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December 19, 2023

Nursing Task Discussion

To Prepare:
⦁ Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
⦁ Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
⦁ Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

⦁ Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.
*Library tip:
Walden Library recommends starting your search broadly with one concept or search word and adding more elements one at a time. Depending on your topic, the evidence will not necessarily address all the aspects of your PICO(T) question in one article. Select the most important concepts to search and find the best evidence available, even if that means assembling evidence from multiple articles.
Nursing Research ⦁ Page⦁ Links⦁ to an external site. – databases and resources specifically for Nursing
⦁ Evidence-Based Practice guide: ⦁ Evidence ⦁ Types⦁ Links⦁ to an external site.
Nursing and Health research ⦁ videos⦁ Links⦁ to an external site., including a 15-minute introduction.
Get ⦁ Help⦁ Links⦁ to an external site. page, including ⦁ Ask a ⦁ Librarian⦁ Links⦁ to an external site. service
Quick Answers:
How do I find an article that reports on research that uses a specific ⦁ methodology? ⦁ Links⦁ to an external site.
How do I find original or primary research that analyzes empirical ⦁ data? ⦁ Links⦁ to an external site.
What is the Find at Walden ⦁ button? ⦁ Links⦁ to an external site.

Nursing Task Discussion

DISCUSSION
REMEMBER THE EXISTING CLINICAL ISSUE USED BEFORE WAS MEDICATION ADHERENT AMOUNG PATIENT OF CHROIC DISEASE: COMTINUE WITH IT

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples. Use APA referencing style.

December 19, 2023

Practicum Project Methodology/Evaluation

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Practicum Project Methodology/Evaluation

PRACTICUM PROJECT METHODOLOGY AND EVALUATION JUSTIFICATION
Once you have a Practicum Project topic and objectives, you need to determine how you will execute the project. Breaking it down further, you should decide the who, what, how, where, and when associated with each of your Practicum Project objectives. For example, who will make what change, by how much, where, and by when? This methodology will guide the implementation of your project at the practicum site.
But how will you know whether you have met your objectives? How will you know the impact of your project? Formative evaluation, while the project is in progress, and summative evaluation, at the conclusion of the project, offer different types of feedback and information at different points. Thus, evaluation can offer helpful insight into objective achievement.

Post a description of your proposed Practicum Project. Identify a project methodology that is appropriate for your project and explain why it will be valuable to use. Then select the model you will use during your project and explain why it is appropriate for your project. Next, summarize two theories that relate to your Practicum Project and evaluate their application to your experience.
Explain how you will evaluate your Practicum Project. Specifically, describe a formative evaluation plan and a summative evaluation plan you will use. Detail what the evaluations will measure and what information you can gain from the evaluations. Then, describe any potential ethical issues that may occur as you complete your Practicum Project. Explain how you will avoid or address these issues.

Practicum Project Methodology/Evaluation

LEARNING RESOURCES
Required Readings
Jasper, M., Rosser, M., & Mooney, G. P. (2013). Professional development, reflection, and decision-making in nursing and healthcare. John Wiley and Sons.
Chapter 4, “Decision-Making in Professional Practice” (pp. 109–135)
Office of the National Coordinator. (2017). Implementing health IT Links to an external site… https://www.healthit.gov/topic/safety/implementing-health-it
Document: Practicum Project Plan Overview Download Practicum Project Plan Overview (Word document)
Technology Acceptance Model
Kotelawala, Y. (2011). The Technology Acceptance Model: Predicting nurses’ intention to use telemedicine technology (Eisu) Links to an external site. Computers, Informatics, Nursing, 29(7), 411–418.
Pai, F.-Y., & Huang, K. (2011). Applying the Technology Acceptance Model to the introduction of healthcare information systems Links to an external site. Technological Forecasting and Social Change, 78(4), 650–660.
Rippen, H. E., Pan, E. C., Russell, C., Byrne, C. M., & Swift, E. K. (2012). Organizational framework for health information technology. Links to an external site… International Journal of Medical Informatics, 82(4), e1–e13.
Diffusion of Innovation
Barnett, J., Vasileiou, K., Djemal, F., Brooks, L., & Young, T. (2011). Understanding innovators’ experiences of barriers and facilitators in implementation and diffusion of healthcare service innovations: A qualitative study. Links to an external site. BMC Health Services Research, 11, 342.
Kassi, A. (2012). “Learning” from other industries: Lessons and challenges for health care organizations Links to an external site. Health Care Manager, 31(1), 65–74.
Sociotechnical Theory

Practicum Project Methodology/Evaluation

Ancker, J. S., Kern, L. M., Abramson, E., & Kaushal, R. (2012). The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety Links to an external site… Journal of American Medical Informatics Associations, 19(1), 61–65.
Currie, L., Sheehan, B., Graham, P., Stetson, P., Cato, K., & Wilcox, A. (2009). Sociotechnical analysis of a neonatal ICU Links to an external site. Studies In Health Technology and Informatics, (146), 258-262.
Booth, R. G., Sinclair, B., Brennan, L., & Strudwick, G. (2017). Developing and implementing a simulated electronic medication administration record for undergraduate nursing education using sociotechnical systems theory to inform practice and curricula. Links to an external site. CIN: Computers Informatics Nursing, 35(3), 131–139. http://dx.doi.org/10.1097/CIN.0000000000000309
Kaplan, B. (2016). Evaluation of people, social, and organizational issues—sociotechnical ethnographic evaluation. Links to an external site. Studies in Health Technology & Informatics, 222, 114–124. https://doi.org/10.3233/978-1-61499-635-4-114
McBride, D. (2018). Evaluation Links to an external site… In B. B. Frey (Ed.), The SAGE encyclopedia of educational research, measurement, and evaluation (p. 624). SAGE.
Christ, T. J., & Kember, J. (2018). Formative evaluation Links to an external site. In B. B. Frey (Ed.), The SAGE encyclopedia of educational research, measurement, and evaluation (pp. 697–699). SAGE.
Plotner, A. J. (2018). Summative evaluation Links to an external site… In B. B. Frey (Ed.), The SAGE encyclopedia of educational research, measurement, and evaluation (pp. 1636–1637). SAGE. Use APA referencing style.

December 19, 2023

Evidence-Based Nursing Assignment

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Evidence-Based Nursing Assignment

To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically appraised topics (evidence syntheses), critically appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.
The Assignment (Evidence-Based Project)
Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Evidence-Based Nursing Assignment

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews
Create a 6- to 7-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples. Use APA referencing style.

December 19, 2023

Anxiety Disorder Case Study

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Anxiety Disorder Case Study

Casie Weider Gender: female Age: 53 years old T- 99.0 P- 102 R 24 156/86 Hit 5’4 Wt. 1lbs73 Background: Lith her husband in Memphis, TN, has one daughter aged 25. She has never worked. Raised by mother, she never knew her father. Mother with hex of generalized anxiety and was verbally abusive, abused benzodiazepines, no substance hex for patient. No previous psychiatric treatment. Has one glass red wine with dinner. Sleeps 12-13 hrs.; appetite decreased. Has overactive bladder, untreated. Allergic to Zofran; complains of headaches, takes prn Tylenol, has diarrhea 2-3 times weekly, takes OTC Imodium. Symptom Media. (Producer). (2016). Training title 40 [Video]

Anxiety Disorder Case Study

Transcript of Video:

00:00:00TRANSCRIPT OF VIDEO FILE:

00:00:00______________________________________________________________________________

00:00:00BEGIN TRANSCRIPT:

00:00:00[sill.]

00:00:15[She nervously plays with her scarf as she breathes anxiously]

00:00:25OFF CAMERA Hello Mrs. Wieder. Are you ok? Do you want some water or something?

00:00:30MRS. WEIDRE I’m ok. I’m fine.

00:00:35OFF CAMERA, I understand you wanted to see me today.

00:00:40[She breathes anxiously]

00:00:40MRS. WEIDRE I just really needed to sit and talk.

00:00:40OFF CAMERA Well, tell me what’s wrong, what are you feeling?

00:00:50MRS. WEIDRE I’m just so… so unsure. I’m tired of being stuck in my house. I don’t like it.

00:01:00OFF CAMERA Stuck in your house? Do you have difficultly left your house?

00:01:05MRS. WEIDRE Yes. All the time.

00:01:05OFF CAMERA When do you go out?

00:01:10MRS. WEIDRE …maybe, once or twice.

00:01:15OFF CAMERA A Day?

00:01:15[She clutches her hands to her chest]

00:01:15MRS. WEIDRE A week. Tuesdays and Saturdays.

00:01:20OFF CAMERA Why Tuesday and Saturday?

00:01:30MRS. WEIDRE Because when my husband gets home, he can go with me.

00:01:35OFF CAMERA What do you do when you go out?

00:01:40MRS. WEIDRE I take walks.

00:01:40OFF CAMERA Where do you walk?

00:01:40MRS. WEIDRE I only go to the end of the block, and then I cross the street, and turn around, and I go back around the cul-de-sac. I’ll do those three times. [Losing breathe] No more, then I have to go back inside… I also go in my backyard. That’s usually okay.

00:02:15OFF CAMERA On the walks, why do you have to go back after three times? What happens?

00:02:20MRS. WEIDRE [She nervously looks around] I just can’t go any further.

00:02:25OFF CAMERA Is this a physical problem, knees or something?

00:02:30[She plays with her scarf]

00:02:30MRS. WEIDRE No. No. Well… maybe. I just can’t breathe if I’m out any longer.

00:02:40OFF CAMERA Oh, breathing?

00:02:40MRS. WEIDRE Yeah.

00:02:40OFF CAMERA What do you feel?

00:02:45MRS. WEIDRE [Her voice quivering] I’m just so frightened. Really, really scared. You don’t realize what it took for me to get here today. I really had to. I willed it. I closed my eyes, and my husband turned the radio up all the way as he drove. And then he led me into the building.

00:03:20OFF CAMERA Is there something that triggers this, anything in particular?

00:03:30MRS. WEIDRE I don’t like people. Maybe that’s it. I mean I can tolerate them. Ethan, the little boy next door, I’ll bake things for him and say hello. Sometimes, sometimes I watch him when his parents are gone. I mean I can be around people. Maybe that’s not that’s not what I meant.

00:04:00OFF CAMERA Ok, can you walk me through what happens when you do leave the house?

00:04:05MRS. WEIDRE I get shortness of breath, everything, the world just seems to close in on me, and everything gets feels really tight, the air in my body, my chest. I get dizzy. I don’t know what’s wrong… I could be sick. What is this?

00:04:30OFF CAMERA There can be many different causes for this. What is it that frightens you?

00:04:40MRS. WEIDRE [She’s short of breath] Death. I’m afraid to die.

00:04:45OFF CAMERA You’re afraid you might die?

00:04:50MRS. WEIDRE Yes. Among other things but that’s what pops into my head.

00:04:55OFF CAMERA Is their other stuff?

00:05:00[sill.]

00:05:05MRS. WEIDRE Cars go to fast. And there’s murders and rapes that I see on the news. And flashfloods. I just think it’s close, it’s safer to stay close to home.

00:05:15OFF CAMERA How long have you had this fear?

00:05:20MRS. WEIDRE I don’t really know.

00:05:20OFF CAMERA Do you know when it all started?

00:05:25MRS. WEIDRE I’m not sure.

00:05:30OFF CAMERA Do you know what started it?

00:05:30MRS. WEIDRE No.

00:05:35OFF CAMERA When was the last time you really ventured out for any length of time?

00:05:40MRS. WEIDRE Fifteen years.

00:05:45[She nervously shifts in her chair]

00:05:45OFF CAMERA That long. Is this the farthest you’ve been in fifteen years? What happened fifteen years ago?

00:06:00MRS. WEIDRE I don’t really know.

00:06:05OFF CAMERA There is nothing that happened to you personally that could have made you afraid of dying?

00:06:10MRS. WEIDRE I always was. My mother died the year before that. But it happened little by little. First it was planes. And then I couldn’t drive on the freeway, then I couldn’t drive at all, then errands, then it was going out… and soon… here I am.

00:06:40OFF CAMERA It must have taken you extraordinary courage to come here today. What finally brought you to see me?

00:06:50MRS. WEIDRE My grandson was born. But I couldn’t go and see him. I still haven’t seen him. My daughter gave birth last week and she’s not going to bring him to see me for several months and I don’t want to wait that long.

00:07:10OFF CAMERA You miss out.

00:07:15MRS. WEIDRE Yes! Of course, I do! My grandson is a thousand miles away and I can’t leave the God damned house.

00:07:25[sill.]

00:07:25END TRANSCRIPT

Anxiety Disorder Case Study

Assignment:

Incorporate the following into your responses in the template: Comprehensive Psychiatric Evaluation

Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Identify at least three possible differential diagnoses for the patient.
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
References:

Anxiety Disorder Case Study

American Psychiatric Association. (2022). Anxiety disorders. In Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?URL= https://dsm.psychiatryonline.org/doi/full/10.1176/appi.books.9780890425787.x05_Anxiety_Disorders

Med Easy. (2017). Anxiety, OCD, PTSD and related psychiatric disorders | USMLE & HomeLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=-BwzQF9DTlY. Use APA referencing style.

December 19, 2023

Business/Finance Essay Question

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Business/Finance Essay Question

ESSAY QUESTION

In a 1,200-word-long essay, you are tasked with analyzing and discussing the topic you were provided with. You are strongly advised to carry out some thorough research and highlight the wider context of your findings and indicate the sources you elaborated on in the reference page (either in APA or MLA format).

OPTION II
After banning Dire Straits’ Money for Nothing tune of 1985 for its allegedly sexist, racist, and homophobic verses, the Canadian Broadcast Standards Council took into account the considerable amount of additional information concerning some of the inappropriate words and lifted the ban. The event made headlines all over the world and generated harsh criticism that shed light on one of the most decisive characteristics of the Canadian media system.

Demonstrate and analyze how this event relates to a democratic, pluralist media system that includes the right to complain and the functioning system of self-correction.

Business/Finance Essay Question

In a 1,200-word-long essay you are tasked with analyzing and discussing the topic you were provided with. You are strongly advised to carry out some thorough research and highlight the wider context of your findings and indicate the sources you elaborated on in the reference page (either in APA or MLA format).

Demonstrate and analyze how this event relates to a democratic, pluralist media system that includes the right to complain and the functioning system of self-correction.

December 18, 2023

Mood Disorders Treatment

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Mood Disorders Treatment

ASSESSING, DIAGNOSING, AND TREATING ADULTS WITH MOOD DISORDERS
TO PREPARE
Review this week’s Learning Resources. Consider the insights they provide about assessing, diagnosing, and treating mood disorders.
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
Review the video, Case Study: Petunia Park. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
Consider patient diagnostics missing from the video:
Provider Review outside of interview:
Temp 98.2 Pulse 90 Respiration 18 B/P 138/88
Laboratory Data Available: Urine drug and alcohol screen negative. CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)

Mood Disorders Treatment

THE ASSIGNMENT
Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Use APA referencing style.

December 18, 2023

Nursing Practicum Focus Sheet

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Nursing Practicum Focus Sheet

Practicum Focus Sheet
Assessment 1
Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with
during this portion of your practicum, assessing the health problem you’ve defined from a
leadership, collaboration, communication, change management, and policy perspective. This
includes time you may elect to spend in consultation with subject matter or industry experts.
You’ll report on the results of this work as part of your next assessment.

For this portion of your practicum, consider the following:
• Identify the patient, family, or group you intend to work with.
• Think about what you hope to learn.
o What’s your rationale for choosing this particular patient, family, or group?
• Consider how you’ll present your ideas about the problem to the patient, family, or group
and convince them of its significance.
• Which leadership, collaboration, communication, and change management skills will you
need to apply in order to work successfully with your chosen patient, family, or group?
• Which potential barriers do you foresee in presenting the problem to this patient, family,
or group?
• Which change management strategies might you employ to overcome these barriers?
o for example, you might consider creating a sense of urgency supported by data or
policy requirements.

Nursing Practicum Focus Sheet

Note: Expect to spend at least 2 hours with the patient, family, or group you’ll be working with
during this portion of your practicum, assessing the health problem you’ve defined from a
leadership, collaboration, communication, change management, and policy perspective. This
includes time you may elect to spend in consultation with subject matter or industry experts.
You’ll report on the results of this work as part of your next assessment.
For this portion of your practicum, consider the following:
• Identify the patient, family, or group you intend to work with.
• Think about what you hope to learn.
o What’s your rationale for choosing this particular patient, family, or group?
• Consider how you’ll present your ideas about the problem to the patient, family, or group
and convince them of its significance.
• Which leadership, collaboration, communication, and change management skills will you
need to apply in order to work successfully with your chosen patient, family, or group?
• Which potential barriers do you foresee in presenting the problem to this patient, family,
or group?
• Which change management strategies might you employ to overcome these barriers?
o for example, you might consider creating a sense of urgency supported by data or
policy requirements. Use APA referencing style.

December 18, 2023

New Technology & System Evaluation

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New Technology & System Evaluation

Examine strategies to evaluate the effectiveness of the new technology and system.

How can you determine if it is the right technology to use?

How can you determine if it integrates well with existing technology?

How can you determine if the system is intuitive or easy to use for the users?

How can you determine the cost and benefits of the technology and system?

Explain your role and responsibilities as a manager in the evaluation of technology in health care.

Identify data sources used to evaluate the effectiveness of implemented technology.

Examine strategies to evaluate the effectiveness of the new technology and system.

How can you determine if it is the right technology to use?

How can you determine if it integrates well with existing technology?

How can you determine if the system is intuitive or easy to use for the users?

How can you determine the cost and benefits of the technology and system?

Explain your role and responsibilities as a manager in the evaluation of technology in health care.

Identify data sources used to evaluate the effectiveness of implemented technology.

New Technology & System Evaluation

Examine strategies to evaluate the effectiveness of the new technology and system.

How can you determine if it is the right technology to use?

How can you determine if it integrates well with existing technology?

How can you determine if the system is intuitive or easy to use for the users?

How can you determine the cost and benefits of the technology and system?

Explain your role and responsibilities as a manager in the evaluation of technology in health care.

Identify data sources used to evaluate the effectiveness of implemented technology.

Examine strategies to evaluate the effectiveness of the new technology and system.

How can you determine if it is the right technology to use?

How can you determine if it integrates well with existing technology?

How can you determine if the system is intuitive or easy to use for the users?

How can you determine the cost and benefits of the technology and system?

Explain your role and responsibilities as a manager in the evaluation of technology in health care.

Identify data sources used to evaluate the effectiveness of implemented technology. Use APA referencing style.

December 18, 2023

Nursing Information-Needs Memorandum

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Nursing Information-Needs Memorandum

Compose an Information-Needs Memorandum
In a previous assignment, you considered the expected impact of a proposed expansion of telemedicine services in a local healthcare facility. In this assignment, you will build on this scenario by writing a memorandum to the healthcare facility CIO that outlines the information you want to assemble so that leadership in the facility can evaluate costs, quality, and access to telemedicine services.
To complete this assignment, address the following:
Identify at least one scholarly reference each for assessing the following:
healthcare costs
quality
access to telemedicine services
 Use the identified references to create a list of the information necessary to perform the assessment.
 Write a memorandum to the CIO, describing the information needs you identified. Include your expectation of which healthcare information system is most likely to contain this information.

Samples of memorandum templates can be found in MS Word and your resources for this week.
Length: 1-2 pages

Nursing Information-Needs Memorandum

Samples of memorandum templates can be found in MS Word and your resources for this week.
Length: 1-2 pages. Use APA referencing style.

December 18, 2023

Nursing Information Technology Diagram

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Nursing Information Technology Diagram

Assignment: Diagram the Information Technology that Supports Health Information Systems

PART 1
System diagrams are a common tool for analyzing information systems. You will need to be conversant in both reading and developing these diagrams to administrate the delivery of health services effectively. For example, Figure 7 shows how users, connecting through their computer, access a healthcare billing system and enterprise data warehouse within their organization. Additionally, through a firewall, the users access Office 365 via the Internet.
Consider again the scenario of a local healthcare organization seeking to expand its telemedicine program. Using this week’s resources, create a system diagram depicting the technology architecture that will be necessary to support these expanded programs. Some free infographic tools include PowerPoint, Piktochart, Canva, and Venn gage. Alternatively, you can sketch the diagram by hand, scan or photograph the image, and upload the image. Be sure to include a brief description of the sketch you created and ensure the sketch is clear and easy to read.
Heads-Up: This diagram will support your Signature Assignment as a component of the system analysis project phase.

Your diagram should include at a minimum:
Servers and databases. For this diagram, indicate a separate server for each information system, including at a minimum the EHR, billing system, email and files, and data warehouse.
Optionally, you may show some of these services as being provided by cloud services, such as Microsoft Office 365 or Google Docs for office productivity software. Another example would be using a cloud based EHR.
 User devices, including desktop computers, mobile computers, tablets, and mobile phones.
 Wired and wireless networks connecting servers, user devices, and the Internet.
In addition to your diagram, write a summary describing the overall structure of your system.
Length: 1-page diagram, 1-page text summary of your diagram
References: Include a minimum of 3 scholarly resources.

Nursing Information Technology Diagram

PART 2
Assignment 2: Prepare an Organizational Chart

In addition to the technology infrastructure that supports health information services, personnel are required to service, manage, and—most importantly—use these services. Just like the systems diagram shows the structure of the technology infrastructure, an organization chart shows the structure of the human resources that support health information services.
For this assignment, you will create an organizational chart, similar to Figure 8, depicting the organization of the personnel in the ongoing telemedicine expansion scenario you considered during this week’s first assignment.

Use this week’s resources as a guide to identify the typical organization of responsibilities in providing healthcare information services. Simultaneously, identify the clients of the services: who will use them? Major user groups you should include, at a minimum, are clinical providers, clinical administrators, strategic leadership, medical billers, and medical coders.
Using this collected information, create an organizational chart. Your chart should include at a minimum:
⦁ Three rows of personnel in information services: senior management, management, and analysts for particular systems, such as networking or EHRs.
⦁ Appropriate division of responsibilities among at least four columns of personnel (e.g., four mid-level managers).
⦁ For each column, identification of the primary client groups and other stakeholders. Who is the primary consumer of the services provided? Who else would be impacted by changes to these services?
In addition to your organizational chart, write 1-2 pages summarizing the expected impact of expanding telemedicine services to each role in the organizational chart. What changes will they be required to make to support this expansion? What additional services will they be required to provide?
Length: 1-page organizational chart, 1-2 pages annotation
References: Include a minimum of 3 scholarly resources. Use APA referencing style.

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