As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.

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Evaluation of Outcomes

As you translate evidence into practice, it is essential to consider how you will evaluate the outcomes. As introduced in Week 8, you are likely to encounter barriers as you integrate research findings into practice. Using a framework for evaluation can assist in minimizing those barriers.

As a nurse engaged in advanced practice, it is now time to take your practicum project to the next level—evaluating the outcomes you identified for the Week 9 Discussion and then developing new practice guidelines.

To prepare:

  • The course text, Translation of Evidence into      Nursing and Health Care Practice, provides a list of questions that should      be considered when planning for evaluation. See page 239 for this list of      questions.
  • Review the Learning Resources focusing on the      various evaluation frameworks presented. Select a framework and determine      how you would evaluate the outcomes you identified in the Week 9      Discussion (see week 9 discussion in the file area).
  • Based on the possible results of your      evaluation, envision new practice guidelines you would develop.
  • What new standards of care might this lead to?

By tomorrow Wednesday 10/30/18 at 12 pm, write a minimum of 550 words essays in APA format with at least 3 references from the list of REQUIRED READINGS (see attached files) below. Include the headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) In the first line of your posting, state the outcomes you are addressing (those you initially identified in the Week 9 Discussion [see week 9 discussion in the file area]).

2) How would you evaluate the outcomes? Support your response with evidence from the literature.

3) What new practice guidelines would you create based on your evaluation of those outcomes?

4) Discuss any new standards of care that would be appropriate based on the new practice guidelines.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

  • Chapter      17, “Data Management and Evaluation of Translation” (see attached file)

Erickson, K., Monsen, K.A., Artleson, I.S., Radosevich, D.M., Oftedahl, G., Neely, C., & Thorsen, D.R. Translation of obesity practice guidelines: Measurement and evaluation. Public Health Nursing, 12(3), 222–23. doi: 10.1111/phn.12169. (see attached file)

Wang, Y., Xiao, L.D., Ullah, S., Guo-Ping, H., & De Bellis, A. Evaluation of a nurse-led dementia education and knowledge translation programme in primary care: A cluster randomized controlled trial (2017). Nurse Education Today, 49, 1-7. https://doi.org/10.1016/j.nedt.2016.10.016. (see attached file)

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the effectiveness of mentoring asa knowledge translation intervention for implementing empirical evidence: A systematic review. Worldviews on Evidence-Based Nursing, 11 (5) 284–300. https://doi-org.ezp.waldenulibrary.org/10.1111/wvn.12060 (see attached file)

Einarson, A., Egberts, T.c., & Heerdink, E.R. (2015). Antidepressant use in pregnancy: knowledge transfer and translation of research findings. Journal of Evaluation in Clinical Practice, 21, 579-583 doi:10.1111/jep.12338 (see attached file)

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

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ASSIGNMENT: Prepare for Joint Commission  CAHIIM Competency: Interpret health information standards

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ASSIGNMENT: Prepare for Joint Commission  CAHIIM Competency: Interpret health information standards

You are the Health Information Director of a hospital, and your hospital has hired a consultant to help determine major issues with the hospital’s information technology. The consultant submitted the following report:

City Hospital has a variety of hardware and software that is used in its departments. Computer workstations are widely used across the organization, but in many departments the computer workstations are too old to provide an adequate platform for the later versions of software that would most effectively support departmental reporting responsibilities.

There is no organization-wide network in place. Software applications and versions are not standardized across the organization, and so members of different departments cannot share data and information in electronic formats. This forces members of the organization to duplicate report generation efforts when reports contain the same or similar data.

An office suite application available to users on a local­ area network could help solve this problem. The absence of a local­ area network and an administrative database accessible to department managers means that reports must be prepared in the generating department, output on paper, and then input again in administrative departments to be utilized in administrative applications. An administrative database served by a network to all departments would require data to be gathered only once and then would be made available for subsequent users and purposes without reprocessing.

All of the logs that the organization currently generates, many of which are on an hourly or daily basis, could be more effectively administered and accessed if they were in electronic formats. In addition, interviews with data users state that even with the existing software, they had not been trained well enough to use it.

You are now preparing for a Joint Commission visit that will be in about 6 months. Here are the Joint Commission standards that you are concerned about:

  • IM. 01.01.01 The [healthcare organization] plans for managing information.
  • IM. 01.01.03 The [healthcare organization] plans for continuity of its information management processes.
  • IM. 02.01.01 The [healthcare organization] protects the privacy of health information.
  • IM. 02.02.01 The [healthcare organization] effectively manages the collection of health information and retrieves, disseminates, and transmits health information in usable formats.
  • IM. 04.01.01 The organization maintains accurate health information.

INSTRUCTIONS: You need to prepare a memo for the CEO to tell him what you recommend be done before the visit. Tell the CEO why you are concerned about the findings. At the end of your memorandum to the CEO (as an annex, or table), create a table to map each concern to the related standard to show your interpretation of each of the standards that are not being met. Match the appropriate Joint Commission standard listed above to the each of the consultant’s findings.

Prepare you memo as if you were working at the hospital.  The format should look like you are the HIM Director, addressing the Hospital CEO.  It does not have to be in APA format, but you must list your references in APA format at the very end, as it is an academic assignment.

PLEASE NOTE:  You will have to do research to determine the intricacies of each standard listed above, in order to complete the third column.  Here is one sample site to get you started https://foh.psc.gov/tjc/im/standards.pdf

Here is a sample of a table to get you started:

ISSUE

JOINT COMMISSION STANDARD

IMPORTANCE/ JOINT COMMISSION CRITERIA

Computer workstations are too old to provide an adequate platform for the later versions of software

IM.01.01.01  The organization plans for managing information

 

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Examine the application of statistical functions and derivatives as instruments for measuring risks.

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Competency

Examine the application of statistical functions and derivatives as instruments for measuring risks.

Instructions

You will assume the role of a senior analyst hired by a fictitious company, Premium Acceptance, a midsized property insurance carrier. Premium Acceptance is performing well with respect to several key performance indicators, including policies in force, policy retention, and new business counts.

One of your objectives as the newly appointed senior risk analyst is to develop a framework for managing loss ratios which is one of the firm’s largest key performance indicators. A loss ratio is simply the difference between the ratio of claims paid by an insurance carrier and the ratio of premiums paid. The board of directors depends on the ability to forecast loss ratios, which in turn enables them to forecast profitability metrics to the shareholders. The organization will now consider implementing the use of statistics for measuring risks.

Your deliverable should be composed in a report. Be sure to address the following items:

  • Explain how statistics is used to formally define risk in the risk assessment process.
  • Discuss at least two statistical tools that can be employed to measure risk.
  • Convey which tool best serves the company’s purposes and explain why it is.
  • What are the ramifications of the organization electing not to use statistics in this process?
  • Include:

1.An accurate overview that includes specific examples of how statistics support the risk assessment process is given.

2.At least two valid statistical tools that can be employed to measure risk are discussed with details on specific applications.

3.Correctly identifies which tool best serves the company’s purpose AND gives an explanation of why it is the best tool that includes specific examples of an application of the tool.

4.At least two valid ramifications of choosing to not use statistics in the risk assessment process are thoroughly explained.

2 pages minium

2 pages references

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A female rat that is heterozygous for an autosomal reciprocal translocation has 36 eggs that were generated from the following 9 meioses:

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1. A female rat that is heterozygous for an autosomal reciprocal translocation has 36 eggs that were generated from the following 9 meioses: 4 by alternate segregation, 4 by adjacent-1 segregation and 1 by adjacent-2 segregation. She is mated to a chromosomally wild-type male. What is the probability that her offspring will inherit a chromosome bearing the translocation? (1 mark)

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