Describe how the concept of multifactorial etiology relates to the natural history of disease and the different levels of prevention. How should the nurse incorporate these concepts into health promotion of clients in community settings? How should the nurse approach client risk in these health promotion activities?
Project: Promoting Health Care Quality
Section 5: Evaluation Plan
With the recognition of the bidirectional link between quality and finance in a healthcare organization, it follows that any changes to one can have an echo in the other. To determine the net result of a change in overall performance status of the organization, one must determine the point where the results of echoes will reach equilibrium.
—Sadeghi, Barzi, Mikhail, & Shabot, 2013
This week you have been examining evaluation tools and how they can be used as part of a plan to promote quality and safety. As you develop an evaluation plan for your Course Project, consider the insights you have gained through your analysis of your selected organization, as well as the highly regulated and competitive health care environment.
To prepare:
Review the information on evaluation, including data representation and quality monitoring, presented in the Learning Resources.
Use resources form the below link :
https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-discussion-9-grading-rubic-and-media-attac
Review your work on the Course Project thus far, particularly Sections 3 and 4.
https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-course-project-part-3grading-rubic-and-ins
https://www.homeworkmarket.com/content/nurs-6231-healthcare-systems-and-quality-outcomes-course-project-part-4grading-rubic-and-ins
Think about how your quality improvement initiative could be evaluated. Consider the following:
Which stakeholders need information related to this initiative? What do they need this information for?
How would you assess the outcomes in the short-term and long-term?
How would you analyze related processes, including but not limited to the one you redesigned in Section 4?
How should an analysis of organizational structures be integrated into your evaluation?
How would you identify and evaluate any unintended consequences that may arise?
What metrics should the organization use to gauge progress and the effectiveness of the quality improvement initiative? How would these metrics incorporate the measures and indicators that you identified in Section 3? Are there additional measures and indicators that you now think should be included?
How should the organization track and display data for an interdisciplinary audience? How could the use of a dashboard or balanced scorecard be of value?
How could the organization create an integrated view of performance that links finance and quality?
To complete:
Develop a 3-page evaluation plan that includes the following:
An outline of the methods that you would propose for evaluating the quality improvement initiative and the financial implications
A description of specific metrics that integrate your previously identified measures and indicators and any others that you have deemed important
A recommendation of how the organization could represent data related to this quality improvement issue for ongoing monitoring and to determine the value or success of the initiative
An explanation of how the organization could create an integrated view of performance that links finance and quality
Use resources from the Discussion 9 Link shared above
Assignment:
Diabetes and Drug Treatments
Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes. To prepare:
· Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.
· Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
· Select one type of diabetes.
· Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
· Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.
Write a 2- to 3- page paper that addresses the following:
· Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
· Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.
· Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.
Assignment: Asthma
Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.
To PrepareReview “Asthma” in Chapter 26 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.
To Complete
Write a 2- to 3-page paper that addresses the following:Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.By Day 7
This Assignment is due.
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