Download and review the Community General Hospital Case Study.

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To complete this Assessment:

  • Download and review the Community General Hospital Case Study.
  • Research quality and safety measures using the links provided in the Case Study document and in the Learning Activities.
  • Consider the priority areas for measurement for Community General Hospital. Based on the case study, select 6–8 measures for inclusion in a dashboard for the Community General Hospital Board.
  • Determine how you will display the measures in your dashboard.

Click each of the items below for more information on this Assessment.

Part 1: Dashboard

Using Excel or PowerPoint, create a quality dashboard based on the Community General Hospital Case Study. Your dashboard must include 6–8 measures. Use mock data to represent the measures you have chosen.

Part 2: Written Summary

To accompany your dashboard, write a 2- to 3-page paper in which you do the following:

  • Identify the 6–8 quality measures you have chosen for your dashboard. Explain why these measures are important to the organization.
  • Analyze how the Triple Aim/Quadruple Aim is represented in your chosen measures.
  • Explain how you displayed the measures. Justify your choice of display.
  • Provide a strategy for communicating the dashboard throughout the organization.
  • Explain how the dashboard could be used as a leadership tool to improve patient outcomes.

Creating a Quality and Safety Dashboard

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Community General Hospital Case Study

Creating a Quality and Safety Dashboard

It’s your first week on the job—your dream job, actually. You are thrilled to be working as the Assistant Director of Clinical Quality Improvement at Community General Hospital (CGH). For your first project, Dr. Schenk, your boss and mentor, asks you to create a quality and safety dashboard for her monthly report to the Board. You are eager to show off the skills you’ve gained from your master’s program. If this goes well, you might be the one presenting to the Board in a few months.

Dr. Schenk gives you tips on where to start. She shows you some previous dashboards and says that they were not particularly helpful to the Board members, who really want information that allows comparisons to other hospitals.

You wonder aloud whether there are national standards that would be useful, because you have read in the literature that active hospital board reviews of quality and safety using dashboards are associated with better performance (Denham, 2006; Kroch et al., 2006; Jha & Epstein, 2010).

Dr. Schenk agrees, “Yes, you should search the relevant sites for current information. Look at the Joint Commission, CMS Hospital Compare, and the Institute for Healthcare Improvement.” She continues, “Of course, we should have measures that are relevant to our quality and safety issues here at CGH. We need to highlight our current QI projects to show that we are making improvements, but we also want to identify some of the gaps where we could do better. Right now, we are working on reducing surgical site infections, reducing readmissions, and reducing wait times in the Emergency Department.”

Dr. Schenk outlines a few additional instructions:

· Try to kill two birds with one stone—start with measures that the hospital is required to report.

· Present clear metrics that reflect the current status of the hospital.

· Don’t get too bogged down in detail because it will only overwhelm the Board.

Dr. Schenk then leaves you to your research. You look at the websites she has recommended for current reporting requirements and measures.

Centers for Medicare and Medicaid Services. (n.d.). Hospital Compare. Retrieved December 5, 2019, from https://www.medicare.gov/hospitalcompare/search.html

Joint Commission. (2019). Performance measurement. Retrieved from https://www.jointcommission.org/performance_measurement.aspx

Institute for Healthcare Improvement. (n.d.). Measures. Retrieved from http://www.ihi.org/resources/Pages/Measures/default.aspx

The websites include so many measures, too many for one dashboard. Clearly you will need to focus the CGH Quality and Safety Dashboard on a subset or aggregation of the many possible measures that you could include.

Next, you remember Dr. Schenk’s advice to keep it relevant. You think about what you know about the hospital. Not everything that you found in your research would be relevant. On the other hand, you didn’t find measures for some things that are relevant for CGH. This hospital is such a vital part of the community. How do you capture that on a dashboard? People love working here. The turnover rate for nurses is low. Physicians move here to practice medicine because this is such a great hospital, in a family-oriented community. And the best part, in your opinion, is that physicians and staff are truly engaged in making things better—probably because everyone from the cleaning staff to the CEO are required to take the CGH Performance Improvement course. It’s hard to put numbers on those indicators.

Some other facts are easier to put numbers on. CGH is a nonprofit, 200-bed, non-teaching hospital. In 2019, CGH recorded the following data:

Number of admissions: 11,986

Number of patients over the age of 65: 2,637

Percent of patients over the age of 65: 22%

Percent of patients who identify as a race other than White: 38%

Percent of patients who are female: 59%

Mean length of stay for all patients (days): 3

Percent of patients readmitted within 30 days: 1.4

After completing your research, you now have enough details to select measures and draft the CGH Quality and Safety Dashboard.

References

Denham, C. R. (2006). Leaders need dashboards, dashboards need leaders. Journal of Patient Safety, 2(1), 45–53.

Jha, A., & Epstein, A. (2010). Hospital governance and the quality of care. Health Affairs, 29(1), 182–187. doi:10.1377/hlthaff.2009.0297

Kroch, E., Vaughn, T., Koepke, M., Roman, S., Foster, D., Sinha, S., & Levey, S. (2006). Hospital boards and quality dashboards. Journal of Patient Safety, 2(1), 10–19.

© 2020 Walden University

Rubic_Print_Format

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Rubic_Print_Format

Course CodeClass CodeAssignment TitleTotal Points
NRS-429VNNRS-429VN-O503VARK Analysis Paper100.0
CriteriaPercentageUnsatisfactory (0.00%)Less than Satisfactory (75.00%)Satisfactory (79.00%)Good (89.00%)Excellent (100.00%)CommentsPoints Earned
Content80.0%
Personal Learning Styles According to VARK Questionnaire20.0%Personal learning style content is missing. Personal learning style presented is not reflective of VARK questionnaire.Personal learning style according to the VARK questionnaire is identified, but summary is incomplete.Personal learning style according to the VARK questionnaire is identified and basic summary is provided.Personal learning style according to the VARK questionnaire is identified and described.Personal learning style according to the VARK questionnaire is identified and described in detail. Summary offers examples that display personal insight or reflection.
Preferred Learning Strategies20.0%Personal learning strategy content is missing.Personal learning strategy is partially described. A comparison of current preferred learning styles and VARK identified learning styles is incomplete.Personal learning strategy is summarized. A comparison of current preferred learning styles and VARK identified learning styles is generally described.Personal learning strategy is described. A comparison of current preferred learning styles and VARK identified learning styles is presented.Personal learning strategy is clearly described. A comparison of current preferred learning styles and VARK identified learning styles is detailed. Overall discussion demonstrates insight into preferred learning strategies and how these support preferred learning styles.
Learning Styles (Effect on educational performance and importance of identifying learning styles for learners as an educator)20.0%Importance of learning styles for a learner, and importance of educator identifying individual learning styles and preferences when working with learners, is not presented.Importance of learning styles for a learner, and importance of educator identifying individual learning styles and preferences when working with learners, is partially presented. The importance of learning styles for learners participating in healthy promotion, and identifying them as an educator, is unclear. There are inaccuracies.Importance of learning styles for a learner, and importance of educator identifying individual learning styles and preferences when working with learners, is generally discussed. The importance of learning styles for learners participating in healthy promotion, and identifying them as an educator, is generally established. There are minor inaccuracies. More rationale or evidence is needed for support.Importance of learning styles for a learner, and importance of educator identifying individual learning styles and preferences when working with learners, is discussed. The importance of learning styles for learners participating in healthy promotion, and identifying them as an educator, is established. Some rationale or evidence is needed for support.Importance of learning styles for a learner, and importance of educator identifying individual learning styles and preferences when working with learners, is thoroughly discussed. The importance of learning styles for learners participating in healthy promotion, and identifying them as an educator, is clearly established. Strong rationale and evidence support discussion.
Learning Styles and Health Promotion (learning styles and importance to achieving desired outcome for learners, learning styles and effect on behavioral change, accommodation of different learning styles in health promotion)20.0%Understanding the learning styles of individuals participating in health promotion, the correlation to behavioral change and achieving desired outcomes, and the accommodation of different learning styles is not discussed.Understanding the learning styles of individuals participating in health promotion and the correlation to behavioral change and achieving desired outcomes is partially presented; a correlation has not been established. Accommodation of different learning styles is incomplete. There are inaccuracies.Understanding the learning styles of individuals participating in a health promotion, and the correlation to behavioral change and achieving desired outcomes is generally presented; a general correlation has been established. More rationale or evidence is needed to fully establish correlation. Accommodation of different learning styles is summarized.Understanding the learning styles of individuals participating in a health promotion, and the correlation to behavioral change and achieving desired outcomes is discussed; a correlation has been established. Accommodation of different learning styles is discussed. Some detail or minor support is needed.Understanding the learning styles of individuals participating in a health promotion, and the correlation to behavioral change and achieving desired outcomes is discussed in detail. A strong correlation has been established. Accommodation of different learning styles is discussed. The narrative demonstrates insight into the importance of learning styles to health promotion and behavioral outcomes.
Organization and Effectiveness15.0%
Thesis Development and Purpose5.0%Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction5.0%Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0%Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.
Format5.0%
Paper Format (use of appropriate style for the major and assignment)2.0%Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0%Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage100%

Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

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Learning styles represent the different approaches to learning based on preferences, weaknesses, and strengths. For learners to best achieve the desired educational outcome, learning styles must be considered when creating a plan. Complete “The VARK Questionnaire,” located on the VARK website, and then complete the following:

  1. Click “OK” to receive your questionnaire scores.
  2. Once you have determined your preferred learning style, review the corresponding link to view your learning preference.
  3. Review the other learning styles: visual, aural, read/write, kinesthetic, and multimodal (listed on the VARK Questionnaire Results page).
  4. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
  5. Examine how awareness of learning styles has influenced your perceptions of teaching and learning.

In a paper (750-1,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:

  1. Provide a summary of your learning style according the VARK questionnaire.
  2. Describe your preferred learning strategies. Compare your current preferred learning strategies to the identified strategies for your preferred learning style.
  3. Describe how individual learning styles affect the degree to which a learner can understand or perform educational activities. Discuss the importance of an educator identifying individual learning styles and preferences when working with learners.
  4. Discuss why understanding the learning styles of individuals participating in health promotion is important to achieving the desired outcome. How do learning styles ultimately affect the possibility for a behavioral change? How would different learning styles be accommodated in health promotion?

Cite to at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

Download and review the Community General Hospital Case Study.

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To complete this Assessment:

  • Download and review the Community General Hospital Case Study.
  • Research quality and safety measures using the links provided in the Case Study document and in the Learning Activities.
  • Consider the priority areas for measurement for Community General Hospital. Based on the case study, select 6–8 measures for inclusion in a dashboard for the Community General Hospital Board.
  • Determine how you will display the measures in your dashboard.

Click each of the items below for more information on this Assessment.

Part 1: Dashboard

Using Excel or PowerPoint, create a quality dashboard based on the Community General Hospital Case Study. Your dashboard must include 6–8 measures. Use mock data to represent the measures you have chosen.

Part 2: Written Summary

To accompany your dashboard, write a 2- to 3-page paper in which you do the following:

  • Identify the 6–8 quality measures you have chosen for your dashboard. Explain why these measures are important to the organization.
  • Analyze how the Triple Aim/Quadruple Aim is represented in your chosen measures.
  • Explain how you displayed the measures. Justify your choice of display.
  • Provide a strategy for communicating the dashboard throughout the organization.
  • Explain how the dashboard could be used as a leadership tool to improve patient outcomes.

The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.

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  Need a scholarly paper completed by 1/28/2020 with as below:

The paper should follow a format that includes:

The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.

 

Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

 

List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

 

Consider the following questions as you complete your various tasks related to this assignment.

1.

How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?

2.

What are the major concepts I employ that are unique to my professional practice?

3.

What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?

4.

How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into  my philosophy and practice?

5.

What research supports these theories and concepts?

6.

How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper.

 

Sources should focus on references from nursing theory. 

References MUST be no more than 5 years old.

APA formatted

The paper, excluding references or appendices, is to be limited to 6-10 pages. 

Writing should be succinct and well organized.

PAPER IS DUE NO LATER THAN MONDAY 1/28/2020 AT 5PM EASTERN TIME

Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury.

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Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours.

  • What are two priority nursing diagnoses for this child?
  • What are the priority nursing interventions for this patient after being transferred from the ICU?
  • What are the risks of foley catheter placement?
  • Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.

 qualitative research study o

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Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) source using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page are required. Review the rubric criteria for this assignment.

Conduct a literature search to select a qualitative research study on the topic identified in Module 1.  Conduct an initial critical appraisal of the study.

Respond to the overview questions for the critical appraisal of qualitative studies, including:

  • What type of qualitative research design was utilized to conduct the study?
  • Are the results valid/trustworthy and credible?
  • How were the participants chosen?
  • How were accuracy and completeness of data assured?
  • How plausible/believable are the results?
  • Are implications of the research stated?
  • May new insights increase sensitivity to others’ needs?
  • May understandings enhance situational competence?
  • What is the effect on the reader?
  • Are the results plausible and believable?
  • Is the reader imaginatively drawn to the experience?
  • What are the results of the study?
  • Does the research approach fit the purpose of the study?
  • How does the researcher identify the study approach?
  • Are the data collection and analysis techniques appropriate?
  • Is the significance/importance of the study explicit?
  • Does the literature support a need for the study?
  • What is the study’s potential contribution?
  • Is the sampling clear and guided by study needs?
  • Does the researcher control selection of the sample?
  • Do sample size and composition reflect the study needs?
  • Is the phenomenon (human experience) clearly identified?
  • Are data collection procedures clear?
  • Are sources and means of verifying data explicit?
  • Are researcher roles and activities explained?
  • Are data analysis procedures described?
  • Does analysis guide directions of sampling when it ends?
  • Are data management processes described?
  • What are the reported results (descriptive or interpretation)?
  • How are specific findings presented?
  • Are the data meanings derived from data described in context?
  • Does the writing effectively promote understanding?
  • Will the results help me care for my patients?
  • Are the results relevant to persons in similar situations?
  • Are the results relevant to patient values and/or circumstances?
  • How may the results be applied to clinical practice?

Please be sure to answer the questions thoroughly using complete sentences and APA format. Explain responses to yes/no questions in detail by presenting information found in the study to support your response.

Provide a reference for the article according to APA format and a copy of the article.

Assignment Expectations:

Length: Clearly and fully answer all questions; attach a copy of the article
Structure: Include a title page and reference page in APA format. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source for the article is required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document (.doc or .docx)

Role of the nurse and community in the intervention

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Instructions

  1. Paper format (20 points)
    • 3-5 pages (not including title and reference page) typed (12 Times Roman/Arial Font) in APA format
    • Title page and reference page
    • No spelling or grammatical errors
    • Paper outline similar to this:
      • Introduction
      • Community resources
      • Priority diagnoses, the goal and reason for the change
      • Realistic solution
      • Health education
      • Role of the nurse and community in the intervention
      • Conclusion
  2. Community resources (15 points)
    1. Identified and analyzed
    2. How will the resources support the intervention of your nursing diagnosis?
  3. Priority diagnosis, the goal for change, and rationale (15 points)
  4. Develop a realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
  5. Describe the health education you will promote which follows from your nursing diagnosis (20 points)
  6. Describe the role of the nurse and other community members in the interventions (10 points)

What theoretical nursing models, strategies from other disciplines, and health care technologies could help support or justify your approach to the intervention plan?

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Topic: we discussed issues with staffing and issues with clients receiving facetime. As well as being part of the team despite Covid-19 and restrictions. It was clear how Covid-19 has negatively affected both the staff and clients.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

  • What theoretical nursing models, strategies from other disciplines, and health care technologies could help support or justify your approach to the intervention plan?
  • What evidence from the literature or best practice supports the intervention plan components you identified?
  • What, if any, potential is there for technology to help in the development or implementation of the intervention plan components?
  • What is the impact of stakeholders, health care policy, or regulations?\
  • Are there any ethical or legal considerations related to the development or implementation of the intervention plan components that need to be kept in mind? If so, what are they

 

Part 1: Intervention Plan Components
  • Define the major components of an intervention plan for a health promotion, quality improvement, prevention, education, or management need.
  • Explain the impact of cultural needs and characteristics of a target population and setting on the development of intervention plan components.
Part 2: Theoretical Foundations
  • Evaluate theoretical nursing models, strategies from other disciplines, and health care technologies relevant to an intervention plan.
  • Justify the major components of an intervention by referencing relevant and contemporary evidence from the literature and best practices.
Part 3: Stakeholders, Policy, and Regulations
  • Analyze the impact of stakeholder needs, health care policy, regulations, and governing bodies relevant to health care practice and specific components of an intervention plan.
Part 4: Ethical and Legal Implications
  • Analyze relevant ethical and legal issues related to health care practice, organizational change, and specific components of an intervention plan.
Address Generally Throughout
  • Communicate intervention plan in a professional way that helps the audience to understand the proposed intervention.