Use of Informatics in Professional Nursing (1)

Hi everyone,

Informatics and technology in my nursing practice is very important because it allows me to able to access my patient’s electronic health record. Accessing a patient’s electronic health record allows me to see their lab values, vital signs, nursing orders, pass medications using the MAR, and document accordingly. We still use paper methods for certain situations; However, I think that in the future we will continue to steer away from paper methods and have complete electronic access. As electronic access continues to improve within all the different systems used between hospitals, it may ultimately expand globally. Thus, improving the continuity of care.

As stated in our lesson this week, nursing informatics is designed to “improve the health population, communities, families and individuals by optimizing information management and communication” (Massachusetts Action Coalition Future of Nursing, 2016, p. 12). However, ethical issues might arise from the use of technology and informatics. Examples include, but are not limited to a breach in confidentiality, wrongfully accessing information, and losing data that is pertinent to patient care (Hood, 2018, p. 374-375).

Research by Jelec, Sukalic, & Friganovic (2016), states that the greatest challenge that nurses face with modern technology is finding a balance between technology and human interaction (p. 26). I find this statement to be particularly interesting because it something I know I have a hard time balancing. How many times have I been guilty of being caught up with trying to complete my charting, especially on a busy day that I forget to take the time to sit down and have a conversation with my patients? As technology continues to improve, I can see this balance continue to be an issue between patients and healthcare professionals.

One of my greatest challenge when I started nursing was getting use to our data system. I remember it taking my a while to get familiar with the data system and knowing where I could access certain resources, such as our online drug information and policies within the network. I now believe on of my greatest challenges in the use of informatics and technology within my practice is the “unknown”. I want to know how my patient, who may have been transferred to higher level of care, is doing. However, once the patient is no longer in my care I am not allowed to access their medical record because it would violate HIPAA.

To add on to Professor Zeisler’s statement, I too have had the same concerns. I have across charting on a patient and have noted certain things, that are quite noticeable when assessing a patient, but no one has documented accordingly. It makes me wonder, are nurses truly assessing the patient or are you just in a hurry to finish your charting and mistakenly select WDL? In response to all the concerns that nurses have had in regards to our electronic system, we have frequent updates to make our charting more “user friendly”.

Resources:

Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.

Jelec, K., Sukalic, S., & Friganovic, A. (2016) Nursing and Implementation of Modern Technology. Signa Vitae, 12(1), 23-27.

Massachusetts Action Coalition Future of Nursing (2016). The Massachusetts Nursing Core Competencies: A toolkit for implementation in education and practice settings. (2nd ed.). Retrieved from http://www.mass.edu/nahi/documents/NursingCoreCompetenciesToolkit-March2016.pdf (Links to an external site.)Links to an external site.

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Discuss Five Trends/Art Forms that Diffused into American Culture

Can you help me with as well?

Develop a list of five trends and art forms that have originated in another country and diffused into American culture.

Write a short paragraph about one of the trends/art forms that has directly affected you.

Personality Assessment Client Sean Brody

Part A:

  • Summarize the presenting problem of the virtual client and create a hypothesis.
  • Select a personality test from the Mental Measurements Yearbook. (Note: You are to select a test that is not listed in this week’s Learning Resources.)
  • Evaluate and explain why this test is most appropriate for assessing the client’s personality and justify your selection.

Part B:

  • Evaluate the Mock Assessment Results provided below.
  • Explain whether the evaluation results support or invalidate your hypothesis of the presenting problem.
  • Justify your response.
  • Briefly describe which additional psychological tests or assessment methods you might consider for your client.
  • Explain two ways that you might integrate the evaluation results into client treatment planning and why.

Resources:

  • Gregory, R. (2013). Psychological testing: History, principles, and applications (7th ed.). Boston, MA: Allyn & Bacon.
    • Chapter 8: “Origins of Personality Testing”
    • Chapter 9: ”Assessment of Normality and Human Strengths”
  • Article: Hill, J. S., Pace, T. M., & Robbins, R. R. (2010). Decolonizing personality assessment and honoring indigenous voices: A critical examination of the MMPI-2. Cultural Diversity and Ethnic Minority Psychology, 16(1), 16–25.
    Retrieved from the Walden Library using the PsycARTICLESdatabase.
  • Article: Butcher, J. N. (2010). Personality assessment from the nineteenth to the early twenty-first century: Past achievements and contemporary challenges. Annual Review of Clinical Psychology, 6, 1–20.
    Retrieved from the Walden Library using the Annual Reviews database.
  • Article: Cummings, J. A. (2010). Review of ‘evidence-based practice of cognitive-behavioral therapy’. British Journal of Psychology, 101(4), 824–826.
    Retrieved from the Walden Library using the PsycINFO database.

Mental Measurements Yearbook

  • Test: Schuerger, J. (2001). 16PF adolescent personality questionnaire.
    Retrieved from the Walden Library using the Mental Measurements Yearbook database.
  • Test: McGhee, R. L., Ehrler, D. J., & Buckhalt, J. (2007). Five-factor personality inventory-children.
    Retrieved from the Walden Library using the Mental Measurements Yearbook database.

Media

  • Interactive Media: Laureate Education, Inc. (Executive Producer). (2011). Virtual client. Baltimore, MD: Author.
    Transcript

Optional Resources

  • Article: Bornstein, R. F. (2010). Psychoanalytic theory as a unifying framework for 21st century personality assessment. Psychoanalytic Psychology, 27(2), 133–152.
    Retrieved from the Walden Library using the PsycARTICLES database.
  • Article: Mullen, K. L., & Edens, J. F. (2008). A case law survey of the Personality Assessment Inventory: Examining its role in civil and criminal trials. Journal of Personality Assessment, 90(3), 300–303.
    Retrieved from the Walden Library using the Business Source Complete database.
  • Article: Crespi, T. D., & Politikos, N. N. (2008). Personality assessment with adolescents: Challenges and guidelines. Adolescence, 43(171), 593–606.
    Retrieved from the Walden Library using the CINAHL Plus with Full Text database.
  • Article: Braxton, L. E., Calhoun, P. S., Williams, J. E., & Boggs, C. D. (2007). Validity rates of the personality assessment inventory and the Minnesota Multiphasic Personality Inventory-2 in a VA medical center setting. Journal of Personality Assessment, 88(1), 5–15.
    Retrieved from the Walden Library using the Business Source Complete database.

Client List:

Sean Brody

Age – 8

Race – White

Gender – Male

Ethnicity – Jewish

Veteran Status – None

Immigrant Status – American citizen

Language – English, American Sign Language

Sensory Impairment – Hearing Impaired

Motor Impairment – None

Medical Conditions – High lead levels

Presenting Problem – Behavioral and academic problems in school

Poor peer relationships

Aggression

Affective Symptoms – Irritability

Behavioral Symptoms – School failure

Suspensions and expulsions due to aggression

Isolation from peers

Cognitive Symptoms – Poor concentration and attention in school

Family and Support Systems – Only child

Split custody

Results Intelligence Testing – Weakness in Gs and Gr

Strength in Gf

Results of NEO PI-R – High, open to experience

Low, conscientiousness

Lanie Rosado

Age – 22

Race – Hispanic

Gender – Female

Ethnicity – Puerto Rican

Veteran Status – Enduring Freedom veteran

Immigrant Status – American citizen

Language – English, Spanish

Sensory Impairment – None

Motor Impairment – Fine and gross

Medical Conditions – Severely injured dominant hand

Presenting Problem – Failing in college

Affective Symptoms – Mood swings

Behavioral Symptoms – Impulsivity

Unstable relationships

Cognitive Symptoms – Failing first semester of school

Family and Support Systems – Conflict with family and partner

Results Intelligence Testing – Weakness in Gs

Results of NEO PI-R – High, neuroticism

Low, extraversion

Emma Kinch

Age – 78

Race – Black

Gender – Female

Ethnicity – Bajan

Veteran Status – None

Immigrant Status – Bajan citizen

Language – English

Sensory Impairment – Blind

Motor Impairment – None

Medical Conditions – Hypothyroidism

Presenting Problem – Sad

Withdrawn

Irritable

Affective Symptoms – Depressed

Low energy

Behavioral Symptoms – Aggression

Cognitive Symptoms – Memory impairment

Family and Support Systems – Isolated

Recent death of husband

Results Intelligence Testing – Weakness in Gr

Results of NEO PI-R – High, neuroticism

Low, agreeableness

Cross-Cultural Communications SLP

The SLP for this module involves taking a look at the stereotypes we have of our own culture—and that of another culture. Begin by assessing your stereotypes by filling out the following instrument: Assessing Your Stereotypes. Then, in your weekly journal, reflect on the following questions:

  1. What was the score for your own group? For the other group?
  2. What did the Assessing Your Stereotypes instrument reveal about the stereotypes you hold about your own and the other culture?
  3. How can the concept of social identity be used to explain your scores?
  4. What other insights have you gained about stereotypes from this questionnaire, the readings, and other aspects of the course so far that will be valuable to you in leading across different cultures?

The following reading on Social Identity Theory may help you address questions 3 and 4 above:

McLeod, S. (2008) Social Identity Theory. Simply Psychology. Retrieved from http://www.simplypsychology.org/social-identity-th…

SLP Assignment Expectations

  • The journal is a cumulative document—you turn in all previous entries with each module.
  • Include the results from the assessment in your journal.
  • Each module should add 2–3 pages to the journal.
  • The journal should be thoughtful and insightful, integrating learnings from the assessment with other activities in the module and course.
  • The format for the journal is less formal than academic papers (e.g., you can use the first person), but you should use headings to organize your thoughts and guide the reader and cite any sources where you are using information, data, or text from an outside source.
  • Any references should be prepared in APA format in a combined reference list at the end of the journal.
  • Your journal should be edited and error-free.
  • Submit your finished paper to TLC by the assignment due date.

All readings are required unless noted as “Optional” or “Not Required.”

High and Low Context
The definitive work on context was originated by anthropologist Edward T. Hall. He differentiated between high- and low-context cultures. Context refers to the background or framework within which communication takes place.

High-context cultures place a high value on relationships. Business transactions cannot be successful unless based on a foundation of trust, so taking the time to build trust is an essential first step to any commercial activity. Hall explained that these cultures are collectivistic, placing greater value on group harmony than individual success.

Because these cultures are intuitive, people rely on impressions and feelings more than reason or logic. What is expressed in words is less important than the context—things like gestures, tone of voice, general affect, or even the speaker’s family history and position in society. These cultures tend to be homogeneous, and enjoy a shared history.

High-context communication tends to be indirect. However, if you force a direct yes or no answer, the response is likely to be yes (even if the “real” answer is no), lest the speaker risk offending you. Outsiders may find high-context communication to be overly formal and even obsequious. Flowery language, self-effacement, and elaborate apologies are common. Clusters of high-context cultures can be found in Asia, Africa, South America, and the Middle East.

Low-context cultures are logical, evaluative and analytic. Decisions are made not on intuition or emotion, but facts and data. Business transactions are consummated with explicit contracts and written agreements, a practice which persons from high-context cultures may interpret as signifying a lack of trust. Low-context cultures tend to be individualistic.

Communications tend to be straightforward, direct, and action-oriented. Arguments are linear. Language is efficient and precise, and statements are taken literally. Clusters can be found in Western Europe and North America.

The following video offers more insight into high- and low-context communication:

Schwander, J. (2013). Low and High Context Culture: Interpersonal communication. Retrieved from

Application: Negotiation

The following article by Brett is an excellent overview of how negotiations are influenced by culture. There is an excellent section on the role high and low context plays in negotiation strategies and tactics.

Brett, J. M. (2000). Culture and negotiation. International Journal of Psychology 35(2), 97–104. Retrieved from: http://isites.harvard.edu/fs/docs/icb.topic551848….

Relationship to Time

Hall also did a considerable amount of work on the topic of time and how it is perceived in different cultures. He proposed that time is experienced along a continuum, from monochronic (time is linear) to polychronic (time is simultaneous).

In monochronic culture, people tend to do just one thing at a time. Schedules and time commitments are taken very seriously and interruptions are not valued.

Polychronic cultures are characterized by people doing many things at the same time. Interruptions are handled with ease as plans can be changed easily and often. Relationships are more salient than schedules, so promptness is less important than the bond between the individuals involved.

Interactions between the two cultural types can be frustrating. Monochronic individuals cannot understand why a meeting doesn’t start on time and is continually interrupted with phone calls. They can interpret such behavior as insulting, indicating disinterest or disrespect.

On the other hand, an individual from a polychromic culture cannot understand why schedules and task completion takes such precedence over relationships. He or she may not think that measuring output in terms of time is relevant.

Hall’s writings bring to life this type of culture clash over the way time is conceptualized. Since he was trained as an anthropologist, his writings on the topic take on a decidedly ethnographic flavor. The following slide show provides a bit of background on Hall and his writings on time orientation.

Add, M. M. (2013). Monochronic and Polychronic Time, Prezi. Retrieved from http://prezi.com/e08xcxjafzli/monochronic-and-poly…

Application: Diplomacy and Cultural Differences in Communication

The following interview with Dr Hans J. Roth, Ambassador for Cross-Border Cooperation at the Swiss Federal Department of Foreign Affairs, highlights the challenges that are created by divides in the ways people communicate and think about space and time.

Roth, H. J. (2012). Culture, space, and time—Problems in intercultural communication, The International Relations and Security Network. Retrieved from http://www.isn.ethz.ch/Digital-Library/Articles/De…

Gestures, Personal Space and Eye Contact

Over 90% of what you communicate is non-verbal—through gestures, body language, and tone of voice. This section considers the question of what are you communicating through your body language—or non-verbal behavior. These messages can vary across cultures and convey very different meanings depending on which cultures are interacting. So it is important to be well versed on what different types of non-verbals actually mean in different cultures.

The following video focuses on gestures, and how the same gestures can have different meaning in different cultures, with footage of people “acting naturally” in various cultures. Initially the video is a bit burred, but it quickly clears.

Morris, D. (2011). The Human Animal: A Personal View of the Human Species. Retrieved from:

Here is a short “cheat sheet” on the meaning of common gestures and non-verbal behavior across cultures:

Diversity Tip Sheet: Cross-Cultural Communication: Translating Nonverbal Cues. (2008). Diversity Council. Retrieved from http://media.wix.com/ugd/585763_8ea8dab2b7574c1a85…

Social Identity: Gender and Ethnicity

The last factor that we will examine in the context of cross-cultural communication is the area of social identity on styles of verbal and non-verbal communication. Social identity is a broad term that signifies any group or collective of which an individual feels a part. So, for example, your social identity might be female, baby boomer, African American, Buddhist, and/or Texan. When we communicate and interact with others, it often highlights the ways in which people from other identity groups are similar or different from our own. Indeed, it is common to assume greater similarity from a member of one of our own identity groups and greater difference between members of other groups. Although there are many bases of social identity, in this module, we will focus on two key identities—that of gender and ethnicity.

Research studies have found numerous differences between men and women in the realm of communication—even across cultures. Differences have been found in pronunciation (females have better pronunciation than males), intonation (women’s pitch is higher), vocabulary (women use more adjectives), diminutives (women use more), pronouns (women prefer first-person plural while men tend to use the first-person singular for self and second-person singular for others).

Other types of gender differences in communication involve greater use of modulation by women (“I might be wrong, but …”) whereas men are more direct. Women also tend to ask more questions as a way of engaging others in conversation, whereas men frequently view asking questions as a sign of ignorance or weakness. Men use imperative sentences more often when issuing orders, but women will modify the tone by using adverbs like “maybe,” “perhaps,” or “probably.”

Reference: Xia, X. (2013). Gender differences in using language. Theory and Practice in Language Studies, 3(8), 1485–1489.

Deborah Tannen, a noted writer in the area of gender differences in communication, developed Genderlect Theory, which held that it is best to approach communication between genders as a cross-cultural activity because men and women have different approaches to communicating, including different dialects. While her theory gained widespread notoriety, it has not been widely adopted by the academic or scholarly community.

Furthermore, Tannen’s work has been criticized as being “male-centric,” recommending that women adopt more forceful and direct methods of communicating. More recent work on gender and communication suggests that in a globalized and service-oriented economy, advantage can be gained by a communication approach that is more empathetic and inclusive.

For a brief sketch of the differences in male and female communication styles, read:

Gillespie, D. (2013). Communication styles: Understanding gender differences. WorkHealthLife blog. Retrieved from http://blog.workhealthlife.com/2013/03/communicati…

For a more thorough, cross-cultural exposition of the social, historical, and cultural influences on gender and communication view the following video. Some segments are serious, some are funny; the segment beginning at 12:10 is a good example. The video is rather lengthy but worth the time, and it raises some controversial issues. Do you agree?

Archer, D. (2013). Gender and communication: male female differences in Language and non-verbal communication. Retrieved from

The United States is a country characterized by a great deal of ethnic diversity, and so it is particularly important to consider the extent to which ethnic identity influences communication. Ethnic identity is often subsumed under the term “social identity,” which can mean any social group with which one identifies. Just as with the above factors, identity issues in communication also concern differences in the way the world is conceived or experienced. These differences can lead to misunderstanding or unsuccessful communication when the viewpoint of the “other” is assumed to be the same as that of one’s own group.

Ethnic identities are “socially constructed.” That is, how we think about our ethnicity is influenced by the environment in which we grow up, are educated, and choose to live as adults. Who we interact with and our relationship to the dominant or majority ethnic group can shape the content and strength of our own ethnic identities.

The following animated PowerPoint presentation illustrates the complexity of ethnic identity. It is taken from Chapter 4 of Understanding Intercultural Communication by Stella Ting-Toomey and Leeva Chung. Take your time when viewing the slides. Because it is animated, the tendency is to click fast, but you will get more out of it if you slow down and take the time to understand each slide.

McKissick, C. (2013). Chapter 4: What are the keys to understanding cultural and ethnic identities? Retrieved from http://prezi.com/qxa61oj8zv_k/ch-4-what-are-the-ke…

Compare and contrast the management information systems, business and finance homework help

Complete the following for this assignment:

  • Compare and contrast the management information systems (MIS) in place in 2 distinctly different organizations.
  • Compare each organization’s use of information systems to help manage internal operations and to make decisions.
  • Assess how these two organizations use information technology for competitive advantage.
  • Appraise the individual and organizational consequences of the use of information technology, and recognize potential security breaches and computer crimes.

Present your findings in a Word document of 5–6 body pages formatted in APA style.

Please submit your assignment.

Submitting your assignment in APA format means, at a minimum, you will need the following:

  • Title page: Remember the running head. The title should be in all capitals.
  • Abstract: A summary of your paper, not an introduction. Begin writing in third-person voice.
  • Body: The body of your paper begins on the page following the title page and abstract page and must be double-spaced (be careful not to triple- or quadruple-space between paragraphs). The type face should be 12-pt. Times Roman or 12-pt. Courier in regular black type. Do not use color, bold type, or italics except as required for APA-level headings and references. The deliverable length of the body of your paper for this assignment is 2–3 pages. In-body academic citations to support your decisions and analysis are required. A variety of academic sources is encouraged.
  • Reference page: References that align with your in-body academic sources are listed on the final page of your paper. The references must be in APA format using appropriate spacing, hang indention, italics, and upper- and lowercase usage as appropriate for the type of resource used. Remember, the Reference Page is not a bibliography but a further listing of the abbreviated in-body citations used in the paper. Every referenced item must have a corresponding in-body citation.

Answer the following questions in paragraphs

A-Popol Vuh-What is the Popol Vuh? Where did the story come from? What was the role of the Spanish conquistadors in the lives of the indigenous American peoples? Why are the “hero twins” heroes? Can you think of other journeys in your own life that reflect these qualities? Give some examples? Can you find some art or music that reflects a continuing interest in the stories of the Popol Vuh?
B-Kojiki-Where does the Kojiki of Japan come from? What is the role of the genders/sexes in the Kojiki myth? How is the myth still used today in Japan? Can you find examples in art or popular culture?

What the Monopoly game taught us about Real Estate?

Write about What the Monopoly game taught us about Real Estate? this is for a Real Estate class. the paper should cover things about the houses in the game, the hotels, and most importantly the prices. I don’t want you to explain the game to me because I already know it. I want lessons learned from the game? how this game can help me in my real estate career? the art of negotiation and selling. you can also look up places where they actually use the monopoly game to teach real estate agents. It should be a full 2 page – single spaced paper

Senior Project Progress Report, health and medicine homework help

HCA459: Senior Project

Complete a two to three page (excluding title and reference pages) report on the progress you have made to date on your Senior Project.  You must use a minimum of three scholarly sources. Your report, and any citations used, must be in APA style as outlined in the Ashford Writing Center. Your progress report should cover the following:

  1. Topic: Identify the topic that you have selected for your Senior Project and provide a brief explanation for why you have chosen to address this topic *This may be copied from the Week Two assignment if evaluated as Distinguished Performance. Otherwise, make adjustments per Week Two feedback.
  2. Organization Specific Rationale: Provide a brief overview of the health care organization that you have selected for your Senior Project including a summary of the challenges and/or opportunities impacting the balance between health care costs, quality, and access to services that the organization is currently facing. The challenges and/or opportunities should directly relate to your rationale for why you have chosen your topic (i.e., training program) to help the organizational leaders manage this challenge/opportunity. Challenges and/or opportunities should be grounded in the research (e.g., web-based resources, electronic articles, or personal interviews). The more informed you are, the better prepared you will be to complete your Senior Project.
  3. Training: Identify the audience for your training program and provide a brief outline of the topics it will address. Include a minimum of three to five learning outcomes that are targeted for your identified audience. Specifically, what do you want your audience to know and/or be able to do after they have completed training? How does this training program align with the overall challenges and/or opportunities that the organization is facing? Overall, how will the training program benefit the organization?

*attachments will provide the topic and the project up to this point*

Women Offenders

Should be 2-3 detailed paragraphs, double spaced, and please use the reference included please

Increasing Numbers of Women Offenders

The U.S. Department of Justice indicates that the number of women in the prison system, on parole, and on probation has increased steadily in the United States since the 1990s (Glaze, 2010). Furthermore, the number of women offenders has increased at a higher rate than the number of men offenders. Although there is an increase in women offenders, their crimes tend to be less violent than those committed by men. According to studies by the U.S. Department of Justice, violent offenses are among the least common types of offences committed by women (Glaze, 2010).

For this Discussion, you think about what may contribute to the increasing number of women offenders. Also, you consider possible reasons women commit fewer violent offenses than men.

Post by Day 4 an explanation of three causes contributing to the increasing number of women offenders in the criminal justice system. Then explain how the increasing number of women offenders might have an impact on society. Finally, explain one possible reason women commit fewer violent crimes than men. Support your response with references to the literature and Learning Resources.

Read a selection of your colleagues’ postings.

Respond by Day 6 to at least one of your colleagues’ postings.

Reference:
Glaze, L. E. (2010). Correctional populations in the United States, 2009. Bureau of Justice Statistics. Retrieved from http://www.bjs.gov/content/pub/pdf/cpus09.pdf

pick another health services organization with which you are familiar

This assignment will be an analysis of the place and price decisions of a health services organization as covered in Week 5 and 6. You may use the same organization that was your focus on Written Assignment 2, or pick another health services organization with which you are familiar. Be sure you understand the marketing concepts discussed during Weeks 5 and 6 and can apply them to your organization.

You might have to seek out some information on the organization by visiting its website, or if it is an employer interviewing someone who has knowledge of the pricing and distribution decisions. After you have completed your research, answer each of the following questions in turn following all the general guidelines or written assignments posted in the syllabus.

  1. Brief overview of the organizations service/products and a description of their target market. This is important to ensure that your analysis considers the needs of the target market in evaluating their pricing and channel decisions.
  2. How do you think the organization arrives at its price? Refer to the Week 6 Overview for a framework of some of the pricing considerations and discuss those that appear relevant to your organization.
  3. Do you think the pricing strategy is appropriate? Can it be improved to better meet its customer’s needs?
  4. Is the organization hindered or helped in their pricing decisions by government or payer restrictions. If so, how do these restrictions impact their pricing strategy?
  5. What kind of value delivery network does the organization employ, e.g. horizontal or vertical, and what is their distribution strategy, e.g. exclusive, intensive or intensive? What factors influence the distribution strategies of this organization? Are they customer-focused? If possible, outline all of the channel members and what function they perform to serve the customer?
  6. Can you recommend any changes to the value delivery network that would serve customer needs better?