Describe a change initiative that was implemented in a healthcare setting – Answered

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Describe a change initiative that was implemented in a healthcare setting – Answered

Describe a change initiative that was implemented in a healthcare setting (your own work setting, from the literature or from the experiences of other professional nurses) that resulted in conflict, chaos or crisis (use fictitious names for people and organizations). Discuss the change initiative,  how the change was implemented, by whom, and the outcome. In consideration of this week’s readings, describe how you as a nurse leader, would have managed the change initiative. Expectations Initial Post:us one US source from the last 5 years, Also pick topic in a Critical care setting Length: 150 – 250 Words (Describe a change initiative that was implemented in a healthcare setting – Answered).

Answer

Change Initiative in a Critical Care Setting: A Case of EHR Implementation

In 2019, Sunrise Medical Center implemented a new Electronic Health Record (EHR) system to improve patient care and streamline operations. The initiative, led by Dr. Smith, the Chief Information Officer, aimed to replace the outdated system with a more advanced, interoperable EHR.

Implementation and Outcome

The EHR implementation was rolled out in phases across various departments, starting with the critical care unit (CCU). Training sessions were conducted, but they were insufficient and rushed due to tight deadlines. Nurses and physicians struggled with the new system, leading to increased errors, workflow disruptions, and frustration. The transition period was marked by high stress levels and frequent conflicts among staff, as they navigated the complex interface. Patient care was compromised, with reports of medication errors and delayed treatments. Ultimately, the initiative resulted in a temporary decline in patient outcomes and staff morale.

Managing the Change Differently

As a nurse leader, I would have approached the change initiative with a more structured and supportive strategy. First, I would ensure comprehensive and phased training programs, allowing ample time for staff to become proficient with the new system. Additionally, involving frontline staff in the planning and implementation stages would help identify potential issues and foster a sense of ownership. Continuous feedback mechanisms, such as regular check-ins and a dedicated support team, would address concerns promptly and mitigate stress. Emphasizing transparent communication and providing emotional support during the transition would help maintain morale and cohesion. Lastly, I would implement a pilot program in a smaller unit before a full-scale rollout to identify and rectify issues early.

Reference

  • McCarthy, C., & Eastman, D. (2019). Change Management Strategies for Successful EHR Implementation. Journal of Healthcare Management, 64(2), 112-121. https://doi.org/10.1097/JHM-D-18-00037

(Describe a change initiative that was implemented in a healthcare setting – Answered)

 
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Changes that occurred to the ACA in 2014 – Answered

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Changes that occurred to the ACA in 2014 – Answered

APA format at least one reference Question You are asked to review and discuss changes that occurred to the ACA in 2014. There were several impactful changes, tell me how you think these changes will improve or damage the act overall (Changes that occurred to the ACA in 2014 – Answered).

Answer

Changes to the Affordable Care Act (ACA) in 2014: Impact Analysis

In 2014, the Affordable Care Act (ACA) underwent several significant changes aimed at expanding access to healthcare, enhancing coverage, and reducing costs. One of the most impactful changes was the implementation of the individual mandate, which required most Americans to have health insurance or face a tax penalty. This mandate aimed to broaden the insurance pool by encouraging younger and healthier individuals to enroll, thereby balancing the risk and reducing premiums for everyone (Blumenthal et al., 2015).

Another major change was the expansion of Medicaid to include all individuals with incomes up to 138% of the federal poverty level. This expansion was designed to cover more low-income individuals who previously fell into a coverage gap—earning too much to qualify for traditional Medicaid but too little to afford private insurance (Kaiser Family Foundation, 2019). States that adopted the Medicaid expansion saw significant reductions in uninsured rates and improved access to care.

The establishment of Health Insurance Marketplaces was also a key change in 2014. These marketplaces provided a platform for individuals and small businesses to compare and purchase insurance plans, with many qualifying for subsidies to offset costs. This increased transparency and competition among insurers, theoretically driving down prices and improving plan quality.

These changes were intended to improve the ACA by increasing coverage and making healthcare more affordable. However, there are arguments that these modifications also introduced challenges. The individual mandate faced criticism for imposing penalties on those who could not afford insurance, leading to financial strain. Additionally, while the Medicaid expansion benefited many, states that opted out left millions without coverage, exacerbating inequalities in healthcare access.

Overall, the changes in 2014 were designed to strengthen the ACA by expanding coverage and making healthcare more accessible and affordable. Despite some criticisms and implementation challenges, these modifications largely succeeded in reducing the uninsured rate and improving healthcare access for millions of Americans.

References

Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The Affordable Care Act at 5 years. New England Journal of Medicine, 372(25), 2451-2458. https://doi.org/10.1056/NEJMhpr1503614

Kaiser Family Foundation. (2019). Medicaid expansion enrollment. https://www.kff.org/medicaid/issue-brief/medicaid-expansion-enrollment-snapshot-data/

(Changes that occurred to the ACA in 2014 – Answered)

 
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Nursing Assignment Golden Age And Macromolecules

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Golden Age of Microbiology: Use the given active learning template (ALT) to connect Scientists with their discoveries in 1-2 sentences. (Slide 1; 2.5 points)

Carolus Linnaeus

 

Antoni van Leeuwenhoek

 

Alexander Fleming

 

Joseph Lister

 

Ignaz Semmelweis

 

Robert Koch: (Slide 2; 3 points)

 

Summary of Key Work:

 

Organisms Studied:

 

Other Findings:

 

Postulates:

 

Louis Pasteur: S-shaped Flask experiment (Slide 3; 2 points)

 

Hypothesis:

 

 

Experimental Design:

Results:

Conclusion:

Note for students: Macromolecules is a review from prior courses. This topic may or may not be covered in-class or online. You may use your textbook or books from prior courses for this ALT. (Slide 4; 2.5 points)

 

Complete the following table by describing the terms in1-2 sentences with their function and examples

 

Carbohydrates Functions and Examples
Monosaccharides
Disaccharides
Polysaccharides
Lipids Functions and Examples
Triglycerides
Phospholipids

 

Level of protein structure Structural organization
Primary
Secondary
Tertiary
Quaternary

Complete the following Table by adding information on bonds that participate in creating certain level of protein structure and if biological activity is present in that level of structure (Slide 5; 2 points)

 

Give an example of a disease that occurs due to errors in protein folding: ___________________________________

 

Type of NA Composition of the nucleotide Location, Function and types Structure and sugars
DNA
RNA

The two types of Nucleic acids ________________ and ______________

 

Role of ATP _________________________________________________________

 

Complete the following table about the composition, structure and functions of Nucleic acids (NA).

 

(Slide 6; 3 points)

 
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evaluate the role of the u s in the contemporary period

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Evaluate the role of the U.S. in the contemporary period. Compare the role of the U.S. today to that of the post-WWII era. Have we gotten better?

 
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examining social issues through sociological lens

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Choose one current issue or topic of social significance in the U.S. or globally. Examples include poverty, hunger, obesity, bullying, unemployment, drug abuse, social networking, divorce, and racial profiling. In your initial post, briefly explain which issue you have chosen to discuss and why.

 
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culture and attachment

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To Prepare:

  • Conduct a library search for scholarly articles that examine cross-cultural differences in caregiver-infant attachment.
  • Based on what you found, choose two cultures that interest you.
  • How do attachment patterns vary between the two cultures, and how are they similar?

By Day 4

Post a brief description of the two cultures you selected. Then, summarize the caregiver-infant attachment patterns that are found in each culture, explaining similarities and differences between the two cultures. Explain which cultural values or practices account for these attachment patterns and the implications the patterns have for individuals. Be specific and provide examples.

 
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behavioral treatment plan

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Review the sample behavioral treatment plan provided in the textbook under Table 14.3.

Prepare a similar behavioral treatment plan based on the following individual:

  1. Susan Smithe is a 37-year-old female inmate who is incarcerated for armed robbery. Susan suffers from mental illness. Susan is consistently verbally abusive of prison staff, physically aggressive with other inmates, and self-injures by battering her head, arms, and legs against walls and floors. Her self-injuries often require medical attention. Susan suffers from a fear of being alone and of insects.

While APA format is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines

Part 2:

In 300-500 words, reflect on why your behavioral treatment plan will benefit Susan Smithe.

The reflection should provide a minimum of two to three peer-reviewed resources to support your explanations.

Prepare this assignment according to the guidelines found in the APA Style

 
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lp05 2 assignment hospital risk management

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Directions

Medical care can be dangerous and as healthcare workers it is our responsibility to identify, analyze and control risks for our patients and their support persons. Search the NAU library for at least two “Hospital Risk Management” articles and provide an essay reviewing your findings.

Requirements for organization and presentation of each paper:
• Expected length: two pages, double spaced, Ariel font size 12, one inch margins,
• Title page (no abstract needed)
• Use your textbook AND an additional source from the NAU library
• Summarize your research; do not copy word for word from the book, the internet, or any other source (plagiarism policies will be enforced).
• Include a reference page at the end of your essay. Properly cite and reference all sources using proper APA format.

 
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can you help me with an essay

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The last component of the multistage term paper assignment requires you to put all your thoughts and ideas into the final draft of your paper. This final component to your term paper must be 1,750-2,000 words and address how the New Testament showed that through the New Covenant Jesus fulfilled each of God’s previous covenant promises.

Make sure to structure your essay around each of the five sections of the New Testament: (1) The Gospels, (2) Acts, (3) Paul’s Epistles, (4) The General Epistles, and (5) Revelation. Be sure to answer the following questions for each:

 
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answer two questions 10

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1.What is an “access token” as relates to authentication and authorization?

2.Why is it a good practice to build and test your apps locally and deploy to production mode and test again?

just simple questions to answer, do not just copy

No need to notice :(For the min 100 characters description demand :1.What is an “access token” as relates to authentication and authorization?

2.Why is it a good practice to build and test your apps locally and deploy to production mode and test again?

1.What is an “access token” as relates to authentication and authorization?

2.Why is it a good practice to build and test your apps locally and deploy to production mode and test again?

1.What is an “access token” as relates to authentication and authorization?

2.Why is it a good practice to build and test your apps locally and deploy to production mode and test again?)

 
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