healthcare organization’s use of technology

healthcare organization’s use of technology

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes. healthcare organization’s use of technology

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In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

· Reflect on the Resources related to digital information tools and technologies.

· Consider your Healthcare Organization’s use of Healthcare Technologies to manage and distribute information.

· Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and HOW they may impact nursing practice and healthcare delivery. healthcare organization’s use of technology

By Day 3 of Week 6

Post a Brief Description of General Healthcare Technology Trends, particularly related to Data/Information you Have observed in use in your Healthcare Organization or Nursing Practice.

Describe Any Potential Challenges or Risks that may be inherent in the Technologies Associated with these trends you Described.

Then, describe at Least One Potential Benefit and One Potential Risk Associated with Data Safety, Legislation, and Patient Care for the technologies you Described.

Next, Explain Which Healthcare Technology Trends You Believe are Most Promising for Impacting Healthcare Technology in Nursing Practice and Explain Why.

Describe Whether this Promise will contribute to improvements in patient care Outcomes, Efficiencies, or Data Management. Be Specific and Provide Examples. healthcare organization’s use of technology

Regulation For Nursing Practice Staff

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

Review the NCSBN and ANA websites to prepare for your presentation Regulation For Nursing Practice Staff.

The Assignment: (9- to 10-slide PowerPoint presentation)

1. Develop a 9- to 10-slide Voice-Over PowerPoint Presentation that addresses the following:

Describe the differences between a board of nursing and a professional nurse association.

Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. East North Central /Illinois

Who is on the board?

How does one become a member of the board?

Describe at least one federal regulation for healthcare.

How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?

Has there been any change to the regulation within the past 5 years? Explain.

Describe at least one state regulation related to general nurse scope of practice.

How does this regulation influence the nurse’s role?

How does this regulation influence delivery, cost, and access to healthcare?

Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

How does this regulation influence the nurse’s role?

How does this regulation influence delivery, cost, and access to healthcare?

2.Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

Behavioral system balance and stability

Part one:

TopicThreadsPostsLast Post

Module 3: Discussion Question

Available after Monday, November 12, 2018 10:00 PM PST. Must post first.

Start by reading and following these instructions:

You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the discussion question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing. The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally Behavioral system balance and stability.

Discussion Question:

Johnson viewed health as efficient and effective functioning of the system, and as behavioral system balance and stability. Behavioral system balance and stability are demonstrated by observed behavior that is purposeful, orderly, and predictable. Consider a clinical-practice situation that demonstrates Johnson’s model of health. How can the nurse support this theory to return the patient to balance and stability?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

Part two:

Assignment:

Please create a Power Point to answer the following:

Case study

Ann, a community nurse, made an afternoon home visit with Susan and her father. After the death of her mother, Susan had growing concerns about her father living alone. “I worry about my father all the time. He is becoming more forgetful and he has trouble seeing. Mom used to take care of him. I am not sleeping and I am irritable around him. Yesterday I shouted at him because he wouldn’t let me help him with his laundry. I felt terrible! I am at my wits’ end! My brothers and sisters do not want to put dad in a nursing home but they are not willing to help out. As usual, they have left me with all the responsibility. I work part time and have two small children to care for.” Susan’s father, Sam, sat quietly with tears filling his eyes. He was well nourished and well-groomed but would not make eye contact. Nurse Ann noticed that the house was clean and orderly. A tray in front of the TV had the remains of a ham sandwich and glass of ice tea. Mail was piled up, unopened on a small table near the front door. There was only one car in the driveway and the yard was in need of attention.

  1. What questions does Orlando’s theory guide the nurse to consider in caring for Susan and Sam?
  2. Develop a family plan of care from the perspective of Orlando.

Explore the 1950 and 60’s in the United States:

  1. Explore was happening in the United States during this time (culture, social, economics, struggles)
  2. What did nursing look like during this time (what were their jobs like, responsibilities, dress, autonomy, respect)
  3. What is the most influential accomplishment in nursing theory from the 1950’s and 1960’s?

Power Point should include at least 4 outside references and the textbook. It should include title and reference slides and be 14-20 slides Behavioral system balance and stability.

Pharmacology

Week 2 Case Studies

M.T. is an 18-month-old, 20-kg male who presents to the emergency department in status epilepticus, which has continued for approximately 20 minutes. He was brought to the emergency department from a small community via a family vehicle. He has not received any care at this point. The nursing staff has attempted several intravenous line insertions but were unable to gain access. M.T. continues to convulse without interruption.

1. Which of the following would be the most appropriate route of administration for an anticonvulsant to consider for M.T. and why?

a) Intramuscular

b) Percutaneous

c) Subcutaneous

d) Rectal

2. Midazolam is a benzodiazepine that can be used effectively for status epilepticus. Which of the following routes of administration has been used effectively for the delivery of midazolam when intravenous access in unobtainable?

a) Percutaneous Pharmacology

b) Mucosal

c) Oral

d) Subcutaneous

3. Which of the following is true regarding the percutaneous absorption of medications?

a) The absorption of compounds is inversely related to the thickness of the skin

b) The absorption of compounds is inversely related to the hydration of the skin

c) Body surface area (BSA) is decreased, relative to body mass, in the infant and young child when compared with older children and adults

d) The percutaneous administration of medications is reliable and safe in the infant and young child.

4. What are the advantages of utilizing the mucosal route of administration?

a) Some medications have very good absorption and systemic effect when administered by nasal spray

b) Nasal (mucosal) administration avoids the trauma of intravenous line placement

c) Nasal administration of medication is typically less expensive than intravenous administration

d) All of the above are advantages of the mucosal route of administration

K.F. is a 23-year-old female with a history of acne and bipolar disorder. She currently takes lithium to treat her bipolar disorder and isotretinoin (Accutane) for her acne. She also occasionally takes famotidine for reflux.

1. Should K.F. become pregnant, which of the following would be considered safe for her to continue taking? Why? Why are the others considered unsafe during pregnancy (pregnancy rating, potential adverse fetal and maternal effects)?

a) Accutane

b) Lithium

c) Famotidine

2. One year later, K.F. is seen again in your clinic. Her acne and bipolare medications have been discontinued and she now presents 4 months pregnant with a complaint of pain and rising fever over the last 5 days. Lab tests show gram-negative bacilli and Widal test comes out positive. Which of the following drugs will most likely be administered and why? Why will the other drugs not be administered?

a) Ampicillin

b) Ciprofloxacin

c) Levofloxacin

d) Tetracycline

R.S. is an 85-year-old female who has congestive heart failure. Over the past 3 months, she has had four hospitalizations. Like many older adults, R.S. is experiencing difficulty swallowing and psychologic changes affecting her medication absorption.

1. Which of the following would be an appropriate starting point for identifying causes for R.S.’’s frequency of hospitalizations?

a) Simply ask if she is taking her medications as directed

b) Assume that her frequent hospitalizations are secondary to expected changes, which are normal parts of aging

c) Examine all of R.S.’s medication vials to complete an assessment including pill count for adherence

d) Assume that her frequent hospitalizations are the result of undertreating her conditions.

2. In determining the most appropriate course of treatment for R.S., assessing her life expectancy should never be taken into account. Rather, the same course of treatment should be pursued without regard for life expectancy. WHY?

a) True

b) False

3. Which of the following best describes a concern that R.S. is taking OTCs, which may impact her cardiac function?

a) Assume that if R.S. has not discussed her taking OTCs with her health care providers that this is most likely not an issue

b) Assume because older adults typically do not take OTCs that this is not an issue with R.S.

c) Because older adults take a significant number of OTCs without knowledge of their physicians, that R.S.’s use if best assessed through a home visit and the asking of open-ended questions

L.L. is a 67-year-old male who has been diagnosed with benign prostatic hypertrophy (BPH). He is having difficulty with urination. He is currently on Cozaar 100 mg qd for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try an herbal supplement before taking prescription medication.

1. What herbal supplement should he take?

2 .What is the recommended dosage?

3. What are possible side effects and/or drug interactions of the herbal supplement?

4. What warnings should you give L.S. before he starts the herbal supplement?

M.C. is a 54-year-old female who presents with menopausal symptoms of hot flashes, mood swings, decreased libido and vaginal dryness. She wishes to try an herbal supplement to reduce her symptoms, as she is concerned about potential side effects of prescription medications Pharmacology.

1. What herbal supplement would you recommend?

2. What is the recommended dosage?

3. What are possible side effects and/or drug interactions of the herbal supplement?

4. What warnings should you give M.C. before she starts the herbal supplement?

P.K. is a 26-year-old female who presents with depression and anxiety. She is hesitant to start prescription antidepressants as she feels their use will negatively affect her libido and sexual function. She states that she has been taking St. John’s worth for the past couple of weeks and wishes to know if this supplement is okay to use.

1. What are possible side effects and/or drug interactions of the herbal supplement?

2. What warnings should you give P.K. about the herbal supplement?

ESSENTIALS OF EVIDENCE-BASED PRACTICE

ESSENTIALS OF EVIDENCE-BASED PRACTICE

Course Project: Part 1—Identifying a Researchable Problem

One of the most challenging aspects of EBP is to actually identify the answerable question.

—Karen Sue Davies

Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions ESSENTIALS OF EVIDENCE-BASED PRACTICE.

To prepare:

Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.

Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.

Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.

Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.

Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?

Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice

The 5 questions you have generated and a description of how you analyzed them for feasibility

Your preliminary PICOT question and a description of each PICOT variable relevant to your question

At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections ESSENTIALS OF EVIDENCE-BASED PRACTICE

Reference:

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144

Required Readings

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice” (Review pages 14–31)

Chapter 5, “Literature Reviews: Finding and Critiquing Evidence”

In this chapter, you focus on conducting a literature review. Topics include how to identify the relevant literature on a given topic and then how to critique the strengths and weaknesses of the literature that you have found. Finally, the chapter examines how to synthesize the research findings into a written literature review.

Houde, S. C. (2009). The systematic review of literature: A tool for evidence-based policy. Journal of Gerontological Nursing, 35(9), 9–12.

Retrieved from the Walden Library databases.

This article emphasizes the importance of systematic reviews of literature. The authors present an overview of resources that may assist in conducting systematic reviews.

Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. K. (2009). Evidence-based practice challenge: Teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. Journal of Nursing Education, 48(4), 186–195.

Retrieved from the Walden Library databases.

This article reviews the features of the TREAD Evidence-Based Practice Model. In particular, the authors of this article stress how the model emphasizes the use of standardized critical appraisal tools and Level I evidence.

Robeson, P., Dobbins, M., DeCorby, K., & Tirilis, D. (2010). Facilitating access to pre-processed research evidence in public health. BMC Public Health, 10, 95.

Retrieved from the Walden Library databases.

This article describes a hierarchy of pre-processed evidence and how it is adapted to the public health setting. The authors identify a range of resources with relevant public health content.

 Walden Student Center for Success. (2012). Clinical Question Anatomy. Retrieved July 9, 2014, from http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360 

 Barker, J. (n.d.) Basic search tips and advanced Boolean explained. Retrieved August 3, 2012, from http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/Boolean.pdf 

This resource provides a graphical representation of different approaches to research and gives examples of each.

 Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144 

This article reviews the frameworks commonly used to assist in generating answerable research questions. The author recommends considering the individual elements of the frameworks as interchangeable (depending upon the situation), rather than trying to fit a situation to a specific framework.

 Walden University Library. (2012). Levels of evidence. Retrieved from http://academicguides.waldenu.edu/c.php?g=80240&p=523225

This guide provides a listing of evidence-based clinical resources, including systematic reviews and meta-analyses, critically appraised topics, background information and expert opinions, and unfiltered resources ESSENTIALS OF EVIDENCE-BASED PRACTICE.

 Indiana State University. (n.d.). Database search strategies. Retrieved July 6, 2012, from http://libguides.indstate.edu/content.php?pid=118904&sid=1065428 

In this resource, the most common types of database searches are highlighted. It includes topics such as nesting searches, phrase searches, and using synonyms of key words in the search.

 Library of Congress Online Catalog. (2008). Boolean searching. Retrieved from http://catalog.loc.gov/help/boolean.htm

This web page provides a basic overview of Boolean searches and provides simple examples of key search terms.

 Walden University. (n.d.b.). Searching and retrieving materials in the research databases. Retrieved August 10, 2012, from http://academicguides.waldenu.edu/foundationscoursedocs/SearchingRetrieving

This resource provides tips for searching in the Walden Library. It includes a guide to keyword searches, an explanation of Boolean searches, and tips on locating specific journals or articles. 

 Document: Course Project Overview (Word document)

Note: You will use this document to complete the Project throughout this course. 

Media

Laureate Education (Producer). (2012e). Finding resources for EBP. Baltimore, MD: Author.

Note: The approximate length of this media piece is 6 minutes.

In this video, Dr. Marianne Chulay identifies sources where nurses can find evidence to support their practices. She provides several examples of resources that provide specific information about best practices in health care.

Accessible player  

Laureate Education (Producer). (2012f). Finding sources of evidence. Baltimore, MD: Author. 

Note: The approximate length of this media piece is 9 minutes.

Dr. Kristen Mauk explains the process of performing a literature review in this video. She provides advice for nursing students in browsing databases and analyzing sources of evidence.

Accessible player  

 Laureate Education (Producer). (2012g). Hierarchy of evidence pyramid. Baltimore, MD: Author.

This multimedia piece explains the hierarchy of evidence pyramid. The piece offers definitions and key information for each level of the pyramid.

DO 4 Pages Please. Complete ESSENTIALS OF EVIDENCE-BASED PRACTICE.

Future of Nursing and the Institute of Medicine research

Future of Nursing and the Institute of Medicine research

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage Future of Nursing and the Institute of Medicine research.

In a paper of 1,000-1,250 words:

  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

RUBRICS

1
Unsatisfactory
0.00%

2
Less than Satisfactory
75.00%

3
Satisfactory
79.00%

4
Good
89.00%

5
Excellent
100.00%

80.0 %Content

5.0 %Provided an original summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. Any specific references should be cited.

Did not attempt to provide a summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health, or failed to cite specific references to the IOM report.

Provided a skeletal summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. Some of the specific references to the IOM report were cited or were done incorrectly.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the committee’s initiative.

Demonstrates good knowledge of the subject. Correctly describes the committee’s initiative. Justifies some of the impacts on the Future of Nursing.

Provided an original summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. References specific to the IOM report were properly cited.

15.0 %Identify the role of the Robert Wood Johnson Foundation Initiative and the American Association of Retired Persons on the Future of Nursing Campaign for Action and the State Based Action Coalitions

Does not demonstrate knowledge of role. Fails to identify the impact of the Robert Wood Johnson Foundation Initiative on the Future of Nursing.

Demonstrates minimal knowledge of subject. Does not adequately visualize or justify the work of the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the committee’s initiative.

Demonstrates good knowledge of the subject. Correctly describes the committee’s initiative. Justifies some of the impacts on the Future of Nursing.

Demonstrates a full and deep knowledge of subject. Develops and explains an informed position on the committee’s initiative, integrates and justifies the impact on the Future of Nursing

15.0 %Identify the importance of the IOM FON report related to the nursing workforce

Does not demonstrate knowledge of the concept or its role. Fails to identify the importance of the IOM FON report related to the nursing workforce.

Demonstrates minimal knowledge of the subject. Does not adequately visualize or justify the importance of the IOM FON report related to the nursing workforce.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the importance of the IOM FON report related to the nursing workforce.

Demonstrates good knowledge of the subject. Correctly describes importance of the IOM FON report related to the nursing workforce.

Demonstrates a full and deep knowledge of the subject. Develops and explains the importance of the IOM FON report, integrates and justifies the importance of the IOM FON report related to the nursing workforce.

15.0 %Discuss the intent of the Future of Nursing Campaign for Action

Does not demonstrate knowledge of the concept or its role. Fails to identify the intent of the Future of Nursing Campaign for Action.

Demonstrates minimal knowledge of the subject. Does not adequately visualize or identify the intent of the Future of Nursing Campaign for Action.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the intent of the Future of Nursing Campaign for Action.

Demonstrates good knowledge of the subject. Correctly describes the intent of the Future of Nursing Campaign for Action.

Demonstrates a full and deep knowledge of the subject. Develops and explains the intent of the Future of Nursing Campaign for Action, integrates and justifies the intent of the Future of Nursing Campaign for Action.

15.0 %Identify the rationale of state-based action coalitions

Does not demonstrate knowledge of the concept or its role. Fails to identify the rationale of state-based action coalitions.

Demonstrates minimal knowledge of the subject. Does not adequately identify the rationale of state-based action coalitions.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the rationale of state-based action coalitions.

Demonstrates good knowledge of the subject. Correctly identifies the rationale of state-based action coalitions.

Demonstrates a full and deep knowledge of the subject. Develops and explains and identifies the rationale of state-based action coalitions and justifies a rationale for state-based action coalitions.

15.0 %Discuss one state-based action coalition and two initiatives

Does not demonstrate knowledge of the concept or its role. Fails to identify one state-based action coalition and two initiatives.

Demonstrates minimal knowledge of the subject. Does not adequately identify one state-based action coalition and two initiatives.

Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Identifies but misinterprets one state-based action coalition and two initiatives.

Demonstrates good knowledge of the subject. Correctly identifies one state-based action coalition and two initiatives Future of Nursing and the Institute of Medicine research.

Demonstrates a full and deep knowledge of the subject. Develops and explains the one state-based action coalition and two initiatives, integrates and justifies one state-based action coalition and two initiatives.

15.0 %Organization and Effectiveness

5.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. Is descriptive and reflective of the arguments and appropriate to purpose.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

15.0 %Organization and Effectiveness

5.0 %Paragraph Development and Transitions

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness.Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

15.0 %Organization and Effectiveness

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.

5.0 %Format

2.0 %Paper Format (1- inch margins;12-point-font;double-spaced;Times New Roman, Arial, or Courier)

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct Future of Nursing and the Institute of Medicine research.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

100 %Total Weightage

How does cultural sensitivity impact the care of infants

How does cultural sensitivity impact the care of infants

Question

1. Question :

Which theory focuses on the relationships among individuals as they develop and change in the environment?

Ecological theory

Cognitive theory

Humanistic theory

Sociocultural theory

Question 2. Question :

The Board of Nursing in each state is responsible for _____________.

certified medical assistants

pharmacy technicians

anesthesiologists

advanced practice nurses

Question 3. Question :

Stool of a breastfed infant is:

hard and dark brown

soft, yellow, and seedy

florescent green

white in color

Question 4. Question :

An essential tool in the evaluation of precocious puberty in girls is:

Menarche

Growth spurt

Thelarche

Pubarche

Question 5. Question :

The incidence of epiglottis has decreased because of which vaccine?

Hib

Prevnar

Varicella

Meningococcal

Question 6. Question :

What factors contribute to the inability among children to access health-care services?

Inability to obtain health insurance

Language and cultural barriers

Lack of financial resources

All of the above

Question 7. Question :

An eight-year-old has chronic intermittent nasal congestion. All but which one of the following would support allergic rhinitis?

Red swollen turbinates

Darkened areas below eyes

Increased basophils on complete blood count (CBC)

Itchy, watery eyes

Question 8. Question :

Parents or guardians of adolescents should ___________________.

not be included in the adolescent’s health care

receive health guidance information at least twice during adolescence

encourage reasonable use of alcohol and tobacco by the adolescent

encourage early sexual activity by providing condoms to the adolescent

Question 9. Question :

A five-year-old female presents for a follow-up emergency room visit with a diagnosis of bronchitis. Which treatment you would expect to have been prescribed?

Oral steroids

Azithromycin

Increase rest and fluid intake

Albuterol

Question 10. Question :

How does cultural sensitivity impact the care of infants in the primary care setting?

Health-care providers may possess cultural biases that can impact care.

Cultural sensitivities do not exist in health care.

Cultural sensitivity only impacts the parents of infants.

Cultural sensitivity increases access to timely health-care services for infants.

Question 11. Question :

The most typical chest radiographic finding consistent with the diagnosis of asthma is ______________.

normal chest film

diffuse airway edema

right upper-lobe infiltrate

hyperinflation

Question 12. :

A four-year-old male patient presents with his mother with a school referral regarding red eyes. Which questions would not assist in establishing a list of differential diagnoses?

A four-year-old male patient presents with his mother with a school referral regarding red eyes. differential diagnoses is Vision status

Unilateral vs. bilateral presentation

Type of drainage

Vision status

History of a bacterial infection one month agso

Question 13. Question :

The average adolescent male usually experiences his biggest growth spurt at approximately __________ of age.

10.5 years

11.5 years

12.5 years

13.5 years

Question 14. Question :

___________ adolescents should be screened for hypertension.

All

Obese

High risk

No

Question 15. Question :

___________ is a natural part of our cultural and ethnic background.

Food

Race

Language

Religion

Question 16. Question :

Physical health is not the only important consideration in providing health care to children. As a nurse practitioner, you will also need to take into account the following:

The presence of psychosocial issues

A child’s social development

A child’s neurodevelopment

All of the above

Question 17. Question :

Allergic symptoms may cause increased nasal congestion, sneezing, watery eyes, and difficulty in sleeping. What are some of the potential problems that may be present in addition to these symptoms?

Gastrointestinal disturbances

Difficulty in concentrating

Auditory and visual disturbances

Decrease in asthma exacerbations

Question 18. Question :

The most common clinical presentations of pneumonia include _____________.

cough, fever, and tachypnea

hemoptysis and putrid breath

sudden chest pain and cyanosis

retractions and stridor

Question 19. Question :

The average adolescent female usually experiences her biggest growth spurt at approximately ____________ of age:

10.5 years

11.5 years

12.5 years

13.5 years

Question 20. Question :

An infant should no longer have a head lag when pulled from the supine to sitting position at what age?

Two months

Three months

Six months

Nine months

Nurse’s Role in Influencing the Legislative Process

Nurse’s Role in Influencing the Legislative Process

For this week’s project, you’ll answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill is traveling through the legislative process. The third question refers you to the social determinants of health as described in your course textbook reading and asks you to think specifically on your role as a nurse in influencing social determinants of health.

In a brief paper (no more than 2 typed pages, 1 inch margins, 12 font Times New Roman or Courier New), answer the questions below. Write each question as a new topic area and then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources 

Answer the following questions:

  • What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage?
  • List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other?
  • Reviewing the social determinants of health, select one to respond to this question:
    • What role can nurses play in promoting health status through policy changes directly affecting this social determinant?

Submission Details:

  • Submit your response in a 2-page Microsoft Word document (500 words).
  • Name your document SU_NSG4068_W2_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.
  • Cite sources in the APA format on a separate page 

Pharmacology Case Study-Acute Respiratory Tract Infection (Viral)

Pharmacology Case Study-Acute Respiratory Tract Infection (Viral)

No Plagiarism please, assignment will be checked with Turnitin. 

Will need 5 full pages, double spaced all throughout the page for the case study, APA Style, Times New Roman, font 12, Title Page and a Reference page. 

Assignment Directions

The focus this week is on antimicrobial agents. Principles for the appropriate choice of antibiotics and the factors that influence outcomes will be discussed. Also emphasized will be the mechanisms by which antimicrobial resistance develops and practical applications to prevent resistance. Remember that you will be creating a communication tool for the parent of a 4-year-old with an acute upper respiratory tract infection of a possible vital etiology. Your decision of how to treat this patient must be based on the highest level of current evidence. 

Case Study:

Discussion: Mr. Smith brings his 4-year-old to your office with chief complaints of right ear pain, sneezing, mild cough, and low-grade fever of 100 degrees for the last 72 hours. Today, the child is alert, cooperative, and well hydrated. You note a mildly erythemic throat with no exudate, both ears mild pink tympanic membrane with good movement, lungs clear. You diagnose an acute upper respiratory infection, probably viral in nature. Mr. Smith is states that the family is planning a trip out of town starting tomorrow and would like an antibiotic just in case.

Create a communication plan for Mr. Smith and/or families for both prescriptive and non-prescriptive drug therapies. Describe what you would tell Mr. Smith and the child. Provide resources that Mr. Smith could access which would provide information concerning your decision Pharmacology Case Study-Acute Respiratory Tract Infection (Viral)

Applying Current Literature to Clinical Practice


Report Issue

                              Applying Current Literature to Clinical Practice

Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients.

                                                     Learning Objectives

Students will:

· Evaluate the application of current literature to clinical practice

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide  

   on group work and group therapy.

· Select one of the articles from the Learning Resources to evaluate for this  

   assignment.

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

                                                             Assignment

    In a 5- to 10-slide PowerPoint presentation, address the following:

o  Provide an overview of the article you selected, including answers to the  

    following questions:

o What type of group was discussed?

o Who were the participants in the group? Why were they selected?

o What was the setting of the group?

o How often did the group meet?

o What was the duration of the group therapy?

o What curative factors might be important for this group and why?

o What “exclusion criteria” did the authors mention?

o Explain the findings/outcomes of the study in the article. Include whether this  

    will translate into practice with your own client groups. If so, how? If not, why?

o Explain whether the limitations of the study might impact your ability to use the 

   findings/outcomes presented in the article Applying Current Literature to Clinical Practice.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature.

                                                                     Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

  • Chapter 11, “Group Therapy” (Review pp.      407–428.)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 1, “The Therapeutic Factors” (pp. 1–18)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 2, “Interpersonal Learning” (pp. 19–52)

Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.

Chapter 3, “Group Cohesiveness” (pp. 53–76)

Leszcz, M., & Kobos, J. C. (2008). Evidence-based group psychotherapy: Using AGPA’s practice guidelines to enhance clinical effectiveness. Journal of Clinical Psychology, 64(11), 1238–1260. doi:10.1002/jclp.20531

Marmarosh, C. L. (2014). Empirical research on attachment in group psychotherapy: Moving the field forward. Psychotherapy, 51(1), 88–92. doi:10.1037/a0032523

Microsoft. (2017). Basic tasks for creating a PowerPoint presentation. Retrieved from https://support.office.com/en-us/article/Basic-tasks-for-creating-a-PowerPoint-2013-presentation-efbbc1cd-c5f1-4264-b48e-c8a7b0334e36

Tasca, G. A. (2014). Attachment and group psychotherapy: Introduction to a special section. Psychotherapy, 51(1), 53–56. doi:10.1037/a0033015.

Tasca, G. A., Francis, K., & Balfour, L. (2014). Group psychotherapy levels of interventions: A clinical process commentary. Psychotherapy, 51(1), 25–29. doi:10.1037/a0032520

You will select one of the following articles on group therapy to evaluate for this week’s Assignment.

Bélanger, C., Laporte, L., Sabourin, S., & Wright, J. (2015). The effect of cognitive-behavioral group marital therapy on marital happiness and problem solving self-appraisal. American Journal of Family Therapy, 43(2), 103–118. doi:10.1080/01926187.2014.956614

Himelhoch, S., Medoff, D., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis. AIDS Patient Care & Stds, 21(10), 732–739. doi:10.1089/apc.2007.0012

Pessagno, R. A., & Hunker, D. (2013). Using short-term group psychotherapy as an evidence-based intervention for first-time mothers at risk for postpartum depression. Perspectives in Psychiatric Care, 49(3), 202–209. doi:10.1111/j.1744-6163.2012.00350.x

Sayın, A., Candansayar, S., & Welkin, L. (2013). Group psychotherapy in women with a history of sexual abuse: What did they find helpful? Journal of Clinical Nursing, 22(23/24), 3249–3258. doi:10.1111/jocn.12168

Yildiran, H., & Holt, R. R. (2015). Thematic analysis of the effectiveness of an inpatient mindfulness group for adults with intellectual disabilities. British Journal of Learning Disabilities, 43(1), 49–54. doi:10.1111/bld.12085 Applying Current Literature to Clinical Practice.