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Adverse Events and Medical Errors: Response and Analysis
This course will address the importance of reporting errors for prevention of future adverse events and improved patient safety, as well as the role of root cause analysis (RCA) as an investigation tool for identifying the underlying systems failures that may have led to the error. It will also examine the benefits and barriers to reporting and the role of healthcare culture in reporting. Finally, it will explain the basic process of reporting that is common in most healthcare organizations.
Describe the systems approach to medical errors and how it increases the likelihood that errors are reported.
Understand the benefits of reporting errors, especially the importance of reporting errors for patient safety improvements.
Identify the barriers to reporting errors and the role that healthcare culture plays.
Explain the basic process of reporting errors in a healthcare organization.
Explain the purpose of RCA, and describe the guidelines for the use of this investigation tool.
Bias in Healthcare
All healthcare professionals must be aware of bias and the challenges that bias can create in healthcare. This includes knowing some of the challenges people face with the healthcare system. In this course, you will learn best practices to help recognize and manage bias.
Define bias.
Identify how biases can affect healthcare.
Describe steps that can help decrease barriers created by bias.
Change Management: Navigating Change
Supervisors and managers are challenged by change every day and must consistently demonstrate self-confidence to their teams in the face of these challenges. In this course, you will explore the characteristics, behaviors, and actions of being an effective “change agent,” (one who guides, supports, or leads change) which is a critical role in guiding your teams through change. The goal of this course is to provide managers and supervisors with an understanding of the common reasons for resistance to change and learn ways to counteract it.
Recognize the reasons people resist change and learn ways to overcome resistance.
Identify the characteristics, behaviors, and actions required to be an effective agent of change.
Learn communication actions to help people adapt to change.
Communicating with Patients with Limited English Proficiency
Within healthcare, a patient with limited English proficiency (LEP) is an individual whose primary means of communication is not English and who has a limited command of the language in reading, writing, speaking, or understanding (Office for Civil Rights, 2016). These patients need the careful attention of healthcare personnel to ensure the safety and quality of care. Healthcare professionals should understand regulations and standards related to patients with LEP, such as the use of an interpreter for communication.
The goal of this educational program is to improve the ability of the healthcare team to provide quality care and better outcomes for patients with limited English proficiency (LEP).
Recall the importance of medical interpretation services for patients with LEP.
Identify regulatory, accreditation, and evidence-based standards related to patients with LEP and linguistic services.
Choose strategies for effectively communicating with patients with LEP, including best practices when using an interpreter.
Cultural Competence and Healthcare
Cultural competence in healthcare refers to the delivery of quality care. It refers to meeting the needs of people with disabilities, members of the LGBTQ+ community, and those from diverse socioeconomic and cultural backgrounds. Cultural competence must be a two-way system to benefit people with differing beliefs, attitudes, values, and behaviors. This course discusses cultural competence and how organizations can use cultural competency to create an atmosphere of inclusion.
Define cultural competency.
Describe the role of cultural competency in healthcare.
Cultural Perspectives in Childbearing
As the population of the U.S. soars in diversity, healthcare professionals must be prepared to care for childbearing families from many different cultures. All cultures and families should be given the same respect, be assured of the highest quality of care, have their religious, ethnic, and cultural values respected and integrated into their care, and have their physical and educational needs met in a way that honors their spiritual beliefs and individuality. Knowledge of the cultures one is serving and the influence they have on women’s perceptions of childbirth are important for achieving positive outcomes. Equally and perhaps more important is applying the principles of cultural humility to nursing care.
The goal of this continuing education course is to improve the ability of nurses and health educators in acute care settings to assess and meet the sociocultural needs of childbearing families of diverse cultural and social groups.
Recall the relationship of culture, subculture, acculturation, assimilation, ethnocentrism, cultural relativism, and cultural humility to healthcare practice.
Recognize elements of cultural assessment and respectful maternity care that can improve quality of care and meet the unique needs of culturally diverse families.
Culture and Pain Management: Cultural Competence
Health inequities in pain management are prevalent across different healthcare settings. The cultural, ethnic, and social differences influence patients’ and providers’ perceptions and responses to pain. Several studies report higher incidences of pain, disability, and suffering in women and people of color compared to non-Hispanic White people. This course covers influential sociocultural factors grouped into the patient, the provider, and systemic factors. This course helps healthcare professionals become familiar with cultural differences associated with pain perceptions and management. Pain variables such as culture, religion or ethnicity are not part of standardized pain scales. Healthcare workers need to provide culturally competent care to their patients by asking about specific practices, beliefs, and values regarding pain that impacts the patient’s quality of life.
The goal of this course is to provide nurses, physicians, and social workers with an overview of cultural sensitivity in the management of pain.
Identify cultural factors influencing the patient’s perception and expression of pain.
Recall strategies for reducing barriers in pain assessment and promoting management decisions to respond to a patient’s pain in a culturally sensitive manner.
Introduction to Multicultural Care
Multicultural care helps reduce behavioral health disparities, build trust, and improve outcomes for marginalized clients. This course explains key concepts that support multicultural care and core components of culturally responsive care. It also indicates how to address personal and institutional bias in healthcare settings.
Define at least four key concepts that support multicultural care.
Indicate how to address personal and institutional bias in healthcare settings.
Identify at least three core components of culturally responsive care.
Diversity and the Healthcare Employee
Diversity presents both challenges and opportunities. This course discusses the benefits and challenges of diversity. It also discusses how to avoid discrimination toward those you work with and provide care for. This course provides healthcare employees with education on diversity.
Discuss the benefits of a diverse workforce.
Identify at least two ways to avoid workplace discrimination.
Economic Stability: Social Determinants of Health
Economic stability is defined as a domain of social determinants of health in the Healthy People 2030 campaign. It relates to an individual’s ability to access resources such as food, adequate housing, and healthcare. Each component of economic stability, including poverty, employment, food security, and housing stability, is linked to individual health outcomes.
Describe the four components of economic stability.
Explain how economic stability affects health and health outcomes.
Identify strategies for helping patients overcome barriers to economic stability and how they positively impact health outcomes.
HCAHPS: Patient Care Experience
Hospitals and providers currently receive reimbursement by meeting criteria established by the Centers for Medicare & Medicaid Services (CMS). Quality measures and length of stay data are measures that affect hospital reimbursement. Yet the patient’s experience of care also remains a key factor in hospital reimbursement models. CMS uses the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to measure the patient’s experience, and nursing care is one part of the survey. Hospitals that perform well on the HCAHPS ratings are more likely to receive better reimbursement and bonuses. Nurses impact hospital ratings and reimbursement by providing the patient with a positive care experience.
Describe the impact of patients’ perception of their care experience on hospital reimbursement.
Discuss HCAHPS survey questions about staff responsiveness and strategies for improving survey ratings for these items.
Discuss the HCAHPS survey questions about medications and strategies for improving survey ratings for these items.
HCAHPS: Transitions of Care and Discharge
Improving hospital processes surrounding discharge and transitions of care can reduce adverse events and readmissions. Process improvements may also lead to better patient adherence to the treatment plan and their overall experience with care. Healthcare professionals must understand care coordination and transitions of care and how they impact HCAHPS survey results.
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a national standardized survey required for hospitals participating in Centers for Medicare & Medicaid Services (CMS) programs. Survey results are linked to hospital reimbursement from CMS.
Identify the impacts of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Hospital Value-Based Purchasing (HVBP) programs on healthcare organizations.
Categorize transitions of care, care coordination, and discharge planning.
Select strategies to improve interprofessional teamwork.
Health Disparities in the LGBTQIA+ Community
Healthcare practitioners greet, assess, screen, treat, and refer LGBTQIA+ individuals every day. Some may understand the unique needs of this population. However, more information and education are needed to ensure that people are represented in research and are treated with respect and dignity when receiving healthcare. This course discusses barriers LGBTQIA+ people face in accessing healthcare, along with the physical, mental, psychosocial, and cultural factors that affect their health. It provides practical strategies for providing sensitive, informed, and inclusive care. The goal of this course is to provide healthcare professionals with education on health disparities in the LGBTQIA+ community.
Recognize social determinants of health and health disparities among LGBTQIA+ populations.
Identify at least three barriers faced by LGBTQIA+ people in accessing healthcare.
Identify LGBTQIA+ health risk factors, including physical, mental, psychosocial, and cultural.
Recall strategies for providing sensitive and informed healthcare for the LGBTQIA+ community.
Recognize the lifespan health considerations of LGBTQIA+ individuals, including coming out and family systems.
Implementing Shared Governance: Excellence Series
This course focuses on the role that shared governance plays in the nursing profession. Participants will learn what shared governance is and how it can benefit nurses. They will also learn how to implement shared governance programs and enhance programs that already exist. Learners will explore strategies to enhance decision-making processes, promote nursing engagement, and improve patient outcomes through shared governance.
Indicate the foundational principles of a shared governance system.
Recognize strategies for implementing shared governance and overcoming barriers to participation.
Recall the advantages of a shared governance system.