Day: December 19, 2019

Create a 4-6 page paper with you , as a presenter, in which you will propose an evidence-based plan to improve the outcomes for a patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. 
  • Reflect on which evidence was most relevant and useful when making decisions regarding the care plan.
• Competency 3: Apply an evidence-based practice model to address a practice issue. 
  • Explain the ways in which an EBP model was used to help develop the care plan.
• Competency 4: Plan care based on the best available evidence. 
  • Propose an evidence-based care plan to improve the safety and outcomes for a patient.
• Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. 
  • Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
  • Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

Professional Context

Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.

Scenario

The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment.

Instructions

Before beginning this assessment, make sure you have worked through the following media:

• Vila Health: Remote Collaboration on Evidence-Based CarePlease find attached word document with Villa Health Scenario

For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video:

• Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario.
• Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decision about the plan you proposed
• Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. 

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

• Exemplar Kaltura Reflection. 
  • Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.

Make sure that your video addresses the following grading criteria:

• Propose an evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.
• Explain the ways in which an EBP model was used to help develop the care plan.
• Reflect on which evidence was most relevant and useful when making decisions regarding the care plan.
• Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
• Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

 

Additional Requirements

Your assessment should meet the following requirements:

• Length of video: 5–10 minutes.
• References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
• APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style.

Write a 2-3 page paper that examines end-of-life issues in relationship to hospitals, professional ethics, and accrediting bodies.
How Institutional Conceptual Frameworks Influence Ethical Decision Making
We wrap things up by exploring institutions and groups designed to help ensure that hospital staff at all levels think and act ethically in caring for patients. Accrediting bodies are oversight agencies charged with performing accreditation of hospitals and helping to establish standards for health care delivery. Their aim is to keep the quality of care as high as possible and to make sure the care is delivered ethically. Ethics committees are groups of individuals within hospitals that meet regularly to advise staff on ethically difficult cases and to promote an ethical institutional culture.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 2: Apply sound ethical thinking related to a health care issue. 
  • Demonstrate sound ethical thinking in applying ethical principles and moral theories to a specific case.
• Competency 3: Analyze ethical issues associated with patient care from the perspectives of various health care professionals. 
  • Explain professional codes of ethics and apply them in to a specific case.
• Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions. 
  • Explain organizational documents like mission and value statements and use them to analyze a case study.
  • Explain the role of accrediting bodies and applies this understanding in analyzing a case study.
• Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals. 
  • Provides validation and support within written communications by including relevant examples and supporting evidence using APA citations.
  • Produce writing with minimal errors in grammar, usage, spelling, and mechanics.
• Preparation
  Complete the Case Study: Tonya Archer media activity, which is linked later in this assessment.
  Before you begin creating your submission for this assessment, make sure you have worked through the Tonya Archer case study. This will provide the foundational context for the assessment, for which you will be carrying out independent research by using the Internet to complete the following:
• Identify the professional code of ethics for your professional specialty or a specialty that you are interested in.
• With a local hospital in mind (perhaps one you work for), locate the mission, vision, and values statement of that hospital.
• After you identify the professional ethics code and the hospital mission, vision, and values statements relevant to your work and interests, it may be useful to complete the following:
• Identify which item in the ethical code you believe is the most important and explain why.
• Name something in the code you would like to see addressed in more depth. Why?
• Which item in the code do you think would be the most challenging to follow and why?
• Does your code make an explicit distinction between what is legal and what is ethical? That is, is the code clear that, while an action may be legal, it may not be ethical?
• Finally, how well does your professional code of ethics align with the mission and values statement of your hospital? Can you imagine a situation in which following one would make it challenging to follow the other?
• Instructions
  For this assessment you will apply some concepts we have learned in the course, particularly those relating to the basic principles of health care ethics, professional codes of ethics, and values of health care institutions. 
  Write a paper that answers the following questions as it relates to the Tonya Archer Case Study:
• What are the most relevant end-of-life issues in health care ethics as they relate to this case?
• What should the hospital do? Should doctors simply keep Tonya on life support, as the parents want? Or, since all medical evidence indicates that Tonya’s brain damage is permanent, should life support be removed?
• Support your answer with the following considerations in mind:
• Explain which principles of health care ethics and which moral theory are the best philosophical foundations for your view.
• Is your view supported by your professional code of ethics? If so, explain how. If not, explain what your code gets wrong about a case like this.
• Is your view consistent with the mission statement and values of the hospital you identified in your independent research you conducted to prepare to complete this assessment?
• Would an accrediting body, like the Joint Commission, support your choice? Why or why not?
• Submission Requirements
  Your paper should meet the following requirements:
• Written communication: Written communication is free of errors that detract from the overall message.
• APA formatting: Resources and citations are formatted according to current APA style and formatting guidelines.
• Length: 2–3 typed, double-spaced pages.
• Font and font size: Times New Roman, 12 point.

Respond to the following in a minimum of 175 words: 

1) What could go wrong if a firm only sources recruits using one method?

2) How might a company’s preferred recruiting sources differ when it is looking for local managers versus doing a national search for managerial talent?

 

 

Reply to at least two of your classmates. Be constructive and professional in your responses.

 

1 response to question – 175 words

2 responses to classmates- 125 words EACH

For this Discussion, review this week’s Learning Resources as well as the “Stress, Depression, and the Immune Response” section of the “Stress, the Immune System, Chronic Illness, and Your Body” handout. Then reflect on the different ways stress, the stress response, and depression are connected. Finally, consider what part depression plays in the immune and inflammatory response systems.

With these thoughts in mind:

Post by Day 4 an explanation of the relationships between stress and depression. Then describe two factors of stress response that influence the development of depression and explain how. Finally, explain the influence of depression on the immune and inflammatory response systems. Be specific.

 

 

Readings

• Course Text: Baum, A., Lorduy, K., & Jenkins, F. J. (2011). The molecular biology of stress: Cellular defense, immune response, and aging. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (pp. 87–100). New York, NY: Springer Publishing Company.
• Course Text: Bekkouche, N. S., Holmes, S., Whittaker, K. S., & Krantz, D. S. (2011). Stress and the heart: Psychosocial stress and coronary heart disease. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (p. 394). New York, NY: Springer Publishing Company.
  • Read the section titled “Psychosocial Traits Associated With Chronic Stress and CAD”
• Course Text: Gatchel, R. J., Howard, K., & Haggard, R. (2011). Pain: The biopsychosocial perspective. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (pp. 461–474). New York, NY: Springer Publishing Company.
• Course Text: Grant, K. E., McMahon, S. D., Duffy, S. N., Taylor, J. J., & Compas, B. E. (2011). Stressors and mental health problems in childhood and adolescence. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (pp. 359–372). New York, NY: Springer Publishing Company. 
• Course Text: Gutman, D. A., & Nemeroff, C. B. (2011). Stress and depression. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (pp. 345–357). New York, NY: Springer Publishing Company.
• Course Text: Perez, G. K., Cruess, D. G., & Kalichman, S. C. (2011). Effects of stress on health in HIV/AIDS. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (p. 451). New York, NY: Springer Publishing Company.
  • Read the section titled “Depression Among PLWHA”
• Article: National Institute of Mental Health. (2008, July 29). Errant stress/immune indicators detected in depression-prone women’s sweat. Retrieved from http://www.nimh.nih.gov/science-news/2008/errant-stress-immune-indicators-detected-in-depression-prone-womens-sweat.shtml/
• Article: Wilson, D. R., & Warise, L. (2008). Cytokines and their role in depression. Perspectives in Psychiatric Care, 44(4), 285–289.
  Retrieved from the Walden Library using the Academic Search Complete database.
• Handout: Laureate Education, Inc. (2012). Stress, the immune system, chronic illness, and your body. Unpublished document. 
  • Read the sections titled “Stress, Depression, and the Immune Response,” “Chronic Illness,” and “Autoimmune Disease.” 
• Web Resource: American Autoimmune Related Diseases Association, Inc. (n.d.). List of autoimmune and autoimmune-related diseases. Retrieved from http://www.aarda.org/autoimmune-information/list-of-diseases/
• Website: National Institutes of Health. (2012). Health information. Retrieved from http://www.health.nih.gov/
• Web Resource: National Institute of Mental Health. (n.d.). Health topics: Depression. Retrieved from http://www.nimh.nih.gov/health/topics/depression/index.shtml  

Media

• Podcast: Hernan, S. (Producer). (2010, November 1). Stress, inflammation, and depression [Audio podcast]. Neuroscene. Retrieved from http://neuroscene.com/?p=225
  Used with permission of NeuroScene. All rights reserved.  
  • Transcript
• Podcast: National Institute of Mental Health. (Producer). (2010, November 23). NIMH investigators talk about new evidence that suggests exercise and positive environment can help hedge against stress related depression [Audio podcast]. NIH Radio. Retrieved from http://www.nimh.nih.gov/news/media/2010/positive-measures-to-fight-depression.shtml

In your own words, answer this unit’s discussion questions in a main post (recommended minimum 350 words)

After you have reviewed the Assignment Details below, click the Discussion Board link under the My Work heading above to open the Discussion Board and make your post.

Using the CPG and other sources, conduct whatever research is necessary to understand scenario-based, function-based, and capabilities-based planning approaches. To understand the strengths/weaknesses/opportunities/threats (SWOT) analysis planning approach, use any explanatory source that you find, readily available via the Internet. To fully understand all of these approaches, you will need to research other sources to aid you in engaging in the discussion below; find and reference at least three additional resources that you used and explain what value they added to your understanding.

Assignment Guidelines

• Address the following in your main post:
  • List and describe each of the four planning approaches. For each one explain or provide the following:
    • How this approach is designed
    • For what purposes this approach is most commonly used
    • An example of planning requirements for which this approach would not be ideal
  • Using any two or more of the planning approaches you have just described and discussed, explain how these might be combined to become useful as a hybrid approach. If you choose a hybrid approach that is not a result of your own original thought, properly cite from where you derived the model.
    • Describe in detail this existing or proposed hybrid approach. Also explain why you believe the hybrid is superior to any single approach.
    • Provide and discuss at least two illustrations (real or hypothetical) of how and when your selected or newly proposed hybrid planning approach would be the best choice for emergency planning.

The first step in writing a software application is to determine the requirements. There is no value in writing a program that does not address the needs of the client. Requirements can be gathered in many ways, but ultimately, the requirements serve to document what the application should and should not do. After the requirements are written, the application design can be prepared, followed by the actual coding. For this project, you will gain some practice in the design phase of software development by designing a program that will meet a given set of requirements.

In this assignment you will develop a console program that simulates a restaurant menu. The project instructions are as follows:

Program Requirements:

1. Each item on the menu must have a different price.
2. Your menu must define at least 10 different items.
3. Program Requirements:
   • Display the menu to the user.
   • Allow the user to select an item from the menu. (Record the selection in a variable.)
   • Once the user has selected an item, ask them how many they want (quantity). (Record the quantity in a variable.)
   • Calculate the total. (Sales tax is not included in this exercise.)
   • Ask the user to enter the amount of their payment. (Record this amount in a variable.)
   • Subtract the order total from the payment amount and present any remainder on screen as the customer’s “change”.
   • Remind the program operator to thank the customer for their patronage.
4. Remember to test your program fully to ensure that all functions operate correctly.

Documentation Requirements:

Create a document in Word and add the following:

• Title page
  • Course number and name
  • Project name
  • Student name
  • Date
• List the data items that must be stored and used by the program. Each data item should be given a name for reference. Create a diagram that illustrates where this data comes from (such as “selected by the user,” “entered by the user,” “item name from menu,” “price from menu,” etc.) and how it is handled by your program (what happens to that data).
• List the decisions the program must make. References to the data items in the previous step should be used where appropriate.
• Describe the flow of operation of the program so that a potential user can understand how it works. All key activities should be included, and references to the data items and decisions listed in the previous steps should be used.

Project deliverables are as follows:

1. Create a ZIP file that includes:
   • Project folder containing your Java program (see Program Requirements above).
   • Word document (see Documentation Requirements above).
2. Upload your ZIP file to the course portal.