Deliver a 5–7-page analysis of an existing quality improvement  initiative at your workplace. The QI initiative you choose to analyze  should be related to specific disease, condition, or public health issue  of personal or professional interest to you.

  •   Deliver a 5–7-page analysis of an existing quality improvement  initiative at your workplace. The QI initiative you choose to analyze  should be related to specific disease, condition, or public health issue  of personal or professional interest to you.
    Too often, discussions about quality health care, care costs, and  outcome measures take place in isolation—each group talking among  themselves about results and enhancements. Because nurses are critical  to the delivery of high-quality, efficient health care, it is essential  that they develop the proficiency to review, evaluate performance  reports, and be able to effectively communicate outcome measures related  to quality initiatives. The nursing staff’s perspective and the need to  collaborate on quality care initiatives are fundamental to patient  safety and positive institutional health care outcomes.
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  • Toggle Drawer  Context
    The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience.
  • Toggle Drawer  Questions to Consider
    As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
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  • Toggle Drawer  Resources
    Suggested Resources
    The resources provided here are optional. You may use other  resources of your choice to prepare for this assessment; however, you  will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide  can help direct your research, and the Supplemental Resources and  Research Resources, both linked from the left navigation menu in your  courseroom, provide additional resources to help support you.
    Capella Resources
    Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.
  • APA Module.
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  •  Assessment Instructions
    Preparation
    You have been asked to prepare and deliver an analysis of an  existing quality improvement initiative at your workplace. The QI  initiative you choose to analyze should be related to a specific  disease, condition, or public health issue of personal or professional  interest to you. The purpose of the report is to assess whether specific  quality indicators point to improved patient safety, quality of care,  cost and efficiency goals, and other desired metrics.
    Your target audience consists of nurses and other health  professionals with specializations or interest in your selected  condition, disease, or issue. In your report, you will define the  disease, analyze how the condition is managed, identify the core  performance measurements used to treat or manage the condition, and  evaluate the impact of the quality indicators on the health care  facility:
    Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
    The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
  1. Analyze a current quality improvement initiative in a health care setting.
    • Evaluate a QI initiative and explain what prompted the  implementation. Detail problems that were not addressed and any issues  that arose from the initiative.
  2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
    • Analyze the benchmarks that were used to evaluate success.  Detail what was the most successful, as well as what outcome measures  are missing or could be added.
  3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.
    • Integrate the perspectives of interprofessional team members  involved in the initiative. Detail who you talked to, their professions,  and the impact of their perspectives on your analysis.
  4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.
    • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
  5. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
  7. Submission Requirements
  • Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
  • Number of references: Cite a minimum of four sources (no older  than seven years, unless seminal work) of scholarly peer reviewed or  professional evidence that support your interpretation and analysis.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting.

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Review the concept of Community/Public Health Nursing in Chapter 1 of Nies and McEwen’s (2015) Community/Public Health Nursing, your textbook

Contact a Service Agency in your home/state area. Review the concept of Community/Public Health Nursing in Chapter 1 of Nies and McEwen’s (2015) Community/Public Health Nursing, your textbook. Contact a Community/Public Health Agency within the city or state in which you reside. These could be Home Health, Hospice, HIV/AIDS, Women’s Shelter (domestic abuse), Homeless shelter, Food banks, etc. which monitor, study and provide various services to people.  Identify whom you spoke with and request a confirmation email from the agency with the name of the person you spoke with and the date of contact.  If you have questions as to the applicability of the agency for this assignment, email your coach early.

Write an APA formatted, 4-5 page paper addressing the following:

The title and reference pages do not count in the page limit.

Answer the following questions.

  1. What is the name of the service?
  2. Is it supported by federal, state, community or a combination funding?
  3. What services are provided?
  4. How clients access the service?
  5. What qualifies a client for services?
  6. What is the referral process?
  7. Describe the area. Urban or rural, population, ethnicity, socioeconomic status.
  8. What are the agencies staffing mix? Social Workers, Nurses, Doctors, etc.
  9. Your concluding remarks about the agency and how nursing can/does contribute to the services.

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The paper is to be a five (6) pages total (double-spaced, 12 font, 1 inch margins). Follow APA guidelines for a cover sheet, headers, pagination, references, etc. Use APA format and label each section using the evaluation outline below.  

The paper is to be a five (6) pages total (double-spaced, 12 font, 1 inch margins). Follow APA guidelines for a cover sheet, headers, pagination, references, etc. Use APA format and label each section using the evaluation outline below.

Analysis of basic components/concepts of the selected theory. • Discuss in detail A NURSING theory and its core concepts and/or components • Use a secondary source like your textbook or scholarly article that details the selected nursing theory.

Select two peerreviewed/practicebased articles in which the same theory has been applied to clinical patient care issues (i.e. multiple sclerosis, CHF, etc.). • Describe the key details of each article (purpose, sample size, methodology, interventions, results, future implications, strengths & limitations).

Critically analyze and summarize how the research results can be applied to primary care and improve care rendered by the family nurse practitioner.

The post The paper is to be a five (6) pages total (double-spaced, 12 font, 1 inch margins). Follow APA guidelines for a cover sheet, headers, pagination, references, etc. Use APA format and label each section using the evaluation outline below.   appeared first on Infinite Essays.

Violent Behavior in Institutions

Chapter Fourteen: Violent Behavior in Institutions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Precipitating Factors

Substance Abuse

Deinstitutionalization

Mental Illness

Gender

Gangs

Required Reporting

Elderly

 

 

 

 

 

 

 

 

 

Institutional Culpability

Readily accessible to clientele

 

Easy prey for people looking for money or drugs

 

Minimal security system

 

 

 

 

 

 

 

 

 

 

 

 

Institutional Culpability Cont.

Universities and their Counseling Centers

Counseling offices are isolated

Seung-hui Cho (Virginia Tech)

Rehabilitation Act of 1973 and the Americans With Disabilities Act of 1990

 

Denial

Do not want bad publicity

Crime Awareness and Campus Security Act of 1990 (Clery Act)

 

 

 

 

 

 

 

 

 

 

Staff Culpability

Believe they are immune from the threat because they are supportive and caring

 

Client may act aggressively if they feel they have little control over their treatment

 

Staff also need to set limits in a positive, firm, fair, and empathic manner

 

 

 

 

 

 

 

 

 

Staff Culpability Cont.

Staff members who are burned out are more likely to be assaulted than those who are not

 

46% of all assaults involved students or trainees and the incidence of assaults decreased as the workers gained experience

 

 

 

 

 

 

 

 

 

 

Legal Liability

Health-care providers may be the victims of assaults but they may also become legally liable for their actions

Liability extends to the institutions and directors of those institutions

Failure to properly diagnose, treat, and control violent clients or protect third parties from assaultive behavior

One of the better predictors of who will be at risk to become violent is the collective judgment of clinical workers.

 

 

 

 

 

 

 

 

 

Violence Potential Assessment Instruments

HCR-20

 

Violence Screening Checklist–Revised (VSC-R)

 

Broset Violence Checklist (BVC)

 

Dynamic Appraisal of Situational Aggression (DASA)

 

 

 

 

 

 

 

 

 

Bases for Violence

Age

 

Substance Abuse

 

Predisposing History of Violence

 

Psychological Disturbance

 

Social Stressors

 

 

 

 

 

 

 

 

 

Bases for Violence Cont.

Family History

 

Time

 

Presence of Interactive Participants

 

Motoric Cues

 

Multiple Indicators

 

 

 

 

 

 

 

 

 

 

Intervention Strategies

Security Planning

Commitment and Involvement

Worksite Analysis

Hazard Prevention and Control

Threat Assessment Teams

Precautions in Dealing with the Physical Setting

Training

Anti-Violence Intervention

Assumptions

Precautions

Outreach Precautions

 

 

 

 

 

 

 

 

 

Intervention Strategies Cont.

Record Keeping and Program Evaluation

Stages of Intervention

Education

Avoidance of Conflict

Appeasement

Deflection

Time-out

Show of Force

Seclusion

Restraints

Sedation

 

 

 

 

 

 

 

 

 

The Violent Geriatric Client

Mild Disorientation

Assessment

Eliciting Trust

Reality Orientation

Pacing

Reminiscence Therapy

Anchoring

 

 

 

 

 

 

 

 

 

 

The Violent Geriatric Client Cont.

Distinguishing between Illusions and Hallucinations

Sundown Syndrome

Security Blankets

Remotivation

Severe Disorientation

Follow-up with Staff Members

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