Managing Polypharmacy in Healthcare

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Managing Polypharmacy in Healthcare

(Managing Polypharmacy in Healthcare)

Week 4 – Response

Please respond to this post with a minimum of two paragraphs, APA STYLE, cited with TWO references or more and NO PLAGIARISM. Should you have any questions please contact me.

__________________________________________________________________________________________

Polypharmacy is the effect of taking two or more medications to treat health problems. For example, taking medications to treat diabetes and hypertension. Polypharmacy is usually problematic and this can be seen when the patient takes too many medication from different health providers who are independent of one another. If appropriately used, medication can prolong life while the adverse effect of Polypharmacy can lead to the elderly patients developing problems.

One of the ways in which Polypharmacy can occur is through having different health providers who do not completely know about the patient’s medication (Woodruff, 2015). Therefore, a risk factor for Polypharmacy is seeing several health providers. In order to alleviate such a problem, advanced nurse practitioner should research the medical background of a patient. A nurse practitioner should also keep information about a patient up to date. This avoids development of medication duplication and provides with the best treatment of patients.

Advanced nurse practitioners themselves can lead to Polypharmacy. One way they may do this is through the misconception that patients have to take with them a drug which may not be necessary. There can also be poor or inaccurate advice which can lead to patients taking the wrong medications (Hughes, Robert Wood Johnson Foundation, & United States, 2012). Poor knowledge on drugs and failure to review the medications of a patient on regular basis can lead to Polypharmacy. A solution to this involves doing medication reviews. In this case, a nurse practitioner may be able to take multiple reviews (Hughes, Robert Wood Johnson Foundation, & United States, 2012). He or she should provide the right information to the patient which can then be sent to patients using emails or texts to ensure that they have the needed information any time they require it. A nurse can use the assistance of a physician when administering complex medication. The idea is to reduce errors resulting from medication errors brought about by a nurse.

One of the effective methods of alleviating Polypharmacy is through the use of medication card which has a list of current medications in which one should adhere with. The list should be shared with the physician as well as other people involved and as a result the patients will be able to adhere with it. Review of a patient’s medication is also used to alleviate Polypharmacy. Studies show that 10 to 70 percent of medications given to the elderly were not appropriate (Madaffari, 2013).

References

Hughes, R., Robert Wood Johnson Foundation, & United States. (2012). Patient safety and quality: An evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality.

Madaffari, V. A. (2013). Implementation of a medication management improvement system for community- dwelling older adults. Journal of Nursing Education and Practice, 3(7). doi:10.5430/jnep.v3n7p85

Woodruff, K. (2015). Preventing polypharmacy in older adults. American Nurse Today, 5(10), 1-8.

 
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Limitations for Elderly

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Limitations for Elderly

(Limitations for Elderly)

As individuals age, they may encounter various limitations that can impact their daily lives and overall well-being. Physical limitations often become more prominent with age, including reduced mobility, muscle weakness, and decreased stamina. These factors can lead to challenges in performing routine tasks such as walking, climbing stairs, or even getting in and out of chairs.

Cognitive limitations may also arise, such as decreased memory function and slower processing speeds, affecting decision-making and problem-solving abilities. This can make it harder for elderly individuals to manage finances, follow complex instructions, or remember appointments.

Social limitations may occur due to retirement, loss of friends and family, or physical distance from loved ones, leading to feelings of loneliness or isolation. Limited access to transportation or technology can further exacerbate these challenges, restricting opportunities for social interaction and access to essential services.

Health limitations are another concern, with chronic conditions becoming more prevalent with age, requiring ongoing medical care and potentially limiting physical activities.

Overall, these limitations can significantly impact an elderly person’s quality of life, requiring support systems, accessible environments, and adaptive strategies to help maintain independence and well-being in later years.

This assignment will help you understand the limitations that the elderly face.

Identity an elderly person in your community or locality. Fix up an  appointment with the elderly person and talk to him or her about the  limitations that he or she faces in his or her everyday life. The  discussion could be on physical impairments, finances, resources, or  support.

Based on your discussion with the elderly gentleman or lady, create a  4- to 5-page report in a Microsoft Word document that includes the  following:

  • What are the major limitations that the elderly person is facing in his or her everyday life? Explain.
  • What are the factors that contribute to the elderly facing the above-mentioned limitations?
  • What would you recommend or what suggestions would you offer to overcome the above-mentioned limitations?
  • In your opinion, what type of living arrangement is best suited for the elderly? Why?
  • What are the factors that affect an elderly’s ability to remain in an ideal living arrangement?
  • Apply what you have learned about living conditions and housing  options to the case of the individual that you interviewed. Present a  proposal for a living arrangement that suits his or her impairments.

Submission Details

  • Support your answers with appropriate research and reasoning.
  • Cite any sources in APA format.
 
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interview and Analysis Assignment

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interview and Analysis Assignment

(interview and Analysis Assignment)

This assignment requires you to interview one person and requires an analysis of your interview experience

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

Prepare this assignment according to the 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.

This benchmark assignment assesses the following competencies:

CONHCP Program Competencies for the RN-BSN:

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

 
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Nursing Practice Conceptual Framework

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Nursing Practice Conceptual Framework

(Nursing Practice Conceptual Framework)

Week 2: Two Practice-specific Concepts, and List of Propositions/Assumptions

Question description

You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.

This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.

Your paper should follow a format that includes:

  • Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
  • The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
  • Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
  • List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Each week, you will complete various segments of your Concept Synthesis Paper and submit it to the W1: Assignment 3 Dropbox for facilitator feedback when necessary. Your paper should integrate these discrete elements and reflect your personal nursing philosophy.

Your Concept Synthesis Paper on your Personal Nursing Philosophy is due in Week 3. However, it is recommended that you begin working on your paper from Week 1 onwards and complete the various components related to the paper week wise as you progress through the course. The suggested tasks for each week are:

Week 1: Nursing Biography and The Four Metaparadigms of Nursing
Week 2: Two Practice-specific Concepts, and List of Propositions/Assumptions
Week 3: Due: Concept Synthesis Paper on Personal Nursing Philosophy

Consider the following questions as you complete your various tasks related to this assignment.

(Nursing Practice Conceptual Framework)

1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?
2. What are the major concepts I employ that are unique to my professional practice?
3. What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?
4. How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?
5. What research supports these theories and concepts?
6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-10 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.

Grading of the paper will be based on the following:

(Nursing Practice Conceptual Framework)

Grading Criteria: Maximum Points
Nursing Autobiography
The nursing autobiography included personal experiences in the field of nursing. 8
Provided an account of the current professional role of the student. 8
Included factors that guided decision making. 8
Quality of Essay
Enlisted the four metaparadigms. 8
The essay included a definition of the four metaparadigms of nursing with reference to professional practice. 8
The essay mentioned how the metapardigms were employed in nursing practice. 8
The essay enlisted two practice-specific concepts. 8
The essay included clinical examples for each of the chosen concepts. 8
The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material. 8
The essay demonstrated consistency between concepts, assumptions, and clinical application. 8
The essay identified and discussed students’ perspective on two other concepts specific to their practice. 8
The essay included a numbered list of at least 5 propositions or assumptions. 8
The concepts were connected and integrated to reveal a meaningful sequence. 8
The essay demonstrated clarification and organization of the students’ professional foundation. 8
The essay demonstrated evidence of critical thinking in analysis and response. 8
The essay demonstrated understanding and integration of lecture material, reading assignments, and sources consulted. 8
Essay was well written, well organized, and articulate. 8
Presentation Criteria
The paper clearly demonstrated understanding of theoretical principles (i.e., concept development, definitions, assumptions, etc.) 3
The paper revealed clarity, organization, and articulation of ideas. 3
The paper showed that ideas were well-documented. 3
The paper revealed the breadth of research effort. 2
The paper demonstrated appropriate use of APA format in references and citations. 3
Total 150

Format

Your project paper should be in Microsoft Word 2010. Follow the current APA style. Your paper should be double-spaced, Times New Roman, and in 12 pt. font

JUST NEED WEEK 2 COMPLETED in NO LESS THAN 3 FULL PAGES. USE FAMILY NURSE PRACTITIONER for this assignment

 
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Mood Disorder & Life Changes

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Mood Disorder & Life Changes

(Mood Disorder & Life Changes)

Jeff’s Case 

Jeff is a 16-year-old Hispanic boy. He typically sleeps until noon on days when he does not have school. On school days, it often takes his mother 20 minutes to wake him. He recently moved from another school district and has few friends at the new school. When awake, he typically keeps to himself in his room. Jeff is not interested in school and has few hobbies. His response to most questions is “I don’t care!” He is overweight and keeps food in his room and eats it when he gets hungry at night.

Mark’s Case 

Mark is a 52-year-old Caucasian man. He spends much of his time in bed. He recently lost his job due to his continued tardiness and poor performance. He is receiving unemployment benefits and has not started to look for a new job, as he feels no one will hire him. Mark is divorced and has not dated since his divorce was finalized 6 years ago. He often feels as if nothing matters and there is really “no point in going on.” Mark has lost 15 pounds over the last several months as he often “forgets” to eat.

Review the two cases. Based on the information you learned from your assigned weekly readings from your textbook, respond to the following:

  • Which of the persons may be more prone to a mood disorder? Apply the most current DSM criteria.
  • What else would you need to know to diagnose a mood disorder? Apply the most current DSM criteria.
  • What are the primary causal factors of mood disorders?
  • If either of the persons were to be treated for a disorder, what are some of the treatment strategy risks or consequences?
  • Does the given life stage (childhood, adolescence, adulthood, old age) of the person impact your understanding of the causal factors or treatment strategy?

Write your initial response in 1–2 paragraphs. If you refer to research information, cite sources applying APA standards.

 
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Discipline Based Literature Review.

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Discipline Based Literature Review.

(Discipline Based Literature Review.)

Need a six page paper on the following.

In this assignment you will choose three general topics of interest to you related to psychological assessment from the list below.

  • Infants and preschool-aged children
  • Children ages 5 through 12 years
  • Children with neurodevelopmental disorders
  • Neuropsychological assessment of adolescents
  • Children and adolescents with anxiety disorders
  • Children with attention deficit/hyperactivity disorder
  • Adolescents with attention deficit/hyperactivity disorder
  • Adults with attention deficit/hyperactivity disorder
  • Intellectual assessment of adults
  • Individuals with schizophrenia spectrum and other psychotic disorders
  • Individuals with obsessive-compulsive and related disorders
  • Individuals with intellectual disabilities
  • Individuals with autism spectrum disorders
  • Individuals with post-traumatic stress disorder
  • Individuals with depressive disorders
  • Individuals with neurocognitive disorders
  • Individuals with hearing impairments
  • Individuals with visual impairments
  • Gifted individuals
  • Individuals who have served in the military

Research five peer-reviewed articles in the Ashford University Library that were published within the last 15 years, including a minimum of one article for each of your three chosen topics. In your paper, begin with an introduction that describes the role of assessment in diagnosis and treatment. Using your researched articles, compare at least two psychological or educational tests and/or assessment procedures for each of the topics chosen. Analyze and describe the psychometric methodologies employed in the development and/or validation of the tests and/or assessment procedures associated with each of the three topics. Debate any relevant approaches to assessment of the constructs being evaluated by any tests and assessments you described. Include an analysis of any challenges related to assessing individuals from diverse social and cultural backgrounds for each of the three topics. Conclude by evaluating the ethical and professional issues that influence the interpretation of testing and assessment data. You may cite from your textbook to assist you in the development of your introduction and the conclusion of your paper; however, the textbook cannot count as one of the five required peer-reviewed articles.

  • Must begin with an introduction that describes the role of assessment in diagnosis and treatment.
  • Must address the topic of the paper with critical thought.
  • Must end with a conclusion that summarizes your evaluation addressing the current use of psychological tests and the role of assessment in diagnosis and treatment.
  • Must use at least five peer-reviewed sources published within the last 15 years, all of which come from the Ashford University Library.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
 
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Inductive And Deductive Arguments

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Assignment 3: Inductive and Deductive Arguments

(Inductive And Deductive Arguments)

In this assignment, you will apply key concepts covered in the module readings. You will identify the component parts of arguments and differentiate between various types of arguments such as inductive and deductive. You will then construct specific, original arguments.

There are two parts to the assignment. Complete both parts. The following is a summary of the assignment tasks.

Part 1

  • 1a: Identify Components of Arguments
    Identify the component parts of the argument, premises and conclusion, for the passages. Where applicable, highlight key words or phrases that identify a claim as a premise or a conclusion. Part 1a has three questions.
  • 1b: Identify Arguments as Inductive or Deductive
    Identify the arguments as inductive or deductive for given passages. Offer a brief explanation why each argument is either inductive or deductive. 1b has three questions.

Part 2

  • 2a: Argument Identification and Analysis
    In these longer text passages, identify the key components of each argument. For each argument, list the main conclusion and the reasons (or premises) that support the conclusion.
  • 2b: Constructing Original Arguments
    Construct one original inductive argument. Using 75–100 words, explain why the argument is an inductive one. Then, construct one original deductive argument. Using 75–100 words, explain why the argument is a deductive one.
  • 2c: Finding Native Argument Examples
    Find one example of an argument from contemporary media; this can be a short argument. Include or reproduce the original passage of the argument, paraphrase the conclusion(s), and identify the argument as either inductive or deductive. Using 75–100 words, explain why the argument is either inductive or deductive.

Submit your assignment in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M1_A3.doc. For example, if your name is John Smith, your document will be named SmithJ_M1_A3.doc.

By Wednesday, June 18, 2014, deliver your assignment to the M1: Assignment 3 Dropbox.

Assignment 3 Grading Criteria
Maximum Points
Identified and explained types and component parts of arguments displaying analysis and application of research.
24
Accurately identified key component parts of arguments in longer text passages, reflecting comprehension and critical thinking.
12
Constructed original inductive and deductive arguments demonstrating in-depth understanding of concepts.
30
Evaluated and explained instances from contemporary media to identify arguments as representative of inductive or deductive reasoning.
20
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; displayed accurate spelling, grammar, and punctuation.
14
Total:
100
 
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Evaluation Of Care Plan

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Evaluation Of Care Plan

(Evaluation Of Care Plan)

An evaluation of plan effectiveness is now due.  In the evaluation component of the Capstone project, you are expected to evaluate the effectiveness of the intervention.  Some questions you should seek answers to are: 1.What barriers might you anticipate when implementing the intervention as planned? 2.What visible signs of success would you look for (for example, reduced health issues)? Describe them.  The evaluation component of the final paper should describe your evaluation of the implementation. Include responses to points 1and 2 above. The evaluation component of the final Microsoft Word submission document should be a minimum of 2 pages.

The complete summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project.

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned an implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It’s time now for you to present your final submission of this Capstone project.  Your final submission comprises the documentation of the work accomplished through your Capstone project, a Microsoft Word Document that contains the evaluation and summary, a Microsoft PowerPoint presentation highlighting the main aspects of the project including the key things learned during the 10 weeks of working with this project.

The summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. The complete documentation of the work accomplished over the course of the project should contain a minimum of 6–7 pages in a Microsoft Word document and should include the following information:

•A detailed description of the aggregate

•A description of the aggregate’s strengths and weaknesses

•A risk assessment of the aggregate

•Diagnoses based on the risk assessment

•A detailed care plan for the aggregate

•A description of how at least one intervention was implemented in the aggregate to address an identified issue

•An evaluation of how you would identify the effectiveness of the intervention  The Power Point presentation should be concise and should include the highlights of the Capstone project and the key things learned over the course of this project, from developing, implementing, and evaluating the care plan. Your presentation should not exceed 15 slides.

 
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Psychiatric Nurse Practitioner Standards

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Psychiatric Nurse Practitioner Standards

(Psychiatric Nurse Practitioner Standards)

scope and practice of mental health nurse practitioner

Question description

APA 5 sources Psychiatric Mental Health Nursing. Scope and Standards of Practice. Review the Scope and Standards of Practice from APNA (American Psychiatric Nurses Association). If you are an APNA member you can access the book free of charge. The link in this section will link you to the book but you will have to log in. It is a good idea to join APNA. You can also buy a print copy if you desire; it is inexpensive. The book is not a required reading. I have provided the standards here. The standards are taken directly from APNA Scope and Standards of Practice 2ndedition (2014). Assignment for this module: Take each Standard and give several examples of how you will follow these standards in your practice. Please, only list just a few bullet points to address each standard. Ex: Standard 1: Assessment—what screening tools will you use? Will you meet with the pt and family together or separate or both? How much time will you allow for a new patient eval? As a NP will need to know your scope of practice. You cannot rely on someone else to know your scope.

(Psychiatric Nurse Practitioner Standards)

Standard 1: Assessment

•Collect and synthesize comprehensive health data that are pertinent to the healthcare consumer’s health and/or situation.

Standard 2: Diagnosis

•Develop standard psychiatric and substance use diagnoses

Standard 3: Outcomes Identification

•Identify expected outcomes and the healthcare consumer’s goals for a plan individualized to the healthcare consumer or to the situation.

Standard 4: Planning

•Develop a plan that prescribes strategies and alternatives to assist the healthcare consumer in attainment of expected outcomes.

Standard 5: Implementation

•Implement the identified plan

•Coordinate care delivery

•Employ strategies to promote health and a safe environment

•Provide consultation to influence the identified plan, enhance the abilities of other clinicians to provide services for the healthcare consumers, and effect change.

•Use prescriptive authority, procedures, referrals, treatments and therapies in accordance with state and federal laws and regulations.

•Incorporate knowledge of pharmacological, biological, and complementary interventions with applied clinical skills to restore the healthcare consumer’s health and prevent further disability •Provide structures and maintains a safe, therapeutic, recovery-oriented environment in collaboration with healthcare consumers, families and other healthcare clinicians.

•Use the therapeutic relationship and counseling interventions to assist healthcare consumers in their individual recovery journeys by improving and regaining their previous coping abilities, fostering mental health, and preventing mental disorder and disability

•Conducts individual, couples, group, and family psychotherapy using evidence based psychotherapeutic frameworks and the nurse-client therapeutic relationship

(Psychiatric Nurse Practitioner Standards)

Standard 6: Evaluation

•Evaluate progress toward attainment of expected outcomes

Standard 7: Ethics

•Integrate ethical provisions in all areas of practice

Standard 8: Education

•Attain knowledge and competence that reflect current nursing practice.

Standard 9: Evidence-Based Practice and Research

•Integrate evidence and research findings into practice

Standard 10: Quality of Practice

•Systematically enhance the quality and effectiveness of nursing practice

Standard 11: Communication

•Communicate effectively in a variety of formats in all areas of practice.

Standard 12: Leadership

•Provide leadership in the professional practice setting and the profession

Standard 13: Collaboration

•Collaborate with the healthcare consumer, family, interprofessional health team and others in the conduct of nursing practice

Standard 14: Professional Practice Evaluation

•Evaluate one’s own practice in relation to the professional practice standards and guidelines, relevant statutes, rules and regulations

Standard 15: Resource Utilization

•Consider factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services

Standard 16: Environment Health

•Practice in an environmentally safe and healthy manner

 
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Enhancing Care through Complexity

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Enhancing Care through Complexity

(Enhancing Care through Complexity)

Complex systems in organizational learning refer to intricate networks of interdependent components that exhibit unpredictable behaviors and emergent properties. In such systems, learning is not linear but rather dynamic and adaptive, involving feedback loops and interactions at multiple levels. Organizations operating as complex systems need to continuously adapt and evolve in response to internal and external changes.

Organizational learning within complex systems is characterized by the collective acquisition, sharing, and application of knowledge. It involves recognizing patterns, interpreting data, and experimenting with new approaches. Learning is facilitated through collaboration, open communication, and a culture that encourages experimentation and accepts failures as opportunities for growth.

Key elements of organizational learning in complex systems include:

  1. Feedback Loops: Continuous cycles of feedback help organizations adjust strategies and processes.
  2. Diversity and Inclusion: Diverse perspectives and inclusive practices enhance problem-solving and innovation.
  3. Systems Thinking: Viewing the organization holistically to understand interconnections and dependencies.
  4. Adaptive Capacity: The ability to respond flexibly to changes and uncertainties.

Organizations that thrive in complex environments foster a learning culture that values curiosity, resilience, and the capacity to evolve. This enables them to navigate complexity, leverage collective intelligence, and achieve sustainable success in an ever-changing landscape.

Complex Systems, Organizational Learning, and Improving the Quality of Care” Please respond to the following:

Elaborate on the major reasons why, according to the text, health care systems can be considered complex. Next, argue a case for double-loop against single-loop learning in organizational learning. Support your response with at least one (1) example of the advantages of double-loop learning.

Common industry knowledge dictates that in order to achieve desired outcomes in quality improvement in health care organizations, the leadership must consider multiple factors. Speculate on the main reasons why focusing on processes is a highly regarded practice for improving the performance of health care organizations. Support your response with at least two (2) examples of increased value and / or performance in the researched hospital from the e-Activity.

 
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