Our country currently spends more money on health care than any other country in the world, yet our health outcomes are among the worst in the industrialized world. What are some measures we can take to improve the health of our nation’s children without increasing healthcare spending? Be sure to support your ideas with relevant evidence based practice and acknowledge your references. 

  Hi dear,

can help me to finish this assignment with good quality and be on time please?

answer one of the discussion questions in well-developed paragraphs.   Use citations from reputable sources (for example, our textbook).  Grammar and spelling are taken into consideration when grading. Answer this question as if you are writing a mini paper, with a clear introduction, conclusion and supporting evidence.  This an academic writing space for you to demonstrate that you have read the weekly chapters, understood the question.  This should be 2-3 substantial paragraphs that reflect key ideas from the week. Include citations at the end from journal articles, our book, or other scholastic sources. 

Pick Topic 1 or 2 for your discussion:

Topic 1 Describe the major obstacles to gay, lesbian, bisexual, and transgendered (GLBT) people in obtaining adequate health care. To help answer this question, be sure to read Chapter 13 from your textbook Please be thorough with your response and be sure to back up all information with reputable sources

Topic 2 Recognizing that all individuals are unique, what are some basic “conditions for good sex” developed by Zilbergeld?  To help answer this question, be sure to read Chapter 14 in your textbook. Please be thorough with your response and be sure to back up all information with reputable sources. Thanks,

 

Instructions:

This is a group assignment. During Week 1, you will self-select and self-enroll to groups (3 persons/group). If enrollment numbers/changes require a different number, please coordinate with faculty. Faculty will assign your group a case study and data; this is what you will work with the remainder of the course to create your final QI report. Please find your case study and data, along with other project resources in “QI Project Resources: (button found on L-hand side of course site). The case study will prompt you to consider best practices regarding a particular clinical problem (e.g., preventing/reducing falls). Please note how Discussion board topics Weeks 2-4 prompt you to individually complete several portions of this project. Use the individual work done in these discussions and the opportunity to see others’ work and receive feedback to refine your group’s work on the final QI report.

You and your group mates are responsible for 1) initiating contact with each other, 2) exchanging contact information, 3) creating a timeline for assignment completion, 4) determining collaborative tools you’d like to use to complete the assignment (e.g., Google Docs), 5) identifying and assigning group roles and distributing work load evenly, and 6) maintaining effective communication with each other (e.g., conflict prevention and resolution, timely and frequent communication, etc.). Collaborative resources are available to assist you, under “Course Support” (L-hand side of course site).

Using your assigned project (i.e., case study/data), components of the final written report must include:

Background of the problem  Depth and breadth of the problem (e.g., national statistics and local data to demonstrate a problem exists) Definition of the problem with references PICO question

Evidence What evidence did you find? Synthesize the evidence Appraisal of the evidence using the JBI appraisal tools (include as appendix) Levels of evidence

Analysis of Current Condition Narrative and table, graph, flow chart of current condition (data from assigned problem) Include missed opportunities (examination of current process versus what the evidence says should be done using a flowchart); these are your indicators.

Cause Analysis  Root Cause Analysis and Fishbone Diagram. Identify where the problems exist that you will address.

Action Plan for Each Indicator What the evidence says should be done. The changes that should occur in order to improve practice, to include: Indicator (look at your indicator sheet): Provide the evidence to support in one sentence. Measurement: Numerator and denominator. How will you measure that the change is being done? Goal: What is your goal data? Benchmarks? Implementation:  Include Best Practices for implementing your change and evidence to support your implementation strategy Create a table with the following information for each indicator: Who (is responsible)?–>Describe who is responsible What (are they responsible for?)–>Explain what they are responsible for completing (each indicator described above) Why (did you select this person?)–>Rationale for why this person should be responsible for this action When (will they perform the action?)–>What is the timeline for completing the task? How (will they complete the action?)–>Explain how the person should complete the action (think of implementation described above) Completion Date–>Date for completing the action

References

There is no template for the written report; it is up to your group how to best present content in a professional and scholarly manner. Please include the following as part of your final product:

Names and Summary of Contributions of Group Members completing assignment.docx

RCA(Root Cause Analysis):

 

1- There is only one WSCN for entire facility to provide wound care.

  2- The WSCN only provides care on Monday-Friday from 8am-7pm.

 3-The WSCN has no speciality certification or master’s degree in wound care.

   4- Patients are only assessed once per shift, which should be assessed during every shift.

   5-  Nurses on the floor don’t have skills and proper training or education on assessment and treatment of pressure ulcers.

  6- There is no clear path or protocol in wound care within the facility.

    7- Lack of effective communication between nurses for patients who need wound care in case for any technical issue it doesn’t appear in generated computer list.

PICO question:  

 For hospitalized patients with restricted movement, does the use of I.S.K.I.N bundles reduce the future rate of HAPU compared to the current hospital regulations?

  Best Available Evidence Action Plan
-Frequent position changes (at least every two hours)

-Avoid friction and shear when repositioning.

-When repositioning, use proper technique.

-Implement pressure relieving mattresses or surfaces.

-Avoid turning patient on an area that is already reddened related to pressure.

-For pressure ulcer prevention, do not rub or massage area.

-Emollients can be used to hydrate the skin.

-Barrier creams to protect skin from increased moisture.

-Frequent skin assessments per protocol.

-Nutritional risk assessments with interventions.

-Additional protein supplements in additional to their regular diet  Alderden et al (2011) list the following best practices in preventing HAPU’s.
 

  Week 1: Organizational Structures

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Discuss the organizational structure that you, as the nurse administrator for SLMC, believe would be most appropriate. Use a specific organizational theory to support your decision and discuss how this structure may impact the organization’s outcomes.    

There is no word count for threaded discussions and there is only one discussion per week. This is different from what you are used to in your core courses.  Please see discussion guidelines and rubric below.

NR531 Case Study Background Information (Links to an external site.)

NR531 Case Study St Louis Medical Center Mission and Vision (Links to an external site.)

Threaded_Discussion_Guidelines_and_Grading_Rubric

Need 200 words discussion. For question please refer to the attached document