Explain criteria that should be considered when determining credibility of resources such as journal articles and websites. Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
Assessment 2
Determining the Credibility of Evidence and Resources
Instructions-Develop a 2-4 page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.
Introduction
The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as weve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings. The nurse will need to incorporate the use of evidence-based practice models. EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.
It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded.
Professional Context
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted.
Scenario For this assessment, you may choose from the following options as the context for the quality or safety issue or chosen diagnosis/health issue for researching and completing this assessment:
· The specific diagnosis/health issue you identified in your previous assessment.
· The simulation Vila Health: Determining the Credibility of Evidence.
· A personal practice experience in which a sentinel event occurred.
Instructions- The purpose of this analysis is to better understand what constitutes credibility of journal articles as well as websites. The role of the baccalaureate-prepared nurse in incorporating evidence-based research continues to growth in clinical practice. As quality improvement (QI) measures to reduce safety risks continue to be emphasized, the need for evidence-based models and evidence-based templates is growing. This type of systematic approach to incorporating evidence-based findings allows nurses to make clinical and operational decisions based upon the best available evidence. When the most up-to-date evidence-based findings are utilized, patient-centered care improves outcomes and enhances the patient experience.
Below is a quick review table of several well-known Evidence-Based Practice Models used to guide exploration:
Evidence-Based Practice Models
Iowa Model of Evidence-Based Practice
Stetler Model
Ottawa Model
PARiHS (Promoting Action on Research Implementation in Health Services) Model
ACE (Academic Center for Evidence-Based Practice) Star Model
ARCC (Advancing Research and Clinical Practice Through Close Collaboration) Mode
John Hopkins Model
KTA (Knowledge-to-Action) Model
For this assessment:
· Explain the criteria that should be used when determining the credibility of journal articles as well as websites.
· Support your explanations with references to the literature or research articles that describe criteria that should be used to determine credibility.
· Your identification and determination of credibility should be done within the context of your chosen scenario for this assessment. For example, if you choose to use the provided Vila Health scenario, your initial identification of resources should be of resources that will best help address the presented issue. However, if you are locating resources to help provide evidence-based care for the diagnosis/health care issue you identified in the first assessment, you may want to begin your literature and evidence search from the databases that were identified. Any of the three scenario options are acceptable. So, pick the one that most interests you.
Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score.
· Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
· Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
· Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
· This is where you are selecting the specific resources to help address the issue in your chosen scenario.
· Identify the Evidence-Based Practice model and explain the importance of incorporating credible evidence into the EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue. Review the literature below and choose the appropriate model for your diagnosis/health care issue.
·
Selecting a model for evidence-based practice changes. [PDF]
and
Evidence-Based Practice Models
help explain the various evidence-based nursing models.
· Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.
Additional Requirements
Your assessment should meet the following requirements:
·
Length of submission:
2-4-page scholarly paper, this does not include the APA-formatted title page and reference list.
·
Number of references:
Cite 3-5 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than five years old.
·
APA formatting:
References and citations are formatted according to current APA style.
Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
· Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
· Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
· Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
· Competency 3: Apply an evidence-based practice model to address a practice issue.
· Identify an evidence-based practice model (such as Iowa, Stetler, John Hopkins, etc.) and explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue.
· Competency 4: Plan care based on the best available evidence.
· Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
· Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
Scoring Guide
Use the scoring guide to understand how your assessment will be evaluated
CRITERIA
NON-PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Describe a quality or safety issue, or a chosen diagnosis, that could benefit from an evidence-based approach.
Explain criteria that should be considered when determining credibility of resources such as journal articles and websites.
Analyze the credibility and relevance of evidence and resources within the context of a quality or safety issue, or a chosen diagnosis.
Identify an evidence-based practice model (such as John Hopkins, Stetler, Iowa, etc.) and explain the importance of incorporating credible evidence into an EBP model used to address a quality or safety issue, or a chosen diagnosis/health care issue.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
A county council member of a large county is made aware that many U.S. military members in its county, both men and women veterans, stay in the local area after their military obligation and begin their civilian careers, especially in law enforcement, fire protection, county finance, county judicial, and other state funded positions, where they can transfer their military service to the state pension fund, with an average of four years toward a state retirement. Please identify possible Title VII violations by the alleged council members actions, or their inactions. What would these actions or inactions allegedly prove? 2. What, if any, allegations of Title VII violations should be brought against the Council members?
Discussion Thread: Gender Discrimination and Pay Equity
A county council member of a large county is made aware that many U.S. military members in its county, both men and women veterans, stay in the local area after their military obligation and begin their civilian careers, especially in law enforcement, fire protection, county finance, county judicial, and other state funded positions, where they can transfer their military service to the state pension fund, with an average of four years toward a state retirement. Please identify possible Title VII violations by the alleged council members actions, or their inactions. What would these actions or inactions allegedly prove?
2. What, if any, allegations of Title VII violations should be brought against the Council members?The council member is up for reelection and wants to meet with the nearby military base liaison officers to learn and promote the Countys high employment rate of departing military members, in particular positions that can accelerate their state careers and retirement pensions. The council member even brings former military members, now serving in each of the above county positions, to various military hiring fairs, to speak of their military service, their transition to state service and how their military service jump started their state careers. During some of the hiring fairs, it was asked of the now state employees, what staring salaries would the military members enter into their state positions. Even though many of the uniformed state employees, [i.e., police and fire] once had the same stripes on their uniform sleeves, when the male employees stated their starting salaries, it came as a shock to the female employees. Though they did not say anything at the hiring fairs, upon their return to their district buildings, they brought it up with all their female colleagues. They even had a meeting with their district leadership, and it was confirmed that all female uniformed employees, with the same experience and military rank of their male counterparts, were hired at a rate of 20% less than their male uniformed colleagues. Further research also showed the state non-uniformed female finance and judicial employees were also hired on at a 20% reduction in pay than their male counterparts. During the County Councilmans various meet and greets for his re-election campaign, this pay disparity was brought to his attention, of which he swore he would get to the bottom of this travesty. When the local papers found out, they began their investigations and found out the county council, all males, including the specific council member, had voted for such hiring practices, to take the savings in the female starting salaries and use it for their pay raises. This had been going on for five years, the time of their council periods of office. Once the papers reported their investigations, the County council members were all placed on paid administrative leave, pending the results of the investigation.
You are the County Attorney, and you must gather all the facts and investigative materials, to include many sworn testimonies, suspect hiring documents, other materials to put a case together. As County Attorney, you know the above facts should lead you to probable violations of Title VII Civil Rights Act, but specifically, you are sure.
1. Please identify possible Title VII violations by the alleged council members actions, or their inactions. What would these actions or inactions allegedly prove?
2. What, if any, allegations of Title VII violations should be brought against the Council members?
3. What should the County Attorney consider when victim remedies are discussed?
What should the County change in its hiring practices once this breaking incident has been resolved?
2
Given the impact the plague had on medieval society, if it happened again, how might it impact you, your family, and your society?
Use the video below and other references below to answer the discussion post. The discussion post should answer the unit question fully, provide specific examples and opinion backed by substantive case study. Task- Given the impact the plague had on medieval society, if it happened again, how might it impact you, your family, and your society? Bring in your own personal experiences, including during the COVID pandemic.Purpose-Sixteenth-century Eurasia was, in part, shaped by the legacy of the Bubonic Plague. Though it broke out in successive waves in the fourteenth century, the sheer loss of life and the social, political, and economic impact it had on the societies it affected left a shadow for centuries to come. Moreover, world historians argue that the plague was not simply a “natural” event. It did not just have a broad set of consequences, it also unfolded in a particular time and place. And that time and place involved social, economic, and political forces as much as biological and environmental ones.
o healthcare organizations face the same financial impact for governmental and private insurance claims?
Overview
In this module, you learned about the significance of staffing in healthcare strategic planning initiatives and the revenue cycle. You also looked at the role of leadership to improve team performance and the areas in the back-end revenue cycle.
To recap, the components in the back-end revenue cycle include (but are not limited to) the following areas:
Claims Production
Claims Submission
Determining Expected Reimbursement
Adjudication
Benefits Statements
Claims Reconciliation
Denial Management
In this assignment, you will create an analysis report on the staffing system of a healthcare organization based on the identified areas of the back-end process of the revenue cycle.
This assignment will help you describe best practices for revenue-cycle staffing models and align staffing models with strategic planning initiatives. It will also enable you to demonstrate how key leadership competencies improve revenue-cycle team performance. From a healthcare management perspective, this activity will help you understand how to set up and manage a robust staffing process. This activity will help you prepare for sections 3 (Staffing Impact) and 5B (Workflow Assessment Findings) in the course project.
Directions
Create an analysis report on the staffing requirements in the backend process of a healthcare organization.
If you need writing support, access the Online Writing Center through the Academic Support module of your course.
Specifically, you must address the following rubric criteria:
Staffing Competencies: Describe the staffing competencies needed for hiring team members in the back-end revenue cycle. Consider the following questions to guide your response:
What competencies are needed for the back-end processes of the revenue cycle?
What makes this competency specific to the healthcare domain?
Revenue Integrity: Explain the importance of the back-end processes of the revenue cycle for preserving revenue integrity. Consider the following questions to guide your response:
How do organizations incorporate operational efficiency in the back-end processes?
How is compliance to regulatory requirements built into the back-end processes?
Role of Leadership: Explain the role of leadership in ensuring staffing competencies. Consider the following questions to guide your response:
What skillsets or knowledge should a leader look for when recruiting somebody for the back-end process?
How would the leader keep the team updated in skillsets and knowledge?
Lapses and Prevention: Identify processes to prevent lapses and/or gaps in the staffing model. Consider the following questions to guide your response:
What kind of lapses and/or gaps are possible across the entire process?
What are the possible reasons behind these lapses and/or gaps?
Impact of Failure: Discuss the impact of any failure in the claims production and claims submission areas of the revenue cycle. Consider the following questions to guide your response:
What are some of the possible events of failure that could happen in the first two areas?
Who would be impacted by such events?
Financial Impact of Declined Claims: Discuss the financial impact of initially declined claims and delayed payments to healthcare organizations. Consider the following questions to guide your response:
Do healthcare organizations face the same financial impact for governmental and private insurance claims?
What steps can be taken by the back-end processes staff and by leadership to ensure these delays do not happen?
All the claims in your deliverable should be evidence based. Your citations should be from your independent search for evidence (not from the textbook, or module resources) of credible sources and be current within the last five years. You are required to cite between 3-5 resources, with a minimum of three sources, at least one which is not also one of your Project One resources. Refer to the IHP 630 Library Guide located in the Start Here section of the course for additional support.
5 pages
Describe the five traditional PMBOK process groups.
Scenario
A few months ago, on the basis of your experience in a hospital business office, you were hired into a managerial position. You were just starting to feel comfortable in the position when the administrator walked into your office to tell you the department is outgrowing its quarters and must start planning an expansion project. The administrator also confided that she has never been involved in such a project and that she does not have time to do any research. She wants you to do the initial legwork and put together a briefing that will help her prepare a presentation for the board.
Create a 525- to 700-word briefing that summarizes the process of facility planning in which you:
Present a short history of health care facility design in the U.S. from 1800 to the present.
Describe the five traditional PMBOK process groups.
Discuss the process groups in light of Haywards emphasis on predesign planning.
Examine the decision process for determining whether to renovate or replace a health care facility.
(Each bullet point carries about the same weight in grading.)
Cite, in text, at least 3 peer-reviewed, scholarly, or similar references. In-text citations must point to a reference list entry.
Format your citations and references according to APA guidelines.
Submit your assignment.
PLEASE MAKE SURE ALL SOURCES ARE VALID AND CITED CORRECTLY
As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.
assignmentdiabetes.docx
The National Committee for Quality Assurance (NCQA) was formed to ensure the quality of patient care and measurement of patient outcomes with set standards.
Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:
· Effectiveness of Care
· Access/Availability of Care
· Experience of Care
· Utilization and Risk Adjusted Utilization
· Health Plan Descriptive Information
· Measures Collected Using Electronic Clinical Data Systems
You may access the 6 domains of care by clicking this link:
(NCQA, n.d.
https://www.ncqa.org/hedis/Links to an external site.
)
As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients, and has a method of measuring the quality of care.
Write a formal paper in APA format with a title page, introduction, the three required elements below, conclusion, and reference page.
You are now employed as an NP in primary care.
Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal, and Postpartum care, etc.
Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.
How would these primary care interventions result in improved patient outcomes and healthcare cost savings?
How can these interventions result in improved NP patient ratings?
Define insider threats and the problems associated, assumptions, goals, capabilities, favored techniques, and aversion to risk. Identify the bad actors in cyberspace and compare and contrast their resources, capabilities/techniques, motivations, and aversion to risk.
You have recently accepted a new position at a large hospital that specializes in critical care of cancer patients. Your supervisor, the CIO, has requested you create and present to upper-level management (C-Suite: CEO, CFO, CSO, etc.) a presentation on the various bad actors your organization may face in the near future. The CIO impresses upon you the need for additional funding to secure key systems in the network but cautions you against creating a state of panic as none of those attending have a deep understanding of cybersecurity.
Create a 10- to 12-slide digital presentation for upper-level management that explains the possible threats. Address the following:
Research and identify the various threat actors of the digital world, including advanced persistent threats (APTs), cyberterrorism, script kiddies, cybercriminals, hacktivists, industrial espionage relating to intellectual property, and insider threats.
Prioritize which threat actors would pose the greatest threat.
Utilizing the article “The Role of the Adversary Model in Applied Security Research,” located in the topic Resources, include an adversary model to compare and contrast threats and adversaries related to each threat actor.
Define insider threats and the problems associated, assumptions, goals, capabilities, favored techniques, and aversion to risk.
Identify the bad actors in cyberspace and compare and contrast their resources, capabilities/techniques, motivations, and aversion to risk.
Must include a title slide, reference slide, and presenter’s notes.
Additionally, include graphics that are relevant to the content, visually appealing, and use space appropriately.
Identify ways School Counselors can improve diversity, equity, and inclusion practices.
Reply to at least two classmates posts, applying the RISE Model for Meaningful Feedback
I will also show an example below of how the response needs to be addressed.
Here’s an example of how the response should look. Please don’t copy it.
The response to the classmate need to be just like this.
Example Response (Response Needs to be writen just like the response below No copying)
RISE Feedback:
REFLECT: I concur with “Action plans should reflect the type of services that are needed and have an idea of the expected outcome of the services” because it is in line with Hatch and Hartline’s intentional school counseling guidelines in regards to determining students needs.
INQUIRE: Can you further explain what “closing-the-gap action plans” are?
SUGGEST: I encourage you to revisit Hatch and Hartline’s MTMDSS tier interventions in order to add a citation that would illustrate your example on bullying prevention efforts.
ELEVATE: What if you re-purposed “For example, after a needs assessment, the school is having problems with bullying” as “Following Trish Hatch’s MTMDSS tier based interventions, if the school is having problems with bullying, after a needs assessment, we could… citation…” for a more weighted argument?
ReferencesHatch, T., & Hartline, J. (2022). The use of data in school counseling: Hatching results (and so much more) for students, programs and the profession (2nd Ed.). Corwin.
****PLEASE RESPOND IN DEPTH***************************************************
Below are the two classmate discussion post that you will need to respond to
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School counselors are pivotal in improving diversity, equity, and inclusion (DEI) practices. Here are several key ways in which school counselors can contribute to these efforts:
Unlearning Harmful Beliefs and Prioritizing Qualitative Aspects: School counselors should actively unlearn harmful beliefs and biases that might affect their interactions with students. They can prioritize qualitative aspects over quantitative measures, focusing on students’ experiences rather than solely on data. By doing so, they ensure that their counseling practices are inclusive and considerate of the diverse needs and backgrounds of the students they serve.
Creating a Safe Environment for Difficult Conversations: School counselors can foster a safe and open environment for difficult conversations about power, privilege, and vulnerability. They can facilitate discussions among students and staff to address DEI-related issues. By encouraging these conversations, counselors help build trust and create opportunities for individuals to share their experiences and perspectives, contributing to a more inclusive school community.
Embracing Empathy and Continuous Learning: Counselors should actively practice empathy and learn about the experiences and challenges students from diverse backgrounds face. This involves recognizing the importance of informed empathy and being sensitive to the unique needs of different student populations. By embracing compassion and committing to ongoing learning, school counselors can better support and advocate for all students, ensuring equal access to opportunities and resources.
The school counselor’s role is crucial in promoting a more inclusive and equitable school environment where all students can thrive.
Reference:Elements, Education. How School Leaders Can Improve Diversity, Equity, and Inclusion Practices | Webinar. YouTube, 26 Mar. 2021, https://www.youtube.com/watch?v=5XNavEkTNlM.
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Classmate Response 2- Areva
Identify ways School Counselors can improve diversity, equity, and inclusion practices.
According to ASCA school counselors recognize and distinguish individual and group differences and strive to equally value all students and groups. School counselors are advocates for the equitable treatment of all students in school and in the community. I like to say school counselors are the heart beat of the school. As in the YouTube video they spoke on building relationships with students. I believe when you build relationships with students, they are more open to telling you about their diversity and how they are feeling within the school. When we receive this information, we can better help assist our students. Whether that be academically, socially, emotionally, culturally, LGBTQ community, and so forth. I know at the school I am working at now I want to help implement cultural celebrations throughout the school year. Even running anti-bullying campaigns. Speak with teachers about implementing diversity into their lesson plans and classrooms. ASCA states that School counselors have a professional and ethical responsibility to expand personal multicultural and social justice advocacy, awareness, knowledge, and skills to be an effective, culturally competent school counselor. School counselors work toward cultural competence and cultural humility to provide culturally sustaining school counseling.
The School Counselor and Cultural Diversity – American School Counselor Association (ASCA). (n.d.-b). https://www.schoolcounselor.org/Standards-Positions/Position-Statements/ASCA-Position-Statements/The-School-Counselor-and-Cultural-Diversity
The School Counselor and Equity for all Students – American School Counselor Association (ASCA). (n.d.). https://www.schoolcounselor.org/Standards-Positions/Position-Statements/ASCA-Position-Statements/The-School-Counselor-and-Equity-for-All-Students
Find and describe some companies that use influencer marketing. Do you have enough evidence that this strategy has improved the sales of the companies?
Q3. Find and describe some companies that use influencer marketing. Do you have enough evidence that this strategy has improved the sales of the companies?
Q5. Nokia was very successful in the handphone market.
Nokias market share was very high compared to Apple and Samsung.
Look at the market share now. Where is Nokia in terms of market share?
What happened to the Nokia H/P business?
Why Nokia lost its high market share?
If you were the CEO of Nokia, what would you do to come back?
What did you learn from this?
Analyze your reasons.
Q7. What is the primary Social Media Strategy of Starbucks? Describe it.
First, watch Igniting Creativity to Transform Corporate Culture Video. This TED Talk by Catherine Courage examines how creativity needs to be infused into the organizational culture to foster innovation and to challenge the status quo. Next, watch this Zappos Company Culture video. As you watch the videos, think about the various elements of effective organizational structure. In your initial post, answer the following questions: Do you think the unique culture of Zappos will help or hurt the company in the long run? Explain and provide specific examples, where applicable. Do you think more companies in the future will follow this model? Why or why not?
First, watch Igniting Creativity to Transform Corporate Culture Video. This TED Talk by Catherine Courage examines how creativity needs to be infused into the organizational culture to foster innovation and to challenge the status quo. Next, watch this Zappos Company Culture video. As you watch the videos, think about the various elements of effective organizational structure. In your initial post, answer the following questions:
Do you think the unique culture of Zappos will help or hurt the company in the long run? Explain and provide specific examples, where applicable.
Do you think more companies in the future will follow this model? Why or why not?
In your opinion, what company today could benefit from this unique strategy? Explain your rationale.
LINKS FOR VIDEOS:
1. https://www.youtube.com/watch?v=01Y7qlPFpqw
2. https://www.youtube.com/watch?v=WiIeImBFRK4
