RISK CONTROL ASSESSMENT AND STRENGTHS AND WEAKNESSES

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A self-assessment is an opportunity for you to review what you have learned in the nurse practitioner program, evaluate your clinical skills, and develop goals before exiting the NP program.

For this assignment, you will complete the Risk Control Self-Assessment Checklist for Nurse Practitioners and identify your areas of strength and weakness.

You also will explain how you plan to improve on these weaknesses, as well as how you plan to master clinical skills you have not obtained prior to exiting NP program.

To prepare:

Complete the Risk Control Self-Assessment Checklist for Nurse Practitioners

Consider your strengths and weaknesses

Review types of patients treated and clinical procedures performed

To Complete

Write a 2 page paper that addresses the following:

Identify at least three strengths as a nurse practitioner

Explain why you consider these strengths and what you can do to maintain them in your practice

Identify at least three weaknesses as a nurse practitioner

Explain how you plan to address each weakness

Examine at least three clinical skills you need to obtain prior to exiting Nurse practitioner program

Explain how you plan to master the clinical skills before exiting NP program

Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession

References

Buppert, C. (2015). What is a nurse practitioner? In Nurse practitioner’s business practice and legal guide (5th ed.) (1-16, 33). Burlington, MA: Jones & Bartlett.

CNA, & Nurses Service Organization (2012). Risk control self-assessment checklist for nurse practitioners. Retrieved from http://www.hpso.com/Documents/Risk%20Education/individuals/NP_RM_Checklist_2012.pdf

Ford, L. C. (2015). Reflections on fifty years of change. FAANP Forum, 6(1), 2-3. Retrieved from https://www.aanp.org/images/documents/FAANPForum/2015-3.pdf

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). International development of advanced practice nursing. In Advanced practice nursing: An integrative approach(5th ed.) (133-143). St. Louis, MO: Elsevier Saunders.

Kooienga, S.A. & Carryer, J.B. (2015). Globalization and advancing primary care health care nurse practitioner practice. The Journal for Nurse Practitioners, 11(8), 804–811. doi:10.1016/j.nurpra.2015.06.012

Naylor, M. D., & Kurtzman, E. T. (2010). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899. Retrieved from http://content.healthaffairs.org/content/29/5/893.full.pdf+html

Using Health Information Technology as a Source of Evidence

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Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

To prepare:

Read the following scenario from the text (McGonigle & Mastrian, 2012, p. 482):
Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.


Consider how the resources identified in the scenario above could influence an organization’s practice.

Select an issue in your practice that is of concern to you (my area of practice area of concern is the nursing shortage, we often have to work short in my hospital which creates many issues). Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

Post a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice.

Required Resources


Readings

  • McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge (Laureate Education, Inc., custom ed.). Burlington, MA: Jones and Bartlett Learning. 
    • Chapter 26, “Nursing Research: Data Collection, Processing, and Analysis”



      The authors of this chapter relate nursing research to the foundation of knowledge model. The chapter assesses informatics tools for collecting data, storing information, and processing and analyzing data. 
    • Chapter 27, “Translational Research: Generating Evidence for Practice”



      In this chapter, the authors differentiate evidence-based practice and translation research. They also describe models used to introduce research findings intro practice.
  • Hynes, D. M., Weddle, T., Smith, N., Whittier, E., Atkins, D., & Francis, J. (2010). Use of health information technology to advance evidence-based care: Lessons from the VA QUERI program. Journal of General Internal Medicine, 25(Suppl. 1), S44–S49. 

    Retrieved from the Walden Library databases. 



    This article presents a study that evaluated the role of health information technology (HIT) in the Department of Veteran Affairs’ Quality Enhancement Research Initiative. The authors convey their findings on how HIT provided data and information to aid implementation research, and how implementation research helped further HIT development. Additionally, the text details methods of overcoming common HIT barriers to implementation research. 
  • Jamal, A., McKenzie, K., & Clark, M. (2009). The impact of health information technology on the quality of medical and health care: A systematic review. Health Information Management Journal, 38(3), 26–37. 

    Retrieved from the Walden Library databases. 



    This text details a study that reviews the published evidence concerning the impact of health information technology (HIT) on the quality of health care. The study investigated the use of HIT in medical care and allied health and preventive services. The authors primarily focus on the impact of electronic health records, computerized provider order-entry, and decision support systems.
  • Umscheid, C. A., Williams, K., & Brennan, P. (2010). Hospital-based comparative effectiveness centers: Translating research into practice to improve the quality, safety and value of patient care. JGIM: Journal of General Internal Medicine, 25(12), 1,352–1,355. 

    Retrieved from the Walden Library databases.



    This article revolves around the usage of the hospital-based comparative effectiveness (CE) center model. The authors highlight the model’s benefits and the increasing usage of CE evidence. The article also reviews solutions to overcoming many of the challenges to operating hospital-based CE centers.  APA format1 1/2  to 2 pages

A NURSING PROBLEM

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Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

  1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.
  2. Identify the stakeholders/change agents. Who or what organizations are concerned about, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.
  3. Provide the PICOT question. (PICOT: Population-Intervention-Comparison-Outcome-Timeframe). Make sure that the question fits with your graduate degree specialization.
  4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.
  5. Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

Develop an initial reference list to ensure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Refer to the “Search Method Example” as the format in which to compile this data.

  1. The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.
  2. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted. 

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required for the individual sections, but is required for the final paper.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. 

Upon receiving feedback from the instructor, refine Section A for your final paper submission.

Disorders of White Blood Cells and Lymphoid Tissues

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Max is a 60-year-old living in Iowa. For the 27 years, he has been working in the agricultural industry, particularly in the management of corn production. Recently he began to feel weak during work and tired easily. During the night he woke up sweating, and he often felt unusually warm during the day.

Max was also surprised that, in spite of eating regularly, his weight was declining and his work pants were now too large for him. Upon physical examination, his physician noted his inguinal lymph nodes were swollen although Max said they were not sore.

Subsequent laboratory tests confirmed follicular, non-Hodgkin lymphoma. Chemotherapy in conjunction with rituximab was immediately initiated.

  1. What are the key cellular differences between non-Hodgkin lymphoma and Hodgkin lymphoma?
  2. The early manifestations of non-Hodgkin lymphoma and Hodgkin lymphoma in lymphatic tissue appear differently. In terms of lymphatic presentation, how would these two diseases appear clinically?
  3. What are the pharmacologic properties of rituximab, and what is its mechanism of action on malignant cells?
  4. Outline the structure of lymph node parenchyma including the areas where B and T lymphocytes reside. Where did Max’s lymphoma arise?

Assignment Requirements:

Before finalizing your work, you should:

·       

·         Ensure you have written at least four double-spaced pages.

·         Be sure to read the Assignment description carefully (as displayed above);

·         Consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and

·         Utilize spelling and grammar check to minimize errors.

·         Follow the conventions of Standard American English (correct grammar, punctuation, etc.);

·         Be well ordered, logical, and unified, as well as original and insightful;

·         Display superior content, organization, style, and mechanics; and

·         Use APA 6th Edition format as outlined in the APA Progression Ladder.

Credibility of Quantitative Results

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Data Analysis

As a nurse engaged in evidence-based practice, it is important to recognize how statistics and other data analysis tools are used to generate and assess evidence.

Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.

In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate.

To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups.

To prepare:

  • Review the information in your assigned chapter (Chapter 19 p. 473 to 477. Credibility of Quantitative Results  See attached file)
  • Write a minimum of 200 to 250 words in APA format that includes the following:
  • The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies. ( In this case, focus only on Credibility of Quantitative Results)
  • A description of the statistical methods covered in the chapter, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies. ( In this case, focus only on Credibility of Quantitative Results
  • An explanation of the key statistical tests and how they measure significance (if applicable). ( In this case, focus only on Credibility of Quantitative Results )

Readings

  • Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.).Philadelphia, PA: Lippincott Williams & Wilkins.Chapter 19, “Processes of Quantitative Data Analysis and Interpretation”

    The previous chapters have described a number of different statistical tests used to examine data in a quantitative study; this chapter focuses on how to analyze and interpret the results. It describes the steps in the analysis process and how to determine the credibility of the results.

PRACTICUM PROJECT GOALS OBJECTIVES AND JUSTIFICATION

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  • Reflect on the focus of your proposed Practicum Project, which you identified through discussion with your practicum Faculty Member and Preceptor last week.
  • View the Practicum Project Plan (PPP) Overview document provided in this week’s Learning Resources. Consider the project planning guidelines included in the document as you prepare for this Discussion.
  • Address the following to help you develop your plan for the Practicum Project:
    • Review the scholarly literature, specialization standards, and/or regulatory standards that validate and shed light on your Practicum Project focus. Which professional organizations would you contact in relation to your topic? What regulatory standards would you address? As you proceed, you will continue to gather evidence from a combination of sources for your project as part of your written Practicum Project Plan.
    • Identify the overarching goal for your Practicum Project.
    • Consider how you can achieve your Practicum Project goal through the development and fulfillment of objectives. Based on your Practicum Project goal, develop two or three objectives that are specific, measurable, attainable, results-focused, and time-focused. Incorporate higher-order verbs from Bloom’s taxonomy (i.e., Application-level and above) as you create the objectives. You may wish to review last week’s Learning Resources related to developing objectives.
  • Contemplate any questions or concerns you may have about your Practicum Project or the planning involved. What kind of support could your colleagues offer to help you move forward?

Note: Be mindful of privacy concerns as you engage in this and future Discussions. Do not identify any organizations or individuals by name.

Post on or before Day 3 a description of your proposed Practicum Project. Provide a brief rationale for your selected focus that incorporates references from the literature, specialization standards, regulatory standards, and/or other sources you have used to validate this project. Explain the overarching project goal, and list two or three measurable objectives that will help you meet the goal. Also, share any questions or concerns that your colleagues may be able to help you address as you proceed with planning for your Practicum Project.

The Practicum Project Plan is a scholarly proposal for your project. Over the next few weeks, you develop elements of your plan and then integrate these elements in a 4- to 6-page scholarly paper.

Refer to the Practicum Project Plan (PPP) Overview document provided in this week’s Learning Resources, for details about this assignment. Be sure to consider the project planning guidelines included in the document as you proceed with the development of your plan.

CARING FOR VULNERABLE POPULATIONS AND BIOMEDICAL ETHICS IN THE CHRISTIAN NARRATIVE

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ASSIGNMENT 1

This week’s discussion relates to the following Course Outcomes (COs).

  • CO 3: Plan prevention and population-focused interventions for vulnerable populations using professional clinical judgment and evidence-based practice. (PO 4 and 8)
  • CO 4: Evaluate the delivery of care for individuals, families, aggregates, and communities based on theories and principles of nursing and related disciplines. (PO 1)

Discussion

Review the Week 3 Case Studies by opening the links below.

Child Abuse Case Study (Links to an external site.)

Senior with Dementia Case Study (Links to an extern

 Maternal Child/Developmental and Mental Illness Case Study (Links to an ex 

Choose one of the three attached case studies, and reflect on the vulnerable population that the case study portrays.

  • Identify which case you chose.
  • Discuss several risk factors that may impact health outcomes for the vulnerable population in your case study.
  • Identify one agency in your community that can assist this vulnerable group and assess this agency in terms of the 4 A’s (see the lesson). Discuss each of the A’s separately to assess accessibility, acceptability, affordability, and availability for this population

ASSIGNMENT 2

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

RECOMMENDING AND EVIDENCE BASED PRACTICE CHANGE

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Create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the evaluation table (1 slide)
    • An explanation about what you learned from completing the levels of evidence table (1 slide)
    • An explanation about what you learned from completing the outcomes synthesis table (1 slide)

Impact of Health Legislation On Nursing Practice

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Purpose:

In this assignment, you will assess the impact of health legislation on nursing practice and communicate your analysis to your peers. GovTrack.us provides a list of federal health bills that are currently in process in Congressional Committees.

Directions:

1. This assignment will be in the format of a PowerPoint presentation (Bullet points may be used).

2. You are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.

3. Go to https://www.govtrack.us/congress/bills/subjects/health/6130

4. Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.

5. Here is a link to our U.S. legislative process (bill to law) for review, if needed:  https://www.congress.gov/legislative-process

Include the following information in your presentation

· Title slide (Your name, NR451, session, Healthcare Policy assignment)

· Bill name and number (indicate either H.B. or S.B.)

· Bill summary (in your own words)

· Address how this bill might impact professional nursing practice standards if passed? If not passed?

· How might the bill impact your own nursing practice?

· How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?

· How might this bill impact your community?

· References slide to include the Bill source in APA format.

· No more than 12 slides

DIVERSITY IN NURSING

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When we approach discussions about diversity, we each come to conclusions with our own perspectives that have been shaped by our experiences. As we begin our first discussion, take a moment to consider what has influenced your ideas of diversity and compare those ideas with what you read in this module’s readings. Then, address the following:

  • Introduce your major and profession – NURSING.
  • In your own words, define the term diversity and discuss how it is used or impacts your daily life. How does your definition compare and contrast with those that were presented in the readings?
  • What is the influence of diversity on your chosen field of study or future profession? How can you use your understanding of diversity in your professional career?

In response to your peers, provide feedback about their definition of diversity. Compare and contrast your answers and consider the following:

  • What are the similarities and differences between your peer’s response and yours?
  • How do the two definitions of diversity help to illustrate how diversity and society are intertwined? How can a perspective through the four lenses help to provide a greater understanding of diversity?

Make sure you support your response with the readings from this module, and any additional resources if needed.

Attached below are readings from the module to use to answer the questions above. 

Field of study and current profession is NURSING and should be based in that subject.