Completing a health assessment on an older adult

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In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:

1. Perform a Health History on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).

2. Complete a physical examination of the client using the “Health History and Examination” assignment resource. Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template. Completing a health assessment on an older adult

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3. Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website athttps://www.ihs.gov/nnlc/includes/themes/newihstheme/display_objects/documents/resources/SBARTEMPLATE.pdf as a guide.

4. Document the findings of the physical examination in the assessment worksheet.

5. Using the “Health History and Examination” assignment resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Completing a health assessment on an older adult

The types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment

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The types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment

Create a 10-slide PowerPoint presentation to identify medications associated with a chosen disease or health condition, explain the actions and side effects of the medications, and discuss any controversies related to the medications. Explain a treatment regime, including pharmacology, for the disease or health condition you selected, along with how the treatment regime may affect a client’s lifestyle.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Apply practice guidelines and standards of evidence-based practice related to pharmacology for safe and effective nursing practice.

. Identify the pharmacological agents most often used in the treatment of a disease or health condition.

. Describe the treatment regime, including pharmacology, most often prescribed for a disease or health condition.

. Explain the controversies related to a pharmacological agent. The types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment

· Competency 2: Explain the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology and psychopharmacology.

. Explain the types of actions, side effects, indications, and contraindications that may be expected from a pharmacological treatment.

. Describe how a treatment regime, including pharmacology, may impact a client’s lifestyle.

. Describe how to monitor a client following a prescribed treatment regime, including pharmacology, in order to obtain a quality patient outcome.

· Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.

. Write content clearly and logically with correct use of grammar, punctuation, and mechanics.

. Correctly format citations and references using current APA style.

· By having a thorough understanding of pharmacology, nurses can eliminate possible medication errors in their nursing practices. The basic principles of pharmacology include pharmacokinetics (what the body does to a drug) and pharmacodynamics (what a drug does to the body). Pharmacology plays a significant role in the nursing profession, so it is extremely important for nurses to understand the actions of the pharmacological agents they will administer to patients in order to intervene appropriately if necessary.

· Another critical skill for a nurse is the ability to apply and evaluate evidence-based practices, principles, models, and pharmacological guidelines and protocols commonly used in nursing practice. Understanding how specific protocols and guidelines are developed will aid nurses in treating patients with a multitude of physiological and psychological conditions.

· Nurses must be able to measure outcomes of pharmacological interventions when caring for patients. The effective use of evidence-based practice guidelines, models, and principles is one way that nurses can analyze quality outcomes for the pharmacological treatments used for patients.

· Pharmacology includes different categories of major drugs used in the treatment of primary diseases. The same drug may be used to treat more than one disease or condition, while two patients with the same disease may require different drug treatments. In addition, the professional nurse must be aware of what types of things can influence a patient’s response to a drug. Some things are obvious—other medications, for example—while some are less so. Things like age, weight, herbs—even foods people eat every day—can influence how a person responds to a particular drug. At times, even a strong cultural belief can influence how a drug will react. Nurses who administer drugs have a responsibility to assess patients for both the desired response, as well as for any unwanted and potentially harmful reactions that may occur. The types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment

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To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

· What constitutes a medication error? How can medication errors be prevented?

· How do you use evidence-based practice in your workplace?

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have either been granted or deemed appropriate for educational use at the time of course publication.

· Institute for Safe Medication Practices. (n.d.). Retrieved from http://ismp.org/

· Healthy People 2020. (2015). Retrieved from http://www.healthypeople.gov/

· National Heart, Lung, and Blood Institute. (n.d.). Retrieved from http://www.nhlbi.nih.gov/

· Heart Failure Society of America. (n.d.). Retrieved from http://www.hfsa.org/

. You may wish to explore this Web site and review information related to heart failure classification.

· Montalvo, I. (2007). The National Database of Nursing Quality Indicators (NDNQI). OJIN: The Online Journal of Issues in Nursing, 12(3).

Assessment Instructions

Imagine your supervisor has asked you to conduct a lunch and learn session to educate your fellow nursing staff on pharmacological interventions.

Preparation

Select a disease or health condition that requires pharmacological intervention. You may choose any disease or health condition you wish, but the disease or health condition must be relevant to nurses from a variety of settings (for example: ER, pediatrics, public health, et cetera). The types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment

Requirements

Once you have selected a disease or health condition, create a PowerPoint presentation you could use in your lunch and learn session, including the following:

· Identify the disease or health condition you have chosen, along with the areas where nurses are likely to see it. (Do this in the agenda slide or next slide after the agenda.)

· Identify the three drugs used most often in the treatment of the disease or health condition.

· Explain the types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment.

· Describe the treatment regime most often prescribed for the disease or health condition. This should include pharmacology but not be limited to pharmacology.

· Explain how the treatment regime (including pharmacology) may impact a client’s lifestyle. Consider things such as finances, ease or complexity of administration, instructions (frequency, duration), et cetera.

· Describe how a nurse should monitor a client being treated for the disease or health condition in order to obtain a quality patient outcome.

· Explain any controversies associated with the drugs used in the treatment. For example, is there a black box warning with any of the drugs?

Use the notes section of each slide to expand your points or draft your mock oral presentation (or both) and reference your resources. Use at least 3 peer-reviewed or professional resources to support your work in this assessment. Be sure your PowerPoint includes a title slide, a slide with your agenda or list of topics to be covered, and a reference slide. Follow current APA style and formatting guidelines for your citations and references.

Additional Requirements

· Number of slides: 10, not including the title and reference slides.

· Be creative. Consider your intended audience. The types of actions, side effects, indications, and contraindications that could be expected from the pharmacological treatment

The impact on various operational processes within the selected organization

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UNIT 5

Topic: Tactical Planning

Strategic Planning: Strategy Map

Details:

The Strategic Planning: SWOT Analysis assignment completed in Topic 4 helped you identify a strategic goal within your sphere of influence. This assignment asks you to visually represent the cause-and-effect relationship among goals, operations, and stakeholders. In addition, this assignment seeks to examine the impact on various operational processes within the selected organization

According to your Management textbook, a strategy map “is a visual representation of the key drivers of an organization’s success, showing the cause-and-effect relationship among goals and plans.” Refer to Exhibit 7.4 in the textbook. A strategy map seeks to align organizational goals into strategy and provide clear direction for the organization.

Review the mission statement of your selected organization. Prior to creating a strategy map, identify your stakeholders. Complete a stakeholder analysis to identify and prioritize the various stakeholders. Refer to the “Stakeholder Analysis” resource from Mindtools and complete all steps. The impact on various operational processes within the selected organization

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Based on your strategic goal, create a strategy map using Microsoft Word, Microsoft PowerPoint, Microsoft Visio, or other software. Include only the required perspectives (financial, customer, internal, and learning and growth) that pertain to the strategic goal in your map. The cause-and-effect relationships are described by connecting arrows.

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

RESOURCES

Textbook 

1. Management 

Read Chapter 11 in Management. Review Chapters 7 and 8.

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php

Electronic Resource 

1. Business Model Innovation in Practice 

Read “Business Model Innovation in Practice,” by Euchner and Ganguly, from Research Technology Management (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=99206628&site=eds-live&scope=site

2. Stakeholder Analysis 

Read “Stakeholder Analysis,” located on the Mind Tools website. In addition, view the video “Stakeholder Analysis Video: Stakeholder Management and Power Interest Grid Example” that accompanies the article.

https://www.mindtools.com/pages/article/newPPM_07.htm

3. Strategy Mapping Overview 

Watch “Strategy Mapping Overview,” by Knowles (2013), located on the YouTube website.

e-Library Resource 

1. Business Ethics and the Development of Intellectual Capital 

Read “Business Ethics and the Development of Intellectual Capital,” by Su, from Journal of Business Ethics (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?The impact on various operational processes within the selected organization direct=true&db=ofs&AN=93596469&site=eds-live&scope=site

2. Corporate Social Responsibility: A Real Options Approach to the Challenge of Financial Sustainability 

Read “Corporate Social Responsibility: A Real Options Approach to the Challenge of Financial Sustainability,” by Bosch-Badia, Montilor-Serrats, and Tarrazon-Rodon, from PLoS One (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102969920&site=eds-live&scope=site

3. Innovation Agendas: The Ambiguity of Value Creation 

Read “Innovation Agendas: The Ambiguity of Value Creation,” by Daniel and Klein, from Prometheus (2014)

https://lopes-idm-oclc-org.library.gcu.edu:2443/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=ehh&AN=99282937&site=ehost-live&scope=site

4. Intellectual Capital Approach to Modern Management Through the Perspective of a Company’s Value Added 

Read “Intellectual Capital Approach to Modern Management Through the Perspective of a Company’s Value Added,” by Survilate, Tamosiuniene, and Shatrevich, from Business: Theory and Practice (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=102124106&site=eds-live&scope=site

5. Stakeholder Analysis 

Read “Stakeholder Analysis,” by Gilstein, from Salem Press Encyclopedia (2013). The impact on various operational processes within the selected organization

Comparing the compliance rates of your organization with those of other organizations

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Comparing the compliance rates of your organization with those of other organizations

Investigate your organization’s compliance rate with one specific core measure of your choice and write a 2-page (maximum) executive summary analyzing the financial and regulatory impact of organizational compliance with your chosen measure. Include recommendations for improving performance on the measure.

In order to promote safe, caring, patient-centered environments, nurse leaders must both conceptually understand and be proficient at performing a wide variety of leadership skills. Effective nursing leaders develop and maintain awareness of issues that emerge at many levels within and outside of their organizations. In addition to developing self-assessing competencies necessary for their roles, nurse leaders must also acquire organizational and systems leadership skill sets.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.

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. Compare the compliance rates of a specific measure for different organizations. Comparing the compliance rates of your organization with those of other organizations

. Explain the importance of compliance in terms of policy, regulation, and finance.

· Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.

. Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a nursing professional.

· Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.

. Explain strategies to overcome described organizational barriers to change.

· Competency 9: Professional Role – Incorporate the qualities, skills, behaviors, and knowledge required to function as a patient advocate, practice high-quality care, assess and evaluate patient outcomes, and provide leadership in improving care.

. Identify the stakeholders affected by changes to a specific compliance measure and describe changes that would improve compliance of a specific measure.

For this assessment, write an executive summary analyzing the financial and regulatory impact of organizational compliance with a specific core measure of your choice. The summary must include recommendations for improving performance on the measure.

You must be able to explain the financial implications associated with the measure, as well as its importance in terms of policy, regulation, and finance. This is another good opportunity to consult with a key stakeholder within the organization. Talking to someone who works closely with the organization’s finances can help you develop a deeper understanding of the financial aspects of compliance. You also need to suggest ways your organization can improve compliance and how you would implement changes and overcome obstacles.

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This may seem like an enormous undertaking, but you should approach it as if you were to present this information to your supervisor or manager. Keeping in mind that people in these positions do not have time to read a 10–12-page report, you would typically give them only an executive summary of your analyses and recommendations. That means that you will need to be very clear and very concise with the information you choose to include in the executive summary. Say as much as possible with as few words as possible. Comparing the compliance rates of your organization with those of other organizations

Directions

Select a core measure and investigate your organization’s compliance rate with the measure. In your executive summary, address the following:

1. Compare the compliance rates of your organization with those of other organizations.

2. Explain why the measure is important in terms of policy, regulation, and finance.

3. Describe changes that could be made that would improve compliance with the measure.

4. Identify the stakeholders who would be affected by the changes.

5. Identify obstacles you would expect to encounter and explain strategies to overcome these obstacles.

Additional Requirements

· Format: Include a title page and references page. As this is an executive summary, do not use APA style and formatting. To determine the appropriate format, it may be helpful for you to review the documents used in your organization. How do they look? What kind of language is used in memos? These can help guide your development of this executive summary. Certainly, feel free to use bullet points as appropriate.

· Length: Write a 2–3-page (maximum) summary of your information, not including the title page and references page.

· References: You must still reference scholarly resources to support your work. Use at least three current scholarly or professional resources.

· Font: Use 12-point, Times New Roman font. Comparing the compliance rates of your organization with those of other organizations

The Appalachian and Arab heritage related to their healthcare beliefs

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People of Appalachian Heritage.

People of Arab Heritage.

Read chapter 8 and 9 of the class textbook and review the attached Power Point presentation.  Once done, answer the following questions;

1.  Give an overview of the Appalachian and Arab heritage related to their healthcare beliefs and mention if there is any similarity in both cultures.  Give an example.

2.  How the Appalachian and Arab heritage view the process of death and explain if there is any similarity in any of them?

3.  Explain is there is any similarity in the healthcare beliefs of the Appalachian and Arab heritage with the evidence based nursing care that is provide. The Appalachian and Arab heritage related to their healthcare beliefs

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “Week 4 discussion questions”.  A minimum of two evidence based references no older than 5 years old  besides the class textbook are required.  Two replies sustain the proper references to any of your peers and a minimum of 500 words are required.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Copyright © 2013 F.A. Davis Company

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Appalachians 
Larry Purnell, PhD, RN, FAAN

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Overview

  • Heritage from England, Wales, Scotland, Ireland, France, and Germany
  • Came to the United States for religious freedom and better economic opportunities
  • Purposely isolated themselves in the mountains to live and practice their religions as they chose

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Overview Continued

  • Appalachia includes 410 counties in 13 states and extends from southern New York to northern Mississippi.
  • Continuous migration from the country to the city and vice versa
  • High proportion of aging in Appalachia
  • Farming, mining, textiles, service industries, etc. The Appalachian and Arab heritage related to their healthcare beliefs

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Overview Continued

  • High poverty and unemployment rates
  • Originally most educated group in America, now some of the least educated due to isolation
  • Area still lacks infrastructure

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Communications

  • Carry over from Elizabethan English
  • Spellin for spelling
  • Warsh for wash
  • Badder for bad

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Ethic of Neutrality

  • Avoid aggression and assertiveness
  • Do not interfere with others’ lives
  • Avoid dominance over others
  • Avoid arguments and seek agreement
  • Accept without judging—use few adjectives and adverbs, resulting in less precise description of emotions and thoughts

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Communications

  • Sensitive about direct questions and personal issues
  • Sensitive to hints of criticism. A suggestion may be seen as criticism.
  • Cordiality precedes information sharing so “sit a spell” and chat before doing business, which is necessary for developing trust

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Communication Continued

  • A few may avoid direct eye contact because it can be perceived as aggression, hostility, or impoliteness
  • More being than doing oriented, more relaxed culture and being in tune with body rhythms
  • Be formal with name format until told to do otherwise.

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Communication Continued

  • Healthcare provider must be flexible and adaptable
  • Come early or late for an appointment and still expect to be seen
  • Family lineage is important
  • Formality with respect—Miz Florence or Mr. John

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Family

  • Varied decision-making patterns but the more traditional Appalachian family is still primarily patriarchal
  • Women make decisions about health care and usually carry out the herbal treatments and folk remedies
  • Women marry at a young age and have larger families than the other white ethnic groups.  The Appalachian and Arab heritage related to their healthcare beliefs

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Family Continued

  • Children are accepted regardless of what they do
  • Hands-on physical punishment is common
  • Motherhood increases the status of the woman in the eyes of the community
  • Take great pride in being independent and doing things for oneself

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Family Continued

  • Family rather than the individual is the treatment unit
  • Having a job is more important than having a prestigious position
  • Consistent with the ethic of neutrality, alternative lifestyles are accepted, they are just not talked about
  • Extended family is the norm

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Biocultural Ecology

  • High incidence of respiratory conditions due to occupations
  • Increase of parasitic infections due to lack of modern utilities in some areas
  • High incidence of cancer, otitis media, anemia, obesity, cardiovascular disease, suicide, accidents, SIDS, and mental illness

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

High-Risk Behaviors

  • Tobacco is a main farming crop in some areas of Appalachia
  • Smoke at a young age
  • Alcohol use at a young age—binge drinking
  • Believe in the mind, body, spirit connection

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Ten Steps in Seeking Health Care

  • Use self-care practices learned from mother or grandmother
  • Call mother or grandmother if available
  • Then trusted female family member, neighbor, or a nurse
  • Then go to OTCs they saw on TV
  • Then use a neighbor’s prescription medicine

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Ten Steps in Seeking Health Care Continued

  • Pharmacist or nurse for advice
  • Physician or Advanced Practice Nurse
  • Then to a specialist
  • Then to the closest tertiary medical center
  • DO NOT BE JUDGMENTAL, if you want to keep them in the system

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Nutrition

  • Food may be synonymous with wealth
  • Wide variety of meats, do not trim the fat—low-fat wild game is also eaten
  • Organ meats are common
  • Bones and bone marrow used for making sauces
  • Preserve with salt

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Nutrition Continued

  • Lots of frying (using lard or bacon grease) and pickling
  • Anytime is the time to celebrate with food, especially in the rural areas
  • Many teens have particularly poor health
  • Status symbol to have instant coffee and snack foods for some

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Nutrition Continued

  • Early introduction of solid foods
  • May feed babies teaspoons of grease to make them healthy and strong
  • Diet is frequently deficient in Vitamin A, iron, and calcium

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Childbearing Family

  • Must eat well to have a healthy baby
  • Do not reach over your head when pregnant to prevent the cord from wrapping around the neck of the fetus
  • Being frightened by a snake or eating strawberries or citrus can cause the baby to be marked
  • Use bands around the belly and asafetida bags. The Appalachian and Arab heritage related to their healthcare beliefs

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Death Rituals

  • Must stay with the dying person
  • Family should not be left alone
  • Funerals with personal objects at the viewing and buried in their best clothes
  • May take the deceased for viewing at home
  • After the funeral there is more food and singing and for some a “wake” to celebrate life

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Death Rituals Continued

  • Flowers are more important than donations to charity
  • Particularly good at working through the grieving process
  • Funeral directors are commonly used for bereavement
  • Cremation is acceptable and ashes may be saved or dispersed on the “land”

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Spirituality

  • Baptist, Pentecostal, Episcopalian, Jehovah’s Witness, Methodist, Presbyterian
  • Each church adapts to the community
  • Most are highly religious even though they do not attend church
  • Common to attend Sunday and other days
  • Preacher has a calling to “preach”
  • Ministers are trained

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Spirituality Continued

  • Meaning in life comes from the family and “living right with God,” which varies by the specific religious sect
  • Nature is in control—fatalism
  • Religion and faith is important in a hostile environment
  • I will be there if the “creek does not rise” or if “God is willing”—fatalism

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Healthcare Practices

  • Good health is due to God’s Will
  • Self-reliance fosters self-care practices
  • Family important for health care
  • May be very ill before a decision is made to see a professional resulting in a more compromised health condition
  • Direct approaches are frowned upon

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Healthcare Practices Continued

  • Herbal medicines, poultices, and teas are common
  • See Table 8–1 in the textbook; these practices are still alive and well
  • Folk medicines used in conjunction with biomedical treatments

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Barriers

  • Fatalism
  • Self-reliance
  • Lack of infrastructure
  • Health profession shortages
  • Culture of “being”
  • Poverty and unemployment
  • Care not acceptable from outsiders

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Responses to Health and Illness

  • Take care of our own and accept the person as whole individual
  • Not mentally ill, the person has “bad nerves” or are “odd turned”
  • Having a disability with aging is natural and inevitable—if you live long enough
  • Must establish rapport and trust

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Responses to Health and Illness Continued

  • Pain is something that is to be endured
  • Some may be stoical
  • Pain legitimizes not working or fulfilling one’s responsibilities
  • Withdraw into self when ill
  • Culture of being works against rehabilitation

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Healthcare Practitioners

  • Lay and trained nurses and midwives still provide much of the care in some parts of Appalachia
  • Breckenridge Frontier Nursing Service
  • Prefer people known to the family and community —the insider versus outsider concept

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Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Healthcare Practitioners Continued

  • Culture of “being” says the healthcare provider should not give the perception of being rushed
  • Physicians may not be trusted due to outsided-ness, not to being foreign
  • Must ask the clients what they think is wrong. The Appalachian and Arab heritage related to their healthcare beliefs

Individual Literature Review Worksheet

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Individual Literature Review Worksheet

In patients with central lines, what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection?

Formulate a research question that you would like answered for your Literature Review Paper.

Conduct a literature search for your research question using the Individual Literature Search Worksheet Preview the documentprovided. Document your systematic search on the form, covering all steps listed below

STEP 1: Think About the Best Way to Search

STEP 2: Plan Your First Search

STEP 3: Begin Your Search

STEP 4: Refine Your Search

STEP 5: Refine Your Search Again

STEP 6: Search another Database

STEP 7: Reflection

Submit your detailed literature review worksheet.

Remember: Read through the articles carefully. Eliminate those not appropriate. It is suggested that you create a summary table. There is an example in the course text to help you organize your thoughts. Synthesize twelve or more full text research articles, beyond your textbooks, that are relevant to your research. Summarize what the studies reveal about your selected topic. Are there consistencies? Are there inconsistencies or “gaps?” Be sure to keep the table of information you developed and the twelve or more articles as you build on the course assignments. The table itself will not be part of the content in your paper; it may be included as Appendix A. Individual Literature Review Worksheet

Week 3 Individual Literature Search Worksheet

When doing a literature search for evidence it is important to document where and how you’ve searched for the evidence. Conducting a systematic review of the literature, and properly documenting your findings, will assist you in identifying the “best available evidence” on your topic. STEP 1: Think About the Best Way to Search A. What is your topic or PICOT question? ____________________________________________________________ B. Begin by listing 3-4 keywords or phrases in the first column. Use words that you think will assist you in finding

“the best” evidence on your topic. Consider words that describe the what, where, and/or who of your topic or PICOT question. After you have listed your key words, use the blanks to the right of your key words to list synonyms (other words) that can be used to say the same thing as the keywords/phrases.

Keywords Synonyms 1.________________________: ____________________OR __________________ OR _____________________ 2.________________________: ____________________OR __________________ OR _____________________ 3.________________________: ____________________OR __________________ OR______________________ 4.________________________: ____________________OR __________________ OR______________________ C. What are the best information resources/databases/websites for your research? __________________________ , __________________________ , ______________________ STEP 2: Plan Your First Search A. List your keywords and synonyms being sure to use symbols (* and “quote marks for more than 1 word”) and Boolean operators (OR/AND) to aid your search. _______________________ OR ____________________OR _________________ OR _____________________ AND ___________________OR ____________________OR __________________OR _____________________ AND____________________OR____________________OR __________________OR______________________ AND____________________OR ____________________OR _________________ OR______________________ B. What limiters did you use in the search? (Date range, language, or any other limiting criteria used) ___________________________ , ____________________________ , ________________________

STEP 3: Begin Your Search After you’ve thought about your topic, keywords/search terms, and information resources/databases, log in and begin your search. Use the keywords and limiters you identified in Step 2. Be sure to avoid typos, as that can ruin your search. A. What database/resource did you use? ___________________________________________________ B. How many results did you get? ________________ Too few results? Too many results? C. Look at the article citations and identify subject headings (MeSH Terms) that are common across the article

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citations. Use these as key words in your next search. STEP 4: Refine Your Search Now refine your search using the same database. Use symbols and the subject headings you’ve identified. You may also want to change your limiters. A. List your keywords, synonyms, phrases or MeSH Terms used in this refined search. _______________________ OR ____________________OR __________________ OR ____________________ AND ___________________ OR ____________________OR __________________ OR ___________________ AND____________________OR____________________ OR __________________ OR ____________________ AND____________________OR ____________________OR __________________ OR ____________________ B. What limiters did you use in this search? __________________________ , __________________________ , ______________________ C. Now how many results did you get? ________________ Still too few results? Or too many? STEP 5: Refine Your Search Again Using the same database, refine your search again. If you’ve had too many results, try narrowing your population or setting. If you’ve had too few results, expand your population or setting. A. What keywords, synonyms, phrases or MeSH Terms were used in this even more refined search? _______________________ OR ____________________OR __________________ OR _____________________ AND ___________________OR ____________________ OR __________________OR ____________________ AND____________________OR____________________ OR __________________OR ____________________ AND____________________OR ____________________ OR __________________OR ____________________ B. What limiters did you use in this search? Individual Literature Review Worksheet. __________________________ , __________________________ , ______________________ C. How many results do you have now? ________________ D. Are the results relevant? Current? Of good quality? Appropriate for the assignment? Read the abstracts and then

read the full-text. If needed, adjust your search more. Consider searching another database/resource to see what other evidence may be available in a different source. Make sure to continue recording your steps.

STEP 6: Search another Database Search another database using the keywords, synonyms, phrases, MeSH Terms and limiters you used in STEP 5. A. What other database/resource did you search? B. How many results did you get? ________________Too few results? Too many results? C. How do these results compare to the results you obtained in the other database? Are the results relevant? Current?

Of good quality? Appropriate for the assignment? If needed, adjust your search more. Make sure to continue recording your steps.

STEP 7: Reflection Now reflect a bit on your process. Use this sheet for your notes – full sentences are not necessary. You can correct grammar and sentence structure later. A. Why did you select your specific article? (For example, how did it relate to your topic? How current was the

research? Were the findings significant? What was the setting? The population?)

B. What difficulties did you have locating an interesting and appropriate single research study for this assignment?

C. The next time you search for evidence, what will you do differently? Individual Literature Review Worksheet

Comparative analysis of contemporary leadership approaches

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Assignment Content

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Perform a comparative analysis of five contemporary leadership approaches, including:

o Situational leadership

o Transactional leadership

o Transformational leadership

o Servant leadership

Use the Contemporary Leadership Matrix in Appendix B of the Example Paper to compare each approach on the following domains:

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o Description

o Primary characteristics

o Strengths

o Criticisms

o Discipline-specific applications

Submit the Example Paper with:

o a properly formatted title page,

o the revised Historical Leadership section, Comparative analysis of contemporary leadership approaches

o properly formatted references,

o the matrix from Week 1 in Appendix A, and

o the matrix on Contemporary Leadership in Appendix B. 

Discussions 1

Assessments

II. Working with others

  B. Leadership and Team Skills

      1. What’s my leadership style?

2.    What was your score on the “concern for people” and “concern for task” dimensions of the What’s my Leadership Style Assessment? Explain how your score promotes or fails to promote effective leadership. What can you do to be more effective as a leader?

3.    In your daily work life, what leadership strengths or talents do you rely on most? What is the result or outcome of using these strengths?

Discussions 2

This activity centers on one of the most prominent leaders in the world: the US president.

1) Using chapters 4-11 of Northouse, choose the leadership style you believe best characterizes President Trump.

2) Discuss and substantiate your choice with examples of his behavior you believe are best aligned with your choice. Include two additional peer-reviewed sources to your remarks.

· Caution! This is an exercise in critical thinking, not political proselytizing.

· Avoid emotional statements aimed at forwarding a political cause – or starting inappropriate political bantering.

· Stick with your sources to substantiate your claim. You can add substantiating links via video messages if you like. Comparative analysis of contemporary leadership approaches

Ineffective Time Management

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Hi, this is the instruction for my 2-3 paragraph discussion board:

Marilyn is the manager of a Medical Surgical unit in a busy city hospital. Budget time is approaching, and administration has become increasingly intolerant of overtime. Marilyn has been studying the payroll sheets for her unit, and she now recognizes that 4 nurses have been responsible for over half the end of shift overtime hours. These nurses have all been working on this unit for over 8 years, and provide exemplary patient care. The following are Marilyn’s observations concerning these nurses:

-Care provided is safe and thorough.

-Report is given promptly and thoroughly.

-Seldom are tasks carried over for the next shift.

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-Nurses following these nurses are confident that the care and the report were complete.

-Almost all documentation by these nurses is done after their shift.

In view of these observations, Marilyn feels she needs to address the overtime issue with these nurses. She wants to be sure they know she appreciates their quality contributions to the unit.Discuss the following points:

1-How should Marilyn address this time management problem? Ineffective Time Management

2-Where should documentation fall as a priority?

3-How might appropriate delegation help?

4-What action plan would you suggest?Your response should consist of complete sentences and should be at least one complete paragraph, but it should be no more than three paragraphs in length. Ineffective Time Management

The ramifications of Choosing an Inappropriate Design for a Research Study

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Quantitative Research Designs

In order to find the best information on a topic, not only should you develop a question and search for resources, but you should also know how to analyze the value of the resources that you identify. There are different ways to evaluate resources, such as using the hierarchy of evidence, which you explored in Week 4 of this course. Another way to evaluate resources is to consider the appropriateness of the research design. Understanding how research designs contribute to the quality of a study is essential for being able to analyze resources when conducting a literature review or locating evidence for practice.

In this Discussion, you consider the different research designs and evaluate how these designs have been used to research a specific topic. You also consider strategies for selecting an appropriate research design. The ramifications of Choosing an Inappropriate Design for a Research Study

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To prepare:

· Review the information in the Course Text on Quantitative Research Designs. Focus on the information in Box 9.1, “Guidelines for Critiquing Research Designs in Quantitative Studies” located on page 230 of the course text.

· Select a Topic from the list below and search the Walden Library to find Two Different Quantitative Research Studies addressing that issue:

. Caregiver stress

. Anxiety in children

. Sleep apnea

. Depression in college freshmen

. Rural health care issues

. Post-traumatic stress syndrome

. Traumatic brain injury in veterans

. Health effects of environmental contaminants

. Bipolar disorder

. End-of-life ethical issues

. Alternative medicine

· For Each of the sources that you Select, Identify the Type of Quantitative Research Design used, and Evaluate whether it is the Most appropriate approach to the Research.

· Consider the Ramifications of choosing an Inappropriate Design for a Research Study.

By Day 3

Post the Topic you Selected, References for the Two Sources you identified, and the Quantitative Research Design used in Each.

Critique the Appropriateness of the Design Used and Justify your Comments with information from the Learning Resources.

Discuss the ramifications of Choosing an Inappropriate Design for a Research Study. The ramifications of Choosing an Inappropriate Design for a Research Study

Pre-requisites for person-centred care nursing framework

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Task Description:

During PEP, you will regularly encounter clinical episodes that both challenge and enhance your developing professional practice. The purpose of this task is to generate a reflective paper focussed on ONE of the five ‘prerequisites’ of the person-centred nursing framework. These ‘prerequisites’ are considered the essential attributes for health professionals to facilitate person-centred outcomes (McCormack, Manley & Titchen 2013). These are identified as follows: 

1. Professionally competent

2. Developed interpersonal skills

3. Commitment to the job 

4. Clarity of beliefs and values

5. Knowing ‘self’ 

From your PEP , consider a clinical encounter (either through direct observation of other health professional/s or your own actions), where you felt a pre-requisite may have been lacking or questionable. Briefly outline the situation and identify which pre-requisite/s may have impacted/contributed to the patient outcome.  Pre-requisites for person-centred care nursing framework

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Choose ONE of these as your focus and briefly relate this to the literature regarding person-centred outcomes and why this pre-requisite is considered an important attribute for practitioners. You will also be required to consider your own practice to ensure you adequately meet this pre-requisite as you progress through the final stages of your degree and continue to establish your professional identity. 

Additional resources including a template to populate with your reflection is attatched.

Reference: McCormack, B., Manley, K. and Titchen, A. eds., 2013. Practice development in nursing and healthcare. John Wiley & Sons.

I NEED 5 REFERENCES IN TEXT AND LIST FROM 2010 TO 2019 ONLY. Pre-requisites for person-centred care nursing framework