Wk 5 Response 2 Nursing Technology

APA format*** 2 paragraphs***at least 4-5 sentences each paragraph***2 References***

Please create a response to my classmates response Below:

My classmates Response is below:

For nurses who have entered the workforce within the last 10 years, paper charting may be something only talked about by older nurses, or utilized begrudgingly during downtime. Since the passage of the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) that promoted the adoption and meaningful use of electronic health records (EHR), EHRs have become synonymous with medical care (McGonigle & Mastrian, 2015). While it may seem that EHRs are efficient and easy to use, the process of adopting these systems is not without challenges.

Resistance to Implementation

Staff resistance to the adoption of an EHR is one of the most challenging aspects of implementing the system in health care facilities. I have even heard grumblings from fellow nurses about finding another job when my facility spoke about initiating the change to EHRs. In fact, “leadership, planning, management, choices, and execution usually are more difficult than dealing with hardware and software choices” (Mooney & Boyle, 2011, p. S5)). It is so important to have buy-in from nursing staff, as they make up a significant portion of health care workforce. In order to combat this resistance, staff nurses should be involved in the transition process from the beginning. If nurses feel that they have stake in the process, they will feel more invested in the outcome and successful on-boarding of the new technology. I suggest having staff nurses participate in early planning meetings, and to train staff nurses to become ‘super users’ within the facility. It will be helpful during implementation for nurses to be assisted by peers versus outside professionals.

Flexibility and Expandability

When choosing an EHR to implement in your workplace, it is so important to plan for the future so that you can ensure that as your facility grows and changes, the EHR can flex with it. For example, in my winter job at a ski resort, electronic charting was implemented only last year. There was a lot of thought that went into the selection process, however, decision-makers did not plan for coordination with Ski Patrol’s electronic charting system. Unfortunately, DocuTap (used by our clinic) does not interoperate with any of the Ski Patrol software currently available. This poses a challenge, as much of the information needed at each place is similar and shared between disciplines. As it stands now, Ski Patrol continues to use paper charting, while the clinic uses DocuTap. We have to copy the information obtained by ski patrol and hand-deliver it to the clinic. To combat this issue, it is imperative that the development team evaluate all software options, as well as the tech support each one offers as this may be a higher start-up cost, but save money in the long-run (Mooney & Boyle, 2011).

Process Improvement

Once an EHR is implemented and the extra support staff is gone, the challenges do not end. Once nurses begin to use the technology more comfortably, they may identify a process that needs to be changed to make it more user-friendly or to better suit the needs of the staff. In order for staff to continue to use the technology appropriately, they need to feel that their input is valued and that there is the possibility for change and improvement within the software after it is implemented. My suggestion to help with this issue is to have a nurse liaison who has clinical experience within the organization and has an interest in nursing informatics. This individual’s role is to act as a leader by relaying staff concerns to the software company to see if there are changes that can be made to make the software more user-friendly or to more appropriately meet the needs of staff. “What health care needs most are effective leaders who understand innovation and how it spreads, who respect the diversity of change itself, and who can nurture innovation in all its rich and many costumes” (Hyrkas & Harvey, 2010, p. 1). The hospital I work for has a liaison employed by Cerner, the company who manages the software we use. This nurse was a staff nurse in the emergency department, then a clinical nurse educator. This system works very well for us.

Summary

In conclusion, there are several potential challenges to implementing EHRs, including: resistance to implementation, flexibility and expandability, and process improvement. Since the HITECH Act of 2009, EHRs have been initiated in every major medical facility in the country. Though not without obstacles, meaningful use of EHRs contribute to the safe, efficient, and accessibility of medical information.

References

Hyrkäs, K., & Harvey, K. (2010). Leading innovation and change. Journal of Nursing Management, 18(1), 1–3.

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

Mooney, B. L., & Boyle, A. M. (2011). 10 steps to successful EHR implementation. Medical Economics, 88(9), S4–6, S8–S11.

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Microbes for cosmetic testing, biology assignment help

Just need 2 well written paragraphs about this article.

We often hear about the good bacteria and the bad bacteria. We are also aware that humans have found ways to use bacteria to our advantage. Last year a paper published talks about using Paramecium as a testing organism for cosmetics. Read the article and post your thoughts on this.

Adaptive Response, health and medical assignment help

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

  • Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
  • Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
  • Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
  • Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

  • For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.
  • Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

By Day 7

This Assignment is due.

Review the organelles of the typical human cell write a one-page analogy, biology essay homework

Step 1 Review the organelles of the typical human cell.
Use your textbook, the Internet, or other resources to review the organelles of the typical human cell.

Step 2 Write a one-page summary.
Write a one-page (250-word) analogy that compares the following organelles of the cell to a factory. For example, the nucleus of the cell is similar to the executive management team of a factory. Provide sufficient details to clearly identify the function of each organelle.

  • Nucleus
  • Mitochondria
  • Lysosomes
  • Golgi apparatus
  • Ribosomes
  • Endoplasmic reticulum
  • Cell membrane

Analysis of the Chilean Mine Rescue

Analysis of the Chilean Mine Rescue

Write a 700-750 word paper that analyzes the Chilean mine rescue. As a leader, you will be faced with responding immediately to solve issues. The Chilean mine rescue is an example of leadership under extreme circumstances. Reflect on this example to shape how you might apply the goal-path theory and the situational approach in an everyday, real-world situation.

Address the following questions and concepts:

How did the leaders demonstrate flexibility and adaptability? Please provide examples.

How did the leaders apply aspects of the path-goal theory to this situation? Provide examples.

Did the leaders communicate effectively with all of the stakeholders involved? How could communication have been improved?

How well did the leaders follow the situational approach to leadership? Provide examples.

How does this example shape how you might apply the goal-path theory and the situational approach in a real-world situation, in your content?

Include three to five references to support your position.

Nursing Models and Theories, discussion help

In this discussion, review the different nursing models and theories. Then answer the following questions:

1. Which theories or models best represents your view of nursing, and why?

2. How can you envision yourself applying this to your nursing practice?

NOTE:

Textbook Readings: Chapter Six: Nursing Models and Theories of;

Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolter’s Kluwer.

Theories

Per readings from the book, there are three (3) theories:

  1. Systems theory
  2. Stress and adaptation theory
  3. Complexity theory

Models

Per readings from the book, there are nine (9) theories:

  1. Imogene King’s Systems Interaction Model (Theory of Goal Attainment)
  2. Dorothea Orem’s Self-care Deficit Theory of Nursing
  3. Callista Roy’s Adaptation Model
  4. Betty Neuman’s Systems Model
  5. Jean Watson’s Human Caring Science, Theory of Nursing
  6. Martha Rogers’s Science of Unitary Human Beings
  7. Margaret Newman’s Theory of Health as Expanding Consciousness
  8. Rosemary Parse’s Human Becoming Theory
  9. Susan Leddy’s Human Energy Model

****Remember to use APA style.

Kolb’s experimental , health and medical assignment help

For this essay, the chosen topic is parenting. Please disregard the other topic. I have attached the 6 subtopics that MUST be covered. I have also attached the template to use. I have also attached a link (in the topics attachment) that will provide an example of a paper and how it needs to be formatted. It must follow this format just like the example provided. The topic must represent your personal experience – not history, research, observation or the experience of a third party. The essay should demonstrate a high level of expertise. I have also attached my autobiography to provide you with a little background about myself. Please let me know if you have any questions. This must be written in first person.

Antitrust laws, health and medicine homework help

Please read the following scenario, knowing that all facts might not be present. You must thoroughly research the topics to determine how missing details might affect your answers:

Memorial Hospital, a hospital in Bordertown, Iowa, has an agreement with Careco, a managed care organization with plan members in the states of Iowa, Nebraska, and South Dakota, to provide medical care to its members. A condition of Memorial’s agreement with Careco states that Careco cannot contract with other hospitals in the Bordertown, Iowa, area. The contract is for one year, and either party may terminate the contract for any reason (with a 60-day notice period).

Discuss any possible antitrust laws that Memorial may have violated by initiating this agreement with Careco. Mention concerns specific to healthcare, that is, concerns not shared by other industries. Also, discuss any defenses that Memorial can establish for an antitrust action

Refer to the Antitrust Laws (The Sherman Antitrust Act, The Clayton Act, The Federal Trade Commission Act) to strengthen your points in the response.

Includes References.

controversy regarding the accusation of Mike Tyson, science homework help

  There is a considerable amount of controversy regarding the accusation of Mike Tyson  raping Desiree Washington.  Although, Tyson was found guilty of raping Washington, media has portrayed Washington as fabricating the story to gain money from Tyson.  Some of Washington’s beauty pageant contestants said Washington was a “gold digger” and looking for Tyson’s money (Berkow, 1992).  However, within certain communities and with media blaming the victim, in this case, I have to agree more with the prosecuting attorney’s argument suggesting that Desiree Washington was blameless in the Mike Tyson trial.  According to Alexander (1980), “victim characteristics of no consequence for assigning responsibility to rape victims, such as dress and resistance, do enter into decisions regarding the assailant” (p.30).  I believe Washington was simply just stopping at Tyson’s hotel room so he could grab something when the brutal rape took place.  Berkow (1992) explained that Washington was very creditable and innocent.  In an interview with Barbra Walter’s (20/20), Washington stated “I wasn’t thinking that this man, my father’s hero, a celebrity, would do something like this to me” (Berkow, 1992).


References

Alexander, C. S. (1980). The responsible victim: Nurses’ perceptions of victims of rape. Journal of Health and Social Behavior, 21(1), 22–33.

Berkow, I.(1992, February 25). Sports of the Times; A Champ Named Desiree. The New York Times. Retrieved from http://www.nytimes.com/1992/02/25/sports/sports-of-the-times-a-champ-named-desiree.html

Respond to the bold paragraph ABOVE by using one of the option below… in APA format with At least one reference…..

·  Ask a probing question.

·  Share an insight from having read your colleague’s posting.

·  Offer and support an opinion.

·  Validate an idea with your own experience.

·  Make a suggestion.

·  Expand on your colleague’s posting.