New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 4 peer-reviewed research articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

• Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
• In your conclusion, synthesize the findings from the 4 peer-reviewed research article

Select Grid View or List View to change the rubric’s layout.

Name: NURS_6050_Module04_Week08_Discussion_Rubric

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Excellent

Good

Fair

Poor

Main Posting

45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness

10 (10%) – 10 (10%)

Posts main post by day 3.

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

Does not post by day 3.

First Response

17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 (0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response

16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Response is effectively written in standard, edited English.

14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

0 (0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation

5 (5%) – 5 (5%)

Meets requirements for participation by posting on three different days.

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

0 (0%) – 0 (0%)

Does not meet requirements for participation by posting on 3 different days.

Total Points: 100

Name: NURS_6050_Module04_Week08_Discussion_Rubric

1.Describe the differences between a complex proposal and a simplified proposal.  When reviewing a proposal, what criteria would you use to select the one that’s best for you? Only 100 words

 

 

 

2. List the five steps used in ‘how to make decisions.” Which of these steps do you consider to be most important and why? Do you find yourself using any of these steps in your daily or long-term decision making processes?

2. What is meant by the acronym, “SMART goals”? List and discuss each aspect of this term. Do you believe that using “SMART goals” can help you in attaining your personal and professional goals? Why or why not?  Only 100 words

 

 

SMART MEANS

S-SPECIFIC

M-MEANS

A-Achievable

R-Relevant

T-Time

Patient Name: Luka Silva

Date of Birth: 11/3/1943

Clinical Notes: Patient is a nursing home resident who presents with vesicular lesions in a linear pattern on his neck (pictured here). The lesions are on the left posterior neck and do not cross the midline.

He describes the area as itchy and painful. The itching started 3 days ago and the vesicles appear two days ago. Since then he has also developed a moderate headache and mild fever (100.1° F).

Herpes zoster is suspected. Acyclovir-Hydrocortisone is prescribed.

 

Question #1: Why might the physician ask Mr. Silva if he experienced chickenpox as a child? How would that relate to this scenario?

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Question #2: How is the varicella zoster virus spread?

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Question #3: Should Mr. Silva be worried about transmitting shingles to other residents of his nursing home?

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Question #4: If Mr. Silva follows the prescribed treatment, what will his recovery look like?

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Question #5: What preventative measure can be taken to prevent shingles?

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Patient Name: Mohammed Kumar

Date of Birth: 10/3/1966

Clinical Notes: Male patient presents with increasing weakness in his upper extremities. He first noticed the weakness when attempting to lift his grandchildren a couple months ago. Since then, he reports that the weakness has progressed and he “feels clumsy” and trips multiple times a day. When he talks to his children on the phone, they ask if he is sick because his voice sounds different to them.

DDX: Multiple sclerosis, Amyotrophic Sclerosis

 

Question #1: Are Mr. Kumar’s symptoms related to motor dysfunction or sensory dysfunction? Explain your answer.

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Question #2: The physician suspects that Mr. Kumar’s symptoms are related to Multiple Sclerosis or Amyotrophic Lateral Sclerosis. Name three diagnostic tests that may help to determine the correct diagnosis and explain how each would assist with diagnosis.

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Question #3: If Mr. Kumar is diagnosed with ALS, what is his prognosis? Provide statistics to support your answer.

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Question #4: If Mr. Kumar is diagnosed with MS, what additional symptoms might he experience in the future? List and describe at least three additional symptoms.

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Question #5: Diagnostic tests determine that ALS is most likely. Explain the etiology to Mr. Kumar in terms that a typical patient would understand.

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Patient Name: Valentina Silva

Date of Birth: 6/6/1994

Clinical Notes: Female patient reports depression, low blood pressure, muscle weakness, unexplained weight loss, and sensitivity to cold. She states that she can’t pinpoint a time when the symptoms started, but they have been getting worse over the last two months. She has also noticed abnormalities with her menstrual cycles, but initially attributed that to her age and assumed she was approaching menopause.

Endocrine dysfunction is suspected and several lab tests are ordered.

 

Question #1: If Ms. Silva’s lab tests showed decreased levels of cortisol and aldosterone and increased levels of ACTH (adrenocorticotropic hormone), which endocrine disorder is most likely?

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Question #2: Which of Ms. Silva’s symptoms are consistent with hypothyroidism?

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Question #3: It is determined that Ms. Silva has Addison’s disease. What is the cause of this disorder?

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Question #4: What complications will occur if Addison’s disease is not treated? List and describe at least three complications.

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Question #5: How is Addison’s disease typically treated?

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Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.