipment when examining a child (for example,
blood pressure cuff width should be greater than twothirds of the length of the upper arm).
General Appearance
Without touching the child, observe (if applicable):
– Level of consciousness, alertness, general
behaviour and appearance (how well the infant/
child looks)
– Symmetry of body
– Posture of limbs (flexed, extended)
– Body movements (for example, arms and legs,
facial grimace)
– State of nutrition and hydration
– Colour
– Any sign of clinical distress (for example,
respiratory distress includes dyspnea, pallor,
cyanosis, irritability)
– Gait
– Breathing frequency and pattern
– Responses to sound
– Fine and gross motor skills as the child plays
– Lesions (for example, petechiae, eczema, impetigo)
– Responses to parental comforting measures
– Ability to entertain themself while the caregiver is
talking

NURS 6640 Adult Attachment

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NURS 6640 Adult Attachment

Question 5

The PMHNP uses the Adult Attachment Interview (AAI) with a male patient who reports having had a difficult time being separated from his parents during his childhood. He explains that going to school or visiting his relatives without his parents was troublesome. The PMHNP characterizes the patient as unresolved/disorganized, according to his outcomes on the AAI. What does the PMHNP anticipate from the patient?

Selected Answer:
A.
He will have lapses in his memory of his childhood.

NURS 6640 Adult Attachment Interview

What is Assessing Client Progress?
Part 1: Progress Note

Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):

Treatment modality used and efficacy of approach
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
Modification(s) of the treatment plan that were made based on progress/lack of progress
Clinical impressions regarding diagnosis and/or symptoms
Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
Safety issues
Clinical emergencies/actions taken
Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
Treatment compliance/lack of compliance
Clinical consultations
Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
Therapist’s recommendations, including whether the client agreed to the recommendations
Referrals made/reasons for making referrals
Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
Issues related to consent and/or informed consent for treatment
Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.

The privileged note should include items that you would not typically include in a note as part of the clinical record.
Explain why the items you included in the privileged note would not be included in the client’s progress note.
Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.