The ability of the nurses to monitor the patients is important in ensuring patient safety. Thus, the nurse’s capability to offer safe care deteriorates as the number of patients assigned to him/her increases. Vaismoradi, Jordan, & Kangasniemi (2015 link patient safety to nursing staffing rations whereby risks of morbidity, mortality, and patient safety events increases as the number of patients per nurse surges. Nursing overload is also linked with patient safety. A study by Watkins, Whisman & Booker (2016) indicates that high patient turnover is linked with increased mortality risk even where there is adequate nurse staffing. The increased nurses’ burnout, stress, and workload lead to the causal relationship between patient outcomes and nurse-to-patient rations. The high numbers of patients per nurse lead to missed nursing care.

Additionally, the nurses are at risk of committing errors due to the high-intensity of their work. Long shifts, as well as overtime, is associated with an increased risk of committing errors. All these factors determine the patient outcome and lead to reduced patient safety as the nurses are utterly overworked. Ensuring that there is adequate nurse staffing entails various factors such as availability of skill mix and support staff, nursing based on patient turnover and patient acuity, as well as management, among other factors.

The purpose of the study is to determine the relationship between patient safety and nurses’ occupational stress in a local healthcare facility.

 

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Measles Making A Comeback

Case Study

Piper Banks is the medical director for Open Arms, a non-profit medical clinic and wellness center serving low-income patients in an urban neighborhood. On most days, Piper loves her job and the work her clinic is able to do for people in the community, but lately there has been a problem that is beyond frustrating. This past summer, the city experienced a significant measles outbreak. Thousands of people were exposed to the measles and 78 cases were confirmed. Of the 78 cases, 73 involved unvaccinated children in the city’s East African immigrant community.

What Piper finds most troubling is not that the “herd immunity” was compromised, though that does trouble her. Worse, in her opinion, was the fact that members of the anti vaccination community were distributing fliers and talking to families in the affected community. The anti vax activists reportedly told people that the measles outbreak had been created by the government in order to pressure immigrant parents to vaccinate their children. One of Open Arms’ primary goals has been to counter the fear and misinformation that anti vaccine groups have been spreading in the community for nearly a decade. That misinformation specifically promotes the purported vaccine autism link, despite extensive research disproving those claims. This is troubling, because there is a high incidence of autism within the community and parents are justifiably concerned.

Despite her frustration, Piper hasn’t given up hope. Religious leaders and trusted health care providers in the community have been enlisted by clinic staff members to convince parents to protect their children by getting the measles mumps rubella vaccine.

At a staff meeting, Piper asks for insights to the situation. Felicia Cruz, the clinic pediatrician, expresses optimism about the situation. “Since the measles outbreak, I’ve seen several parents who’ve refused to inoculate their children come in,” she says. “They’re still nervous — very nervous, in fact — but they’re more open to believing us than I’ve ever seen.”

Nasra, an intern at the clinic who is working toward a master’s degree in public health, adds “I was recently talking with a woman who said that the imam at her mosque has been very blunt. He said If you care about your child, you must vaccinate. I think it’s important to make sure parents know how devastating these diseases are. I heard that the anti vaxers were trying to set up measles parties to deliberately expose unvaccinated children to children with measles. We need to explain to these parents that they are playing with fire.”

“I wonder how many parents would make different choices if they could actually see the effects of these diseases” says Emily, a clinic nurse. “People have forgotten how devastating these diseases used to be. They think that if they feed their children a nutritious diet, then these vaccine–preventable diseases will be mild. Sometimes I wish I could take them to the cemetery and show them all the little headstones from when we didn’t have vaccines.”

Piper is encouraged by these comments, and by the fact that the clinic has been administering almost twice as many vaccines since the measles outbreak as they had the previous year. Still, she worries about how to counter the information being spread by the anti vaccination activists and respond in an ethical way to parents who don’t want to vaccinate their children.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

1 Access the Ethical Case Studies | Transcript media piece to review the case studies you may use for this assessment.

1 Select the case most closely related to your area of interest and use it to complete the assessment.

2 Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.

2 Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

3 Access the Ethical Decision-Making Model | Transcript media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.

4 Analyze the factors that contributed to the problem or issue.

1 Identify who is involved or affected by the problem or issue.

2 Describe the factors that contributed to the problem or issue and explain how they contributed.

5 In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation.

• Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.

• Assess the credibility of the information source.

• Assess the relevance of the information source.

6 Discuss the effectiveness of the communication approaches present in the case study.

1 Describe how the health care professional communicated with others.

2 Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.

3 Assess instances where the professional communicated effectively or ineffectively.

7 Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.

1 Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.

2 Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.

3 Discuss the key lessons this case provides for health care professionals.

8 Apply ethical principles to a possible solution to the proposed problem or issue from the case study.

1 Describe the proposed solution.

2 Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.

3 Discuss how likely it is the proposed solution will foster professional collaboration.

9 Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

1 Determine the proper application of the rules of grammar and mechanics.

10 Write using APA style for in-text citations, quotes, and references.

1 Determine the proper application of APA formatting requirements and scholarly writing standards.

2 Apply the principles of effective composition.

3 Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 1 Example [PDF].

Additional Requirements

1 Length: At least 3–5 typed, double-spaced pages, not including the title page and reference page.

2 Font and font size: Times New Roman, 12 point.

3 APA Template: Use the APA Style Paper Template [DOCX] as the paper format and use the APA Style Paper Tutorial [DOCX] for guidance.

4 Written communication: Use correct spelling, grammar, and punctuation.

5 References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.

6 APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

 

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Gravida Parity assignment:

GTPA: stands for: gravida, term, preterm, abortions, living

Gravida: how many pregnancies a woman has had. Term how many pregnancies delivered that have reached or surpassed 37 weeks gestation.

Term: how many pregnancies a woman has had that delivered at 37 weeks or greater.

Preterm: how many pregnancies between 20-36 6/7 weeks gestation.

Abortion: how many pregnancies have been lost at less than 20 weeks. Abortions also may be induced by a physician or spontaneously lost. This also refers to miscarriages.

Living: how many children are living now? 

******Multiple births ( twins, triplets and higher order multiples) count as one birth. 

!. This is a mom’s 1st pregnancy:

2. This is a mom’s 3rd pregnancy and she had an abortion at 8 weeks for the 1st pregnancy and a miscarriage at 10 weeks, she has no preterm deliveries or living children at present. 

3. This is a mom’s 3rd pregnancy the first pregnancy delivered at 38 weeks gestation and the 2nd pregnancy was twins delivered at 37 weeks. 1 of those children died. 

4. This is a mom’s 2nd pregnancy. She delivered twins at 37 weeks and both of the babies survived. 

5. This is a mom’s 3rd pregnancy. She delivered triplets at 28 weeks and 1 of the babies survived. She had an elective abortion at 6 weeks. 

6. This a woman’s 5 pregnancies. She had a birth at 40 weeks, another one at 39 5/7 weeks, she had a third one at 35 6/7 weeks and a 4th one at 36 5/7 weeks. She had one induced abortion at 10 weeks and has currently 4 living children.

7. A pregnant woman who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; she carried one pregnancy to 9 weeks as an ectopic ( tubal ) pregnancy; and has 3 living children.

8. A woman who has given birth at term once and has had one miscarriage at 12 weeks would be recorded as?

This assignment is worth 8 points. Use page 259 in your text book. Include 1-3 references.

APA is worth .5

Case 1 is worth .5

Cases 2-8 are worth 1 point each. 

 

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NR360 We Can But Dare We.docx Revised 5 ‐ 9 ‐ 16 DA/LS/psb 07.14.16 1

NR360 INFORMATION SYSTEMS IN HEALTHCARE

Required Uniform Assignment: We Can, but Dare We?

PURPOSE The purpose of this assignment is to investigate smartphone and social media use in healthcare and to

apply professional, ethical, and legal principles to their appropriate use in healthcare technology.

Course Outcomes This assignment enables the student to meet the following course outcomes.

• CO #4: Investigate safeguards and decision‐making support tools embedded in patient

care technologies and information systems to support a safe practice environment for

both patients and healthcare workers. (PO 4)

• CO #6: Discuss the principles of data integrity, professional ethics, and legal

requirements related to data security, regulatory requirements, confidentiality, and

client’s right to privacy. (PO 6)

• CO #8: Discuss the value of best evidence as a driving force to institute change in the

delivery of nursing care (PO 8)

DUE DATE See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity.

TOTAL POINTS POSSIBLE This assignment is worth a total of 240 points.

Requirements 1. Research, compose, and type a scholarly paper based on the scenario described below, and

choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons

learned in this class about technology, privacy concerns, and legal and ethical issues and

addressed each of these concepts in the paper, reflecting on the use of smartphones and social

media in healthcare. Consider the consequences of such a scenario. Do not limit your review of

the literature to the nursing discipline only because other health professionals are using the

technology, and you may need to apply critical thinking skills to its applications in this scenario.

2. Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the

American Psychological Association, sixth edition, as well as the resources in Doc Sharing if you

have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take

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advantage of the writing service SmartThinking, which is accessed by clicking on the link called

the Tutor Source, found under the Course Home area.

3. The length of the paper should be four to five pages, excluding the title page and the reference

page. Limit the references to a few key sources (minimum of three required).

4. The paper will contain an introduction that catches the attention of the reader, states the

purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment

criteria).

5. In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory

requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.

6. Choose and identify one of the four possible endings provided for the scenario, and construct

your paper based on its implications to the scenario. Make recommendations about what should

have been done and what could be done to correct or mitigate the problems caused by the

scenario and the ending you chose. Demonstrate support from sources of evidence (references)

included as in‐text citations.

7. Present the advantages and disadvantages of using smartphones and social media in healthcare

and describe professional and ethical principles to the appropriate use of this technology, based

on facts from supporting sources of evidence, which must be included as in‐text citations.

8. The paper’s conclusion should summarize what you learned and make reflections about them to

your practice.

9. Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing

and ensure that all components are complete.

10. Review the section on Academic Honesty found in the Chamberlain Course Policies. All work

must be original (in your own words). Papers will automatically be submitted to TurnItIn when

submitted to the Dropbox.

11. Submit the completed paper to the “We Can, but Dare We?” Dropbox by the end of Week 3.

Please refer to the Syllabus for due dates for this assignment. For online students, please post

questions about this assignment to the weekly Q & A Forums so that the entire class may view

the answers.

Preparing for the Assignment

BACKGROUND Healthcare is readily embracing any technology to improve patient outcomes, streamline operations,

and lower costs, but we must also consider the impact of such technology on privacy and patient care.

This technology includes the use of social media applications, such as Facebook, Instagram, MySpace,

Twitter, and LinkedIn on smartphones.

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In healthcare today, smartphones are widely used for communication, efficiency, and care. Obviously, a

variety of issues (ethical, professional, and legal) from both the personal and hospital perspectives

must be considered. SCENARIO

You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has

been filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive

pulmonary disease (COPD) exacerbations, falls, fractures, and the routine, regular congestive heart

failure (CHF) patients. Your best friend is texting you from the concert that you had to miss tonight

because you were scheduled to work, and you respond to her between care of patients, jealous that she

is there and you are not. “What a jerk to torture me like this!” you think to yourself.

It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident

victim, ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much‐needed

cup of coffee, and prepare a room for your next patient. The medics roll in and begin to fill you in. The

patient is a 28‐year‐old male, a passenger on a bus that was involved in a crash, leaving the vehicle

overturned after rolling over an embankment. There were several fatalities among the bus passengers,

and “this victim has remained unconscious, though his vitals are currently” . . . and as you start to focus

on the patient, you take a second look. Can it be? It is! The lead singer, Jerod, from the band “Blue

Lizards,” who you have adored since you first heard his voice! The band had just left the concert that

you had missed last evening when the accident occurred. You quickly text your best friend . . . “Can you

believe?” and she responds with “Yeah, right. PROVE IT.” So you quickly snap a picture with your

smartphone, when alone with the patient, and send it to her. Can’t hurt, right? Celebrities are “public

property,” and that’s a part of their life, right? Just for good measure, you snap a few more pictures of

the unconscious singer in various stages of undress and then a shot of his home address, phone number,

and demographic information from his electronic health record. You sit your phone down on the

bedside table for a minute as you continue your assessment of the patient.

At 7:00 a.m., you drag your tired body home and straight to bed after a long but eventful night.

What happens next? Choose an ending to the scenario, and construct your paper based on those

reflections:

1. You are the following nurse on the day shift and discover the night nurse’s phone on the bedside

table. While trying to figure out to whom it belongs, you open the phone and see the

photographs taken the night before. Holy moly! What a find, and nobody could trace you to the

photos.

2. You receive a call from the gossip paper the Gossip Gazette, offering you $20,000 for the photos

you have taken (courtesy of your best friend). Your identity would never be revealed, and you

desperately need a new car and are behind on some bills.

3. You go on Facebook, on your day off, and talk about the night you had at work and how you

didn’t really feel as bad having to miss the concert, because you actually got to meet Jerod in

person and even “Got his number!” You then post a picture of Jerod on Facebook and

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Instagram, figuring that most of your contacts would never recognize him anyway. It’s your day

off and your personal time, so no harm, no foul, right?

4. You receive a message the next morning from a peer at work that there is a big investigation

being conducted at work due to a HIPAA violation and that it involved a celebrity who had been

admitted to the hospital. The word is that legal action is being taken against the hospital due to

some photos that were sold to the Gossip Gazette. Knowing that the photo you sent is safe with

your best friend, you reach for your smartphone, but it is nowhere to be found.

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Directions and Assignment Criteria

Assignment Criteria Points % Description

Introduction 40

points 40 17%

Catches the attention of the reader States

the purpose of the paper

Provides a narrative outline of the paper (i.e., the assignment criteria).

HIPAA, Legal, & Regulatory Discussion 40 points

40 17% Discussion the following as they apply to the use of cellphones and social media in healthcare: o

HIPAA/regulatory requirements o Other legal requirements appropriate to the

use of this technology Demonstrate support from sources of evidence

included as in‐text citations.

Scenario Ending & Recommendations

50 points

50 21%

Choose and identify one of the four possible endings provided for the scenario. Make recommendations about what should have been

done and what could be done to correct or mitigate

the problems caused by the scenario and the ending

you chose. Demonstrate support from sources of evidence

included as in‐text citations.

Advantages and Disadvantages

50 points

50 21% Discuss at least two (2) advantages and two (2) disadvantages of using smartphones and social media

in healthcare

Describe professional and ethical principles to the appropriate use of this technology

Demonstrate support from sources of evidence included as in‐text citations.

Conclusion and Reflections

30 points 30 12%

Summarize what you learned Make reflections about lessons learned to your

practice.

Scholarly Writing and APA Format

30 points

30 12%

Title page, running head, & page numbers are correct.

Use Microsoft Word and APA (6th ed.) formatting Length is 4‐5 pages (excludes title & reference pages).

At least 3 references are used, listed in APA format

References match in text citations in APA format

Spelling, grammar, & mechanics are correct.

Total 240 100%

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Grading Rubric

Assignment

Criteria Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of

Performance

B (84–91%)

Competent or Satisfactory

Level of Performance

C (76–83%)

Poor, Failing or

Unsatisfactory Level of

Performance F

(0–75%)

Introduction 40

points The student catches the reader’s attention, states the paper’s purpose, and provides a narrative outline of the paper’s body.

35–40 points

One of the following is missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

30–34 points

Two of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

26–29 points

Three of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

0–25 points

HIPAA, Legal, & Regulatory Discussion 40 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is thoroughly addressed:

• HIPAA/regulatory requirements

• Other legal requirements appropriate to the use of this technology

Demonstrated support from sources of evidence included as intext citations.

35–40 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:

• HIPAA/regulatory requirements

• Other legal requirements appropriate to the use of this technology

or Support is not demonstrated adequately from sources of evidence included as in‐text citations.

30–34 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:

• HIPAA/regulatory requirements

• Other legal requirements appropriate to the use of this technology

and Support is not demonstrated adequately from sources of evidence included as in‐text citations.

26–29 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking both components: • HIPAA/regulatory requirements • Other legal requirements appropriate to the use of this technology

and Support is not demonstrated adequately from sources of evidence included as in‐text citations.

0–25 points

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Scenario Ending & Recommendations

50 points

Included all of the following elements sufficiently: • Identify one of the four possible

endings provided for the scenario.

Included all of the following elements but did not develop at least one area substantively : • Identify one of the four possible

endings provided for the scenario.

Included all of the following

elements but did not develop at

two or more area substantively : •

Identify one of the four possible

endings provided for the scenario.

Did not included the following elements substantively : • Identify one of the four possible

endings provided for the scenario.

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. • Demonstrated support from sources of evidence included as intext citations.

45‐50 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.

40‐44 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.

36‐39 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.

0‐35 points

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Advantages and Disadvantages

50 points

Met all of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

45‐50 points

Did not meet one of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

40‐44 points

Did not meet two or more of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

36—39 points

Did not meet Three or more of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

0‐35 points

Conclusion and Reflections 30 points

Met the following criteria substantively: • Summarized what you learned • Made reflections about lessons learned to your practice.

25‐30 points

Did not meet at least one of the following criteria substantively: • Summarize what you learned • Make reflections about lessons learned to your practice.

20‐24 points

Did not meet either of the following criteria substantively: • Summarize what you learned • Make reflections about lessons learned to your practice.

16‐19 points

Did not include a formal conclusion paragraph

0–15 points

Scholarly Writing and APA Format

30 points

The following

points

• 6 points

are achieved by successful implementation of each scholarly writing/APA element:

Title page, running head, & page numbers are correct.

• 4 points Use Microsoft Word and APA (6th ed.) formatting

• 2 point Length is 4‐5 pages (excludes title & reference pages).

• 6 points At least 3 references are used, listed in APA format

• 6 points References match in text citations in APA format

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• 4 points Spelling/mechanics & grammar are correct.

• 2 point Scholarly writing style is used

Total Points Possible = /240 Points

 

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Introduction: The process for healthcare strategy development follows a logical sequence of steps. Decisions made at each step will have implications and consequences at successive steps in the process, so forward thinking is very important.

You are the vice-president in charge of your hospital’s strategic planning process this year. You are addressing your key stakeholders and planning participants at the first strategic planning meeting.

Your assignment is to create a minimum 10-slide PowerPoint presentation describing and explaining the six-step process for strategy development in your hospital’s healthcare strategic management action plan. Additionally, explain strategic alternatives available to healthcare organizations today.

Your presentation should adhere to the following format:

• Slide 1: Create title slide that includes your name, the course number and date
• Slide 2: Write a brief introduction (no more than 2 paragraphs)
• Slide 3: Review broader strategic directions
• Slide 4: Set strategic planning objectives
• Slides 5 and 6: Identify actions for strategic planning objectives
• Slide 7: Set timelines
• Slide 8: Assign responsibilities
• Slide 9: Determine resources needed
• Slide 10: Determine how results will be measured
• Slide 11: List references: Ensure you list all supporting sources for your content, which must follow correct APA style for citations and references.

As part of the presentation, you are required to use the notes section for each content slide to reinforce your presentation. You should use at least three reliable academic sources to support your presentation. One should be from the CSU Online Library, and you can use your textbook as well on your reference slide (your reference slide does not count toward the minimum slide requirement). Images and graphics, along with supporting references and in-text citations, must follow APA formatting guidelines. All sources used must be referenced; paraphrased and quoted material must have accompanying citation

 

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