Writing a 5-10 page Report and creating a PowerPointpresentation illustrating/summarizing the report. this is for the community of Miami Dade in Florida PLEASE REVIEW THE ATTACHMENT S Overview A) Description of the Community i) History

Writing a 5-10 page Report and creating a PowerPointpresentation illustrating/summarizing the report.

this is for the community of Miami Dade in Florida

PLEASE REVIEW THE ATTACHMENT S

Overview

A) Description of the Community i) History

ii) Type of community: urban, suburban, ruralII) PhysicalEnvironmentalConsiderations:TheCommunity As a Place

A) Description: general identifying data

i) Location

ii) Topographical features

iii) Climate

  1. B) Boundaries, area in square miles
  2. C) Environment
    1. i) Sanitation: water supply, sewage, garbage, trash
    2. ii) Pollutants, toxic substances, animal reservoirs or vectors, flora and fauna
    3. iii) Air quality: color, odor, particulates
    4. iv) Food supply: sources, preparation
    5. v) Potential disaster in the population
    6. vi) Extent of disaster preparation in the population1
  3. D) Housing
    1. i) Types of housing (public and private)
    2. ii) Condition of housing
    3. iii) Percent owned, rented
    4. iv) Housing for special populations(a) Near homeless (b) Homeless(c) Frail elders
  4. E) Leading industries and occupations

III) ThePeopleoftheCommunity

A)

B)

Population profile

  1. i) Total population for _________(year of last census)
  2. ii) Population density
  3. iii) Population changes in past 10 years
  4. iv) Population per square miles
  5. v) Mobility
  6. vi) Types of Families

Biological Considerations/Vital and demographic population characteristics

  1. i) Age composition
  2. ii) Sex distribution
  3. iii) Race distribution
  4. iv) Ethnic group composition and distribution
  5. v) Mortality Characteristics(a) Annual Birth and crude death rates (b) Age-specific death rate(c) Infant mortality rate(d) Maternal mortality rate
  6. vi) Cause-specific death rate (specific health area)
  7. vii) Leading causes of morbidity(a) Incidence rates (specific diseases) (b) Prevalence rates (specific diseases)2

C) Psychological Considerations

  1. i) Significant historical events
  2. ii) Future economic prospects
  3. iii) Formal and Informal Communication Network
  4. iv) Rates of Suicide and Homicides for specific subgroups within the population
  5. v) Adequacy of protective services
  6. vi) Common sources of Stress (e.g. unemployment , lack of affordable housing)
  7. D) Sociocultural Considerations: The Community As a Social System
    1. i) Socioeconomic status(a) Income of family(b) Major occupations(c) Estimated level of unemployment (d) Percent below poverty level(e) People retired
    2. ii) Educational level(a) Religious distribution(b) Marriage and divorce rates (c) Language
  8. E) Government and Leadership
    1. i) Type of government (mayor, city manager, board of commissioners)
    2. ii) City offices (location, hours, services, access)
  9. F) Education
    1. i) Public educational facilities
    2. ii) Private educational facilities
    3. iii) Libraries
    4. iv) Services for special populations(a) Pregnant teens(b) Adults with special problems(c) Children and adults who are developmentally disabled (d) Children and adults who are blind and/or deaf
  10. G) Transportation
  11. H) Behavioral Considerations
    1. i) Consumption patterns (general nutritional level of the population)
    2. ii) Leisure pursuit
    3. iii) Other health-related behaviors (e.g. frequency of seat belt use)3

I) Health System Considerations

  1. i) Identify existing services
  2. ii) Assessing current level of performance
  3. iii) Availability and accessibility of specific types of health care services
  4. iv) Health needs lacking services
  5. v) Extent to which health care services are overused and underused
  6. vi) Financing of health care

Scenario:As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.This year, you n

Scenario:As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits weredue to colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of. Read the scenario above and answer the following questions: What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health? Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. Why would they be appropriate? What activities related to health promotion and disease prevention would you plan for the late fall? How would you evaluate your nursing interventions? What criteria would you use to evaluate care?

The grading guidelines are as follow: Ethics Final Paper–Evaluation Rubric Possible Score Your Score Introduction: Summary of what is known about the ethical issue

The grading guidelines are as follow:

Ethics Final Paper–Evaluation Rubric

Possible Score

Your Score

Introduction: Summary of what is known about the ethical issue

Well summarized (20) Adequately summarized (15), Superficially summarized (10) Poorly summarized (5)

20

Ethical Dimensions of the Issue Identified and Discussed (why is this an ethical issue)

Ethical Dimensions Clearly Identified (5), Superficially identified (2), Not identified (0)

Ethical Dimensions Clearly Discussed (5), Superficially discussed (2), Not discussed (0)

10

Relevance of the Ethical Issue to Health Professions/Nursing

Relevance of the Ethical Issue to Nursing well described (10), Adequately described (7), Poorly summarized (3)

10

Relevant Ethical Analysis (Principles, Ethical Theories, Laws, and Standards of Practice)

Complete Analysis of Principles, Ethical Theories, Laws, and SOP (30)

Adequate Analysis (15), Superficial Analysis (10), Poorly Analyzed (5)

30

Personal Professional Response to the Issue

Thorough discussion (10), Adequate Discussion (7), Superficial Discussion (5)

10

Conclusion: Reflection of What you Learned

Reflection clearly articulated (8), adequately articulated (6), superficially articulated (4), poorly articulated (2)

8

Spelling, Punctuation and Grammar—pdf. version of paper WILL NOT be accepted and will result in a grade of zero points for the assignment without discussion

No errors (10), 1-2 errors (8), 3-4 errors (6), 5 or more errors (4), errors obscure meaning or the instructions for the assignment were disregarded (2)

10

Clarity and Organization Rubric Headings utilized

Headings utilized, paper clear/concise/organized (10)

Headings not utilized, paper clear/concise/organized (7),

No Headings, paper unclear/ not concise/disorganized (5),

Lack of organization obscures meaning or you have not corrected feedback given in prior assignments (2)

10

Correct APA Style (6thor 7th)

No errors (5), 1-2 errors (4), 3-4 errors (3), 5-6 errors (2),6-7 errors (1), 8 or more errors (0)

5

Correct Length 7 pages of text, PLUS title page and references

YES or NO

2

Minimum of 3professionalnursing references, 5 years old or less

YES or NO

5

Total Points

120

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The s

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 5 peer-reviewed articles from your research.

  • McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
  • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287)
  • Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317)
  • Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338)
  • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355)
  • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388)

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Be sure to address the following:

· Identify the 5 peer-reviewed articles you reviewed, citing each in APA format.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

Considering the significant number of neurological disorders and what you have learned this week, take time to reflect upon the content and your experiences

Considering the significant number of neurological disorders and what you have learned this week, take time to reflect upon the content and your experiences. Please watch an Educational Webinar related to Brain Dysfunction and submit a journal entry. There are many brain dysfunctions and a lot to learn. Is there something you are curious about? Is there a personal experience you would like to understand better? Or, just Google it – no matter how you get there, the goal is to leave the experience knowing more than when you started.

Provide a synopsis of the webinar and a brief description of the pathophysiology of the disorder, as well as what you gleaned from the webinar. Reflect upon this experience, consider what you learned, and how this could affect your practice as an APRN.

The paper submission should be 500-750 words in length and in APA format.

RUBRIC

Writing Assignment Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Writing Assignment Rubric – 100 PointsCriteriaExemplaryExceeds ExpectationsAdvancedMeets ExpectationsIntermediateNeeds ImprovementNoviceInadequateTotal PointsContent of PaperThe writer demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner. The paper content and theories are well developed and linked to the paper requirements and practical experience. The paper includes relevant material that fulfills all objectives of the paper.

Follows the assignment instructions around expectations for scholarly references. Uses scholarly resources that were not provided in the course materials.

All instruction requirements noted.

30 pointsThe writer demonstrates an understanding of the subject matter, and components of the paper are accurately represented with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Course materials and scholarly resources support required concepts. The paper includes relevant material that fulfills all objectives of the paper.

Follows the assignment instructions around expectations for scholarly references.

All instruction requirements noted.

26 pointsThe writer demonstrates a moderate understanding of the subject matter as evidenced by components of the paper being summarized with minimal application to evidence-based practice, theory, or role-development. Course content is present but missing depth and or development.

Does not follow the assignment instructions around expectations for scholarly references. Only uses scholarly resources that were provided in the course materials.

Most instruction requirements are noted.

23 pointsAbsent application to evidence-based practice, theory, or role development. Use of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Content of paper is inaccurately portrayed or missing.

Does not follow the assignment instructions around expectations for scholarly references. Does not use scholarly resources.

Missing some instruction requirements.

20 points30Analysis and Synthesis of Paper Content and MeaningThrough critical analysis, the submitted paper provides an accurate, clear, concise, and complete presentation of the required content.

Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints.

All instruction requirements noted.

30 pointsPaper is complete, providing evidence of further synthesis of course content via scholarly resources.

Information is synthesized to help fulfill paper requirements. The content supports at least one viewpoint.

All instruction requirements noted.

26 pointsPaper lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. The paper’s content may be confusing or unclear, and the summary may be incomplete.

Most instruction requirements are noted.

23 pointsSubmission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Missing some instruction requirements.

Submits assignment late.

20 points30Application of KnowledgeThe summary of the paper provides information validated via scholarly resources that offer a multidisciplinary approach.

The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application is provided.

All questions posed within the assignment are answered in a well-developed manner with citations for validation.

All instruction requirements noted.

30 pointsA summary of the paper’s content, findings, and knowledge gained from the assignment is presented.

Student indicates how the information will be used within their professional practice.

All instruction requirements noted.

26 pointsObjective criteria are not clearly used, allowing for a more superficial application of content between the assignment and the broader course content.

Student’s indication of how they will apply this new knowledge to their clinical practice is vague.

Most instruction requirements are noted.

23 pointsThe application of knowledge is significantly lacking.

Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice.

Missing several instruction requirements.

Submits assignment late.

20 points30OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement and supportive content and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100

Considering the significant number of neurological disorders and what you have learned this week, take time to reflect upon the conte

Considering the significant number of neurological disorders and what you have learned this week, take time to reflect upon the content and your experiences. Please watch an Educational Webinar related to Brain Dysfunction and submit a journal entry. There are many brain dysfunctions and a lot to learn. Is there something you are curious about? Is there a personal experience you would like to understand better? Or, just Google it – no matter how you get there, the goal is to leave the experience knowing more than when you started.

Provide a synopsis of the webinar and a brief description of the pathophysiology of the disorder, as well as what you gleaned from the webinar. Reflect upon this experience, consider what you learned, and how this could affect your practice as an APRN.

The paper submission should be 500-750 words in length and in APA format.

RUBRIC

Writing Assignment Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Writing Assignment Rubric – 100 PointsCriteriaExemplaryExceeds ExpectationsAdvancedMeets ExpectationsIntermediateNeeds ImprovementNoviceInadequateTotal PointsContent of PaperThe writer demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner. The paper content and theories are well developed and linked to the paper requirements and practical experience. The paper includes relevant material that fulfills all objectives of the paper.

Follows the assignment instructions around expectations for scholarly references. Uses scholarly resources that were not provided in the course materials.

All instruction requirements noted.

30 pointsThe writer demonstrates an understanding of the subject matter, and components of the paper are accurately represented with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Course materials and scholarly resources support required concepts. The paper includes relevant material that fulfills all objectives of the paper.

Follows the assignment instructions around expectations for scholarly references.

All instruction requirements noted.

26 pointsThe writer demonstrates a moderate understanding of the subject matter as evidenced by components of the paper being summarized with minimal application to evidence-based practice, theory, or role-development. Course content is present but missing depth and or development.

Does not follow the assignment instructions around expectations for scholarly references. Only uses scholarly resources that were provided in the course materials.

Most instruction requirements are noted.

23 pointsAbsent application to evidence-based practice, theory, or role development. Use of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Content of paper is inaccurately portrayed or missing.

Does not follow the assignment instructions around expectations for scholarly references. Does not use scholarly resources.

Missing some instruction requirements.

20 points30Analysis and Synthesis of Paper Content and MeaningThrough critical analysis, the submitted paper provides an accurate, clear, concise, and complete presentation of the required content.

Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints.

All instruction requirements noted.

30 pointsPaper is complete, providing evidence of further synthesis of course content via scholarly resources.

Information is synthesized to help fulfill paper requirements. The content supports at least one viewpoint.

All instruction requirements noted.

26 pointsPaper lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. The paper’s content may be confusing or unclear, and the summary may be incomplete.

Most instruction requirements are noted.

23 pointsSubmission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Missing some instruction requirements.

Submits assignment late.

20 points30Application of KnowledgeThe summary of the paper provides information validated via scholarly resources that offer a multidisciplinary approach.

The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application is provided.

All questions posed within the assignment are answered in a well-developed manner with citations for validation.

All instruction requirements noted.

30 pointsA summary of the paper’s content, findings, and knowledge gained from the assignment is presented.

Student indicates how the information will be used within their professional practice.

All instruction requirements noted.

26 pointsObjective criteria are not clearly used, allowing for a more superficial application of content between the assignment and the broader course content.

Student’s indication of how they will apply this new knowledge to their clinical practice is vague.

Most instruction requirements are noted.

23 pointsThe application of knowledge is significantly lacking.

Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice.

Missing several instruction requirements.

Submits assignment late.

20 points30OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement and supportive content and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100

Instructions You have been teaching a class on statistics. You have just completed the section on inferential statistics. Create a 25 question te

Instructions

You have been teaching a class on statistics. You have just completed the section on inferential statistics. Create a 25 question test that can be given at the end of this section. Create and submit the quiz with a matching answer key.

Your quiz at a minimum must include:

  • T-tests
  • ANOVA
  • Regression analysis
  • Reliability
  • Validity
  • P-values
  • Null hypothesis
  • How these statistics are used in data analysis.
  • How these statistics are used in data interpretation.
  • At least 2 essay questions with at least a 250-word response.

Assignment Objectives

  • Meet CAHIIM Curriculum requirement for Bachelor Degree.
    • Domain III. Informatics, Analytics and Data Use.
    • Subdomain III.C. Analytics and Decision Support.
    • Section 4. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness of healthcare.
    • Competencies: Inferential statistics
      • T-tests, ANOVA, regression analysis, reliability, validity
  • Meet CAHIIM Curriculum requirement for Bachelor’s Degree.
    • Domain III. Informatics, Analytics and Data Use
    • Subdomain III.D. Health Care Statistics
    • Section 1. Interpret inferential statistics
    • Competencies: Inferential statistics
      • T-tests, ANOVA, regression analysis, reliability, validity

Assignment Purpose

  • To understand and use inferential statistics.

Complete the assignment below and an appropriate answers 1. A client asks the nurse to explain the different types of advance directives. What information should be provided regard

Complete the assignment below and an appropriate answers

1. A client asks the nurse to explain the different types of advance directives. What information should be provided regarding living wills, durable power of attorney, and DNR orders?

2. What are the nurse’s responsibilities when delegating tasks?

3. Which action will the nurse perform when conducting a Rinne Test? Occlude one ear and whisper three words. Have the client repeat the three words whispered. Place a vibrating tuning fork firmly against the mastoid bone. Place a vibrating tuning fork on top of the client’s head. Straighten the ear canal by pulling the auricle up and back.

4. A bed-bound client needs to be repositioned. What guidelines should the nurse follow to prevent personal injury?

5. A nurse is caring for a client prescribed an Aquathermia pad. What should the nurse monitor this client for during therapy?

6. List the steps for safely administering an ophthalmic medication.

7. A nurse is caring for a client that exhibits signs and symptoms of aspiration during their enteral feeding. What is a priority intervention the nurse should carry out?

8. A nurse is providing discharge information to a client prescribed home oxygen therapy via a nasal cannula. Which of the following should the nurse include in this education? (Select all that apply.)

A. Apply petroleum jelly around and inside the nares.

B. Remove the nasal cannula during mealtimes.

C. Check the position of the cannula frequently.

D. Report any nasal stuffiness, nausea, or fatigue.

E. Post “no smoking” signs in a prominent location.

​9. A nurse is preparing for a procedure with a client who has a latex allergy. What action should the nurse take regarding this allergy?

APA format. Use scholar authors only. All responses have be 1 paragraph each and with 2 references. Discussion question: 1 My definition of quality is something having utmost distinction in the ey

APA format. Use scholar authors only. All responses have be 1 paragraph each and with 2 references.

Discussion question: 1

My definition of quality is something having utmost distinction in the eyes of a consumer, and something that is desirable and sets the standard. Spath (2018) defines quality as a characteristic that goes beyond one’s expectations, depending on a person’s point of view, and can fluctuate yet has the potential to improve. Setting the highest standard of distinction when it comes to quality is a similar mindset to Philip B. Crosby, who is described as a “quality guru” due to sharing his knowledge of quality to business leaders (QP staff, 2010). Crosby established the theory of “zero defects,” meaning that a product or service should be free from blemishes or mistakes or defects from the start, every time (QP staff, 2010). Crosby explained that this does not mean a person who makes a quality product or gives a quality service should be perfect, but rather the person should provide the service as instructed every single time (QP staff, 2010).

Crosby’s concept of zero defects can seem a bit extreme or unattainable when it comes to nursing practice, because as nurses we know that no shift is ever perfect. However, Crosby’s idea regarding the push for doing the job right the first time and every time can be helpful in the setting of home health care nursing practice, specifically with documentation. In home health care nursing, we have specific documentation requirements that are government regulations that must be followed. These governmental regulations affect how the home health care agency gets reimbursed from insurance companies. It is important that a nurse understands the questions asked within the home health care forms, so that they are answered correctly at the start of home health care. Then, at the time of discharge from home health care, when the charting and documentation is completed correctly, the way the nurse answers the questions regarding patient status will either show an improvement in outcomes, or a decline. Educating home health care nurses about the correct way to interpret and answer these questions, called the Outcome and Assessment Information Set (OASIS), allows for nurses to answer the questions correctly and provides accurate documentation on the patients abilities and limitations in the home setting (Centers for Medicare and Medicaid Services, 2020).

The “zero defects” concept of doing the home health care documentation properly the first time can not only save the agency money (proper reimbursement), but also it avoids the nurse being wasteful of her time with correcting audited charts. Nurses’ charts get audited to help the home health agency ensure regulations have been met. With further training and experience, nurses can be more efficient with their time and documentation, and Crosby believes, avoid having to fix something when it could be done correctly in the first place (QP staff, 2010).

Discussion question: 2

When discussing quality, it is of utmost importance to define what is the most crucial aspect to the consumer. Quality can either be about the experience, the product, or both. Quality to me is the product being free of defects, the use of quality resources, and all for the lowest price. How this translates to quality health care is timely and accurate results, low cost, no unnecessary tests, and knowledgeable providers. If my concern is about a warm blanket, most modern exam room, and friendliest staff, then my definition of quality is more about customer service. Unfortunately, the quality of healthcare includes customer service, which complicates defining what quality healthcare is.

In examining the quality theorists, the philosophy of Deming seems the most practical and congruent with my definition of quality. Deming believed that the organization’s primary aim should focus on quality, which is a factor of reducing costs and continuously improving the processes (Monnappa, 2019). As a result, customer satisfaction will improve, staff will be happier, and costs over time will decrease. This philosophy evolved into the Deming or PDSA cycle, which is frequently used as a method of quality improvement (Spath, 2018). An essential feature of this model is that it is dynamic, always looking to improve, and simple to implement.

A practice problem that I see in my work involves how various injuries are classified and how that translates into increased costs. Currently, any patient that comes in with a fall or injury gets charted as a “trauma evaluation.” Charting a trauma evaluation generates a higher level of care and, thus, a higher charge. This is wasteful, and while it generates more significant revenue, it is unnecessary as it increases the costs of healthcare. This is the current practice; a practice change would involve only charting a trauma evaluation for patients who meet strict criteria. My definition of quality extends to this problem by reducing unnecessary costs. Charting a trauma evaluation does not change the patient’s care, therefore eliminating this practice would help to mitigate rising healthcare costs without affecting patient care or safety.