To demonstrate a plan of reliability and validity, a 5-point Likert scale survey and document review should be conducted by experts to ensure valid and reliable facts are obtained first. I will then use the Likert scale, to collect the data, which is a very reliable reliability method because respondents will give consistent information without the fear of losing their jobs and consistent information about various concerns of lawsuits against the “Eagle Memorial Nursing Center” (EMNC). In conclusion, conducting the 5-point Likert scale survey is a very reliable method of gathering data to demonstrate reliability because of the consistent data that the Likert scale survey provides. (See Appendix A )
An assessment of the respondent’s level of understanding should be carried out next to ensure the Likert scale used are not misunderstood (Cooper, 2010, p.39-40). However, the Likert scale should always give the respondents a chance to seek clarification of questions not clearly understood in order to increase the validity and reliability of facts gathered. Perhaps, because the respondent is given a chance, to clarify the 5-point Likert scale questions that
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This instrument will show the change in consideration that involves “Eagle Memorial Nursing Center” (EMNC) in how they can return to a well-functioning nursing facility and decreased its number of lawsuits. However, the first step to demonstrate the reliability and validity for a plan to collect the data starts with the document review of researching the internal record that is available, including monthly reports, financial documents, purchase orders, activity logs, etc. Nevertheless, the advantage of using the document review method for records from your organization is the ease of data collection, assuming the data already exist and no additional effort needs to be made to collect
#1- Compare and contrast the clinical uses of a health record with the secondary purposes of a health record. The use of Health Records are used by both, clinicians and non-clinicians (secondary purposes). Reasons to why clinicians may use a patient records are for confidential data such as patient care (diagnosis and treatment), chronological documentation of clinical care, method of cross discipline education, research activities, public health monitoring and for quality improvement activities. In contrast, non-clinicians may use is for non-confidential informational data such as billing and reimbursement, verifying disabilities, and legal documentation of care.
The American Reinvestment and Recovery Act laid out the groundwork for a program designed to equip hospitals and medical practices around the country with electronic health record systems by providing financial incentives (p. 245). However, in some markets such as long-term care facilities the transition to electronic system has been slow. Professional nurses whose careers are in long-term care in our nation will play major role in getting electronic health systems into these settings. It will take nurse advocating for these systems and continuation of research showing evidence that supports widespread adaptation of these systems, but nurse united under one cause, best practice can make anything happen.
In order to determine which dimensions are areas of improvement, the dimensions had to have an average of all scores in the dimension less than or equal to 4.99 using the information provided in Exhibit 4. Exhibit 4 was chosen because to provide the primary information because it views the attitude of other members, which could provide insight as to why they are not current members. The numbers less than or equal to 4.99 were chosen to be inclusive of all averages within four (4.00-4.99) and below. Additionally, it was chosen because 4 is the media of the seven-point rating scale, which would deem the rating neutral/satisfactory/okay.
Measurers were taken to make sure the questioner asked what the evaluation set out to evaluate. c. How would you address ethical issues in your project? The Institutional Review Board (IRB) was given the opportunity to give independent and prospective review and approval prior to the study beginning. Participation was voluntary for the women applying for identification.
Overall, incomplete documentation and delinquent medical records cause inaccurate reimbursement and results in inaccurate gross revenue to the hospital. It can have a negative impact on the hospital budgeting and financial planning process for the hospital. It is for this purpose that every healthcare institution should be purposeful on reviewing the accuracy and completeness in clinical documentation, no matter the cost. Even though, for most physicians, most of their time is focused on the actual care of the patient and there is little to no time to devote to extensive documentation, it is imperative to understand patient care includes both the one-to-one attention and the documentation of said treatment.
Provide two possible reasons for why the Queensland government decided to let the mining company monitor itself. Use material to illustrate your argument? The Queensland government decided to allow the mining company Xstrata to monitor the Mount Isa mine by itself due to government legislation. This legislation was passed in 1985 by the Joh Bjelke-Petersen’s government.
In her assessment of the American Reinvestment & Recovery Act (ARRA), Murphy (2009) discusses how its enactment provided unprecedented funding for the advancement of health information technology (HIT) which served to promote health care reform. Electronic health records (EHRs) by extension received a boost via incentivization for appropriate use in hospitals and ambulatory settings (Murphy, 2009). The benefits of EHRs include the ability to improve the delivery and quality of nursing care, the ability to make more timely and efficient nursing care decisions for nursing, the ability to avoid errors that might harm patients and the ability to promote health and wellness for the patients (McGonigle & Mastrian, 2015). An appropriate use of EHR
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.
Our institution organizational function will be under review. The Joint Commission will survey our patient environment of care, emergency management, human resources, information management, leadership, life safety, medical staff, nursing, performance improvement, and record of care. Our management of the environment of care looks at how safe, functional environment within the hospital so that quality and safety are preserved. The environment of care is made up of the building or space, including how it is arrange and special features that protect patients, visitors and staff. It also encompasses the equipment used to support patients and the people, including employees, patients and visitors (The Joint Commission, 2013).
In the past, nursing homes have notoriously been known for not delivering the best quality care. There have been cases of patients being burned by heating pads, strapped to their beds with restraints, or given medication to quiet them down, with more extreme cases including patients so sedated, that they almost seemed lifeless. In 1987, the Nursing Home Reform Law was passed to change the quality of care being given to nursing home residents such as monitored clinical care, unexpected inspections, and having a registered nurse on duty 24 hours a day. While its creation had many positive effects, there was still an issue with the quality of care being given as stakeholders and investors in nursing home chains have begun to cut expenses by limiting
First, a brief summary of the study, including the background, objectives, methods, intervention, findings, and conclusion will be posted in an online nursing forum (INC, 2012). Next, a formal research report with all relevant information listed above, literature review, and evaluation tools used during the study will be presented to the local chapter of the American Nurses Association (ANA). The ANA can assist with disseminating the findings to other members within the organization (INC,
According to the textbook face validity is, “the extent to which an instrument appears to measure what it says it measures”. After reviewing the National Ambulatory Medical Care Survey (NAMCS) and the NAMCS Electronic Medical Record Supplement Survey, the surveys both meet the definition of face validity. Content validity, according to textbook is, “the rigorous determination that the instrument represents all relevant aspects of a topic”. The NAMCS, for the most part, meets the definition of content validity. On page 3, question number 9a and 9b needs to be re-sequenced.
Empirical Referents Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
Nurses use this tool for Assessment, Diagnosing (nursing), Planning, Implementing and Evaluation for the