Nursing

Policy Organization
Topic: Select a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation.
Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients or patient safety? Explain the dilemmas and how they might be resolved.
Response 1: Samantha
In 2019, the state of CA passed Bill 227 that focuses on the already in-place state mandated staffing ratios, in turn enhancing the safety of patients. Larson (2019) wrote an article regarding this implementation, explaining that the legislation includes a more strict monitoring of hospitals with visits to check compliance of the mandated ratios, and if a facility is found to be non-compliant, they can be financially punished with fines. It is noted in the article that some facilities repeatedly ignore the safe staffing patient ratios, in turn putting their patients at risk. With this Bill 227, action was to be put into play to help uphold these important ratios.
Although this legislation passed in 2019, things took a different turn when the COVID19 pandemic hit. Dembosky (2020) wrote an article posted by NPR online that explains how the Governor adjusted things in December of 2020 so that hospitals in California could assign more patients to their nurses than previously restricted by the staffing ratios. This was done to address the growing number of admissions related to COVID19 and to address inadequate staffing. Patient care management can be severely impacted when additional patients are added to a nurse’s assignment and perhaps tasks might fall through the cracks, despite the RNs best efforts. There are only so many hours in a shift and a nurse can only do so much.
In regard to technology, the work flow of those staffed can be impacted on available tech equipment. If there are not enough resources available to meet the needs of staff and patients, safety can also be impacted. Safe staffing, especially in the face of the pandemic suges provides an interesting ethical dilemma – do you honor the safe staffing ratios in place and leave some patients not admitted because you don’t have a nurse to take assignment? Or do you bypass the ratios and assign additional patients to your nurses’ workloads, possibly creating situations where patient care will be compromised and less safe? Do you hire additional staff to address the surge? How is time for training factored in and what if there aren’t adequate applicants or travelers available?
Response 2: Karen
The No Surprises ACT (NSA) protects individuals from receiving a “surprise bill” after receiving emergency care and or non-emergency care from out-of-network providers at in-network facilities and air ambulance services from out -of-network providers (CMS, 2022). Prior to the No Surprises Act, consumers could receive a bill from the out-of-network service providers for the remainder of the balance that their insurance does not cover due to out-of-network costs (CMS, 2022).
Technology has improved healthcare quality, safety and has decreased wait times for patients receiving service (Alotaibi & Federico, 2017). Computers have made patient information and patient data to be easily shared with a few keystrokes. Patient information can be shared quicker than ever before. Ethical dilemmas such as patient information being shared and data breaches, are more frequent and can cause ethical dilemmas. Leaving computers unattended and sharing patient information with other nurses or healthcare workers can affect patient safety (Alotaibi & Federico, 2017). For example, a famous basketball player is injured and taken to a hospital and the information is discovered by the clerk through insurance check verification form an outside service provider. This can affect patient safety and confidentiality if the individual checking insurance leaks the information to the public. This can be avoided by remembering that all patient information shared to individuals who are not included in the patient’s care is a HIPPA violation that can receive financial and or criminal penalties.
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Solution
Reply1: Samantha
I agree with you that the COVID 19 pandemic exposed significant shortcomings of the nursing staffing ratio laws, such as the laws that are normally being utilized in the state of California. Over the years, scholarly studies have highlighted that improving nurse staffing ratios can play a significant role in enhancing the safety of patients in a healthcare facility. Healthcare facilities with adequate nurse staffing ratios are therefore able to take care of the patients more attentively and address the healthcare needs of patients while assuring them of the best outcomes. However, unplanned challenges such as a Covid 19 have shown major shortcomings in the staffing ratio laws in that high demand for nurses coupled with nursing staffing ratios laws can result in significant challenges for healthcare facilities in that Healthcare facilities can lack sufficient applicants to fill different nursing positions (Lasater et al., 2020).
References
Lasater, K. B., Aiken, L. H., Sloane, D. M., French, R., Martin, B., Reneau, K., Alexander, M., & McHugh, M. D. (2020). Chronic hospital nurse understaffing meets COVID-19: an observational study. BMJ Quality & Safety, 30(8), 639–647. https://doi.org/10.1136/bmjqs-2020-011512
Reply 2: Karen
I agree with you that the introduction of technology such as electronic healthcare systems and other systems, which allow the ease of sharing of patient data, has helped enhance communication in healthcare facilities while also decreasing wait times for patients, especially in emergency care. However, the main shortcomings of technology relate to the privacy and confidentiality of patient information. Healthcare facilities have to invest a lot of resources in training healthcare practitioners on ways of protecting the privacy and confidentiality of patients and preventing the address of vital patient information by third parties through different security measures such as having strong passwords. The use of security systems and other approaches to educate healthcare practitioners on the importance of maintaining the security of technological systems implemented in healthcare can therefore help healthcare facilities not only to avoid fines as a result of HIPPA violations but to maintain trust with patients (Fatima & Colomo-Palacios, 2018).
References
Fatima, A., & Colomo-Palacios, R. (2018). Security aspects in healthcare information systems: A systematic mapping. Procedia Computer Science, 138, 12–19. https://doi.org/10.1016/j.procs.2018.10.003

How would you describe Medicare’s role in hospice reimbursement?

Topic 6: Regression- TOPIC 6 DQ 2-The question is on Topic 6: Regression
QUESTION-TOPIC 6 DQ 2
Discuss three strengths of the linear regression? Identify a peer-reviewed study that uses linear regression in its analysis. Explain why linear regression was used and discuss one challenge in interpreting the results. Include the permalink with your citation.
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Solution
Linear Regression
Linear regression is a statistical test used in a data set to determine and quantify any relation between the given variables. It is a method used to compute the value of a dependent variable from the independent one to make a concrete assumption of a study (Kumari & Yadav,2018). Linear regression is the most used statistical technique by many researchers because its concepts help predict dependent variables on one or more independent variables. Therefore, it is efficient and reliable in managing statistical data in research.
Strengths of Linear Regression
Researchers use linear regression to analyze statistical data in research. This statistical method has several strengths that help analyze research using applicable techniques that help understand and summarise the concepts of a study (Gupta et al., 2017). The linear regression’s technique of predicting the dependent variable from the independent variable makes it easier to use the method in a study and conclude with a value for testing variables. The method uses mathematical ways to calculate the predicted value. This approach makes the sampled data in a study less complex than other statistical techniques, thus summarizing and making it easier to use. Another strength of the statistical method is that it enables one to predict the values that can be used in finding the results and later used in future research.
Peer-reviewed Study
A study conducted how health researchers tend to use linear regression in making normality assumptions and the effects of such decisions in finding convincing results (Schmidt & Finan,2018). The study showed that sometimes it is not always right to base decisions on the basics findings, as this can create biasness thus leading to an inconclusive result. Due to the biasness, most health research tends to differ from the main goal of the study. For instance, in the case of the COVID-19 virus, the assumptions made in the first phase, in 2020, were mostly based on the statistical values of those infected. As a result, the health researchers made decisions regarding the number of those affected, not necessarily focusing on those not affected who could be victims as well. The linear regression has been used in this study to help health researchers understand that using 0the normality assumptions can differ with the research and lead to biasness.
References
Gupta, A., Sharma, A., & Goel, A. (2017). Review of regression analysis models. Int. J. Eng. Res., 6(08), 58-61. https://d1wqtxts1xzle7.cloudfront.net/60342486/review-of-regression-analysis-models-IJERTV6IS08006020190820-1603-1yhlia6-with-cover-page-v2.pdf?Expires=1634143997&Signature=BNbVtXYUbKo8M-7ssSwi8GLKlyK3sbLbNQ9sfHz5tUJu1GsCzA1oow7O23S8Bi5mrw573WpJEbG8QmvJS7oSOUxZWncHQD2fv0B6KUZQwRzTZ24WJIEW5Bsrw-LiB8zMTRVwCPhxQtgI7oFtoaUCutku2TmFWOnbqMcQZDYw2lK72OXqxhZG3xAeOCHBCixxSCUS4I4D9qGwg~mtiH-U32n0xGaaeljC77h6-r5tP7W4AwCfnBGUbhGStCraVWM0-mnkzWi7JBq18LO~CgZwzo3fLAnKH9cyF7DPXXpTATSoGfSagtWTAtIV-D2VBinc~I6dDKMnE-fPCyl5YUPiAA__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA
Kumari, K., & Yadav, S. (2018). Linear regression analysis study. Journal of the practice of Cardiovascular Sciences, 4(1), 33.https://www.j-pcs.org/article.asp?issn=2395-5414;year=2018;volume=4;issue=1;spage=33;epage=36;aulast=Kumari
Schmidt, A. F., & Finan, C. (2018). Linear regression and the normality assumption. Journal of clinical epidemiology, 98, 146-151. https://www.sciencedirect.com/science/article/abs/pii/S0895435617304857

Assess the ethical nature of leadership by studying a current or historical leader. BILL Gates Choose a famous leader with readily available information (e.g., press releases, organizational websites, published biographies, etc.) that you can research. BILL Gates
Prepare a biographical introduction of your chosen leader that summarizes:
• who the leader is,
• what era the leader came from,
• what organization the leader is or was affiliated with,
• why this leader is worthy of study,
• the specific leadership theory/style this leader used, citing specific examples and research to support your assessment.
Analyze this leader in terms of; moral intelligence and credibility as a leader, citing evidence to support your perspectives. Specifically, this section should assess any gaps between espoused values and actual behaviors.
Analyze the alignment of the leader’s values and behaviors with the organizational values expressed in vision, mission, and value statements of the organization most closely affiliated with the leader, as well as any other indicators of organizational culture.
Finally, synthesize a personal reflection of “lessons learned” that includes at least two key take away that you can apply to your own leadership practice.
? USE AT LEAST 4 CURRENT REFERENCES
? USE HEADINGS

NUR 670 GC Complete Discussions Package
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NUR670
NUR 670 GC Complete Discussions Package Latest
NUR 670 GC Week 1 Discussion Latest
Should all nurses be considered leaders? What characteristics of nurses make them leaders? How do your responses compare or contrast with the view of power according to servant leadership? Support your response with evidence from the textbook or Topic Materials.
NUR 670 GC Week 2 Discussion Latest
In the secular approach to leadership, there is an inherent belief that hard work will get you to the top and guarantee success. Think of a time in your professional life when this has proven to be true. What were the circumstances? How much influence did you have on the outcome? Based on the textbook, how do your responses compare to the views of servant leadership? How do your responses compare to the secular view of leadership?
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NUR 670 GC Week 3 Discussion Latest
You are in a place of influence in your professional life where you can help people be successful. Describe the relationship and what actions you have taken or could take to serve others. Based on the textbook, how does your response compare to the views of authority according to servant leadership? How does your response compare to the secular view of authority?
NUR 670 GC Week 4 Discussion Latest
What is your given “authority” at your work place and/or professional life? Describe a time when you have exercised this authority in your journey as a professional nurse? How does your response compare to the secular view of power? How does your response compare to the secular view of authority? How does your response compare to the view of power according to servant leadership? How does your response compare to the view of authority according to servant leadership?
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NUR 670 GC Week 5 Discussion Latest
Describe a time in your professional life when you felt used and manipulated. What were the circumstances? Did you feel valued by the leader? Based on the textbook, explain how the issue of purpose, in the servant-leader paradigm, could have yielded a more beneficial outcome for the leader and yourself.
NUR 670 GC Week 6 Discussion Latest
Resentment tears people and organizations apart. A servant leader focuses on leading and not dictating. Explain how you could transform feelings of resentment into a force for leading.
NUR 670 GC Week 7 Discussion Latest
How do servant leaders, as compared with leaders using the transformational model of leadership, manage organization dynamics and lead change to ensure that the continued success of the stakeholders will be served? Is servant leadership or transformational leadership the best approach to these tasks? Why?
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NUR 670 GC Week 8 Discussion Latest
When we consider the word love as a verb instead of a feeling, the biblical worldview would state that this loving relationship is related to two principles: honor and protection. Explain how these two principles guide servant leadership in the workplace.
NUR 670 GC Week 9 Discussion Latest
Servant leaders must be internally consistent with their words and actions. Describe a mentor that you have had that displayed this kind of credibility. Share an example of what you witnessed from this person. Based on the text, contrast your response to the secular view of power.
NUR 670 GC Week 10 Discussion Latest
A credible person will do what they say. Describe a time when you felt free in displaying your integrity at work. Describe a time when you felt fearful displaying your integrity at work. What was the determining factor(s) that allowed you to lead by example versus going against your heart? If you never felt free in displaying your integrity at work, describe what conditions would need to exist for you to do so?
NUR 670 GC Week 11 Discussion Latest
How do you serve others in the profession of nursing? Explain how the way you serve others in the profession of nursing could become more closely aligned with the issue of serving as explained by the servant-leadership paradigm. How does the issue of serving differ from the secular view of power?
NUR 670 GC Week 12 Discussion Latest
Choose one provision from the ANA Code of Ethics. How is ethical behavior an integral part of being a nurse leader? How does one display the characteristics of a role model with this provision? Does a nurse leader have an ethical foundation to inject into business practice?
NUR 670 GC Week 13 Discussion Latest
Have you ever worked with a leader that made you feel that you were more important than they? How did this make you feel? What were the circumstances? What was the outcome? If you have never experienced this kind of treatment from a leader, imagine what it would be like. Based on your response, explain how the displays of humility by a leader exemplify servant leadership. Are displays of humility required to make someone else feel more important than you? Explain your answer.
NUR 670 GC Week 14 Discussion Latest
How do you affirm people at work? When your coworkers talk about you, what do they say about you? Based on the textbook, relate your responses to the issue of preference according to the servant-leadership paradigm. Compare this form of leadership with the secular view of power as it relates to working relationships.
NUR 670 GC Week 15 Discussion Latest
Summarize your leadership practicum in relation to the seven distinct characteristics outlined in the textbook. How will you change your behavior based on this new understanding of servant leadership? What strategies did you learn that, if implemented, would allow you to actualize the servant-leadership principles in a leadership role?
NUR 670 GC Week 16 Discussion Latest
Looking back on your time with your mentor, would you consider him or her a servant leader as described by in the textbook? Explain your answer. Elaborate on what characteristics your mentor displayed most consistently. Share examples from your experience to support your response.

NUR 533 Significance of Global Health Issues for the United States
NUR 533 Significance of Global Health Issues for the United States
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This is an opportunity to apply what you’ve learned about global public
health in a brief paper in which you will identify a specific global public
health issue or threat that has implications for the United States and describe
an evidence based approach to responding to it. As a part of the paper, you
will address how the master’s prepared nurse can contribute and function as a
leader in response to a global public health threat.
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NUR 533 Significance of Global Health Issues for the United States
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This assignment will be graded using the Global Health Rubric located on
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the instructor may assess a late penalty of 5 percent per day.
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Human Technology Interface
Human Technology Interface Paper Instructions
You will identify, research, and discuss human-technology interface/interactions related to nursing informatics. Information presented in the written assignment will also focus on the application to your role in nursing administration or nursing education.
“You can observe a lot just by watching”
~Yogi Berra
(American professional baseball player and coach)
Instructions:
• Read Chapter 11, The Human-Technology Interface (noted in the assigned readings)
• View the videos in Module 2

http://www.youtube.com/watch?v=E7WAqmjywL8
• Review the grading rubric and instructions below BEFORE continuing with the assignment.
• Based on your observations, submit a written paper based on the following headings:
o Definition
Provide the definition of human-technology interface based on the literature and give 2 examples, based on your observations. Include references.
o Human-Technology Interface Issue
Identify, analyze, and describe 1 human-technology interface/interaction issue in nursing that you have observed (not mentioned in the text) and describe your proposed solution. Be specific. Include references.
o Human-Technology Interface Working Well
Identify, analyze, and describe 1 human-technology interface/interaction in nursing that you have observed (not mentioned in the text) that you think is working well as designed. Be specific. Include references.
o Impact to Role
Describe how human-technology interfaces can impact and/or influence your role as a nurse administrator. Be specific and provide an example. Include references.
• Review the literature and cite a minimum of 3 journal articles. Additional references may include the course textbooks and websites from the list of Informatics Websites provided in Course References.
• Submit a written paper and include a cover page and reference page (Use APA format).
• Maximum 1000 words not including cover page and reference page. Refer to the rubric for additional information.
Rubric
Human-Technology Interface Grading Rubric
Human-Technology Interface Grading Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome
Definition (20 pts) 1. Provide the definition of human-technology interface based on the literature.
2. Provide examples based on observations 20 to >17.0 pts
Accomplished
• Clearly describes the definition • References cited • Provided 2 examples based on observations 17 to >15.0 pts
Acceptable
• Definition partially provided or not clear • References provided • Provided 2 examples based on observation 15 to >13.0 pts
Acceptable
•Minimal information provided for the definition •References not included •Provided 1 example based on observations 13 to >0 pts
Not Acceptable
•Definition not stated •References not included •No examples provided
20 pts
This criterion is linked to a Learning Outcome
Human-Technology Interface Issue (20 pts) Identify, analyze, and describe 1 human-technology interface/interaction issue in nursing that you have observed (not mentioned in the text) and describe your propsed solution. Be specific. Include references 20 to >17.0 pts
Accomplished
• Presents an insightful and thorough analysis and description of the human-technology interface issue • Uses problem-solving and critical thinking skills and describes a possible solution • Excellent research into the issues with clearly documented references relevant to the topic 17 to >15.0 pts
Proficient
• Presents a thorough analysis and description of the human-technology interface issue • Uses problem-solving and critical thinking skills and partially describes a possible solution • Good research into the issue with documented relevance to the topic 15 to >13.0 pts
Acceptable
• Presents a superficial or incomplete analysis and description of the human-technology interface issue • Uses limited problem-solving and critical thinking skills without identifying a possible solution • Limited research and documented relevance to the topic 13 to >0 pts
Not Acceptable
• Analysis of the identified issue is not presented • Does not use problem-solving or critical thinking skills • Incomplete research
20 pts
This criterion is linked to a Learning Outcome
Human-Technology Interface Working Well (20 pts) Identify, analyze, and describe 1 human-technology interface/interaction in nursing that you have observed (not mentioned in the text) that you think is working well as designed. Be specific.
Include references 20 to >17.0 pts
Accomplished
• Presents an insightful and thorough analysis and description of the human-technology interface working well as designed • Uses problem-solving and critical thinking skills and describes reason for ideal design • Excellent research into the topic with clearly documented references relevant to the topic 17 to >15.0 pts
Proficient
• Presents a thorough analysis and description of the human-technology interface working well as designed • Uses problem-solving and critical thinking skills and partially describes reason for ideal design • Good research into the issue with documented relevance to the topic 15 to >13.0 pts
Acceptable
• Presents a superficial or incomplete analysis and description of the human-technology interface working well as designed • Uses limited problem-solving and critical thinking skills without identifying reason for ideal design • Limited research and documented relevance to the topic 13 to >0 pts
Not Acceptable
• Missing presentation of the Human-technology interface working well as designed • Does not use problem-solving or critical thinking skills • Incomplete research
20 pts
This criterion is linked to a Learning Outcome
Impact to Role (20 pts) Describe how human-technology interfaces can impact and/or influence your role as a nurse administrator. Be specific and provide an example. Include references. 20 to >17.0 pts
Accomplished
• Clearly describes in detail, how human-technology interfaces your role • Presents a detailed, insightful and thorough explanation and example • Supported by references 17 to >15.0 pts
Proficient
• Human-technology interface impact to your role is not clearly defined • Explanation and example present but not clearly presented • Supported by references 15 to >13.0 pts
Acceptable
• Human-technology interface impact to your role is vague or incomplete • Explanation and example vaguely presented • Missing references 13 to >0 pts
Not Acceptable
• Human-technology interface impact to your role is missing • Explanation and example is missing • Missing references
20 pts
This criterion is linked to a Learning Outcome
Searching the Literature (10 pts) • Use 3 journal articles within the last 5 years • Course textbook and informatics websites may be used as additional resources 10 to >8.0 pts
Accomplished
• At least 3 journal articles are cited 8 to >6.0 pts
Acceptable
• At least 2 journal articles are cited 6 to >4.0 pts
Proficient
• At least 1 journal article is cited 4 to >0 pts
Not Acceptable
• Journal articles are not cited
10 pts
This criterion is linked to a Learning Outcome
Writing and APA including: (10 pts) 1. Writing is clear, objective, formal, and professional 2. Correct grammar, spelling, and punctuation 3. Use APA format for written assignment 4. Use APA format for written assignment including an introduction and a conclusion 5. Reference page according to APA format 6. Maximum 1000 words (not including cover page and reference page) 10 to >8.0 pts
Accomplished
• Complete formatting and writing • APA with 1 or fewer errors. 8 to >6.0 pts
Acceptable
• 2-3 formatting, writing or APA errors 6 to >4.0 pts
Proficient
• 4-5 formatting, writing or APA errors 4 to >0 pts
Not Acceptable
• More than 5 formatting, writing or APA errors
10 pts
Total Points: 100
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Solution
Human Technology Interface
Human technology interface (HTI) is a term used to describe humans and technology. This defines the application of computer technology in every field within the nursing profession. The Healthcare system relies on technology and people, and thus the interaction between the two provides an opportunity for improved health and care processes. In nursing, computer technology involves the hardware and software tools that enable interaction with the technology in aiding the nursing processes for the effective functionality of the healthcare system (Glasgow et al., 2018). Various HT interfaces can be provided as examples in nursing. The EHR system is one of the software accessible through computers and other technological devices used in the healthcare system. The nurses access patients’ data and communicate with the patients through the technology. Nurses at the point of care use their phones and tablets to search for prescription details from the pharmacological databases. This form of interaction is facilitated by sophisticated software and hardware.
There are various issues associated with the human-technology interface within the healthcare system. One of the issues is related to human-technology interfaces is complex graphic user interfaces that are not easy to navigate and interact with the user in processing and communicating the information. I witnessed a nurse navigating a CPOE system within the healthcare processes. The design had congested items and procedures that were unclear to the nurse, which was a risky experience for the patient care process and the general quality of care. According to Lopez et al. (2021), healthcare human-technology interfaces should be easy to use with the output face that faces the user. This was contrary to the desired nature of an effective interface since the nurse was required to gamble through various pages in accessing the interactive pages for communication. Various solutions can reduce the difficulty in navigating various technological interfaces within the healthcare system. One of the solutions is to conduct a needs assessment to determine the type of systems the users in the healthcare system would require. Through a study, Quintana & Cruz (2021) established that needs assessments in technology acquisition improved the interaction and usability of technologies within the healthcare system. The needs assessment provides information to the acquisition team on the critical details for the information systems and technologies that the healthcare facility should acquire—provision of prototypes before purchasing the technological devices. A prototype is defined as an early sample of a product built for a test. In the healthcare system, sample prototypes of the technological systems allow the team to test the viability and usability of the technology. If the CPOE system is tested, the technical team understands the nurses’ concerns in using the system and thus improves the actual information system. The third solution is providing enough education on the usability of the information system. When the interface is difficult to understand, the organization must educate and train the users to effectively navigate and use the interface. Training nurses and other healthcare providers on the functionality of the healthcare information systems improve the usability and quality of processes in the healthcare system (Ajami & Mohammadi-Bertiani, 2021).
The Electronic Health Records (EHR) system is one of the most used information systems in the healthcare system. The information system allows for collecting patient records at every point of care, starting with diagnosis to treatment evaluation. This is one of the human-technology interfaces that I observed as effective and good for interaction. The EHR Windows interface design is not congested, with a clear presentation of the icons and content. The interface has a “search data” icon that communicates to the user to search for the particular patient data stored in the system. The system also provides a place to enter patient data in creating a virtual file of a patient’s record. The system also provides an analytic tool for the data collected, which is useful in analyzing epidemiological data and determining the prevalence of a health condition within the health facility or community. Monica (2019) points out that poor EHR usability in the healthcare system contributed to more than 557 patient safety risks between 2013 and 2018. This shows the importance of having a communicative and easy-to-use EHR system. This shows that a system that is not interactive with the users, mostly nurses and clinicians, may cause care issues.
The human-technology interfaces impact and influences my role as a nurse administrator in various ways. The technological interfaces can help me as an administrator to collect epidemiological data for the hospital and the general community for quality improvement reasons. The technological systems collect patient records from all corners of communication. An example is an EHR system that specifically stores patient health records electronically and improves the communication process among healthcare professionals and with the patients. The data collected can help me as an administrator evaluate the effectiveness of the care processes and determine the issues of concern within the healthcare system. The interfaces ease the data collection process, which reduces the cost of information gathering and data communication. Technological interfaces in healthcare also play an important role in enhancing communication, apart from collecting data for epidemiological studies. This factor may influence my speed and quality of the decision-making process and collaboration within the team. According to Alshikhi & Abdullah (2018), technological tools in healthcare improve the timeliness and quality of information, which influences a fast and quality decision-making process. With a quality technological interface in a healthcare setting, I would thus have an improved flow of activities and quality decision-making for improved care service delivery. For example, I would easily establish the number of diabetic cases in the healthcare center through the EHR system and develop a campaign strategy in educating and screening patients against the disease. I would also use the technological interfaces to collect views on the intervention and coordinate the campaign quickly.
References
Ajami, S., & Mohammadi-Bertiani, Z. (2021). Training and its impact on hospital information system (HIS) success. J Inf Technol Softw Eng, 2(112).
Alshikhi, O. A., & Abdullah, B. M. (2018). Information quality: definitions, measurement, dimensions, and relationship with decision making. European Journal of Business and Innovation Research, 6(5), 36-42.
Glasgow, M. E. S., Colbert, A., Viator, J., & Cavanagh, S. (2018). The nurse?engineer: a new role to improve nurse technology interface and patient care device innovations. Journal of Nursing Scholarship, 50(6), 601-611.
Lopez, K. D., Chin, C. L., Azevedo, R. F. L., Kaushik, V., Roy, B., Schuh, W., … & Morrow, D. (2021). Electronic health record usability and workload changes over time for provider and nursing staff following transition to new EHR. Applied Ergonomics, 93, 103359.
Monica, C. (2019, July 19). Will Specializing EHR Interfaces Solve the EHR Usability Problem? EHRIntelligence. https://ehrintelligence.com/news/will-specializing-ehr-interfaces-solve-the-ehr-usability-problem
Quintana, Y. L., & Cruz, L. M. (2021). Review of management models for needs assessment to acquire biomedical equipment. Health and Te

PHN-690 -Public Health Nursing Practicum-TOPIC 1-DQ 2
-The question will be uploaded (see upload)
-For information purposes- I am a public health nurse and I will be doing my practicum/internship with a nursing agency.
For the last part of the question that asks -to Provide a specific example of how they are used in your practicum setting- ( please see upload for the description on the practicum setting/site ( Field experience site information) in order to answer this part)
– Sources must be published within the last 5 years. It must be from 2017 and after and appropriate for the paper criteria and public health content.
– Please do not use blogs as references
-References should be in APA 7th ed.
-Please make sure you add the in text citations
NO PLAGARISM
-Add references to reference page
-Add the hyperlink/DOI for each reference in APA 7th edition format.
Thank you
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Solution
PHN Standards
Public health nursing standards focus on promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences. Some of the significant components of the PHN standards that facilitate this goal are patient-centered primary care, integrated population management, and quality outcomes (Polivka & Chaudry, 2018). I plan to integrate these components in my practicum setting to promote the health of the senior population. I plan to integrate patient-centered care by involving the patient and their families in clinical decision making, acknowledging the patient values and preferences in clinical decision making, and removing cultural and knowledge barriers to patient participation in clinical decision making.
I plan to integrate population management in my practicum setting by conducting community assessment of priority health risk in the geriatric population, delivering preventive care to reduce disease severity, and engaging in interdisciplinary case management of common comorbidities in the geriatric population. Besides, I plan to promote quality outcomes in patient care by focusing on preventive care, integrating evidence-based data in the clinical practice, and demonstrating empathy and professionalism to improve patient experience and satisfaction. These PHN are important in my practicum setting as they promote the clinically competent nursing practice and accountability among nurses, thus facilitating patient safety and satisfaction (Dieckmann, 2021). This translates into a better reputation for the facility.
In my practicum setting, PHN is used in different ways to promote better patient care. Patient-centered care is used to encourage team-based, respectful care that entails the engagement of patients and families in clinical decision-making. On the other hand, integrated population management enhances the preventive care approach, reducing healthcare emergencies, disease burden, and related cost of care. Quality outcomes are used to improve patient satisfaction and organizational reputation.
References
Dieckmann, J. (2021). The History of Public Health and Public and Community Health Nursing. Foundations for Population Health in Community/Public Health Nursing-E-Book, 20. https://books.google.co.ke/books?hl=en&lr=&id=JAVHEAAAQBAJ&oi=fnd&pg=PA20&dq=Public+health+nursing+components&ots=lLMSwr2_km&sig=StrHMiuLyG3CQWGjRmZ4pAbE1X4&redir_esc=y#v=onepage&q=Public%20health%20nursing%20components&f=false
Polivka, B. J., & Chaudry, R. V. (2018). A scoping review of environmental health nursing research. Public Health Nursing, 35(1), 10-17. https://onlinelibrary.wiley.com/doi/10.1111/phn.12373

Database Project Input
Database Project
This week we will apply concepts from the readings to a database project. Data is collected, entered, monitored, extracted, and analyzed for various purposes. This assignment will provide experience in searching a database, reviewing and analyzing specific data elements and formulating the information into a written report. This is not intended to be a lengthy or time-consuming assignment but will require some effort.
As a nurse leader/educator, you will have many opportunities to use reports and documents that are sent to you for completion. In addition, being able to write a brief and concise summary is an essential and valuable skill. A written report document has been created for you and will be used in your final submission. Please read the instructions carefully!
Instructions:
1. Choose 1 of the following websites for the assignment:
•
o The Leapfrog Group (https://www.leapfroggroup.org/ratings-reports (Links to an external site.))
o The Center for Disease Control and Prevention (https://www.cdc.gov/DataStatistics/ (Links to an external site.))
o Agency for Healthcare Research and Quality (AHRQ) (https://www.ahrq.gov/data/index.html (Links to an external site.))
o Centers for Medicare & Medicaid Services ( (Links to an external site.)https://www.cms.gov/Research-Statistics-Data-and-Systems/Research-Statistics-Data-and-Systems.html (Links to an external site.))
o National Cancer Institute Division of Cancer Control & Population Sciences (https://healthcaredelivery.cancer.gov/data/ (Links to an external site.))
o Data.gov (https://catalog.data.gov/dataset?_organization_limit=0&organization=hhs-gov#topic=health_navigation (Links to an external site.))
2. To begin the assignment, click the link for the Database Project Report.
Use the second additional information uploaded – Data Project Report
3. Enter the information into the report:
•
o Your responses should be a brief and concise summary using complete sentences
o You may single-space
o Use appropriate citations according to APA format. If you are using word directly quoted from the website (word-for-word), use quotation marks, along with the citation. Refer to the APA 7th edition textbook.
o Use journal articles with proper citations in APA format to support your findings. Additional references may include the course textbook.
Note: An additional written summary is not needed as that is the purpose of the Database Project Report template.
4. The submission includes a cover page, the table from the Database Project Report, and a reference page. Follow APA format.
Note: The content provided below is the same as in the Database Project Report document.
Content
Background Information
1. Choose one website from the above list and provide the name of a publicly accessible database for healthcare
2. Citation for the website in APA format
3. What is the purpose of the database?
Data Details
1. What type of information is available (such as but not limited to age, gender, diagnosis, state, etc)?
2. Who oversees the data and how often is the database updated?
3. When was the last update?
Analysis
1. How can the information in the database be used? Explain
2. Are there any restrictions to accessing and using the data?
3. Why is this important to know?
Application
1. Based on your research, what are the benefits of data mining?
2. What are the challenges of data mining?
3. What is the correlation between data mining and evidenced-based practice?
4. How can leveraging data be used for quality improvement?
5. What is the role of nursing informatics in data management?
6. In your role as a Nurse Administrator/Leader or Nurse Educator, how do you foresee using data and information? Include a specific example
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Solution
Database Report
Background Information
Locate and provide the name of a publicly accessible database for healthcare
The name of the database is Healthcare Delivery Research Program and is maintained by the Division of Cancer Control and Population Sciences department of the National Cancer Institute.
Citation for the website in APA format
Data & tools. (2021, September 20). Healthcare Delivery Research Program. https://healthcaredelivery.cancer.gov/data/
What is the purpose of the database?
The purpose of the database is to support the maintenance and development of various tools and data available for research related to cancer patients.
Data Details
What type of information is available (such as but not limited to age, gender, diagnosis, state, etc.)?
The website has four categories of databases that include SEER-Medicare Linked database, SEER Medicaid linked database, SEER Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS), and SEER-Medicare Health Outcomes Survey (SEER-MHOS). The databases provide various types of data, including population-based data on Medicaid beneficiaries suffering from cancer, population-based information for an array of epidemiological research questions related to health services for cancer patients, and experiences of Medicare beneficiaries. The website focuses mainly on the data related to the care and quality of life of older cancer patients and survivors. SEER-CAHPS provides information related to comorbidities, patterns of care, treatment costs and healthcare providers and facilities, access to care, care coordination, provider communication, and timeliness of care. SEER-MHOS provides information related to activities of daily living, the effectiveness of care, and health-related quality of life.
Who oversees the data, and how often is the database is updated?
The Healthcare Delivery Research Program oversees the data. The program is organized into three branches that include Healthcare Assessment, Outcomes and Health Systems and Interventions, which reflects areas of data that each branch oversees. Program directors in all three branches provide every form of advice, consultation, and information related to funding opportunities, science policies and procedures and grant applications. The database is updated on a yearly basis. This facilitates the achievement of the program’s vision and mission of improving health and achieving optimal health outcomes for cancer patients and their families.
When was the last update?
The last update was on 28th January 2022.
Analysis
How can the information in the database be used? Explain
The information in the database can be used to improve care and health outcomes for cancer patients. The database provides information relating to the experiences of cancer patients at various stages of the cancer care continuum. This information can be used to identify areas with poor performance leading to the identification of new strategies for improvement. The epidemiological data provided by the database can be used by relevant health agencies to make predictions and develop strategies related to cancer prevention, especially at the community level. The database provides information on physicians’ use of therapies, screening modalities, and new technologies and their influence on cancer burden. This information can be used by health facilities to improve care for cancer patients through policies and procedures.
Are there any restrictions to accessing and using the data?
Why this is important to know? Explain
There are no restrictions to accessing and using the data. It is important to be aware of any restrictions to access and use of the data to ensure that one is faced with ethical issues that may lead to legal implications. The information provided in the database mainly focuses on facilitating research questions related to cancer care. The information is accessible to any researcher interested in cancer care.
Application
Based on your research, what are the benefits of data mining?
Data mining has different benefits depending on the party utilizing the information and the ways in which the information is used. According to Parva et al. (2017), the data mining process fosters a better understanding of dependency among various attributes, interpret sub-system processes, create laws, and make predictions. One benefit is the ability to predict the future. Data mines provide information that can be used to establish patterns and predict future trends in the relevant fields. For example, for the website identified, the data relating to epidemiology can be used to make future estimates on prevalence and incidence rates. Data mining also facilitates decision making. The ability to make predictions facilitates accurate and informed decision making. Future patterns can inform decision making at various stages and areas of operations.
What are the challenges of data mining?
Data mining challenges stems from the dynamic nature of the technology used in data mining. One major challenge is maintaining security, data integrity and privacy. According to research, privacy protection is one of the essential aspects of data mining that is mostly breached by many data miners intentionally and unintentionally (Dayala, 2020). Another challenge relates to the mining of distributed and multiagent data, which, if not properly managed, can lead to sabotaging of the data. Other challenges include noisy and incomplete data, data visualization, incorporation of background information, user interface, and scalability and efficiency of utilized algorithms.
What is the correlation between data mining and evidenced-based practice?
Data mining is a primary feature of evidence-based practice. Data mining entails analyzing data from a large database to identify patterns or trends and other useful information that can inform decision making. Evidence-based practice is promoted by the ability to extract meaningful information from massive clinical databases. Data mining enhances the collection of useful information used to inform practice based on the evidence of the effectiveness of an intervention or a strategy. In nursing practice, nurse researchers are in the ideal position to transform information in data repositories into understandable and useful knowledge to provide guidance in the nursing practice and promote research and interdisciplinary collaboration.
How can leveraging data be used for quality improvement?
Leveraging data promotes the conversion of raw data into variable and actionable insights. Leveraging data can be used to improve quality by promoting the identification of areas with poor performance and poor outcomes and making predictions based on current patterns and trends. Leveraging data can also be used to improve quality by facilitating decision making. Data can be used to make the best decision based on the effectiveness and outcomes of each decision. It can also be used in benchmarking the performance of an organization against other organizations in the industry. Leveraging data can also improve quality by facilitating personalized care and addressing barriers and challenges in care delivery.
What is the role of nursing informatics in data management?
Nursing informatics plays an essential role in bridging the gap between data and nursing practice. This is achieved by combining clinical experience with data expertise. The nurses working in the informatics field plays three major roles, including validating data quality, understanding and communicating the reasons behind the implementation of new process and implementing the new processes. Nursing informatics guide data-driven processes and equips nurses with knowledge and understanding.
In your role as a Nurse Administrator/Leader or Nurse Educator, how do you foresee using data and information? What data and information would be the most useful? Include a specific example.
As a nurse leader, I can foresee the use of evidence to improve the performance of nurses and health outcomes. I intend to build my knowledge of evidence-based practice to improve my ability to perform effectively. This is especially in the area of management decision making. According to Majers and Warshawsky (2020), a leader that does not understand evidence-based nursing practice is less likely to promote a culture of use of the evidence-based practice in clinical practice. I will also utilize data and information to implement policies guidelines. The most useful data will relate to patient experiences and nurse performance. For example, data and information indicating patient experiences in terms of communication and education relating to managing their conditions will be essential in improving the two areas through policies requiring patients to be provided with education and improving communication.
References
Data & tools. (2021, September 20). Healthcare Delivery Research Program. https://healthcaredelivery.cancer.gov/data/
Dayala, M. (2020). Top Challenges in Data Mining Research. https://www.researchgate.net/publication/341805214_Top_Challenges_in_Data_Mining_Research
Majers, J. S., & Warshawsky, N. (2020). Evidence-Based Decision-Making for Nurse Leaders. Nurse Leader, 18(5), 471-475. https://www.sciencedirect.com/science/article/pii/S1541461220301385
Parva, E., Boostani, R., Ghahramani, Z., & Paydar, S. (2017). The Necessity of Data Mining in Clinical Emergency Medicine; A Narrative Review of The Current Literature. Bulletin of Emergency & Trauma, 5(2), 90. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc5406178/

This is not a essay its a simple class discussion
”Perceptions of Intimacy” Please respond to the following:
Go to the Office of Justice Programs Website located at https://ojp.gov/smart/sorna.htm or use the Internet to research ”Sex Offenders and Sex Offenses.” Next, specify ONE fundamental advantages and ONE disadvantages of state or federal criminalization in deterring sexual deviance.
Next, take a position as to whether the government (local, state, or federal) should govern consenting adults using the Internet to engage in adult activities.
Provide a rationale to support your response.
Be sure to include a minimum of two sources for your post using APA format, in-text citations, and a reference list.
MUST use APA format which requires in-text citations and a reference list (examples of APA links are available under Student Center).
Use sources from within the last 5 to 7 years.
Refrain from personal pronouns (”I”, ”me”, ”we”, etc.) in your initial posts.
Be sure to answer what is asked of you thoroughly.