PICOT/PICo question

The focus for Week 2 is on questions: PICOT/PICo and practice questions.

  • Using the area of interest from Week 1, identify the following.
    • Will you be using a quantitative or qualitative approach for your EBP project proposal?
    • Explain why this approach is the best one to provide information for your area of interest.
    • Create a PICOT/PICo question using the PICOT/PICo format for quantitative and PICo for qualitative approaches.
    • Identify your practice question, being sure to include the following.
      • For a quantitative approach
        • A questioning part such as “what is,” “what are,” “is there,” or “are there”
        • Population being studied
        • Variables being studied
        • Suggestion of the relationship between variables
      • For a qualitative approach
        • Phenomenon or concept of interest
        • Group or population of interest
        • Suggestion of which qualitative research design is being used

 

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6501 Discussion 5.5

The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration. Immediate medical intervention and emergency room visits are vital for some patients, while others can be treated through basic outpatient care.

Consider the January 2012 report of a 6-year-old girl who went to her school nurse complaining of hives and shortness of breath. Since the school did not have any medication under her name to use for treatment and was not equipped to handle her condition, she was sent to an emergency room where she was pronounced dead. This situation has raised numerous questions about the progression of allergic reactions, how to treat students with severe allergies, how to treat students who develop allergic reactions for the first time, and the availability of epinephrine in schools. If you were the nurse at the girl’s school, how would you have handled the situation? How do you know when it is appropriate to treat patients yourself and when to refer them to emergency care?

To Prepare

· Review “Anaphylactic Shock” in Chapter 24 of the Huether and McCance text, “Distributive Shock” in Chapter 10 of the McPhee and Hammer text, and the Jacobsen and Gratton article in the Learning Resources.

· Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.

· Consider when you should refer patients to emergency care versus treating as an outpatient.

· Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the process of anaphylactic shock.

Post an explanation of the physiological progression that occurs in anaphylactic shock. Then, describe the circumstances under which you would refer patients for emergency care versus treating as an outpatient. Finally, explain how the patient factors you selected might impact the process of anaphylactic shock.

 

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cost benefit analysis 3 of 5

GRADING RUBRIC MUST BE FOLLOWED

Create a 5–6-page cost benefit analysis that supports a risk financing recommendation for a selected organization.

Questions to Consider:

  • What steps do you need to take in order to align a CBA with an organization’s mission and strategy?
  • If you were to offer three alternative recommendations after a CBA, what types of elements would you consider to differentiate them from one another?
  • How would you substantiate a recommendation for reducing financial risks in a health care setting when the quality of care is involved?
  • What are the three parts of a CBA?

Preparation

Scenario

Suppose an issue has emerged in your organization that presents significant risks to the stakeholders involved. Your supervisor has asked you to conduct a CBA, make a recommendation, and present it to the board of directors. You are expected to consider the numbers within the context of the organizational mission, strategic direction, patient safety, risk-management issues, regulatory requirements, patient and stakeholder satisfaction, and the dynamics within the health care industry.

Select a relevant issue within your workplace (or one from the Suggested Resources) for which a CBA may be conducted. The CBA should include one of the following course-related topics:

  • Quality.
  • Patient safety.
  • Risk management.
  • Regulatory standards.
  • Compliance.
  • Patient and stakeholder satisfaction.

Instructions

Step One: Identify Costs

Apply the process from Writing a Cost-Benefit Analysis article (from the Required Resources) to identify costs:

  • Make a list of all monetary costs that will be incurred upon implementation and throughout the life of the project. These include start-up fees, licenses, production materials, payroll expenses, user acceptance processes, training, and travel expenses, among others.
  • Make a list of all non-monetary costs that are likely to be absorbed. These include time, low production of other tasks, imperfect processes, potential risks, market saturation or penetration uncertainties, and influences on one’s reputation.
  • Assign monetary values to the costs identified in steps one and two. To ensure equality across time, monetary values are stated in present value terms. If realistic cost values cannot be readily evaluated, consult with market trends and industry surveys for comparable implementation costs in similar businesses.
  • Add all anticipated costs together to get a total costs value (Plowman, 2014).
Step Two: Identify Benefits

Continuing with the CBA, proceed with the identification and quantification of benefits, per Writing a Cost-Benefit Analysis article.

  • Make a list of all monetary benefits that will be experienced upon implementation and thereafter. These benefits include direct profits from products or services, increased contributions from investors, decreased production costs due to improved and standardized processes, and increased production capabilities, among others.
  • Make a list of all non-monetary benefits that one is likely to experience. These include decreased production times, increased reliability and durability, greater customer base, greater market saturation, greater customer satisfaction, and improved company or project reputation, among others.
  • Assign monetary values to the benefits identified in steps one and two. Be sure to state these monetary values in present value terms as well.
  • Add all anticipated benefits together to get a total benefits value (Plowman, 2014).

Cost-Benefit Analysis

Enter the cost and benefit data you developed for the CBA in your preparation steps into the Cost-Benefit Analysis Template, linked in the Required Resources.

Then, write an analysis in which you do the following:

  • Describe the organizational, program, or departmental issue for which you have created the CBA.
  • Evaluate the cost versus benefit according to the general guidelines outlined by Plowman’s 2014 article, which you read in the preparation for this assessment.
  • Make a recommendation as to whether the benefits are sufficient to outweigh the costs of the proceeding.
  • Describe the systems-based context for your recommendations, integrating the CBA within the organization as a whole.
  • Describe how the issue relates to the organization’s vision, mission, and strategic direction.
  • Provide a rationale that explains how your recommendations are appropriate for your organization’s capacity and strategy.

Your analysis should use proper APA style and formatting and include the following sections. Each section, except the title page, should include the appropriate section heading.

  • Title page: Use APA formatting and include the following:
    • Assessment number (Assessment 3).
    • Your name.
    • The date.
    • The course number (MHA-FP5014).
    • Your instructor’s name.
  • Abstract: Include a one-paragraph summary of analysis content. This is not an introduction to the topic, but a summary of the entire analysis. Make sure to double-space.
  • Issue description.
  • CBA evaluation.
  • CBA recommendations.
  • Context for recommendations.
  • Relationship to vision, mission, and strategy.
  • Rationale.
  • Conclusion.
  • References.
  • Appendix: Attach your completed Cost-Benefit Analysis Template.

Additional Requirements

  • Written communication: Written communication should be free from errors that detract from the overall message.
  • Length of paper: 5–6 typed, double-spaced pages.
  • Font and font size: Arial, 10-point.
  • Appendix: Include your Cost-Benefit Analysis Template as an appendix to your analysis.
Reference

Plowman, N. (2014). Writing a cost-benefit analysis. Retrieved from http://www.brighthub.com/office/project-management…

Resources:

  • Plowman, N. (2014). Writing a cost-benefit analysis. Retrieved from http://www.brighthub.com/office/project-management…

This article discusses how to value risk reductions in the context of benefit-cost analysis.

  • Robinson, L. A., & Hammitt, J. K. (2013). Skills of the trade: Valuing health risk reductions in benefit-cost analysis. Journal of Benefit-Cost Analysis, 4(1), 107–130.

This article discusses a cost analysis approach in medical education.

  • Walsh, K., Levin, H., Jaye, P., & Gazzard, J. (2013). Cost analyses approaches in medical education: There are no simple solutions. Medical Education, 47(10), 962–968.

This article describes the cost-benefit methodology in terms of criminal justice policy.

  • Manski, C. F. (2015). Narrow or broad cost–benefit analysis [PDF]? Criminology & Public Policy, 14(4), 647–651.

Additional Resources for Further Exploration

You may use the following optional resources to further explore topics related to competencies.

Risk-Management Textbooks
  • Kavaler, F., & Alexander, R. S. (2014). Risk management in health care institutions: Limiting liability and enhancing care (3rd ed). Burlington, MA: Jones and Bartlett. Available from the bookstore.
  • Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett. Available from the bookstore.
Risk-Management Professional Organizations
  • The Risk Management Association. (n.d.). Retrieved from https://www.rmahq.org/Default.aspx
  • American Hospital Association. (n.d.). American Society for Health Care Risk Management. Retrieved from http://www.ashrm.org/

 

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debt – The Nursing Hub

Respond to the following in a minimum of 175 words:

What are common forms of government budgeting debt? What types of debt should be avoided? Can training in certain areas assist in diminishing debt? Provide examples.

 
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