Discussion 1: Self-Determination
In the Christ & Diwan (2008) article, the authors list seven domains that social workers should address in order to fully assess an older client’s needs. Each domain is considered equally important. This comprehensive evaluation fits well with the social work perspective that it is important to not only address the internal concerns of clients but also their environment. Making decisions for older adults without their input occurs often. In society people sometimes treat their elders like children—making decisions for them based on what they think is best rather than from the client’s perspective. While at times this may be well intentioned, the potential for infantilism and, in turn, compromised self-determination, occurs.
For this Discussion, review the program case study for the Petrakis family. You will focus not on Helen, but on her mother-in-law, Magda. What decisions were made about Magda’s treatment without a formal assessment and/or her input? Consider how Christ & Diwan’s (2008) seven domains relate to Magda’s case. Complete an assessment for Magda and identify the choices that were made without her feedback. 
By Day 3
Post a summary of your assessment of Magda’s situation that addresses the seven domains. Fill in the gaps in content as necessary. Describe ways you would have included Magda in the original assessment and treatment plan. Include questions you would have asked Magda and her professional support system (doctors, nurses, etc.) to gain further insight into the situation.
Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.
By Day 5
Respond to two colleagues and explain how their assessments support the NASW Code of Ethics (2021). Include two values and/or guiding principles to support your explanation. 
Colleague 1: Antoinette 
RE: Discussion 1 – Week 6
COLLAPSE
Hello All,
Post a summary of your assessment of Magda’s situation that addresses the seven domains. Fill in the gaps in content as necessary. Describe ways you would have included Magda in the original assessment and treatment plan. Include questions you would have asked Magda and her professional support system (doctors, nurses, etc.) to gain further insight into the situation.
Social workers advocate for the geriatric population by first assessing the needs and making sure they are getting the resources. Christ and Diwan ( 2008) stated the importance of completing assessments and reviewing the biopsychosocial framework for seven domains of assessment for clients. This framework can help social workers understand how to approach the geriatric population and chronic illness. Magda is an 81 years old woman who was assessed due to concerns from her daughter-in-law. According to Grace Christ & Sadhna Diwan (2008)  the assessment regarding Magda’s life including; 1) Physical well-being and health 2) Psychological well-being and health, 3) Cognitive capacity 4) Ability to perform various activities of daily living 5) Social functioning 6) Physical environment and 7) Assessment of family caregivers.. In the first domain, Magda is an overall healthy woman at her age. She is having trouble with her stability that increases her risk of falling and getting hurt. According to Paveza (2013), assessing the mental health of an elder individual is often the most important step during the assessment process because the social worker needs to be cautious that the information, they are receiving is accurate In the second domain you can see that her physical and mental health co-existed. In Magda’s case, as a result of her fall, Magda begins experiencing the early onset of dementia which has caused her to lose most self-sufficiency. Her cognitive capacity and ability to perform basic living functions were severely impacted by her dementia. For example, when she talked about paying her bills and cooking meals.  Also making sure she keeps track of her medication and taking it every day. 
During Magda’s assessment, I would include her family in the assessment. I would also want to complete a home visit. I would make sure there is a safety plan put in place. I would also inform her of assisted living facilities. I would let her know the importance of having a plan in place and how important it is to have her input in her plan. I would ask her questions such as “What does she feels she needs, what care and assistance you feel you need? I would also want to speak with her doctor and medical team to see how severe her dementia is and what steps she needs to take to slow down her dementia. I would like to know what services she will benefit from.
References:
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
Christ, G., & Diwan, S. (2008). Chronic illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from: https://www.cswe.org/getattachment/Centers-Initiatives/CSWE-Gero-Ed-Center/Teaching-Tools/Gero- Competencies/Practice-Guides/Assignments-Measurments/CI-Sec2-Role-SW.pdf.aspx
Paveza, G.J. (2013), Assessment of the elderly. In M.J. Holosko, C.N. Dulmus, & K.M. Sowers (Eds), Social Work Practice with Individuals and Families: Evidence-informed assessments and interventions. (pp177- 195). Hoboken, N.J.: Wiley.
Colleague 2: Melinda 
RE: Discussion 1 – Week 6
COLLAPSE
To re-cap the presenting issue in the case; Helen came to the social worker to seek “suggestions of a close friend who thought Helen would benefit from having a person who could listen” (Plummer, 2014). After a few sessions, the social worker finds out about Helen’s mother in-law and the dynamics of the family as a whole (Plummer, 2014). To better help Helen, we must focus on the dynamics of Magda’s illness and the impact it has on Helen and her family. Within the last six months Magda fell and broke her hip and was diagnosed with early signs of dementia (Plummer, 2014). This own would be hard on Magda and her family. However, Magda’s family sets up and set up a system to support her in many ways. The system is becoming hard on the family. Therefore, as a social worker we want to explore options to reduce the amount of stress on everyone.
However, since the social worker in this case only had Helen to rely on for information, she did not get a full assessment of Magda’s situations. Christ and Diwan stated “the specific role of social workers in health care is to address psychological, behavioral, and social factors by (1) assessing patient and family psychosocial health needs, (2) providing interventions required to address their psychosocial needs and promote their adaptation to illness and disability, and (3) developing and implementing effective models of health services delivery” (Christ, 2008). In the assessment the social worker did on Helen only focused on the mental and physical well being of Helen. Instead of Magda. The purpose of focusing on Magda’s well being for the time being would in the long run help Helen and her families anxiety around the issue of Magda. The social worker first looked at environmental assessment which is a comprehensive assessment and focuses on the physical-living environment (Paveza, 2013). The social worker did not however go to the place, but hear about how the living situation was not working out. Without knowing of Alec’s issue of sobriety, suggesting he go live with Magda to reduce the issues with both Magda and Helen seemed like the correct way.
Christ and Diwan talk about the seven major domains of assessment within the biopsychosocial framework (2008). “The conceptual framework that supports comprehensive geriatric assessment, evaluation, and management is a biopsychosocial approach to understanding chronic illness care” (Christ, 2008).  As the social worker before continuing with Helen’s presenting issues, working through Magda’s would be the correct course of action. “To develop a substantive understanding of an older adult’s needs and resources there are seven typical domains of assessment that are important for social workers.   1) Physical well?being and health 2) Psychological well?being and mental health 3) Cognitive capacity 4) Ability to perform basic ADLs and instrumental activities of daily living (IADLs) 5) Social Functioning 6) Physical environment 7) Assessment of family caregivers” (Christ, 2008). Along side of using this assessment, the social worker would need to talk to the professional support system for Magda to gain further insight on her situation. Some questions the social worker should find out are what is the prognosis; what kind of resources medically could Magda; at what point is it better for her to be in a memory unit or nursing home? These are just some of the questions we would want to ask.
Lastly the social worker needs to report the elder abuse. This is not an option, when you take the oath to be a social worker, we are stating we will lawful. In the United States we are obligated to do report any abuse, neglect, self harm, or harm of other. This also should have been told to Helen within the very first session. Even if Helen does not want her son to be in trouble and she did not want to report it. It is our duty by law to do so.
Christ, G., & Diwan, S. (2008). Chronic illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from http://www.cswe.org/getattachment/Centers-Initiati…
Paveza, G. J. (2013). Assessment of the elderly. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 177–195). Hoboken, NJ: Wiley.
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing.

3-5 sentences on why you agree or disagree with there statement 
discretion with juveniles
1.
As a Police Officer dealing with a juvenile smoking marijuana, I would sit that kid down and try to get to know him see why he is doing the things he’s doing. I would see what is going on in his life to see if i could fix anything from my position. After talking to him/her i would drive him home and see how his home life is, does his parents or whoever he lives with care that he is even gone all hours of the night? Some kids go through bad things in home that can affect their behavior and make them act out. This is how i would do if it was a first offense, however if i was to catch the same kid that i just got done catching the very next day, I would take him to his house talk to his parents. I would tell them im taking your son/daughter to jail, just to see how they would act. If the parents show no sign of caring, I would simply make an anoumous call to DPS and have them do a wellness check. I think that kids need a lot of patience and sometimes they do bad things just to get attention.

2.
The curfew law for a juvenile in certain states restricts the movement of children younger than 16, 17, or 18. They are not supposed to loiter in that area between the restricted times, It depends on the vulnerability of the area it can be between 11.00 at night to 5.00 in the morning from Monday to Thursday, or as decided by the law authority.
Carrying Marijuana is illegal If the Juvenile is caught smoking Marijuana. The law permits the officer to 1. Impose a fine, 2. Give a verbal warning, 3. The imposition of community service, or enroll in an after school, program, 4. If it is found that parents are not taking proper care during curfew hours one of the parents can be punished, 5. For repeated offense, the juvenile can be sent for a rehabilitation center.
The curfew in certain areas is imposed to save the children from criminal and illegal activities.
If the juvenile is caught the night before the curfew he will be verbally restricted from using Marijuana. If the child does not follow then he can be fine and simple possession charges are formed, the juvenile would be tried in juvenile court, The punishment is usually counseling and probation if the child is found guilty in the rare occasion they are kept under custody otherwise they are given the chance of rehabilitation.
The court does not punish juveniles instead they force on rehabilitation because it gives an option to juveniles to realize that they are given the opportunity to make good on their mistake. Charging a juvenile with a criminal history would spoil his future career.

juveniles vs adult systems
1.
adult justice systems and juvenile justice systems have both similarities and differences, I will talk about the differences first. Juveniles do not have a jury, it only consists of a single judge. Juveniles do not get convicted criminal they are called delinquent acts. Adults go to jail or prison for punishment, however Juvenile’s main focus is rehabilitation. The simalarities are right to an attourney. right to know what charge is against you. right to not incriminate yourself. The prosocution must prove the charges against you without a shadow of a doubt.
the main difference in my opinion is how juveniles main focus is rehabilitation and adults are for punishment. i think if it is a first time offense it should be about rehibiltaiton as an adult also. No one is perfect we all make mistakes, so why cant adults first time offense be about rehabilitation and not straight up punishment right off the back?
2.
When comparing the juvenile and adult justice systems, there are several similarities and numerous differences in how the criminal justice and legal systems deal with them. While the adult justice system aims to punish wrongdoers, the juvenile justice system is more inclined towards rehabilitating and doing what is best for minors to ensure a fresh start and a good and clean transition into adulthood (Davi Law Group, 2015). Many alternative sentences meant to keep juveniles out of jail include parole, probation, and diversionary programs, which is not the case in the adult justice system (Davi Law Group, 2015). Furthermore, adults are charged with crimes, while the legal system regards juvenile crimes as delinquent acts, with the exception of murder.
In juvenile justice systems, adjudication hearings rather than a public trial with a jury does not happen in adult justice systems (Davi Law Group, 2015). Also, the judge evaluates all the evidence and determines whether the minor is delinquent or not. Courts in the adult justice systems are formal, while courts in the juvenile justice system are often informal. Additionally, the admission of evidence rules is strict in adult justice systems, while they are more lenient with youth offenders.
Some similarities in the adult and juvenile justice systems include the right to an attorney, not to incriminate oneself, the right to know the charges brought forth against them, and the right to cross-examine and confront witnesses (Davi Law Group, 2015). Also, in both justice systems, the prosecution must indubitably prove the charges against an offender.

Since there are many offenders incarcerated for minor crimes in the adult justice system, such as possession of drugs, their successful rehabilitation can offer parole, a fresh start in crime-free life, in addition to combating overcrowding in prisons. Since the adult system emphasizes punishing offenders more than rehabilitating them, implementing and focusing more on rehabilitation in the adult justice system would positively impact that system.

ISO 270001
1.
The ISO 27001 or ISO27K is composed of information security standards published by the International Organization for Standardization (ISO) and the International Electrotechnical Commission. ISO27K is designed to function as a framework for an organization’s information security management system (ISMS)(PETTERS, 2020). This includes all policies and processes relevant to how data is controlled and used. ISO27K does not mandate specific tools, solutions, or methods, but instead functions as a compliance checklist. In order to earn an ISO 27001 certification, an organization is required to maintain an ISMS that covers all aspects of the standard. After that, they can request a full audit from a certification body (iso.org, 2021).

I currently work with and maintain the ISO27K and NIST policies suite for my employer at a global level. This global standard affects over 200,000 people by minimizing all of our risks as they relate to information security and results in global confidence and trust for the employer’s clients. The standards also align the business with specific guidance and controls for protection of confidential information, information systems, and frameworks. In my opinion cyber-attacks are increasing on a daily basis at a high rate, the damages caused by them both financially and reputationally due to substandard security posture is disastrous. The ISO27K series along with certification help to protect and ensure proper steps are taken to protect the business.

2.
The ISO 27001 standard was developed by the International Organization for Standardization (ISO) (Petters, 2020). ISO is a global non-governmental organization founded to collect and manage “various standards for different disciplines” (Peters, 2020; Kosutic, 2020). The ISO 27001 standard was created to serve as a management framework (Kosutic, 2020). This framework is a combination of policies and processes that organizations can use to protect their business-critical information in a “systematic and cost-effective way, through the adoption of an Information Security Management System (ISMS)” (Kosutic, 2021; Dejan Kosutic, 2014).
The purpose of ISO 27001 is to preserve an organization’s confidentiality, integrity, and availability (Dejan Kosutic 2014). Confidentiality means that only authorized individuals within an organization can access specific information (Dejan Kosutic, 2014). Integrity refers to ensuring that only authorized personnel within an organization can manipulate important information (Dejan Kosutic, 2014). Availability refers to the idea that information will be available to an organization’s personnel during a specific interval of time (Dejan Kosutic, 2014). To fulfill these purposes, an organization must use ISO 27001 to protect their information Dejan Kosutic, 2014). Methods an organization to protect themselves include creating procedures, changing passwords, encrypting disks, asking employees to sign a legal contract, and training employees to become aware of the various security threats that exist today (Dejan Kosutic, 2014). Before an organization adopts this ISO 27001 standard, they should ask themselves, why is it important?
The ISO 27001 standard is important because it will educate organizations on appropriately protecting their important information. Furthermore, by becoming certified in ISO 27001, an organization can assure its customers and stakeholders that it can fully protect its data (Petters, 2021). To become ISO 27001 certified, organizations must refer to their ISMS to determine their compliance level (Petters, 2021). Achieving full compliance requires organizations to get their respective ISMS to a level in which their best practices have reached the “realm of cybersecurity to protect your organization from threats such as ransomware” (Petters, 2021). I agree with complying with this standard because it will enable organizations to improve their security while increasing their reputation among customers, stakeholders, governments, etc. (Petters, 2021). However, I will admit it is ridiculous that there are consequences for not complying with ISO 270071 (Petters, 2021). For instance, if an organization loses its compliance designation, it could be prevented from operating its business in “certain geographical areas” (Petters, 2021).

 

There are 3 short answer/essay questions to follow, but some may have sub-components. Answers will be scored on (1) correctly identifying the issue(s), (2) referencing appropriate rules or authority when called for, and (3) most importantly, thorough and complete analysis. When possible, you should make assumptions to keep your analysis going. If there are differences in the rules under the AICPA Code, California rules, or other laws, you should be prepared to address and distinguish any similarities or differences. answers will be scored primarily on your thorough and complete analysis. FACTS:Aaron Adams (who is a California CPA) woke up in a sweat, with an anxiety attack coming on. Aaron Adams popped two anti-anxiety pills, laid down in his apartment to try and sleep for the third time that night, and thought once again about his dilemma. Aaron Adams is an associate with the California accounting firm of Better & Best, LLP. Better & Best, LLP employs various professionals – both CPA’s and non-CPA’s – and has offices in San Diego, CA; San Francisco, CA; and Denver, Colorado. Better & Best, LLP provides a variety of services to its many clients, including both tax and audit. This was of course not the first time Aaron Adams had to rely on self-medication. For the last two-years he has been unable to function without a daily dose of favorite marijuana edibles: Purple Monkey Love. For this particular matter, Aaron Adams recently discovered, through a casual conversation with Chad Carlson (also a California CPA), a friend of his on the audit staff, that one of the firm’s clients, Get Going, Inc. (a publicly traded company), managed by Chad Carlson recently received complaints that its infectious disease monitoring equipment was malfunctioning. Chad was originally reluctant to talk about the matter with Aaron because Get Going, Inc. always lets him use their box seats to watch professional baseball games. Chad Carlson learned about the issue because last month Get Going, Inc. called for a meeting of the lawyers, auditors, and top management to discuss what to do about the complaints from health care facilities that had significantly increased between the first two months of 2021 and the last two months of 2020. Doctors at facilities that used Get Going, Inc.’s infectious disease monitoring equipment claimed the equipment either shut off for brief periods and, in several cases, triggered false warnings where the hospital was required to take various emergency steps that resulted in compromised care to some other patients. During that meeting one executive from Get Going, Inc., Olivia Oakley, raised the issue of leaving the U.S. marketplace altogether because selling oversees was “so much easier.” In fact, Olivia had already contacted Mexico’s National Director of Healthcare, who seemed willing to overlook the faulty equipment if Get Going, Inc. would “see it in their hearts” to invest in a new soccer stadium to be built in his hometown. Nevertheless, Aaron Adams tossed and turned and wondered what he should do about the fact that Encinitas Medical Center, his current audit client, plans to buy 20 units of Get Going, Inc.’s infectious disease monitoring equipment for its brand-new medical facility in the outskirts of Carlsbad, CA. Aaron Adams informs the senior partner in charge of the Encinitas Medical Center audit, Frank Farmer (also a California CPA), who informs the manager, Diana Downing (also a California CPA). A meeting is held the next day in the office of Eric Eng (also a California CPA), the managing partner of Better & Best, LLP. Here’s how the conversation went:Eric: If we tell Encinitas Medical Center about the problems at Get Going, Inc., we will have violated our confidentiality obligation as a firm to Get Going, Inc. Moreover, we may lose both clients! Diana: Aaron, you are the closest to the situation. How do you think Encinitas Medical Center’s top hospital administrators would react if we told them? Aaron: They wouldn’t buy the equipment, and I know that to be a fact. My sister is one of those top hospital administrators! Eric: Once we tell them, we’re subject to investigation by our state board of accountancy for violating confidentiality. We don’t want to alert the board and have it investigate our actions. What’s worse, we may be flagged for the confidentiality violation in our next peer review.Diana: Who would do that? I mean, Get Going, Inc. won’t know about it and the Encinitas Medical Center people – including Aaron’s sister – are going to be happy we prevented them from buying what may be faulty equipment. Frank: I agree with Diana. They are not likely to say anything. Eric: I don’t like it. I think we should be silent and find another way to warn Encinitas Medical without violating confidentiality. Aaron: Why don’t I refer Encinitas Medical Center matter to Nancy Norris? She’s a great lawyer who could help navigate the situation. Oh, and remember how she always buys pizzas for the whole office after we refer a client to her? Makes me hungry just thinking about it…With no resolution made at the meeting, Aaron Adams goes back to his apartment and reflects on the conversation. He is so distraught that in the middle of the night he calls his old college girlfriend, Gina Gilbert. Aaron explains the situation to her, going into great detail about Get Going, Inc.’s faulty equipment. After hours on the phone, exhausted, Aaron falls asleep. Gina, however, quickly realizes that the negative news about Get Going, Inc.’s faulty equipment could negatively impact its stock price. She quickly logs onto her brokerage account, and places a small short sale trade, i.e., betting Get Going, Inc.’s stock price will decline. Gina’s small trade is the result of her modest income; however, her current boyfriend Hector Haas, is filthy rich. Gina tells Hector about Get Going, Inc.’s troubles and he too places a short sale trade, but this time in the hundreds-ofthousands-of-dollar range. The following day when Aaron, Chad, Diana, Frank, and Eric return to the San Diego offices of Better & Best, LLP. Frank pulls Chad into his office to have a conversation about Imagine Into It Inc., another client Better & Best, LLP services out of the firm’s Denver office. Frank and Chad have the following conversation:Frank: Chad, we’ve got a bit of a problem with Imagine Into It, Inc. As you know our firm does a lot of work for this client, including tax and audit, and Jennifer Jones is the head partner on the matter out in our Denver office. I just got a disturbing call from Jennifer. Chad: Oh yeah, what did Jennifer say? Frank: Jennifer says that Imagine Into It, Inc. reported $200,000 in its revenue last year. It seems that they had a large order to ship their product, but they didn’t ship the product until the beginning of this year. It seems they wanted to make sure that their 2020 income was high enough to qualify for their $10 million bank loan. Chad: Oh no! Frank: I know, right?!?! The problem is that Jennifer doesn’t know what to tell them, and she’s putting it all on me, right here in the San Diego office! She also says Better & Best, LLP was dead wrong when we gave Imagine Into It, Inc. tax advice about their capital investments in a new facility last year. I was the one that gave them the advice! I was swamped at the time so I just said something quick that sounded reasonable, but now it sounds like I was 100% wrong. I didn’t even sign the tax return! What should I do?Chad shrugs his shoulders and walks out. What Chad did not tell Frank (when Frank was clearly confused at Chad’s abrupt leaving) is that Chad’s ex-wife works in Imagine Into It, Inc.’s new manufacturing facility in Oakland, CA. Moreover, Chad’s retired mother, who lives off a meager fixed income, inherited five shares of Imagine Into It, Inc. stock from Chad’s grandfather the year before. Elsewhere in the firm, Eric has been contemplating merging with another firm. He has identified Kyle Krogstad and Kyle’s firm, “The Accounting Guys,” as a possible partner. Kyle is not a CPA, although he did receive a master’s in accounting for a prestigiousschool. “The Accounting Guys” operates exclusively in California and is owned 50% by Kyle, 25% by Laura Landers (a California CPA), and 25% by Maggy Mark (another California CPA). “The Accounting Guys” primarily prepares tax returns and charges in one of two ways. First, “The Accounting Guys” charge their clients a ten (10) percent fee based on the client’s gross revenue. For example, if a client has $1 million in gross revenue, “The Accounting Guys” get a fee to prepare the current year taxes of $100,000. This ten (10) percent fee stays the same even if the client has no net income. The second way “The Accounting Guys” charge is on an hourly basis. Kyle bills himself out at $2,000/hour; Laura costs $1,750/hour; and Maggy charges $75/hour for her time. Kyle prepares only a few tax returns a year and spends most of his time managing the business of “The Accounting Guys,” to which he is fond of soliciting new clients by saying his firm has “never lost an IRS audit” and “knows all the players in town, which allows us special consideration.”QUESTIONS: 1) Identify all ethical issues faced by the following individuals, discuss the applicable rule(s) that govern their behavior, and analyze how they should proceed: • Aaron Adams [20 Points] Chad Carlson [16 Points] • Gina Gilbert [4 Points] • Hector Haas [4 Points] • Frank Farmer [10 Points] • Olivia Oakley [6 Points] 2) Does Better & Best, LLP have the independence to audit either Get Going, Inc., Encinitas Medical Center, or Imagine Into It, Inc.? Explain why or why not. [16 Points] 3) What advice would you have for Eric Eng as he conducts his due diligence into merging with “The Accounting Guys” by identifying and analyzing any ethical concerns they have created? [24 Points]

Prepare an 8-10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators.As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality health care delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove, Gray, Jay, Jay, & Burns, 2018).Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results.Demonstration of ProficiencyBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making. Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.Competency 3: Evaluate the impact of patient care technologies on desired outcomes. Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients. Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies. Deliver a professional and effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.Follow APA style and formatting guidelines for citations and references.ReferenceGrove, S. K., Gray, J. R., Jay, G. W., Jay, H. M., & Burns, N. (2018). Understanding nursing research: Building an evidence-based practice (7th ed.). St. Louis, MO: Elsevier.PreparationThis assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system.Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview: What is your experience with collecting data and entering it into a database?What challenges have you experienced?How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?Watch the Informatics and Nursing-Sensitive Quality Indicators Video Examplar.Recording Your PresentationTo prepare to record the audio for your presentation, complete the following:Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.Practice using the equipment to ensure the audio quality is sufficient.Review the for Kaltura to record your presentation.View Creating a Presentation: A Guide to Writing and Speaking. This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage.Notes:You may use other tools to record your tutorial. You will, however, need to consult Using Kaltura for instructions on how to upload your audio-recorded tutorial into the courseroom, or you must provide a working link your instructor can easily access.You may also choose to create a video of your tutorial, but this is not required.If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.InstructionsFor this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.You determine that you will cover the following topics in your audio tutorial script:Introduction: Nursing-Sensitive Quality IndicatorWhat is the NDNQI®?What are nursing-sensitive quality indicators?Which particular quality indicator did you select to address in your tutorial?Why is this quality indicator important to monitor? Be sure to address the impact of this indicator on quality of care and patient safety.Why do new nurses need to be familiar with this particular quality indicator when providing patient care?Collection and Distribution of Quality Indicator DataAccording to your interview and other resources, how does your organization collect data on this quality indicator?How does the organization disseminate aggregate data?What role do nurses play in supporting accurate reporting and high-quality results? As an example, consider the importance of accurately entering data regarding nursing interventions.After completing your script, practice delivering your tutorial several times before recording it.Additional RequirementsAudio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.Length: 8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.Script: A separate document with the script or speaker’s notes is required.References: Cite a minimum of three scholarly and/or authoritative sources.APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidence and APA page on Campus.

Read – West Side Catholic Center serves ‘often invisible’ population: Cleveland Champions (Links to an external site.)While you are reading:Copy this chart onto a piece of paper, and fill in this chart while you read:New VocabularyPeople/Groups nameProblem(s) they sawSolution(s) to probelmResult(s)1 sentence summary of articleQuestionsAfter you read:Tell your family or friends about “West Side Catholic Center”!Article about Resources for Homelessness in ClevelandWest Side Catholic Center serves ‘often invisible’ population: Cleveland ChampionsUpdated Dec 13, 2019; Posted Dec 13, 2019John Litten is the executive director of the West Side Catholic Center in Cleveland. The center, which serves the homeless with hot meals, shelter and other social needs, is a recipient of one of this year’s Cleveland City Champions awards. (Lisa DeJong/The Plain Dealer) Lisa DeJong/The Plain DealerBy Michael K. McIntyre, The Plain Dealer (Links to an external site.)This story is part of The Plain Dealer’s Cleveland City Champions series, which honors people and organizations that have done bold, innovative work to lift up a neighborhood or a community. The series was produced in partnership with The Guardian and with public broadcaster Ideastream. To read about other Cleveland City Champions, go to tinyurl.com/CleChampions (Links to an external site.)CLEVELAND, OHIO — It’s lunchtime at the West Side Catholic Center (Links to an external site.)on Lorain Ave. on Cleveland’s West Side and the Resource Center (Links to an external site.) is filling up.Volunteers, five women and two sophomores from the all-boys St. Ignatius High School across the street, set up the serving line with the chicken noodle casserole they made that morning.At the front desk, Paul Meshenberg acts like a maitre d’.“James, welcome, nice to have you back!” he says to a regular, who smiles in return.“Hello, are you taken care of?” he asks a newcomer. “We’re having lunch. Can you stay for lunch?”And then, to a woman in a gray hoodie, “Hello, Little Gray Riding Hood. Do you have time to eat?”Meshenberg is a specialist at making people feel comfortable. The clients — 130 to 140 on average for lunch, a few less for breakfast — are prized. In addition to meals, they can sign up for free haircuts or chess club, a reading circle or a clinic on how to obtain housing. They can have their mail delivered to the Resource Center.“I try to learn the names of every person here,” said Meshenberg, a new social worker at age 61, having gone back to school after retiring from a career in medical staffing. “Some people retire and have a cold one and watch people walk by. Good for them. I couldn’t stand that. This is work I can do for another 20 years and it’s a population I want to serve.”It’s a population, he says, that often is invisible.“They’re not acknowledged and treated as if they don’t exist. Here, they have an identity,” he says.That sums up the mission of the West Side Catholic Center, launched in 1977 by pastors at local churches who were encountering hungry people on their doorsteps and decided to do something about it, collectively. The Sisters of St. Joseph ran the place, handing out peanut butter and jelly sandwiches and, eventually, clothing.Census data compiled by the Center for Community Solutions (Links to an external site.) in Cleveland shows more than a third of residents and half of Cleveland’s children live in poverty. According to the Greater Cleveland Food Bank, 1 in 6 adults and 1 in 5 children in the Northeast Ohio region struggle with food insecurity. Cuyahoga County had the highest percentage of hungry people in the state and well over the national average.Eugene Arnwine, 78, eats lunch at the West Side Catholic Center in Cleveland. (Lisa DeJong/The Plain Dealer) Lisa DeJong/The Plain DealerTo meet that need, the center now provides 35,000 meals a year. But the need goes beyond hunger. The center also provides clothing, the Moriah House (Links to an external site.) shelter for homeless women and families, breakfast and lunch, a food pantry, workforce development programs, personal development such as yoga and mindfulness, and assistance to help people find or maintain housing and build family unity.“We have ample space and staff and volunteers to meet the needs of people coming to our door, and we seek to grow the part of our mission that talks about self-sufficiency,” said Executive Director John Litten, who took the helm two years ago.The newest addition to the WSCC roster, Ohio City Pizzeria (Links to an external site.), is a social enterprise restaurant opened by the nonprofit this summer. It employs clients and, it is hoped, will one day soon be a revenue generator.The two restaurant managers matriculated through another nonprofit in Cleveland, Edwins Leadership and Restaurant Institute (Links to an external site.), which trains ex-offenders for jobs in the culinary world. Chefs, waitstaff and dishwashers are all folks from the neighborhood.While workers on lunch break enjoy pizza and salads at Ohio City Pizzeria, a much larger crowd enjoys the chicken and noodles a block away in the West Side Catholic Center dining room.One crew serves them lunch while another group of volunteers sorts through donated clothing to hang on racks in the clothing store in front of the building. There is no cash register.“No client pays any fee for any service here. Never,” said Litten.As the name suggests, the West Side Catholic Center has Catholic roots. But it is not aligned with the Catholic Diocese of Cleveland nor is it an arm of Catholic Charities. It serves about 7,000 people per year with an annual budget of roughly $3 million, a third of which comes from government sources, a third from foundation grants and a third from donations.There are 50 full- and part-time employees and a roster of 200 regular volunteers who keep the place humming.“If we’re doing things right, everyone, us and the clients, benefit from the interaction,” said Litten. “It’s the Prayer of St. Francis: It is in giving that we receive.”Fran Kimble, a retired school librarian, was receiving praise and blessings as she filled paper plates with heaping portions of casserole at lunch one recent day. She was enjoying her time with the clients and her regular Thursday volunteer crew, five women who know each other from their shared service.“Instead of sitting around in my retirement, I want to help,” she said. “These people are all wonderful people.”Among those “wonderful people” enjoying lunch that day was Lucy Mary Griffin, who has been coming to the center for decades, sometimes for clothing for her and her 18-year-old son and sometimes for a meal.“They have fed my son and me and clothed us and loved on us. And we’ve met such great people,” said Griffin, who lives in a nearby apartment with her son, Emanuel, and subsists on a disability check.Volunteers serve up lunch at the West Side Catholic Center in Cleveland. (Lisa DeJong/The Plain Dealer) Lisa DeJong/The Plain DealerEmanuel is a senior at Central Catholic High School in Cleveland and has dreams of attending college. At lunch that day, his mom was dressed in her business attire, as she hoped to speak with admissions folks at Notre Dame College about the possibilities.“Everybody doesn’t have to be homeless or on drugs to need help,” she said after she finished her lunch. “It feels so good just to be wanted, to be helped and to be loved.”Judy Kern has been director of programs at WSCC for 14 years. She loves the freedom the organization has to meet the needs of people in the community. It doesn’t bill Medicaid and, for the most part, isn’t tied to onerous requirements for delivering services.“It’s not a big bureaucracy. We see a need, we fill it,” she said.A child who saved half his peanut butter sandwich for his sister one day gave them the idea to send children home in the summer, when they’re not in school where lunch comes free because so many children are in poverty, with backpacks full of good things to eat. It’s now it’s up to 1,200 bags of food.There are also programs to deal with the trauma that comes from the distress of being poor.“I’ve got a yoga group, Reiki, gardening, writing. And now I’m starting a fishing group,” Kern said.To do that, she’ll need fishing rods. And they will come.“You ask for it and it shows up,” she said. “You ask for a volunteer and 200 hands go up. I can go downstairs right now and say I need two people to deliver a fridge to East Cleveland and they’ll say, ‘Where’s the truck?’ ”The overriding mission is to provide support for those who most need it.“We walk beside them. Take us with you on your journey. We are with you,” Kern said.The journey need not be a journey of a specific faith or any faith at all. Meshenberg, who welcomes guests for lunch, is an Orthodox Jew who can speak Arabic to clients of a nonprofit with “Catholic” in its name.Clients need make no profession of faith of any kind to be served.“We are Catholic in our founding,” said Litten. “But we serve everyone.”Organization: West Side Catholic CenterCleveland credentials: It began in 1977 when local parishes saw a lot of hunger in the community. Nuns staffed the place and handed out peanut butter and jelly sandwiches. It’s now located on Lorain Avenue and W. 32nd Street, a block from the restaurant it now owns, Ohio City Pizzeria. Though Catholic in its founding and mission, it serves all and is not affiliated with Catholic Charities or the Catholic Diocese of Cleveland.Champion credentials: Serving more than 7,000 needy people each year, WSCC feed and clothes its clients and also offers a shelter for women and families, workforce development, help in finding housing and efforts to help people overcome the trauma that comes with being poor.now