An important part of building evidence-based practice is the development, refinement, and use of quality diagnostic tests and measures in research and practice. Discuss the role of sensitivity and specificity in accuracy of a screening test?

Please include 400 words in your initial post with two scholarly references by Wednesday midnight and answer two peers with 200 words by Saturday midnight.  

Describe the assessment cues and anticipated nursing actions a nurse would anticipate for a client
experiencing digoxin toxicity.

Compare and contrast key information and nursing considerations for the following medications utilized
for heart failure

fill a chart

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review the Work Environment Assessment Template*.
• Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
• Select and review one or more of the following articles found in the Resources:
  • Clark, Olender, Cardoni, and Kenski (2011)
  • Clark (2018)
  • Clark (2015)
  • Griffin and Clark (2014)

*Template completed in the Week 7 discussion should not be submitted with this assignment.

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

• Review the Work Environment Assessment Template you completed for this Module’s Discussion.
• Describe the results of the Work Environment Assessment you completed on your workplace.
• Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
• Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

• Briefly describe the theory or concept presented in the article(s) you selected.
• Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
• Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

• Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
• Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

Develop a 4-page quality/performance improvement framework for your doctoral project.

Quality/performance improvement (QI/PI) frameworks are used to establish and evaluate processes in practice. The most common models for such a framework are Plan-Do-Study-Act (PDSA) and Six Sigma Define, Measure, Analyze, Improve, Control (DMAIC). The purpose of this assessment is to use key information from your project charter to develop a QI/PI framework from which you will begin developing a project implementation plan and logic model in the next assessment.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Align the project charter with a continuous improvement model.

1. Describe the current practice needing improvement.

1. Explain how QI/PI data will be collected and analyzed.

1. Describe the proposed QI/PI changes and expected outcomes.

1. Explain how changes in quality or performance will be evaluated.

1. Apply APA style and formatting to scholarly writing.

Instructions

Is about reducing falls in a primary care clinic with the implementation of a fall risk management protocol, now the clinic doesn’t use any protocol.

Develop a quality/performance improvement (QI/PI) framework for your project, aligned with your project charter. Choose a model for your framework, using the PDCA or DMAIC model, a model used in your organization, or another familiar reputable model that is suitable for your project. PDCA or DMAIC model information and examples are included in Resources.

Provide a succinct, scholarly narrative that reflects the content of your model and addresses the key points outlined below:

Graded Requirements

Each of the main tasks corresponds to scoring guide criteria. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.

· Describe the current practice needing improvement.

1. What is the problem and its root cause?

1. What is the gap between what is and what should be?

1. What evidence supports your assertions and conclusions?

· Describes a QI/QP framework that will support and guide the project.

2. What do you need to accomplish to meet the project objectives and outcomes?

2. What formative assessments will help you ensure that the project is on course?

2. Which framework will assist you in guiding the entire project?

· Explain how QI/PI data will be collected and analyzed.

3. What data is needed?

3. How will you record and organize collected data?

3. What are appropriate data analysis methods for the type of data you will be collecting?

· Describe proposed QI/PI changes and expected outcomes.

4. What are appropriate measures for determining actual improvement?

4. How feasible are the proposed changes and what are the relevant contextual factors that can affect expected outcomes?

· Explain how changes in quality or performance will be evaluated.

5. What evaluation tools or methods will you use?

5. What criteria will you use to evaluate outcomes?

· Write clearly and concisely in a logically coherent and appropriate form and style.

6. Write with a specific purpose and audience in mind.

6. Adhere to scholarly and disciplinary writing standards.

6. Proofread your writing to minimize errors that could distract readers and make it difficult for them to focus on the substance of your introduction.

· Apply APA style and formatting to scholarly writing.

Dimensions of Nursing Principles: Exam 3

1.What ethical principle refers to the clients’ right to make healthcare choices even if the health care provider does not agree with the decision?

AUTONOMY

2. When World War 1 was over, which nursing leader became a nursing educator, eventually serving as a dean at the Yale School of Nursing?

ANNIE GOODRICH

3. What is the most important element for the nurse navigator to include in the planning of care for a client?

THE CLIENT’S PERCEPTIONS AND BELIEFS ABOUT THE DISEAS PROCESS AND THE MODALITIES OF TREATMENT

4. What is the term that describes nurses’ opinions, results, or the decision they make?

CLINICAL JUDGMENT

5.The primary purpose of which legislative act was to allow client records to be transferred from one provider or institution to another provider or institution?

B.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

6. A nurse assessing a non- American client for cyanosis is struggling because she does not know the appropriate skin color for the client’s ethnic group. How should this nurse do… assessment?

EXAMINE THE CLIENT’S ORAL MUCOSA.

7. What process is used to track events leading to error. Identifies faulty systems and processes, and develop a plan to prevent further error?

ROOT CAUSE ANALYSIS

8. Which event in American history had significant impact on educational standards in nursing by shortening hospital-based nursing programs from 36 months to 30 months?

C.WORLD WAR II

9. What exists if a smartphone of one brand can synchronize with a desktop or laptop computer of another brand to use some of the computer’s data?

INTEGRATION

10. What is one of the main steps in developing critical thinking?

GAIN INSIGHT AND SELF-AWARENESS.

11. What type of learner learns best by moving, experiencing, or experiencing?

B. KINESTHETIC

12. In nursing research, what is the critical link necessary to connect the researcher’s framework with the appropriate type of data collection?

RESEARCH DESIGN

13. Which elements are commonly a result of workplace incivility?

TOXIC WORK ENVIRONMENT, ANXIETY, PSYCHOLOGICAL PAIN

14. Why is disaster planning difficult for the elderly population?

THEY HAVE LIMITED MOBILITY AND CHRONIC DISEASE ISSUES.

15.What task may be delegated to a Licensed Practical Nurse (LPN) if each client is stable?

TURNING A CLIENT WITH A CEREBRAL VASCULAR ACCIDENT (CVA) EVERY 2 HOURS.

16. Why is it important for nurses in general practice to have an awareness of forensic knowledge?

NURSES ARE OFTEN IN POSITIONS TO REPORT CRIMES OR PRESERVE EVIDENCE

17. Who is universally regarded as the founder of modern nursing?

FLORENCE NIGHTINGALE

18. The nurse knows that recruiting and retaining minority nurses is a primary concern of the healthcare industry. Which group/s of minority nurses is the largest?

ASIAN, NATIVE HAWAIIAN

19. What is another name for a healthcare proxy?

MEDICAL DURABLE POWER OF ATTORNEY

20. The nursing profession tends to use which term when attempting to explain apparent relationships between observed behaviors and their effect’s health?

THEORY

21. What is the difference between a theory and a model?

A. A NURSING THEORY ATTEMPTS TO EXPLAIN APPARENT RELATIONSHIPS BETWEEN OBSERVED BEHAVIORS AND THEIR EFFECTS ON A CLIENT’S HEALTH, AND A MODEL IS A REPRESENTATION OF SOMETHING THAT EXISTS IN REALITY.

22. What specialized area of nursing below is considered a type of forensic nurse?

SEXUAL ASSAULT NURSE EXAMINER (SANE)

23.A nurse may be forced to decide between going to work and staying home with a sick child. The decision will be based on which of the following for the nurse?

VALUE

24.What is the federally funded national health insurance program in the United State for people older than 65 years?

MEDICARE

25.Joleen, a new graduate nurse is training with Mara, a senior nurse on the unit. Which of the following behaviors would support the idea that Mara is a persecutor? (select all that apply)

A. MARA CALLS JOLEEN ”JOJO”. DESPITE BEING ASKED NOT TO.

B. MARA HAS AN ANSWER TO EVERY QUESTIONS AND NEVER NEEDS TO LOOK ANYTHING UP.

D. MARA INSISTS THAT JOLEEN ASSESS CLIENTS EXACTLY THE SAME WAY SHE DOES.

F. MARA COMPLIMENTS JOLEEN ONE DAY AND CRITICIZES HER THE NEXT.

26. What three-phase project was created to improve the quality and safety of client care by focusing nursing education on student competency?

Quality and Safety Education for Nurses

27. The Situation, Background, Assessment, Recommendation (SBAR) tool helps prevent miscommunication among caregivers.

TRUE

28. What is the most obvious barrier to providing culturally competent care?

LANGUAGE

29. Why is civility in nursing important for making a positive impact on nursing care?

CIVILITY ENABLES NURSES TO MAKE CARING THE FOCAL POINT OF PRACTICE.

30.What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?

THEY HAVE AN INTERNAL CONFLICT IN COPING WITH THEIR OWN FEARS OF DEATH.

31.Which habit does not promote critical thinking?

BEGIN WITHOUT AN END IN MIND

32.A nurse has forgotten to renew his or her nursing license by the expiration date and report for duty, and works the shift. What is the nurse violating?

CRIMINAL LAW

33. What is the primary goal of the nurse navigator?

ELIMINATION OF THE BARRIERS TO CARE TO MAKE MOVING THROUGH THE TREATMENT MAZE EASIER.

34. The nurse recognizes cultural awareness as an important aspect to caring for clients. When do nurses develop cultural awareness?

WHEN VALUING ALL ASPECTS OF A CLIENT’S CULTURE.

35. When does the encoding process of communication take place?

THE RECEIVER THINKS ABOUT THE INFORMATION, UNDERSTANDS IT, AND FORMS AN IDEA BASED ON THE MESSAGE.***

36. What is considered the preferred strategy for dealing with and resolving conflict?

CONFRONT THE CONFLICT.

37. If a nurse uses information from research as the basis for making decisions about providing care, this nurse is engage in which type of practice?

EVIDENCE-BASED PRACTICE

38. The Institute of Medicine (IOM) published report in 2000, To Err Is Human: Building a Safer Health System, stated what was the cause of the estimated that 98,000 people die per year?

ADVERSE EVENTS AND MEDICAL ERRORS IN HOSPITALS

39. Which communication style involve interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the right of others?

ASSERTIVE

40. Which process allows interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling second- language care?

SIMULTANEOUS INTERPRETING

41. What is the process used to think about issues when deciding how to prevent client problems? CRITICAL THINKING

42. What is the most effective method that nurses can use to impact change to the profession and nursing practice?

JOIN PROFESSIONAL ORGANISATIONS IN LARGE NUMBERS.

43. Which client is the most appropriate for the Registered Nurse (RN) to assign to the unlicensed assistive personnel (UAP)?

A CLIENT WITH DIFFICULTY WALKING AND REQUIRES ASSISTANCE TO THE BATHROOM ADDING POTASSIUM TO AN INTRAVENOUS (IV) BAG OF D6W THAT WAS ALREADY HANGING.

44. What is the most accurate description of case management?

CASE MANAGEMENT INCLUDES OVERSEEING THE CLIENT’S CARE WHILE THEY ARE IN THE HOSPITAL AND FOLLOWING CLIENTS THROUGH VARIOUS PHASES OF CARE AFTER DISCHARGE

45. What is the term used when analyzing a client’s issues and problems, which includes reasoning outside and inside the clinical setting?

C. CLINICAL THINKING

46. What is the federally funded program known for financing a large portion of maternal and childcare for the poor?

MEDICAID

47. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in…

D. INTEGRATION

48. A nurse who is off duty discussing a client's medical information with her neighbor is an example of what type of ethical principle?

BREACH OF CONFIDENTIALITY

49. What does an ethical code provide for nurses?

FRAMEWORK FOR DECISION-MAKING

50. Novice critical thinkers demonstrate which of the following skills?

RELY HEAVILY ON RESOURCES AND NEED CLEAR-CUT RULES.

51. What organization provides nursing with a code of ethics?

AMERICAN NURSES ASSOCIATION

52. A Registered Nurse (RN) on duty is working past a client’s room and notices the client on the floor after what appears to have been a fall. Immediately the nurse thinks, “How can I help?” “What focused assessment should I provide to determine if the client is hurt?” “I need to call for assistance right away.” What type of thinking is the nurse displaying?

THINKING-IN-ACTION

53. Which situation is the nurse allowed to breach a client’s right of confidentiality?

A 32-YEAR-OLD COMES TO THE EMERGENCY ROOM FOR WOUNDS SUSTAINED BY A KNIFE.

54. A family comes into a health care provider's office and requests genetic testing due to a family member being diagnosed with BRAC II. The physician places a verbal order while other clients enter the office so the clients have the ability to over hear the conversation. What should the nurse be concerned that the physician potentially violating?

BREACH OF CONFIDENTIALITY

55. What is an example of covert lateral violence?

MAKING FACES BEHIND THEIR BACK

56. What is the first step in the delegation process?

DETERMINING THE SKILL LEVEL OF THE PERSON TO WHOM THE TASK IS TO BE DELEGATED.

57. What attribute is best described as a “sense of knowing without conscious use of reason?”

INTUITION

58. What are the goals for Healthy People 2020 to promote across the lifespan? (Select all that apply.)

A. QUALITY OF LIFE

B. HEALTHY DEVELOPMENT

C. HEALTHY BEHAVIORS

59. What is the SBAR’S primary focus in healthcare?

OUTLINE COMMUNICATION OF CRITICAL INFORMATION.

60. What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project?

FOCUS NURSING EDUCATION ON COMPETENCIES TO REDUCE THE NUMBER OF MEDICAL ERRORS.

61. In health care, what is are the attempts to guarantee when an action is performed by a healthcare professional is performed correctly the first time and every time thereafter is called?

QUALITY ASSURANCE

62. Which grouping represents the six quality and safety education for nurses (QSEN)

CLIENT-CENTERED CARE TEAMWORK AND COLLABORATION INFORMATION EVIDENCE BASED PRACTICE QUALITY IMPROVEMENT SAFETY.

63. When does the organ donation professional become involved in the care of the client?

AFTER DEATH HAS BEEN DECLARED BY A PHYSICIAN

64. Which principle is based upon Nightingale’s spirituality?

A SENSE OF A DIVINE INTELLIGENCE WHO CREATES AND SUSTAINS THE COSMOS AS WELL AS AN AWARENESS OF HER OWN INNER CONNECTION WITH THIS HIGHER REALITY.

65. Which individual can the charge nurse delegate the task of completing the admission assessment for a newly admitted client?

REGISTERED NURSE (RN)

66. Where would a nurse look to find their scope of practice as defined by state law?

NURSE PRACTICE ACT

67. What is an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury, including loss of limbs or function?

SENTINEL EVENT

68. What are five phases of the nursing process?

ASSESSMENT, DIAGNOSE, PLAN, IMPLEMENT, EVALUATE

69. A Registered Nurse (RN) just finished assisting a client to the restroom. Before leaving the patient’s room. The above displays knowledge and skills of which Quality and Safety Education for Nurses (QSEN) competency?

SAFETY

70. What does SBAR stand for?

SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION

71. What is one of the roles of a parish nurse?

SERVE AS HEALTH EDUCATORS AND COUNSELORS IN THE CHURCHES

72. A physician writes a DNR order for a competent client. Which individual may give permission for this order?

THE CLIENT

73. What are the four concepts that are common in most nursing theories?

CLIENT, HEALTH, ENVIRONMENT, NURSING

74. How does the Institute of Medicine (IOM) define quality?

THE DEGREE TO WHICH HEALTH SERVICES FOR INDIVIDUALS AND POPULATIONS INCREASE THE LIKELIHOOD OF DESIRED HEALTH OUTCOMES AND ARE CONSISTENT WITH CURRENT PROFESSIONAL KNOWLEDGE.

75. Even if a client is not over the age of 65, clients with which chronic condition may be eligible for Medicare benefits?

END-STAGE RENAL DISEASE