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  • Project Proposal: Use of Telehealth Nursing to Improve Patient Outcomes – Best Solution Samples(2022)

    This article covers Project Proposal: Use of Telehealth Nursing to Improve Patient Outcomes.

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    Prepare:

    Review the concepts of technology application as presented in the Resources.

    Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

    …

    Solution

    Project Proposal: Use of Telehealth Nursing to Improve Patient Outcomes

    Use of Telehealth Nursing to Improve Patient Outcomes

    Telehealth nursing, also known as e-health/m-health, is an umbrella term that describes using telehealth technologies, including audio or video tools, to monitor and interact with patients remotely, allowing for more consistent healthcare services (McGonigle & Mastrian, 2021; Nagel et al., 2012). The World Health Organization has described telehealth as a significant trajectory in healthcare service due to its sustained exchange of medical information through ICT in environments where distance is crucial (Ackerman et al., 2010).

    With this technology, patients can access health care facilities remotely and monitor their health using digital information and communication resources such as computers and mobile devices.

    This project’s primary aim is to integrate telehealth technology to promote the quality of health care.  This project’s rationale is that healthcare is increasingly being driven by information, and most patients own and use technological devices, including mobile phones and computers. Equally, patient care demands effective information management as necessitated by nursing informatics.

    Project Stakeholders

    Creating, disseminating, adopting, and using telehealth and telecare technologies necessitates cooperation among several individuals and organizations. Each of them must contribute to a personal, technical, or monetary investment in the technologies and the work needed to use them (Lustig, 2012). Implementing the telehealth project would impact several stakeholders within and without a healthcare setting.

    Significant stakeholders for this project will include health and human services (HHS) to facilitate and oversee adequate health care provision. Equally affected by the project will be clinicians, patients, and community residents. The projects will impact interaction mechanisms between health care providers and patients as most interaction will be virtual (Lustig, 2012). Moreover, community residents will be significant in facilitating the project’s acceptability and data collection on public health issues.

    The collaboration with public health and the health care fraternity will be crucial in collating data to strengthen the project and facilitate more straightforward health improvement.

    Another category to be impacted by the projects are industrialists such as health insurers, social care professionals, and third-party organizations such as patient support and care groups/charities. These include people who use or choose to use telehealth services. With the project’s adoption, health insurers will be moved to provide medical coverage for their clients’ virtual health services. Furthermore, the project will impact the way hospital departments operate.

    For instance, most communication will be carried through telephone conversations, emails, text messages, and video communication.  

    It is critical for healthcare provider organizations to identify and engage critical stakeholders in the telehealth project implementation. These include internal and external stakeholders responsible for running on day-to-day telehealth activities and providing a fundamental solution to implementing telehealth technology, respectively. Internal stakeholders include healthcare settings, nurses, and support personnel, while external stakeholders include patients, patient groups, and partners.

    According to Walde et al. (2014), stakeholder’s acceptability of a telehealth project is a critical enabler of its success. The project will need support from providers’ collaboration, a helpful health administration model, existing health policies, and legislation. In contrast, Wade et al. (2014) argue that a telehealth system’s efficiency can be limited by technical problems, inadequate technical support, lack of administration protocols, ethical and legal barriers such as licensing and standards. These limitations can be mitigated by effective stakeholder engagement in the project’s inception and implementation.

    Patient Outcomes/Efficiency of Telehealth Project

    Implementing a telehealth system will improve and support health care services by facilitating monitoring patient’s health status; identifying and investigating health risks; educating, informing, and encouraging people about their health; forming group collaborations to provide a solution to health problems; linking patients to healthcare provides; developing healthcare policies and plans; enforcing laws and regulations governing healthcare safety, evaluating the effectiveness and quality of healthcare services (Lustig, 2012). 

    Moreover, telehealth services will be crucial in decreasing disease transmission, ensuring health services’ safety, thereby protecting patients, caregivers, and the community from exposure to infections (Totten et al., 2016). Therefore, telehealth will be critical in mitigating healthcare providers’ burden and the health system in general. The technology will support patient health outcomes through effective patient-nurse communication and remote counseling for several health conditions, including chronic health conditions. Doctors will provide remote information regarding medical prescription and self-management (Totten et al., 2016). Thus, improving quality of life reduces hospital admission, length of hospital stay, and mortality rate.

    Furthermore, the telehealth project will also facilitate public healthcare functions such as tracking diseases and theirs trends trend even in communities, including remote areas. Such public health functions include immunization for children, vaccination, and registries for cancer patients and other chronic illnesses. Telehealth services will enable a specific mode of medical service delivery, especially in reducing face-to-face infectious disease management constraints in marginalized and areas with disease outbreaks (Ackerman et al., 2010).

    For instance, when there is a disease outbreak such as covid-19, telehealth provides an efficient mechanism with which health professionals can carry out surveillance so that the data collated can be used in the healthcare system and relevant factions such as pharmacies and food vending enterprises.

    When telehealth data is accumulated and combined with other social data such as increased mortality, it can identify and mitigate common clinical syndromes and trends. Further, telehealth technologies provide several ways to communicate with relevant shareholders, such as mobile phones and social media. Telehealth makes it easy to mobilize community factions to form private and public partnerships, crucial to moving the community towards positive health outcomes.

    Telehealth Technologies

    An effective telehealth technology requires sufficient ICT infrastructure and a well-established policy. ICT is critical in exchanging valid and correct information in real-time, storage, and forwarding techniques. The components of ICT include portable electronics, particularly mobile phones and webcams. Besides, video conferencing and television systems are also necessary for providing healthcare programs in hospital and community settings (Choi et al., 2018).

    Telehealth system requires a basic setup together with other selective needs (Nagel et al., 2012). Required technologies include internet connection, a video platform, and technological support. Internet serves to facilitate remote audio and video connection between users of telehealth service. Equally, the technical support framework includes hardware components, computers, and phones that enable the running of telehealth programs provided by third-party vendors.

    Video connection and interface platform are crucial, especially in virtual recognition where a physician would want to diagnose a patient’s skin or wound status. Video systems can be the computer or app-enabled smartphones to allow patients to physicians. The virtual technology will facilitate virtual patient appointments, virtual consultations, sending lab tests and X-rays for specialist reviews. The web-based/mobile-based applications will be crucial in measuring and uploading patient information such as weight, blood glucose levels, vital signs, calculate and track calorie uptake and blood pressure.

    Project Team

    The project teams will include core, leadership, advisory, and implementation teams. Core teams constitute clinical, administrative, ICT, and departmental representatives, project managers, and contractors. The core team is responsible and accountable for putting together the plan and driving the telehealth program daily. The leadership team constitutes the hospital board, executives, and partners responsible for high-level decision-making and budgeting. The advisory team constitutes the care teams, patients, and sponsors who will provide perspective and guidance to ensure decisions and guidance on proposals are strategically sound.

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    Use of Telehealth Nursing to Improve Patient Outcomes
    Use of Telehealth Nursing to Improve Patient Outcomes

    Lastly, the implementation team includes representatives from every other team. The implementation team will be responsible for informing the ground team of the implementation plans and carrying out the day-to-day operations.

    The project team’s significant members will be the ICT and programming specialists responsible for installing and maintaining the telehealth system and training other team members on its usage. Nurse practitioners, administrators, or physicians will be involved in day to day operation of the telehealth services, including keeping track of prescription drug use, renewing medications, and referring patients to other physicians or medical care practitioners as required, and addressing patients’ concerns regarding the use of telehealth services. Significantly, nurse informaticists will act as intermediary specialists in designing, implementing, training, and evaluating computer systems that support telehealth nursing practice. 

    Conclusion

    The telehealth project will be significant in facilitating remote care delivery, thus equal access the healthcare services. The project is founded on providing health care services to people and diverse settings through modern technologies, i.e., nursing informatics. The telehealth project will facilitate care delivery in remote areas through virtual interactions with health care practitioners. Equally, the project will enable collating health data from diverse backgrounds, which will significantly monitor diseases trend and deliver holistic treatment in a virtual environment.

    Despite the future challenges with the project, its positive aspect outweighs the negatives. With proper design, implementation, and maintenance by nurse informaticists, the project will foster efficient and effective health care services for most users. Significantly, consistent evaluation of the program depending on its usage and efficacy will provide new insights on further improvements to fill existing gaps.

    References

    Ackerman, M. J., Filart, R., Burgess, L. P., Lee, I., & Poropatich, R. K. (2010). Developing next-generation telehealth tools and technologies: patients, systems, and data perspectives. Telemedicine and e-Health, 16(1), 93-95. https://doi.org/10.1089/tmj.2009.0153

    Choi, W. S., Park, J., Choi, J. Y. B., & Yang, J.-S. (2018). Stakeholders’ resistance to telemedicine with focus on physicians: utilizing the Delphi technique. Journal of Telemedicine and Telecare, 1357633X1877585. https://dpo.10.1177/1357633×18775853  

    Lustig, T. A. (2012). The role of telehealth in an evolving health care environment: workshop summary. National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK207144/

    McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge. Jones & Bartlett Publishers.

    Nagel, D. A., Pomerleau, S. G., & Penner, J. L. (2012). Knowing, Caring, and Telehealth Technology. Journal of Holistic Nursing, 31(2), 104–112. https://doi.10.1177/0898010112465357  

    Scott Kruse, C., Karem, P., Shifflett, K., Vegi, L., Ravi, K., & Brooks, M. (2018). Evaluating barriers to adopting telemedicine worldwide: A systematic review. Journal of telemedicine and telecare, 24(1), 4-12. https://doi.10.1177/1357633X16674087

    Totten, A. M., Womack, D. M., Eden, K. B., McDonagh, M. S., Griffin, J. C., Grusing, S., & Hersh, W. R. (2016. Telehealth: Mapping the evidence for patient outcomes from systematic reviews. https://europepmc.org/article/nbk/nbk379320

    Wade, V. A., Eliott, J. A., & Hiller, J. E. (2014). Clinician Acceptance is the Key Factor for Sustainable Telehealth Services. Qualitative Health Research, 24(5), 682–694. https://doi.10.1177/1049732314528809  

    Question

     Prepare:

    • Review the concepts of technology application as presented in the Resources.
    • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

    The Assignment: (4-5 pages not including the title and reference page)

    In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

    • Describe the project you propose.
    • Identify the stakeholders impacted by this project.
    • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
    • Identify the technologies required to implement this project and explain why.
    • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
    • Use APA format and include a title page and reference page.
    • Use the Safe Assign Drafts to check your match percentage before submitting your work. on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

    The Assignment: (4-5 pages not including the title and reference page)

    As you continue, customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Use of Telehealth Nursing to Improve Patient Outcomes)

    Use of Telehealth Nursing to Improve Patient Outcomes
    Use of Telehealth Nursing to Improve Patient Outcomes

    In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

    • Describe the project you propose.
    • Identify the stakeholders impacted by this project.
    • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
    • Identify the technologies required to implement this project and explain why.
    • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
    • Use APA format and include a title page and reference page.
    • Use the Safe Assign Drafts to check your match percentage before submitting your work.

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  • Anaphylactic Shock Essay – Best Solved Essay Sample(2022)

    This article covers Anaphylactic Shock Essay.

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    Anaphylactic Shock Essay

    Anaphylactic shock is used interchangeably with Anaphylaxis – a rare but severe and life-threatening type I hypersensitivity reaction caused by an allergy to food, insects, latex, or certain medications (Cardona et al., 2020). Anaphylactic shock mainly refers to the stage where the blood Anaphylaxis symptoms precede anaphylaxis shock.  In itself, anaphylactic shock results from a sudden drop in blood pressure and narrowing of airways to prevent breathing.

    These symptoms usually occur shortly following exposure to an allergen and includes skin reactions such as skin reactions, hypotension, swollen throat/tongue, weak/rapid pulse, nausea, sneezing/runny nose, vomiting, diarrhea, weak/rapid pulse, abdominal pain, difficulty breathing, dizziness, and tingling of body parts such as hands, mouth, or feet (Cardona et al., 2020). The difference between Anaphylaxis and other allergic conditions is that it involves the respiratory and cardiovascular systems. In most cases, allergic reactions affect the skin other than the respiratory system.

    Anaphylactic shock requires immediate medical attention. The first step for a suspected anaphylactic shock is to discontinue medication and alert the primary physician. Secondly, the nurse should quickly assess the patent’s vital signs, including airway, breathing, circulation, and mentation.

    As you continue, customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Anaphylactic Shock Essay)

    Anaphylactic Shock Essay
    Anaphylactic Shock Essay

    The nurse should then prepare the patient for an emergency. The nurse should encourage the patient to breathe slowly and deeply and position the patient in a supine position to promote oxygenation through maximum chest expansion.  The nurse should then immediately administer 1 mg/ml Epinephrine aqueous solution as the first-line treatment for Anaphylaxis (Cardona et al., 2020).

    Clinical trials have revealed that delayed administration is associated with poor outcomes in Anaphylaxis (Patel et al., 2021). Significantly, there are no contraindications to administering epinephrine due to the immediate, life-threatening aspect of anaphylactic shock. Moreover, the nurse should prepare for other emergency responses such as oxygen administration, IV injections, and resuscitative medications.  In essence, a nurse should be aware of the existing clinical protocols for Anaphylaxis, just as in other emergency clinical situations.

    References

    Cardona, V., Ansotegui, I. J., Ebisawa, M., El-Gamal, Y., Rivas, M. F., Fineman, S., … & Worm, M. (2020). World allergy organization anaphylaxis guidance 2020. World Allergy Organization Journal, 13(10), 100472. https://doi.org/10.1016/j.waojou.2020.100472

    Patel, N., Chong, K. W., Yip, A. Y., Ierodiakonou, D., Bartra, J., & Boyle, R. J. (2021). Use of multiple epinephrine doses in Anaphylaxis: a systematic review and meta-analysis. Journal of Allergy and Clinical Immunology. https://doi.org/10.1016/j.jaci.2021.03.042

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  • Literature Evaluation Table & Summary of Clinical Issue – Best Nursing Assignment Solution(2022)

    This article covers Literature Evaluation Table & Summary of Clinical Issue assignment solution samples.

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    customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us.(Summary of Clinical Issue)

    Use the \”Literature Evaluation Table\” to complete this assignment.

    Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.

    Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).

    The PICOT question will provide a framework for your capstone project.

    Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

    …

    Solution

    Literature Evaluation Table

    Summary of Clinical Issue

    One of the leading challenges that continue to bedevil healthcare systems worldwide in the 3rd decade of the 21st century is sepsis management. In medical terms, sepsis is defined as blood poisoning, a prevalent condition that is a common source of debilitation and fatal. Despite its long history in healthcare, the clinical parameters to concisely define sepsis are still debatable.

    The current proposed quality improvement project takes the term to refer to the systematic response that emanates from a microbial infection accompanied by some degree of organ malfunction (Paoli et al., 2018). According to these researchers, more than 970 000 cases of sepsis patients are admitted in the US hospitals and continue to increase by an average of 8.7% every year. Their study noted that sepsis accounts for more than half of all hospital deaths, with mortality rates increasing dramatically with increasing disease severity.

    For example, sepsis mortality stands at 10- 20% for severe sepsis at 20- 40% and 40-80% in septic shock cases. Likewise, the average length of hospital stay in 2013 was reported to follow a similar pattern where it was 4.5 days for sepsis, 6.5 days for severe sepsis and 16.5 days for septic shock. Moreover, the cost of managing sepsis in the US hospitals was ranked at the top among admissions for all disease states.

    Healthcare practitioners acknowledge that sepsis as a whole-body inflammatory response to an infection is a systemic overreaction widespread in modern times. Its incidence is more common than myocardial infarction and kills more patients than any form of cancer (World Sepsis Day, 2015). Left untreated or poorly managed, sepsis progresses to significant acute organ dysfunction medically categorized as severe sepsis, which may trigger a cascade of the mechanism leading to septic shock, multiple organ failure, and eventual death.

    Be that as it may, one way of decreasing the condition’s high mortality rate and improved patient outcomes is early recognition, prompt diagnosis, and timely initiation of aggressive treatment through sepsis care optimization. Sepsis is a non- discriminate condition that affects people regardless of their age, race, or gender, but its effects are more devastating among the populations that are either underprivileged or disadvantaged.

    To facilitate innovative strategies and measures that would ensure accurate diagnostic methods and appropriate inpatient sepsis care that improves treatment and outcomes, this researcher formulated a PICOT based question as proposed by Melnyk and Fineout-Overholt in 2011.

    PICOT Question:

    ‘In adult patients diagnosed with sepsis (Population-P) does the implementation of a novel sepsis protocol (NSP) through machine learning based sepsis prediction in the ED (Intervention-I) compared to conventional approaches lead to decreased hospital length of stay (Outcome- O) over a period of 90 days (Time-T).’

    CriteriaArticle 1Article 2Article 3
    APA-Formatted Article Citation with PermalinkBurdick, H., Pino, E., Gabel-Comeau, D., McCoy, A., Gu, C., Roberts, J., … & Das, R. (2020). Effect of a sepsis prediction algorithm on patient mortality, length of stay and readmission: a prospective multicentre clinical outcomes evaluation of real-world patient data from US hospitals. BMJ Health & Care Informatics, 27(1), e100109. URL: https://informatics.bmj.com/content/27/1/e100109    Romero, B., Fry, M., & Roche, M. (2017). The impact of evidence‐based sepsis guidelines on emergency department clinical practice: a pre‐post medical record audit. Journal of clinical nursing, 26(21-22), 3588-3596. URL: https://www.researchgate.net/publication/312211884_The_impact_of_evidence_based_sepsis_guidelines_on_emergency_department_clinical_practice_a_pre-post_medical_record_audit  Teles, F., Rodrigues, W. G., Alves, M. G. T. C., Albuquerque, C. F. T., Bastos, S. M. O., Mota, M. F. A., … & Silva, F. J. L. (2017). Impact of a sepsis bundle in wards of a tertiary hospital. Journal of intensive care, 5(1), 45. URL: https://jintensivecare.biomedcentral.com/track/pdf/10.1186/s40560-017-0231-2.pdf  
    How Does the Article Relate to the PICOT Question?The study acknowledges that severe sepsis and septic shock are a leading cause fatalities in the US where early prediction of sepsis can lower adverse patient outcomes. The researchers sought to determine the effect of a machine learning algorithm for severe sepsis prediction which partly answers the outcome of the proposed PICOT question.The findings are relevant to the proposed PICOT question in that they establish the effect of pre – and post implementation of a sepsis guideline on triage assessment, ED management and on time to antibiotic thus improving sepsis care time to antibiotic.Its results demonstrate the impact of a sepsis bundle in hospital settings which would help the researcher decide which sepsis bundle to use for improved patient outcomes in a sepsis diagnosis.
    Quantitative, Qualitative (How do you know?)Quantitative research study. It is a prospective clinical outcome evaluation.Quantitative Study. It is a one- year pre- and post-prospective randomized medical record audit.Quantitative study because it is a retrospective study.
    Purpose StatementTo evaluate the impact of a machine learning algorithm for severe sepsis  prediction on in- hospital mortality, hospital length of stay and one month readmission.To explore the number of patients presenting with sepsis before and after Guideline implementation; the impact of sepsis guidelines on triage assessment, Emergency Department Management and the impact of guideline implementation on time to antibiotic. The number of patients presenting with sepsis before and after Guideline implementation; the impact of sepsis guidelines on triage assessment, Emergency Department Management and the impact of guideline implementation on time to antibiotic. To explore the number of patients presenting with sepsis before and after Guideline implementation; the impact of sepsis guidelines on triage assessment, Emergency Department Management and the impact of guideline implementation on time to antibiotic. To explore the number of patients presenting with sepsis before and after the implementation of a sepsis guideline on triage assessment, ED management and on time to antibiotic thus improving sepsis care time to antibiotic.To assess the impact of a sepsis protocol on the outcomes of patients in the wards of a tertiary hospital.
    Research QuestionWhat is the effect a machine learning algorithm for severe sepsis prediction on in-hospital mortality, hospital length of stay and 30-day readmission?What is the impact of a sepsis guideline on triage assessment, ED management and on time to antibiotic thus improving sepsis care time to antibiotic?What is the impact of a sepsis protocol on the outcomes of patients in wards of a tertiary hospital?
    OutcomeThere were reductions of in- hospital mortality, hospital length of stay and 30-day readmissions were observed in real-world clinical use of the machine learning-based algorithm. There was statistically significant 230 minute reduction in time to antibiotics after the implementation of the sepsis guidelines.There was 44% lower mortality when individuals who received a 3hour bundle compared to those who did not receive the bundle. The use of the 3h sepsis care bundle was directly linked to lower mortality rate.
    Setting (Where did the study take place?)Multicenter diverse hospital settings of the performance of MLA for severe sepsis prediction from nine hospitals in some regions in the US.In one  metropolitan Australian Tertiary referral center ED.Osvaldo Brandao Vilela Unit at Santa Casa de Misericordia de Maceió Hospital, Brazil.
    SampleData of 75 147 patient encounters between 2017 and 2018 abstracted from the HER systems.157 patients randomly selected for both pre – and post- groups.167 medical charts out of the 209 selected met the inclusion criteria.
    MethodProspectively collected – real- world patient data from then EHR systems of the facilities had their clinical outcomes evaluated.A pre- post retrospective study randomized medical audit of adult patients diagnosed with sepsis.An observational retrospective study.
    Key Findings of the StudyThe selected hospitals recorded decrease where the the in- hospital mortality  fell by 39.5%, the hospital length of stay fell by 32.3% and the one month readmission rate fell by 22.7% after using the MLA in clinical outcomes analysisAfter the implementation of a sepsis guideline tool, there a 230 minute reduction in time to antibiotics once the guidelines were implemented. The post group ( n=165) received  more urgent triage categories. There was also a 758  minute reduction in mean time to second litre of intravenous fluids and improved collection of baseline lactate.Implementation of sepsis protocol led to 44% lower mortality in individuals who received a 3hour bundle compared to those who did not receive the bundle. The use of the 3h sepsis care bundle was directly linked to lower mortality rate.
    Recommendations of the ResearcherHospitals use predictive algorithm to improve sepsis related outcomes in live clinical settings.Sepsis guidelines positively impact on clinician decision making and behavior that supports best practice leading to better patient outcomes and should therefore be implemented in the ED to improve early assessment and triage.To reduce sepsis mortality rate, have shorter hospital length of stay and reduced ICU admission attributed to sepsis a sepsis protocol with systematic care in the wards should be implemented.

    As you continue, customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Summary of Clinical Issue)

    Summary of Clinical Issue
    Summary of Clinical Issue
    CriteriaArticle 4Article 5Article 6
    APA-Formatted Article Citation with PermalinkRhodes, Andrew, Laura E. Evans, Waleed Alhazzani, Mitchell M. Levy, Massimo Antonelli, Ricard Ferrer, Anand Kumar et al. “Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016.” Intensive care medicine 43, no. 3 (2017): 304-377.URL: https://www.researchgate.net/publication/312503654_Surviving_Sepsis_Campaign_International_Guidelines_for_Management_of_Sepsis_and_Septic_Shock  Tarrant, C., O’Donnell, B., Martin, G., Bion, J., Hunter, A., & Rooney, K. D. (2016). A complex endeavour: an ethnographic study of the implementation of the Sepsis Six clinical care bundle. Implementation Science, 11(1), 149. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112724/  König, C., Matt, B., Kortgen, A., Turnbull, A. E., & Hartog, C. S. (2019). What matters most to sepsis survivors: a qualitative analysis to identify specific health-related quality of life domains. Quality of Life Research, 28(3), 637-647. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414230/
    How Does the Article Relate to the PICOT Question?Its findings establish strategies of surviving sepsis and septic shock and therefore the guidelines can be incorporated in the proposed project.Its findings serve to demonstrate the efficacy of implementing the Sepsis Six clinical care bundle some of which the researcher may incorporate in the proposed intervention.Its findings illuminate the factors that matter most to ensure sepsis patients survive and have better patient outcomes thus decreasing the hospital length of stay.
    Quantitative, Qualitative (How do you know?)Qualitative study. It is a consensus committee where nominal groups were assembled.Qualitative study. It is an ethnographic study.Qualitative study. A literature search was performed as the basis of an interview guide and subsequent qualitative analysis.
    Purpose StatementTo provide an update to Surviving Sepsis Campaign Guidelines for Management of Sepsis and Shock, 2012.To examine frontline clinical practices in the implementation of the Sepsis Six.To identify the importance of health –related quality of life(HRQL)domains for the selected population
    Research QuestionIn what ways can the Surviving Sepsis Campaign Guidelines for Management of Sepsis and Shock, 2012 be updated?In what ways can the Sepsis Six be implemented in frontline clinical practices?  What ate the important HRQL domains for sepsis survivors?
    OutcomeThe Surviving Sepsis Guideline Panel came up with 93 statements on early management and resuscitation of patients’ sepsis or septic shock 18 of which were considered for best practice.Implementation strategies to promote reliable use of the Sepsis Six include education, engaging and motivating staff, and providing prompts for behavior, along with efforts to ensure that equipment required was readily availableEleven domains were identified as the key to helping sepsis survivors.
    Setting (Where did the study take place?)In the US.In the UK, Scotland.In a Germany University hospital
    SampleConsensus committee had 55 international experts reprenting 25 international organizations met.43 members of staff from six hospitals were interviewed.67 consecutive registry patients were invited where 15 of the interviews were analyzed.
    MethodThe panel had five sections namely hemodynamics, infection, adjunctive therapies, metabolic, and ventilation. Population, intervention, comparison, and outcomes (PICO) questions were reviewed and updated as needed, and evidence profiles were generated.An ethnographic study was conducted.A literature search was performed to inform interview guide where 15 of the open ended interviewed and purposefully sampled.
    Key Findings of the StudyThe Surviving Sepsis Guideline panel provided 93 statements on early management and resuscitation of patients with sepsis or septic shock. 32 of these statements strong recommendations, 39 were weak recommendations, and 18 were best‑practice statements.Six strategies were identified as implementation strategies focusing on education, engaging and motivating staff, and providing prompts for behavior, along with efforts to ensure that equipment required was readily available. This was realized using a sequence of six steps.Eleven domains were identified. These were Psychological impairment, Fatigue, Physical impairment, Coping with daily life, Return to normal living, Ability to walk, Cognitive impairment, Self-perception, Control over one’s life, Family support and Delivery of health care. Sepsis survivors want a “normal life”, to walk again, to regain control without cognitive impairment. Family support is essential to overcome sepsis aftermaths.
    Recommendations of the ResearcherThere is need to use best evidence based recommendations for acute management of sepsis and septic shock as way of improving outcomes for critically ill patients.There is need to supplement the uptake of Sepsis Six through understanding of the sepsis bundle  in order to improve reliability through coordination of workflow.Since sepsis survivors want a normal life, the patients’ family members have a significant role to play so as to help the sepsis survivor overcome the condition’s aftermath. Offering the required assistance would help the sepsis survivor to walk again, and regain control devoid of cognitive impairment.

    References

    Burdick, H., Pino, E., Gabel-Comeau, D., McCoy, A., Gu, C., Roberts, J., … & Das, R. (2020). Effect of a sepsis prediction algorithm on patient mortality, length of stay and readmission: a prospective multicentre clinical outcomes evaluation of real-world patient data from US hospitals. BMJ Health & Care Informatics, 27(1), e100109. URL: https://informatics.bmj.com/content/27/1/e100109

    König, C., Matt, B., Kortgen, A., Turnbull, A. E., & Hartog, C. S. (2019). What matters most to sepsis survivors: a qualitative analysis to identify specific health-related quality of life domains. Quality of Life Research, 28(3), 637-647. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414230/

    Paoli, C. J., Reynolds, M. A., Sinha, M., Gitlin, M., & Crouser, E. (2018). Epidemiology and costs of sepsis in the United States—an analysis based on timing of diagnosis and severity level. Critical care medicine, 46(12), 1889.

    Rhodes, Andrew, Laura E. Evans, Waleed Alhazzani, Mitchell M. Levy, Massimo Antonelli, Ricard Ferrer, Anand Kumar et al. “Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016.” Intensive care medicine 43, no. 3 (2017): 304-377.URL: https://www.researchgate.net/publication/312503654_Surviving_Sepsis_Campaign_International_Guidelines_for_Management_of_Sepsis_and_Septic_Shock

    As you continue, customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Summary of Clinical Issue)

    Summary of Clinical Issue
    Summary of Clinical Issue

    Romero, B., Fry, M., & Roche, M. (2017). The impact of evidence‐based sepsis guidelines on emergency department clinical practice: a pre‐post medical record audit. Journal of clinical nursing, 26(21-22), 3588-3596. URL: https://www.researchgate.net/publication/312211884_The_impact_of_evidence_based_sepsis_guidelines_on_emergency_department_clinical_practice_a_pre-post_medical_record_audit

    Tarrant, C., O’Donnell, B., Martin, G., Bion, J., Hunter, A., & Rooney, K. D. (2016). A complex endeavour: an ethnographic study of the implementation of the Sepsis Six clinical care bundle. Implementation Science, 11(1), 149. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112724/

    Teles, F., Rodrigues, W. G., Alves, M. G. T. C., Albuquerque, C. F. T., Bastos, S. M. O., Mota, M. F. A., … & Silva, F. J. L. (2017). Impact of a sepsis bundle in wards of a tertiary hospital. Journal of intensive care, 5(1), 45. URL: https://jintensivecare.biomedcentral.com/track/pdf/10.1186/s40560-017-0231-2.pdf

    World Sepsis Day. (2015). Fact Sheet Sepsis. Retrieved from http://www.world-sepsisday.org/?MET=SHOWCONTAINER&vCONTAINERID=11

    Question

    Use the \”Literature Evaluation Table\” to complete this assignment.

    1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
    2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
    3. The PICOT question will provide a framework for your capstone project.
    4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

    Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

    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

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  • Application of Statistics in Health Care – Best Assignment Sample Solution(2022)

    This article covers a solution essay about Application of Statistics in Health Care.

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    customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us.(Statistics in Health Care)

    Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

    Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.

    Consider your organization or specialty area and how you utilize statistical knowledge in patient fall reduction. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

    …

    Solution

    Application of Statistics in Health Care

    The healthcare industry has significantly adopted the use of statistics in their operations. Statistics is the field of science concerned with data management. The field entails gathering data about diverse populations and their manipulations to infer meaning. The data is then presented to diverse stakeholders in the form they understand better. Application of healthcare statistics is seen in the different significance it holds, as highlighted by its value to service quality, health promotion, safety, and good leadership.

    Healthcare organizations have resorted to the use of statistics to enhance the quality of service delivery. The value of quality cannot be ignored in any organization. Quality in the healthcare industry can be looked at from different perspectives. However, the quality attribute is to attend to the patient’s treatment needs to meet their expectations. The fact that patients have diverse complications means they value quality in healthcare organizations attending to their needs conveniently. Healthcare organizations have taken advantage of statistics to improve the quality of services they offer (Pett, 2015).

    One such aspect of service improvement is seen in the use of patients’ remarks on quality standards. Healthcare organizations provide patients with different platforms to give feedback on the services they received. Access to a vast pool of patient’s information on different services allows the organizations to pinpoint particular areas where service improvement is required.

    The information may be brought to light using various statistical tools such as percentages, frequencies, and means regarding a particular condition. Identification of the critical areas of concern allows healthcare organizations to improve on the weaknesses, thus leading to betters service delivery (National Center for Health Statistics, 2017). Therefore, healthcare statistics are illustrated to contribute to value enhancement by analyzing data to determine areas of weaknesses, thereby improving them.

    Another application of healthcare statistics is a safety enhancement. Safety is considered a vital aspect of any treatment procedure. The sole purpose of individuals seeking medical help at healthcare organizations is to improve their health conditions. There is no particular time when a patient expects their health condition to worsen after receiving treatment. Attainment of better healthcare means that medical practitioners and organizations provide patients with services that do not pose any risks. Healthcare statistics allows the medical team to discover safe treatment procedures.

    Data acquisition and research activities also offer avenues for treatments on evidence-based practice.  Knowledge of the risks is attained from scholarly sources such as statistical findings of the condition a patient portrays and risks associated with different treatments. Identification of the patient’s treatment risks allows the organization to pursue alternative treatments that do not interfere with their wellbeing. 

    The promotion of safety in the healthcare sector is also made possible by identifying and lowering medical error cases. Healthcare organizations can rely on data about diverse medical errors in the organization. Determinations of the errors and their causes guide the organization to enact appropriate actions to reduce such cases, thereby leading to the promotion of safety standards.

    Additionally, healthcare statistics can be used in steering the decision-making process in organizations leading to better leaders. The ability to make meaningful decisions relies on quantity and quality information (Amante et al. 2015). The quantity aspect requires the availability of adequate information that can make the findings significant. Likewise, the information’s credibility is depicted in its reliability in portraying the data’s actual image. Access to healthcare statistics enhances the leadership skills of hospital managers. 

    As you continue, customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Statistics in Health Care)

    Statistics in Health Care
    Statistics in Health Care

    Analysis of the data allows the managers to pinpoint diverse aspects of the organization’s performance. For instance, the manager can identify challenges in particular units after the interpretation of statistical data. The manager will then respond by putting in place the appropriate measures to solve the challenges through good decision making.  Healthcare statistics, therefore, contribute to better leaders by enhancing their decision-making capabilities.

    Healthcare statistics are also vital in promoting health conditions. The statistics inform healthcare stakeholders of various conditions, thereby facilitating the undertaking of corrective measures. For instance, healthcare practitioners rely on statistical figures to determine whether a particular health condition qualifies to be considered a pandemic.

    Health officials look at different aspects, such as the spread of the health condition, the affected population, and the mortality rate. Understanding the severity of the conditions prompting the respective agencies to put in place better response procedures. Likewise, healthcare statistics are used by different stakeholders to identify diverse aspects of clinical health that will allow better service delivery.

    An example is depicted by the government determining statistics about common diseases and allocating the necessary resources to improve service delivery for the identified positions.

    A good illustration of the use of healthcare statistics in my organization is in preventing patients’ falls. Data on patient’s falls can be accessed from the electronic health record systems. Data adequacy will be provided by the coverage of a considerable period; for instance, the statistics will review patient falls for five years. Analyzing the data will provide the organization with information on the areas to improve on regarding the falls.

    For instance, the managers will identify the types of falls, prevalent fall areas, and factors leading to the falls. Therefore, the information will guide the organization in coming up with different ways to minimize the different causes of falls by putting in place ideal preventive measures. The daily use of statistics is seen in the continuous recording of diverse patient data. The collected data which form part of the daily routines is eventually used to analyze data in the long run.

    In conclusion, healthcare statistics have been highlighted as significant for medical organizations. The statistics have been highlighted to provide healthcare organizations with diverse information to guide their decision-making. Healthcare statistics have been depicted to enhance service value, promote health, safety, and develop better leaders through effective decision-making.

    References

    Amante, D. J., Hogan, T. P., Pagoto, S. L., English, T. M., & Lapane, K. L. (2015). Access to care and use of the Internet to search for health information: results from the US National Health Interview Survey. Journal of medical Internet research, 17(4), e106.

    National Center for Health Statistics. (2017). Health, United States, 2016, with chartbook on long-term trends in health (No. 2017). Government Printing Office.

    Pett, M. A. (2015). Nonparametric statistics for health care research: Statistics for small samples and unusual distributions. Sage Publications.

    Question

    Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

    1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
    2. Consider your organization or specialty area and how you utilize statistical knowledge in patient fall reduction. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

    Three peer-reviewed, scholarly or professional references are required.

    Prepare this assignment according to the guidelines found in the APA Style Guide

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  • Application of Data to Problem-Solving – Best Nursing Sample Essay Solutions(2022)

    This article covers a solution essay about Application of Data to Problem-Solving.

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    customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us.(Application of Data to Problem-Solving)

    In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

    To Prepare:

    Reflect on the concepts of informatics and knowledge work as presented in the Resources.

    Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

    …

    Solution

    Application of Data to Problem-Solving

    Adequate and appropriate application of healthcare data can lower treatment costs, predict epidemic outbreaks, avoid preventable diseases, and lead to improved quality of life in general. In healthcare, analytics refers to analyzing current and historical data to predict trends, improve outreach, and manage the spread of diseases. Likewise, big data herein means the larger, more complex data sets, particularly from new data sources beyond the scope of management of traditional data processing software.

    According to Zhu et al. (2019), the world’s digitization has dramatically expanded the amount of data collected. Big data technology has transformed the extraction, management, analysis, and interpretation of large data sets whose transformation into hypotheses can be translated into practice. Consequently, this discussion post proposes reducing preventable emergency department visits as a healthcare scenario that would benefit from access to big data. It is also imperative to examine how access to the selected hospital’s big data could facilitate problem-solving and knowledge formation.

    Description of the Selected Healthcare Scenario

    Healthcare professionals acknowledge that primary care seems unavoidable, whereby increasing access to primary care is bound to ensure preventive care, improve health care outcomes, a reduce costs. Bhatt & Bhathija (2018) note that 4 million Americans live in vulnerable rural and urban communities. With their hospital usually being the only healthcare source, they tend to have inadequate primary care access.

    Under clinical leadership, clinical outcomes managers utilize data to change practice and collaborate with the care environment manager in an interdisciplinary healthcare team. As such, the use of big data in primary care is essential to build a higher-performing healthcare system that nurtures welfare and promotes a higher quality of care. Suffice it to say that access to primary care as guided by health analytics would mean early discovery and treatment of health problems before they develop into serious complications that would require admission in hospitals. 

    How the Data Could be Used, Collected, and Accessed

    Garcia (2015) observes that big data could enhance evidence-based practice standards if they are documented consistently using standard terminology. It could also be used to support research sponsored by one’s organization as conducting clinical research is known to improve the professional’s ability to care for their patients. The emergency department (ED) is a vital component of the US-designated healthcare system to offer urgent medical care instead of ongoing medical care. However, patients usually visit the ED for non-emergent complaints.

    Subsequently, increased access to primary care can help lower ED visits and unnecessary hospital admissions and readmissions. The hospital’s data to be collected will be gathered from the physicians, social workers, case managers, and internal EPIC data besides the literature review. The EPIC database will capture the patient’s name, date and time of arrival in the ED, the patient’s contact information, and medical diagnosis, among other components. The data will then be accessed electronically.

    As you continue, customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Application of Data to Problem-Solving)

    Application of Data to Problem-Solving
    Application of Data to Problem-Solving

    The knowledge gained would help a nurse leader use clinical reasoning in several ways. These ways include but are not limited to devising innovative strategies that would reduce patient wait time through measurement and leverage of scheduling (Dash et al., 2019). It would also help improve patient satisfaction and quality of care by streamlining the making of appointments, referrals, and insurance processing. 

    In conclusion, this paper acknowledges that when the amount of data collected is large enough, the big data’s integrative analysis can determine non-causal relationships. This determination would change nursing practice, nursing research and nursing education, and the nursing profession’s advancement.

    References

    Bhatt, J., & Bathija, P. (2018). Ensuring access to quality health care in vulnerable communities. Academic Medicine, 93(9), 1271.

    Dash, S., Shakyawar, S. K., Sharma, M., & Kaushik, S. (2019). Big data in healthcare: management, analysis and prospects. Journal of Big Data, 6(1), 1-25.

    Garcia, A. L. (2015). How big data can improve health care. Am Nurs Today, 10(7), 53-5.

    Zhu, R., Han, S., Su, Y., Zhang, C., Yu, Q., & Duan, Z. (2019). International Journal of Nursing Sciences The application of big data and the development of nursing science: A discussion paper.

    Question

    In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

    To Prepare:

    • Reflect on the concepts of informatics and knowledge work as presented in the Resources.
    • Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

    By Day 3 of Week 1

    Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

    By Day 6 of Week 1

    Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

    *Note: Throughout this

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