Implementation and Evaluation of Patient Safety

Implementation and Evaluation of Patient Safety
Implementation and Evaluation of Patient Safety

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Implementation and Evaluation of Patient Safety

  1. 1 Read the article “Patient Safety: A Priority for Healthcare and for Healthcare Design” located in this week’s Electronic Reserve Readings. “Patient Safety’’ is it a Priority for Healthcare and for Healthcare Design.
  2. Read the article “Nursing’s Impact on Healthcare Facility Design” located in this Week’s Electronic Reserve Readings. What is the impact of nursing in health care Design?
  3. There are many ways to evaluate a project’s success. What are some ways you might evaluate the success of your project?
  4. Read the following scenario.

A new Ambulatory Surgical Center (ASC) owned and operated by a hospital system, recently opened for patient services following the final inspections by all jurisdictional authorities, including state licensure. Approximately 90 days following occupancy, the state licensing agency contacted the hospital to inform them that the new ASC patient access site plan does not meet with their approval and must be changed immediately.

Although no specific code reference was cited, the licensing agency stated that ASC patients should not cross or use driveways or sidewalks that are intended for hospital patients, staff, etc. The hospital contacted the project architect to address the site concerns and to seek resolution that would not significantly affect day-to-day operations or impede access to either the hospital campus or the ASC.What are some possible solutions to the problem faced in this scenario?

5. Read the article “Evaluating Intention and Effect: The Impact of Healthcare Facility Design on Patient and Staff Well-Being” in this week’s Electronic Reserve Reading

Below is a partial answer to the above homework questions by one of our writers. If you are interested in a custom non plagiarized top quality answer, click order now to place your order.

Implementation and Evaluation of Patient Safety

Question one

Article 1- Patient Safety: A Priority for Healthcare and for Healthcare Design

(Stichler, J., F, 2016)

Patient safety is a priority for healthcare and for healthcare design. The lack of professional diligence in healthcare can result in patient care errors that have far reaching consequences. Patient care errors affect the families of the patient in as much as it affects the patient (Stichler, 2016). It results in increased suffering, pain and potentially also to death. At the same time it has psychological long lasting effects on the healthcare professional. Therefore patient safety is the number priority in the provision of healthcare services from the perspective of the patient and the care giver….

Question two

Article 2- Nursing’s Impact on Healthcare Facility Design- Stichler J., F. (2016).

The impact of Nursing in Healthcare Design can be seen in several ways. The first is the important role that nurses have played in the design of labor, delivery, and recovery rooms (LDRs) and labor, delivery, recovery, and postpartum rooms (LDRPs). Stichler (2016), states that this was the improvement from the initial alternative birth centers (ABCs) that had earlier been designed. This evidence-based input from nurses was important in eliminating the need to transfer patients multiple times in different rooms depending on the medical care they needed….

Question three- Measuring Project Success

One of the ways in which the success of a project can be measured is the customer or client satisfaction. The client who contracted for the project will expect to be satisfied with the outcomes at the end of the project. Within the parameters of healthcare facilities and organizations, the client may be an investor or the government (both national and local). The Post Occupancy Evaluation (POE) is useful in evaluating the occupancy rates for buildings that are newly constructed (Alvaro et al. 2016). The occupancy rate will be an indicator of how quickly they will recoup their investment. This will assist the client to know if the project was successful or not…..

Question four- Ambulatory Scenario

One way to address the problem is to work with the architect in order to meet the stipulations set out by the licensing agency. The architect will have to evaluate the current design and suggest where how the hospital can construct pathways that do not interfere with the main hospital system. In case the architect can come up with recommendations that new pathways may be constructed, the hospital should consider doing so in order to be compliant with the requirements of the regulating agency. The supplementary construction should seek to minimize any interference with the day-to-day operations of the main hospital….

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PROMOTION OF BREASTFEEDING IN FORTH WORTH TEXAS

Promotion of breastfeeding in Forth Worth Texas
Promotion of breastfeeding in Forth Worth Texas

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Promotion of breastfeeding in Forth Worth Texas

Lesson 1 – Primary Prevention in the community

  • Before choosing your primary prevention topic:

When choosing your primary prevention topic for your community Field work you should feel excited. Email your assigned course mentor with your chosen topic and any questions you might have.In addition to reviewing the learning resources in each lesson, you should create a list of the community assessment activities you plan to complete, including where you will go and when.

Once you are aware of the agencies, organizations, and individuals relevant to your prevention topic, begin reaching out to them by phone, email, and/or drop-in visits to set up interview appointments.If you have specific questions what hours are appropriate please reach out to your assigned course mentor. CA students will work with their assigned Clinical Instructor.

Lesson 2 – Community Assessment

  • You will find the windshield survey and community assessment information in this lesson. This activity will help you determine places to complete your interviews for your required field hours.
  • Read:Sample interview questions
  • Read: Fieldwork FAQ’s
  • Remember your topic must come from the Approved topic list lesson 2.1
  • Time log:
    • Non regulated states:
      • We suggest students keep track of their hours on a separate log form as they work through their field experience. Once completed you will input this information to the log link found in taskstream.
      • The time log can be found in taskstream under web links as seen below. You will want to input your field experience hours in one sitting and then once complete the log will be emailed to you to submit to taskstream
  • Regulated states (CA)
    • CA student: You, your preceptor and clinical instructor will all need to sign before submission to taskstream.
  • Plan ahead to find time on your life to complete your hours. This can seem challenging and overwhelming so work with your family and employer to make this an enjoyable and enlightening learning experience.
  • CA students read before moving forward with hour collection: CA FAQ’s

The remaining lessons in the course will help you write your C229 paper. Please review the task tips and read the material below as you work to formulate your paper. Your task instructions, rubric, and time log link will be found in taskstream.C229 v4 Task tipsC229 v4 RubricLesson 3 – Assessing the Target Population:

  • While completing your hours think about the target population you will focus on for your paper. You do not need to do all your field hours on your target population but you will want to have some interviews to draw from when discussing your target population and health disparity. Unsure what a health disparity is? Review it here!

Lesson 4 – Evidence Based Practice

  • Section D of your paper will ask you to discuss the evidence based practice associated with you primary prevention topic at the local state and national level. This chapter will be important in understanding EBP.

Lesson 5 – Developing a community health social media campaign

  • Section E of your paper you will be developing a social media campaign to convey your health message and address the primary prevention topic. You will find information on professional guidelines for utilizing social media in health care.

Lesson 6 – Social Media Implementation and Data Analysis

  • Section H of the paper you will discuss how to implement and evaluate your social media campaign.

Lesson 7- final steps

  • You will submit your APA format paper and signed time log to taskstream.
    • CA student remember to send your log to your clinical instructor. If you cannot remember who your CI is please email healthplacement@wgu.edu.
  • Taskstream issues; Having difficulty accessing TaskStream for C229? Try using this direct link: https://cos.wgu.edu/taskstream/ssohome.html . If C229 is still not showing as loaded in Taskstream, please connect with your Student Mentor for support.-+

CA Students: How to obtain a CA PHN certificate

As you consider your topic for the Field Experience, please think about what resources your community offers.  Does the topic make sense for your community?  Can you identify at least 10 to 15 different community resources or agencies to visit. Is this topic sustainable to assess in your community?  Do my work hours allow me assess this topic?

If you are a California student, please reach out to your Preceptor and Clinical Instructor to ensure your selected list of potential community resources are appropriate.

Prevention of Substance Abuse

Police department, probation officer, school nurse, school counselor, health department, health teacher, mental health agency/workers, church leaders, local hospitals, PCPs, youth center, prosecutor, drug court, social worker, local college/university, bars, liquor stores, homeless agencies, pharmacies, MADD, transportation services

Access to Mental Health Services

Mental Health Agencies, PCPs, EDs, NAMI, health department, social worker/case manager, EMS, police department, prosecutor, substance abuse treatment facilities, mental health court, schools

Prevention of Unintentional Pregnancy

School nurse, health teacher, school counselor, Health department, WIC, Planned Parenthood, OB/GYN, CNM, churches, youth centers, March of Dimes, local college/university, pediatricians, United Way, Big Brothers Big Sisters

Are there any other programs/organizations that try to keep youth out of trouble?

Breastfeeding

WIC, breastmilk bank, OB/GYN/midwives, pediatricians, childbirth educators, breastfeeding classes, lactation consultants, hospitals-mother/baby/NICU/peds, baby-friendly hospitals, United Way, breastfeeding vs former breastfeeding vs bottle-feeding mothers, La Leche League leader, other support groups, March of Dimes, breast pump rental companies, local businesses (working nursing mother policies), any public facilities where breastfeeding could occur, government officials regarding breastfeeding-friendly laws

Prevention of STIs

Health dept., Planned Parenthood, PCP, OB/GYN, pediatrician, health teacher, school nurse, college health center, jails/prison, agencies working with homeless, church clergy, community center, youth center, GLBT groups

Prevention of Falls in Elderly

Senior center, PT, OT, PCP/geriatricians, ortho dr., neurologist, ophthalmologist, hospital, home health, assisted living centers, nursing homes, medical supply companies, pharmacist, department of aging, health department, exercise classes directed toward seniors, city/county offices for programs to support making senior homes and public facilities safer

Prevention of Smoking

Health dept., school nurse, health teacher, government officials, PCP/pediatrician, smokers/former smokers/nonsmokers, American Lung Association local division, youth centers, local businesses, churches

1. A community needs to reduce or better yet eliminate access to cigarettes for youth. Here you would explore what the laws are about selling to minors, where cigarettes are sold, how youth are obtaining cigarettes (adults buy them? They use fake ID? They obtain them through the black market?, etc.). Do stores sell “loosies” meaning one cigarette at a time rather than by the pack? This also contributes to youth smoking.

Talk with police about enforcement of current laws. What is being done to raise the price of a pack of cigarettes through additional taxes on cigarettes to make buying a pack very expensive and so act as a deterrent to smoking? In New York City, a pack of cigarettes is $12. What is being done to enforce the requirement to provide ID when purchasing cigarettes?

2. A community needs to reduce or eliminate the ability to smoke in public spaces such as restaurants, bars, stores, other employers, public buildings, etc. to further deter people from smoking and make it very difficult to smoke. This would include investigating what is being done in the county to reduce or eliminate smoking in public places outdoors as well as indoors.

What are the regulations, what is pending to make the regulations stricter or more encompassing and what is being done to enforce the regulations? What sort of public acceptance is there of these efforts? Are parents allowing children to smoke at home? Are employers allowing youth to smoke at their jobs? What are the schools doing?

3. A community needs to change attitudes and norms to reflect a determination not to be accepting of youth smoking and to actively work against it.

Prevention of Dental Caries

State dental planner, lactation consultant, daycares, dentists, school nurse, pediatricians, family practice physicians, parent’s/community members, businesses (dental insurance)

Suicide Prevention

School counselor, school nurse, GBLT groups, church leaders, youth centers, mental health agencies, PCP, pediatrician, local colleges/universities, military installations/VA centers, NAMI, health dept.

Access to Healthcare

Health dept., government officials, low income clinics, EDs, PCPs, schools, community members, EMS, transportation services, social workers, churches

Prevention of Obesity (Healthy Nutrition & Physical Activity)

Family practice drs/pediatricians, community members, daycares, health dept., school nurse, school dietitian/cafeteria director, principal, PE teacher, health teacher, YMCA, parks & rec department, WIC, dietitian, lactation consultant, food banks, churches with food programs, food stamp office, grocery stores, farmer’s market, nursing homes, assisted living, soup kitchen, meals on wheels

Prevention of Homelessness

Health dept., churches, government officials, police dept., mental health agencies, EMS, emergency dept., department of human services, homeless shelters, homeless coalitions, schools, VA services, low-income clinics, Habitat for Humanity

Focus your efforts on what is being done to keep people in their houses and low-cost housing efforts.

Prevention of Unintentional Childhood Injury

Schools, drivers education, dept. of motor vehicles, coaches, pediatricians, parents, hospital, Safe Kids Coalition/Council, youth centers, daycares, health dept.-injury prevention program, poison control, police department, fire department, churches, appropriate recreational businesses affiliated with your community (i.e. kayak rental, ATV rental, ski resort)

Are there car seat safety, bicycle safety, seat belt safety, pedestrian safety programs? Hunter safety? Gun safety? Babysitting?

Promotion of breastfeeding in Forth Worth Texas

Prevention of Child Abuse

Health dept. (FICMR, Nurse-Family Partnership, child health), Division of Human/Child Services, daycares, schools (nurses, counselors, teachers), CASA, police dept., prosecutor, mental health agencies, churches, EMS, hospitals (post-partum and peds education), crisis child care center, parenting classes, pediatricians, support services for special needs parents

Air Quality

Health dept., local industries, government officials, school nurse, PCP/pediatrician, pulmonologist, allergist, local university, air quality expert, Sierra Club &/or other environmental groups, American Lung Association-local division, local media sources, radon inspection/removal companies, bicycle-riding programs

Disaster Preparedness

American Red Cross, Fire Department, Police Department, Health Department, search and rescue, media, meteorologist, local hospitals, mental health agency, schools, churches, nursing homes, home health companies, assisted living centers, medical supply companies, veterinarians (care of pets), mortuaries, grocery and hardware stores, pharmacies, local colleges/universities, water treatment plant, hazmat, sewage treatment plant, the landfill, electric plant, propane distributors, natural gas distribution plant, Community Emergency Response Team director

Vaccine-Preventable Diseases

Health dept., pediatricians, FP drs., school nurse, daycare providers, hospital-mother/baby & peds, community members, pharmacies, Planned Parenthood, senior centers, nursing homes, home health, adult daycare providers, assisted living centers, college/university (dorm living), Emergency Prep coordinator for the county (H1N1)

Domestic Violence or Sexual Assault

SANE/SAFE programs, domestic violence/sexual assault victim advocates, OB/GYNs, PCPs, EDs, EMS, crisis shelter, safe houses/shelters, health dept., police dept., mental health agencies, prosecutor, religious leaders, hair stylists, social workers, United Way, schools, YWCA, department of human services, Boy’s & Girl’s Club, Boy Scouts, Girl Scouts, youth centers

Look for any programs that teach young men/women positive coping behaviors and self-confidence. Look for parenting classes for older children/teenagers that you can audit.

Promotion of breastfeeding in Forth Worth Texas

Below is a partial answer to the above homework questions by one of our writers. If you are interested in a custom non plagiarized top quality answer, click order now to place your order

Promotion of breastfeeding in Forth Worth Texas

A: Introduction

According to Reeves and Woods-Giscombe (2014), breastfeeding is beneficial to the children as it plays a vital role in strengthening their immunity. Moreover, breastfeeding reduces the infant mortality and morbidity rate that are attributed to poor health in the baby. Breastfeeding refers to the process of giving the baby milk from the mothers’ breast either directly or indirectly. Breastfeeding provides the baby with minerals, calories, vitamins, and other nutrients for growth, development and health.

The process of breastfeeding is also known as lactating or nursing (UNICEF 2015). Moreover, World Health Organization (2016) states that breastfeeding is the natural way that nutrients are transferred to the child after birth and facilitates their growth. However, most mothers opt not to breastfeed their babies and this is one of the contributors of high infant mortality.

Promotion of breastfeeding in Forth Worth Texas

B: Problem Description

The target population are women who have delivered in Fort Worth Texas. The total population of births in Texas in 2015 was over 28,000. Fort Worth Texas accounted for a higher percentage of immortality rate in this number. According to Daverth (2015), the number of teen pregnancy accounts for a higher margin of the births. The state and trickling down to Fort Worth city they ae ranked to have the fifth highest rate of teen pregnancy in the country. The demographics that will be factored in the social media campaign are age, race/ ethnicity, and income of the mothers. The city is located in the North Central part of the State of Texas and covers an area of 910km2.

In Fort Worth Texas, the infant mortality rate is higher when compared to other states. The number of deaths per 1,000 live births in the counties in Fort Worth are as follows. In Tarrant county there ae 7.1, Parker Wise county 4.7, and finally in Denton county 3.6 (“Healthy North Texas: Indicators: Infant Mortality Rate: County, 2017). Based on the analysis Tarrant County has the highest mortality rate when compared to the other counties in the state.

The number of deaths were more likely to occur among the African-American babies when compared to the Hispanic and Caucasian babies in the state during the first year of the child’s life. The African American mothers breastfed minimally when compared to either the Hispanic and Caucasian mothers. This is has resulted in the increase of deaths among their babies (UNTHSC to lead Fort Worth fight against infant mortality- Newsroom, 2017).

Promotion of breastfeeding in Forth Worth Texas

C: Health concern is linked to a health disparity within the targeted population

Data to support health disparity

The national estimates show that during the early postpartum era 58.1% African American women engaged in breastfeeding their babies with a margin of 27.5% of the population continuing after 6 months. Conversely, in the Caucasian women 77.7% and 45.1% respectively while in the Hispanic population 80.6% and 46% respectively. This is an indication that the African-American women few of them breastfed or continued breastfeeding after 6 months hence increasing the infant mortality rate (Belanoff et al. 2012; Reeves and Woods-Giscombé 2014). 

Measures to solve the problem

According to the Star Telegram magazine (2017) the public health in Fort Worth for over 30 years have been working on the problem of infant mortality. They have carried out prenatal education on families. Moreover, they encourage the pregnant mothers to go for regular check-ups in the hospital during and after pregnancy. Furthermore, the women are encouraged to breastfeed their children as a way to deal with the problem.

Underlying causes of health concern

Based on Sparks (2011), the high infant mortality rate among the African-American population when compared to the other ethnic groups is attributed to a number of factors. They include limited resources, limited accurate information when it comes to breastfeeding, lack of support from the family members among others. Moreover, the poverty levels in the area affect the people when it comes to getting health insurance. 

Furthermore, there are environmental and individual factors that hinder breastfeeding.  Dunn et al., (2014), in most communities the negative perception of breastfeeding on the woman’s body makes them shun breastfeeding. The women have limited breastfeeding role models that will encourage them to breastfeed. Additionally, the lack of education on the suitable nutrients to eat during the lactating period affects breastfeeding. The women end up having decreased breastmilk for their babies which demoralizes them.

Promotion of breastfeeding in Forth Worth Texas

D: Evidence-based practice associated with primary prevention

The rate of abandoning breastfeeding is high among the mothers who are younger than 20 years of age. They have a 30% high likelihood of African American mothers younger than 20 years old at 30%; it is highly probable of abandoning breastfeeding when compared to the other racial or ethnic groups (Robinson, VandeVusse, and Foster 2016).  Social workers have been sent to different areas in the city to synthesize the women on pregnancy issue.

They work in conjunction with community health and nurses to help women who are pregnant. The state of Texas has gone further ahead to partner with the community to set up clinics. The US Department in 2017, through the UNTHSC provided grants to 87 organizations out of this 4 in Texas received the Health Start grants (UNTHSC to lead Fort Worth fight against infant mortality- Newsroom, 2017).

Promotion of breastfeeding in Forth Worth Texas

E: Social media campaign

The social media campaign deals with synthesizing the women in Fort Texas on breastfeeding. The campaign is targeting the women who have given birth but lack sufficient information on breastfeeding. The objectives of the social media campaign are

  • Highlighting the benefits of breastfeeding through the social media platforms
  • Synthesizing women on the foods that will aid them during the breastfeeding period
  • Community support centers that will aid them during the breastfeeding process

Promotion of breastfeeding in Forth Worth Texas

Two-population focussed approach

The social media marketing intervention deals with educating the women on the value of breastfeeding. Knowledge is power and will aid the women save the life of children. According to UNICEF (2015), breastfeeding fosters the relationship between the mother and children. The social media marketing will focus on showcasing women who are breastfeeding and let them share their message. The women will also explain to the other women the manner in which they can breastfeed appropriately and the food appropriate for them.

The second approach is the involvement of the health practitioners from different medical facilities. They will highlight the benefits of breastfeeding in reducing acute childhood diseases, allergies, chronic diseases, reduction for postneonatal development among others. Moreover, the medical practitioners will focus on the growth and development process of children who have been breastfeed. They will also indicate the support centers for breastfeeding mothers and the form of medical aid that they need…….

Promotion of breastfeeding in Forth Worth Texas

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