Pulmonary Hygiene Protocol

1. In patients with acute respiratory distress syndrome (P), will the implementation of a pulmonary hygiene protocol (I) compared with standard positioning care (C) improve weaning parameter metrics (O) during the next three months (T)?

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Healthcare Trends

In this unit, you will complete the research paper that you started in Unit VI (WeCare Community Hospitals). Based on the healthcare facility you created in that unit, complete the following components for the research paper:a) In your introduction, give a brief description of your facility’s current financial situation. This introduction and description should cover topics from your research in this unit.b) Create a balance sheet, income statement, and statement of cash flows for your healthcare facility. If you wish, you may present these in chart form in the paper. When creating these charts, you may use either Word or Excel, but Excel is recommended because it will handle the calculations. Based on these, discuss the performance of your facility.c) Make capital budgeting and investment decisions based on the need for your facility to update aging equipment. The equipment is expected to cost $1.3 million, and the expected life of the equipment is 15 years. Discuss at least two financing options for the new equipment.d) Present a long-term financial analysis for the facility. In this analysis, evaluate the financial implications of current and future healthcare trends, making sure to evaluate any legal issues in health care, and discuss the future of healthcare financial management in the United States.Combine all of your components into one research paper. Your completed research paper must be at least three pages in length, double-spaced. You are required to use at least five outside sources.

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Practice in Healthcare

Finding Evidence-Based Practice in Healthcare· In this activity, you will choose a PICO(T) question and develop a search strategy to find the best evidence to support the intervention.· What You Need to KnowPeer-reviewed journals contain research studies with evidence to do the following two tasks:1) Support the identified health care challenge and the need to improve it.2) Substantiate potential interventions and show that they are evidence-based and have been successful at closing gaps in practice or addressing health care challenges.It is important, then, to become familiar with performing a search of the literature based on a PICO(T) question. Likewise, it is crucial to master your skills in using databases to conduct your search.· Levels of Evidence Pyramid.As you have learned in the readings, quantitative studies result in some of the best possible evidence that can be used in the EBP process. Qualitative studies and the evidence they produce is also an area of research that is increasing rapidly in terms of its importance, validity, and relevance. This week, you will have the opportunity to reacquaint yourself with some of the most common quantitative and qualitative research methods and designs employed in the field of public health and health care.Quantitative research is a systematic investigation of phenomena by gathering quantifiable, numeric data and performing statistical, mathematical, or computational techniques. These types of studies collect data and information from or about a group of individuals or a sample of a population using surveys or questionnaires and with the help of existing data sources that track performance indicators and metrics and other data. There are four main types of quantitative research designs: descriptive, correlational, quasi-experimental and experimental. The differences between the four types primarily relate to the degree the researcher designs for control of the variables in the experiment.View the following presentation toknowaboutquantitativeresearchdesigns:·KaiserPermanenteSouthernCaliforniaNursingResearch(n.d.).NursingresearchseriesPart10:Quantitativestudydesign:Interventional[SlidePresentation]|TranscriptRetrievedfromhttp://kpnursing.org/_SCAL/research/researchseries/10_quantitativeinterventionalstudydesign/player.htmlQualitative research is significantly different from quantitative research in terms of its philosophical foundations, practical objectives, management of the investigative process, and use and interpretation of acquired data. The qualitative approach to an inquiry can provide a rich, experiential understanding of specific health care topics, greater than is generally possible with quantitative methods. Although assessing the methodological quality of qualitative studies is complex and somewhat subjective, your assessment skills in inductive reasoning, context flexibility, and theoretical analysis will grow in proportion to your use of qualitative research in your own practice and your frequency of reading this type of literature.View the following presentation to know about qualitative research designs:· Kaiser Permanente Southern California Nursing Research. (n.d.). Nursing research series – Part 8: Qualitative research design [Slide Presentation] | Transcript Retrieved from http://kpnursing.org/_SCAL/research/researchseries/08_qualititativerd/player.htmlOne area of potential confusion when reading about research methods and research designs is differentiating the two. Research methods are generally considered to be the broad underlying philosophical and practical approaches (that is, quantitative versus qualitative or intervention versus observation) to answer a research question. A research design, on the other hand, is more like a blueprint about what steps need to be taken to answer the research question or problem. Research designs include study sample collection and recruitment strategies, the timeframe where interventions take place, the nature of instruments used for measuring efficacy or outcomes, and types of precautions used during data collection procedures.Review the following chapter in your Evidence-Based Practice in Nursing and Healthcare textbook, to learn about both quantitative and qualitative study methods and designs:· Write Your Discussion PostFinding the Best Evidence to Answer Different PICO(T) QuestionsNote: Remember to adhere to the requirements for initial discussion postings and responses addressed in the Discussions section of the Course Policies and Expectations presentation.ANSWER THE FOLLOWING PICO(T) questions below USING NO LESS THAN 300 WORDS!!!3. In patients with acute respiratory distress syndrome (P), will the implementation of a pulmonary hygiene protocol (I) compared with standard positioning care (C) improve weaning parameter metrics (O) during the next three months (T)?

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Improvement in Healthcare

1. What is the purpose and focus of performance improvement in Healthcare? Your response should be no less than 2 paragraphs.

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Parent Medical Clinic

1. Do employees behave differently in a flat versus a hierarchical organizational structure? Explain your answer.2. Do employee personality types differ between hierarchical and flat organizations?3. What is difficult about policy implementation in a flat organization? What is difficult about policy implementation in a hierarchical organization?4. How do you overcome employee apathy toward policy compliance?5. Create a policy framework implementation plan for the fictional Specialty Medical Clinic (the plan should not be longer than two pages). The Specialty Medical Clinic is being acquired by a larger parent organization under HIPAA compliance law. The parent organization is a hierarchical structure with multiple departments and clinics. The medical clinic is a flat organization. Following is an outline of those areas of the plan you need to include:Parent Medical ClinicAcquires Specialty Medical ClinicPublish Your Policies for the New Clinic{Explain your strategy.}Communicate Your Policies to the New Clinic Employees{How are you going to do this?}Involve Human Resources and Executive Management{How do you do this smoothly?}Incorporate Security Awareness and Training for the New Clinic{How can you make this fun and engaging?}Release a Monthly Organization-Wide Newsletter for All{How can you make this newsletter succinct?}Implement Security Reminders on System Logon Screens for All{This is for access to sensitive systems only.}Incorporate Ongoing Security Policy Maintenance for All{Review and obtain feedback from employees and policy-compliance monitoring.}Obtain Employee Questions or Feedback for Policy Board{Review and incorporate into policy edits and changes as needed.}

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Mission And Philosophy

Select a healthcare organization in South Florida (i.e Baptist Health, Memorial, Broward Health, etc.). The one you work for is a good choice because you have knowledge, access and experience with its inner workings. You may need to talk with managers in your facility to obtain information. In a 2-3 page paper, APA format including headings, analyze the following:1. Discuss the mission and philosophy of a healthcare organization in relation to its strategic plan. (Another way of thinking about it – What is the organization’s mission and philosophy and how is this seen in its strategic plan?)2. Describe methods used to meet the goals of a strategic plan using best practices. (Another way of thinking about it- What methods are being used by the organization to meet the goals of its strategic plan? Are these methods based on best practices?)3. Critique evaluative effectiveness of a strategic plan. (Another way of thinking about it – How well is the strategic plan working? How is the organization evaluating what is being done? Are changes to the methods or plan being made based on results achieved?)

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Implementing Health Policy

After reviewing the background materials and doing additional research, draft a paper that addresses the challenges that administrators may encounter when trying to integrate state or federal policy into their health care organization’s internal policies. Be sure to provide solutions to managing these challenges.SLP Assignment ExpectationsConduct additional research to gather sufficient information to justify/support your analysis.Limit your response to a maximum of 3 pages (title and reference page is not included in page number count).Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals:Angelo State University Library. (n.d.). Library guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.phpYou may use the following source to assist in formatting your assignment:Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/For additional information on reliability of sources, review the following source:Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-contentThis assignment will be graded based on the content in the rubric.Privacy Policy | Contact

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Sub-acute Patient Care Discussion

Consider Subacute care – is it a response to patient needs or is it a way to increase revenue?

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Ethical Self-awareness

Please review the DQ forum for this week. Select 2-3 postings from your peers to analyze in your personal assignment response. For your personal assignment this week:Write a 1-2 page summary on your analysis of the discussion comments and how you believe this content has increased your ethical self-awareness. Please include alternatives, analysis, application, and action.The assignment should be submitted as a Word document and APA format is required. The title page and reference page are not counted in the 1-2 page req

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The Health Insurance

Discussion QuestionBefore beginning work on this discussion forum, please review the link Doing Discussion Questions Right, the expanded grading rubric for the forum, and any specific instructions for this topic.By the due date assigned, respond to the assigned discussion questions and submit your responses to the appropriate topic in this Discussion Area. Respond to the assigned questions using the lessons and vocabulary found in the reading.The Health Insurance Experiment (HIE) is perhaps the greatest experiment in the history of healthcare finance as it explores the interface of people and insurance and the methods for reducing waste in the consumption of healthcare through moral hazard.Tasks:Describe the results of the experiment and analyze how it affects healthcare today.Your initial posting should be addressed at 300–500 words as noted in the attached PDF. Submit your document to this Discussion Area, by the due date assigned. Be sure to cite your sources using APA format.Respond to your peers throughout the unit. Justify your answers with examples, research, and reasoning. Follow-up posts need to be submitted by the end of the unit.

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