Please provide a written paper answering the below questions to the Luxor Case based on your analysis and assumptions.
To whom, and how should you communicate the assessment by marketing and engineering?
What additional information would you need to evaluate the strategic options?
Would you side with marketing or engineering? What should Luxor do at this point?
To identify a problem or concern that nursing can change and develop a PICOT question to guide the change project.
Directions: Use the required form below to complete the Week 3 Assignment PICOT Evidence Worksheet. This includes filling in the table with information about your research question and your PICOT elements and the second part is filling in the Evidence Worksheet.
Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. List each element P (problem, population, or problem), I (intervention), C (Comparison with other treatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solution something for which you (as nurse or student) can find a solution through evidence research? Look in your book for guidelines to developing your PICOT question and also read the required articles.
Step 2: Identify the problem. What have you noticed in your work or school environment that isn’t achieving the desired patient or learning outcomes? What needs to change in nursing, what can you change with the support of evidence in the literature? Describe the problem or practice issue that you want to research. What is your practice area; clinical, education, or administration? (This is NOT where you will list your PICOT question)
Step 3: How was the practice issues identified? How did you come to know this was a problem in your clinical practice? Review the listed concerns and check all that apply.
Step 4: Identifies and documents four sources of evidence. What evidence must be gathered? What sources of reliable information will be helpful for your particular question? Describes rationale for all checked types of evidence
Step 5: What terms will you use in order to make sure that your search is wide enough to obtain required information but narrow enough to keep it focused? How will you narrow your search if needed?
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Moreno Medical Center – Issues in Managed Care
CASE STUDY
Moreno Medical Center (MMC) is a 600-bed, full-service acute care facility located in the Northwest Kelsey community. The hospital is a physician-owned, for-profit hospital that takes pride in the provider-patient relationship. With recent changes in managed care, every dollar, process, and interest of the patient serves as a common ground for making an organization more efficient.
To remain competitive in the marketplace, the management team at MMC decided to take a look at various processes within the hospital and noted that the overall patient experience in the outpatient surgical clinic was less than satisfactory. The main problem seems to focus on long delays throughout the entire admission to discharge process. If the hospital wants to maintain its competitive position, the administration will have to redesign the current process to improve patient satisfaction.
The hospital administration appointed an internal quality consultant to facilitate the planning process. The quality consultant for this new organizational role is an experienced intensive care RN with a business degree. She understands that health care is a personal encounter and that patients and families expect to have their priority needs met when experiencing a health care issue.
The quality consultant decided to work closely with the surgical department RN administrator who would be a powerful change agent in leading the improvement process. During the review of the surgical department processes, the administrator and consultant identified several major issues:
· Surgeons delaying surgery times causing backlog of surgery schedule
· Other hospital departments (e.g., admitting, finance, lab) conducting separate encounters with surgical patients without regard to the surgery schedule
· Long wait times for patient transportation from surgical area to recovery room
· Ancillary staff providing patient discharge instructions when nurses are busy
· Nursing staff displaying a culture that the procedure, not the patient, is the priority
The surgical department RN administrator acknowledges that changes need to occur and the new process must be guided by what is in the best interest of the patient. He developed a new vision statement for the department with its first priority to provide a patient and family focused quality care culture.
Review the introduction videos and organizational charts.
Read the case study detailing key issues that have been identified at MMC.
Write a 1,050- to 1,400-word paper in which you:
Analyze MMC’s characteristics and organizational structure to determine how they could be affecting patient satisfaction in both positive and negative ways.
Could reorganization help drive better patient outcomes?
Does the current structure empower nurses to provide the best patient care possible?
Analyze social and cultural aspects of MMC that could be exacerbating or helping resolve admission and discharge issues.
Are the right individuals involved in the admission and discharge process or do roles and team dynamics contribute to the issue?
Assess the responsibilities of MMC leaders and managers to act as change agents in mitigating the patient satisfaction issues.
What actions have already been taken and what other actions would you suggest to make a greater impact?
Analyze how delegation is contributing to or improving MMC’s issues.
Analyze how MMC’s staffing and performance evaluations could help improve overall patient satisfaction.
Cite at least five peer-reviewed, scholarly reference that are less than five years old to support your assignment.
Format your paper according to APA guidelines, and include an APA-formatted reference page.
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This is a nursing paper I must write you must read and familiarize yourself with all the Ayurvedic resources, Use the Internet to further explore Ayurvedic Medicine, also I gave you LINKS AND ATTACHMENTS which are 3 articles, 2 videos and 3 web links that must use to get information from them to answer the following questions all questions must be explain in the paper.
INSTRUCTIONS FOR THE PAPER
(Video Links)
( WEB LINKS MORE INFORMATION )
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