Describe each entity (data or attribute) that will be pulled from the EHR as either structured or unstructured and provide an operational definition for each

 Paper must be written in APA, original, correct in-text citation and good English. Please pay keen attention to the questions asked. Answer all question asked sensibly.

For this assignment, write a 1,000-1,250 word paper in which you

1. Select a clinically based patient problem in which using a database management approach provides clear benefit potential.

2. Consider how a hypothetical database could be created to assist with this clinically based patient problem. Identify and describe the data needed to manage this patient problem using information from the electronic health record (EHR).

3. Include a brief description of the patient problem that incorporates information needed to manage the specific problem. Describe what information is required for the patient to manage the condition and how the database and health care provider can be incorporated into the approach for better health outcomes.

4. Describe each entity (data or attribute) that will be pulled from the EHR as either structured or unstructured and provide an operational definition for each. Structured data is more easily searchable and specifically defined. For example, structured data can be placed in a drop-down menu like hair color: brown, black, grey, salt and pepper, blonde, platinum, etc. Unstructured data is data that would be included in a nurse’s notes. An operational definition is how a researcher or informatics specialist decides to measure a variable. For example, when the nurses enter height into the EHR, do they enter height as measured in inches or centimeters or in feet and inches?

5. Provide a complete description of data entities (the objects for which you seek information, i.e., patients) and their relationships to the attributes collected for each entity (data collected for each entity, i.e., gender, birthdate, first name, last name, etc.) that apply to the hypothetical database. You can use a concept map similar to the “Database Concept Map” resource, to help you describe the relationships between each entity and its attributes.

Explain the theory of the chosen ethical      decision-making model as it relates to this scenario. What effect have      this and other models had on medical practice over the years?

Legal and Ethical Principle in health Care & Quality in Health Care 

(Benchmark Assignment) Applying Decision-Making Models in Health Care.

This is a benchmark assignment.

Choose an ethical decision-making model from among the following three discussed in the lecture and other readings: Nash’s 12 Questions for Moral Choices, Kidder’s Ethical Checkpoints, and Uustal’s Ethical Decision-Making Model. Apply your chosen model to the following ethical dilemma:

Your terminally ill patient told you at her last visit that, since her pain could no longer be completely controlled by any means, and in her opinion she was just waiting to die, she was going to Holland to participate in its physician-assisted suicide program.

What would your advice to this patient be? In a 500-750 word paper, include a letter to your patient offering your insights and recommendations regarding this decision.

In addition, following your letter, include a subsection in which you address the following when completing this assignment:

  1. Explain the theory of the chosen ethical      decision-making model as it relates to this scenario. What effect have      this and other models had on medical practice over the years?
  2. Should a doctor be able to end the life of an      individual who is suffering and who has no hope of recovery? Why or why      not?
  3. How might a living will be used, or not, to guide an      individual’s end of life decisions?
  4. How does the use of technology complicate the dying      process?

Include at least three scholarly, peer-reviewed references from the GCU Library to support your positions.

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

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

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Write a 1-page paper outlining the steps, timeline for completing the project / dissertation, and the documents you will use for the DNP Scholarly Project. Include the main guide document that identifies the processes and procedures for the appropriate doctoral project. After writing the 1-page,then:

Write a 1-page paper outlining the steps, timeline for completing the project / dissertation, and the documents you will use for the DNP Scholarly Project. Include the main guide document that identifies the processes and procedures for the appropriate doctoral project. After writing the 1-page,then:

1)       Summarize the purpose of the DNP Scholarly Project.

2)       Briefly describe a project that would be of interest to you and how you might go about completing that project. (Just write any project related to nursing. I haven’t thought about my project yet)

Due by Day 6 of Week 5. On Saturday 7/1/17

 

 

Required Readings

 

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

[For DNP students ONLY]

Chapter 9, “Emerging Roles for the DNP”

Multiple advanced nursing practice roles are discussed in this chapter, including nurse administrator, nurse entrepreneur, public and community health practitioner, and integrative health practitioner.

 

Institute of Medicine (IOM). (2010a). The future of nursing: Leading change, advancing health[Consensus report]. Washington, DC: National Academies Press. Retrieved from https://web.archive.org/web/20150211165201/http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

This link provides access to the complete IOM report (672 pages). You may read the report online or download a free PDF version.

 

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health[Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

This IOM report highlights key messages regarding the future success of the nursing profession, with recommendations for practice, education and training, partnerships with other health care professionals, and workforce planning and policy making.

 

Currey, J., Considine, J., & Khaw, D. (2011). Clinical nurse research consultant: A clinical and academic role to advance practice and the discipline of nursing. Journal of Advanced Nursing, 67(10), 2275–2283.

Note: You will access this article from the Walden Library databases.

 

Waxman, K. T., & Maxworthy, J. (2010). The doctorate of nursing practice degree and the nurse executive: The perfect combination. Nurse Leader, 8(2), 31–33.

Note: You will access this article from the Walden Library databases.

This article provides a clear comparison of the DNP degree with PhD/DNS/DScN degrees and articulates the value of the DNP degree to nurse executives.

 

 

Required Media

 

Laureate Education (Producer). (2011d). The professional role of the DNP-prepared nurse [Video file]. Retrieved from https://class.waldenu.edu

Note:  The approximate length of this media piece is 4 minutes.

In this media program, Dr. Joan Stanley, Dr. Linda Beechinor, and Dr. Susan Stefan discuss the professional roles available to DNP-prepared nurses and the importance of intra- and interprofessional collaboration in those roles.

 

  Describe one or more significant ways in which Walden’s standpoint (i.e., vision, mission, social change message, and outcomes) relates to the AACN competencies as well as to your professional and academic goals.

According to a Gallup poll completed in 2013, 82% of respondents indicated that they believe nurses have high to very high levels of honesty and ethical standards, and nursing has been rated as the most trusted profession for several years (Gallup, 2010). What other values and characteristics are associated with the nursing profession? Which ones are the most professionally, academically, and personally significant to you?

For this Discussion, you will consider the alignment of qualities outlined by the AACN with those promoted by Walden University.

You will examine the AACN document appropriate for your degree path and consider how you can incorporate either the Essentials or the Quality Indicators into your academic endeavors.

 

To prepare:

 

  • Consider the competencies presented in The Essentials of Doctoral Education for Advanced Nursing Practice (for DNP students) or The Research-Focused Doctoral Program in Nursing: Pathways to Excellence (for PhD students) in this week’s Learning Resources.
  • Examine Walden University’s mission, vision, and university outcomes.
  • Review the media presentation Introduction: The Doctor of Nursing Practice, which includes Dr. Joan Stanley’s comments about the AACN’s vision for the DNP degree.
  • Identify commonalities among the concepts presented in each of these items.
  • Think about your professional and academic goals. Consider how Walden’s standpoint and the AACN’s perspective fit with your objectives. Based on this information, what ideas do you have for incorporating a commitment to social change into your academic and professional plans?

 

By Wednesday 6/7/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1)       Describe one or more significant ways in which Walden’s standpoint (i.e., vision, mission, social change message, and outcomes) relates to the AACN competencies as well as to your professional and academic goals.

2)       Articulate a plan for incorporating social change into two of your professional and/or academic goals.

 

 

Required Readings

 

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC:Author. Retrieved from http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf

[For DNP students ONLY]

American Association of Colleges of Nursing (AACN). (2006). The research-focused doctoral program in nursing: Pathways to excellence. Washington, DC: Author. Retrieved from http://www.aacn.nche.edu/education-resources/PhDPosition.pdf

“The Research-Focused Doctoral Program in Nursing: Pathways to Excellence” (pp. 4–16)

This section of the AACN document outlines the roles and expected learning outcomes for PhD students, and core curricular elements included in PhD programs.

 

Walden University Student Readiness Orientation

 

Access the Student Readiness Orientation (SRO) through the “My Courses” section of Blackboard. It will be available to you for one year. You can find the same information and more in the e-Guide, a companion website to the SRO. The e-Guide is available throughout your time at Walden. It can be accessed through the MyWalden Portal.

 Walden University. (2011). Student publications: Vision, mission, and goals. Retrieved from http://catalog.waldenu.edu/

Select the current version of the “Walden University Student Handbook” from the drop-down menu.

In the left navigation bar, click “Introduction and Legal Information.”

Then click “Vision, Mission, and Goals.”

Read the information on the Walden University webpage, paying particular attention to Walden’s Vision, Mission, Goals, Social Change, and Outcomes message.

 

Document: Becoming a Successful Online Learner (PDF) (See attached PDF file)

This document contains valuable information, tips, and strategies for becoming a successful online learner in the DNP program.

 

 Document: Citing a Discussion Posting in APA Style (PDF) (See attached PDF file)

The information in this document focuses on how to cite a Discussion posting or response in APA style.

 

Document: Technical Tips for Learning at Walden (PDF) (See attached PDF file)

Tips for working with various technologies, such as word-processing software, online classroom features, and your myWalden page, are addressed in this document.

 

 

 

Required Media

 

Laureate Education (Producer). (2011b). Introduction: The doctor of nursing practice [Video file]. Retrieved from https://class.waldenu.edu.

Please review this media in the Week 1 Resources.

 

Laureate Education (Producer). (2012a). Effective online communication: Scholarly writing in online discussion [Video file]. Retrieved from https://class.waldenu.edu

Note:  The approximate length of this media piece is 5 minutes.

This media program presents valuable tips for writing scholarly Discussion posts.

 

Laureate Education (Producer). (2012f). Tips for effective online composition and communication [Video file]. Retrieved from https://class.waldenu.edu

Note:  The approximate length of this media piece is 7 minutes.

This media program provides essential insights and information regarding the differences between online and in-person communication, the importance of tone in your e-communications, and how to write effective e-mail messages. All of these skills are essential to your success as an online learner.

Optional Resources

 

Westwood, C. (2010). Six simple steps to ensure you achieve your aims. Nursing Management, 17(4), 28–29.

Note: You will access this article from the Walden Library databases.