Question Description

1. Once you have completed Chapter 11 – Assignment, do the following:
   • Observe the professors own page.
   • What do you think?
   • Is this something that is a good idea?
   • Do you think that this could help your career?
   • How could one use this to advance your career?
   • Do you feel like the union is beneficial? Or do you feel the union is a waste of time and money?
2. Answer the questions as thoroughly and concisely as possible.
   1. Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).
   2. professor page:Having spent the last decade and a half teaching in a Nursing Program at Miami-Dade College, I am now trying to back up my credentials with certifications and clinical expertise that will stand as proof of my commitment. Hopefully, this will take me to the next step in my career. 
      During the past few years I have built a start to a Certification in Gerontology that hopefully will be offered to students in the RN to BSN program someday. As of now there are two classes that I have created from scratch- Fundamentals of Gerontology and End-of-Life or Palliative Nursing Care. Eventually I would like to add two more classes (at least) and offer students a certification in Gerontology upon successful completion of the classes. 
      Also in the works is the idea of getting either another Masters or Doctorate in Gerontology so as to increase my ability to build a credible program within the School of Nursing at MDC. Some other plans that are in the works: Certification in Nursing Education (CNE)- Research projects in “Write around technique to alleviate plagiarism use” and “Fluid balance charting as a training technique” to be conducted at MDC.
      Also, several papers are in the works, at different stages, including Multidrug Resistant Organisms and their role in Nursing Homes” that was recently presented at the 8th Interprofessional Geriatric Training Symposium at Nova Southeastern University (May, 2015}. Also, after taking care of a patient that had Mantle Cell Lymphoma, I became very interested in the disease and the care of individuals with this normally fatal disorder. Lastly, my old favorite that I studied while getting my doctorate, the problem with convincing people the benefit of the Human Papillomavirus Vaccine.

Question Description

Mrs. Randall is a 77-year-old female who resides in a long-term care facility. She has a history of frequent falls and is severely cognitively impaired. The nursing staff at the long-term care facility called the nurse practitioner at the medical home office to report the recent development of productive cough and high fever. There have been cases of flu in the facility; however, Mrs. Randall has had a flu shot. The nurse practitioner in the office requests a chest x-ray in the long-term care facility. The nurse on duty in the facility states that there is no portable chest x-ray equipment available. She further requests that Mrs. Randall be transferred to the emergency room of the local hospital. Mrs. Randall’s daughter has durable power of attorney for health care decisions for her mother. The long-term care facility has notified the daughter of the change in her mother’s condition. The daughter says whatever the nursing home wants is fine with her.

To prepare:

• Review this week’s media presentation, as well as the American Geriatrics Society and Arbaje et al. articles in the Learning Resources.
• Research models of interdisciplinary geriatric care teams that are used at various sites, such as assisted living, home care, hospitals, long-term care, and rehabilitation facilities.
• Consider the model used for the interdisciplinary geriatric care teams at your current practicum site. Compare this model to models used at other sites.
• Reflect on how the role of the advanced practice nurse differs according to the site of care.
• Select one of the three case studies. Consider how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric care teams at your practicum site.

BY DAY 3

Post a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites. Then, explain how the role of the advanced practice nurse differs according to the site of care. Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site.

References:

Resnick, B. (Ed.). (2016). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing(5th ed.). New York, NY: American Geriatrics Society.

• Chapter 18, “Hospital Care” (pp. 134-145)
• Chapter 20, “Rehabilitation” (pp. 152-166)
• Chapter 21, “Nursing-Home Care” (pp. 167-174)
• Chapter 22, “Community-Based Care” (pp. 175-180)
• Chapter 23, “Outpatient Care Systems” (pp. 181-185)

Question Description

Purpose

The purpose of this assignment is for the student to learn to assimilate, analyze, critique, and summarize an original research article. In other words, select a report of a single, original study.

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO #7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs #4 and 8)

CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs #4 and 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs #7 and 8)

Requirements

Through this assignment, the student will:

1.  Conduct a systematic search of relevant databases to find research-based evidence related to a nursing problem (CO 1);

2.  Critique a peer-reviewed study, indicating the purpose, sample, design of study, data collection method, findings, and limitations of each (CO 2, CO 4,)

3.  Summarize the research article and evaluate the significance to nursing.  (CO 3).

4.  Please remember this assignment will be sent to Turnitin for review. If you wait until late Sunday night to submit, you may not receive your feedback in time if you need to make changes. Please read the announcement on the Turnitin information.

Preparing the Paper

Conduct a PICO(T) search on the nursing problem that you identified in Week 2, Discussion questions. Select one most recent peer-reviewed study that describes original research in a single study.

Analyze the article and provide the following information in brief format: purpose of the study; type of sample and number of participants; research design of the study, findings of the study; and limitations of the study. Summarize the importance to nursing.

The estimated length of this paper is four (4) pages, excluding the title page and References page. Summarize the results of the study as outlined below:

1.  Write a brief introduction to your paper, however do not label it as an “Introduction” in accordance with the rules of APA scholarly writing.

2.  State the research question for this study in a paragraph.

3.  Describe the research design of this study.

4.  Explain how the sample was selected and include the number of participants. Make a judgment as to whether the sample size was adequate, and defend your answer why or why not.

5.  Describe the data collection method(s) including who collected data, what tools were used, and other pertinent information.

6.  Identify the limitations of the study, and describe how the limitations could be overcome in subsequent studies.

7.  Describe the findings reported in the study. What is the answer to the research question based on these findings? If the study fails to answer the research question, what do you believe is the reason?

8.  Summarize the article. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice, or an idea for practice? Please provide the rationale for your answer.

9.  List your references, formatted in APA style, On the References page. Guidelines and a sample paper on APA may be found under Course Home in the Course Resources link. Follow the guidelines for writing professional papers using APA formatting as described in the 6^th edition of the manual.

Question Description

There are two different postings below. Can you please paraphrase both of the postings below. Being sure not to plagiarize them. APA format. The references are listed below. You can use additional references if you need to. I just need you to change the way they are worded so its not plagerized .

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1) I think there is no question that nurses across the board should use a standardized nursing language, and that each specialty area can then expand upon that standardization for their particular needs. Having one set standard of documentation across the world allows a more fluid communication and understanding of practice between nurses everywhere.

In many hospitals now, electronic health records (EHR’s) are the standard form of charting versus paper charting. There needs to be a standardization across these EHR’s for any nurse to be able to come from one facility to another and understand the plan of care, teaching, testing and so on done for their patients. “Standardizing the language of care (developing a taxonomy) with commonly accepted definitions of terms allows a discipline to use an electronic documentation system.” (Marjorie A. Rutherford, 2008)

In nursing we are constantly learning and growing in our practice every day and to be able to access information across different spectrums that all use a standardized language helps us grow and learn from mistakes. “Consistency in accessing and communicating information throughout the continuum is important, and by having a standardized language to do so helps facilitate and improve this process.” (McGonigle & Mastrian, 2012)

Having this standard documentation for patient outcomes and plans allows me to better describe the patients needs for treatment, that’s why i feel it is so important for all RN’s across the board to be able to coherently understand one another in our charting.

References

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing

practice? The Online Journal of Issues in Nursing, 13(1). Doi: 10.3912/OJIN.Vo113

No01PPT05.

McGonigle, D., & Mastrian, K. G. (2012). Nursing informatics and the foundation of knowledge

(2nd ed.). Burlington, MA: Jones & Bartlett Learning

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2) Applying Standardized Terminologies

The standardized language is an essential part of nursing studies and application. It helps in creating awareness of the nursing language and helps in supporting the learning processes in nursing. Knowing standardized language helps in providing consistency in practicum and developing of critical thinking knowledge. Furthermore, it improves communication skills, which is essential in diagnoses, interventions and outcomes classifications. In this context, we discuss three terminologies that include NANDA, NIC and NOC[BS1] . The term NANDA represents the definitions and classification of nursing diagnoses. NIC represents the classification of nursing interventions, while NOC represents the classification of nursing outcomes. Ineffective breathing patterns are among conditions whose nursing responses apply NANDA, NIC and NOC terminologies[BS2] .

NANDA

The term NANDA is an acronym, which stands for the North American Nursing Diagnosis Association. It refers to the development of diagnoses through peer-reviewed processes based on standardized evidence, definitions and characteristics relating to risk factors, that nurses use during assessments to identify potential diagnoses. The term is based on the idea that nurses need to use standardized language to integrate diagnostic processes and the clinical and research knowledge. NANDA undergoes constant refining to develop health responses for risk conditions, as well as providing diagnostic support to promote the patient health (Johnson, 2006). The NANDA diagnoses lists are applicable for individuals, groups, families and communities.

The NANDA diagnoses system in the context of nursing can be elaborated in four categories, which include actual diagnosis, risk diagnosis, health promotion diagnosis, and syndrome diagnosis. The actual diagnosis refers to the clinical judgment concerning the responses and experience to health status, which exist in an individual, his or her family, or community (Brennan & Mazanec, 2011). Risk diagnosis, refers to the responses to health conditions and life processes, which might develop in a vulnerable individual, family or community. Risk diagnosis is based on risk factors, which contribute to the increased exposure. Health promotion diagnosis is a clinical judgment based on the motivation and desire of an individual, family or community to promote well-being and health conditions. Syndrome diagnosis is the clinical judgment, which describes a specific group of nursing diagnoses that take place simultaneously and exhibit similar interventions.

NIC

The term NIC is an acronym used in the nursing contest, which stands for the Nursing Interventions Classification. It refers to a comprehensive and standardized research based classification of the clinical interventions by nurses. The NIC features are necessary for clinical communication and documentation of care, as well as the data integration across various contexts. These include effectiveness in research study, measurement of productivity, and evaluation of competency among others (Jarvis, 2012). Classification involves the nurses’ interventions on behalf of patients. They do these in collaborative and independent interventions, as well as direct and indirect care. Intervention refers to any kind of treatment a nurse performs to improve health outcomes. Even though a nurse will have expertise in limited interventions reflected in his or her specialty, the entire concept of classification deals with all interventions within the nursing field (Johnson, 2006).

The NIC is useful in all care settings, which include home care intensive care units, primary care and hospitals among others. It also applies to all specialties within the nursing sector. Although the entire classification defines the nursing domain, some care providers other than nurses also provide certain interventions. Other non-physician providers can also use NIC to describe treatments for their patients. The NIC interventions are both physiological and psychological in nature. Many interventions are applied on individuals, while others are applied on families and the entire community. They also include direct care interventions. Each of the interventions has a label name, definition, and specific activities carried out during the intervention. The classification is often updated based on the current changes and ongoing processes for review and feedback. Many health care agencies have adopted the NIC in setting standards, planning care, evaluating competency and information system (Brennan & Mazanec, 2011).

NOC

The term NOC in nursing contexts stands for the Nursing Outcomes Classification. It refers to a comprehensive and standardized classification patient outcomes, which are develop to evaluate the effectiveness of clinical interventions and other healthcare provisions. The standardized outcomes are necessary for the electronic recording of data to be used for clinical information systems, the development of nursing knowledge, and professional nursing education (Jarvis, 2012). An outcome is a measurable behavior, condition or perception of a person, family or community, as well as a continuum. The developed outcomes are application in all care settings for all patients. The clinical settings where NOC is tested include community hospitals, tertiary care hospitals, nursing centers, community care agencies and nursing homes (Johnson, 2006).

Just like NANDA and NIC, NOC is a standardized language that the American Nurses Association (ANA) recognizes. Since it is one of the recognized languages, it meets the ANA’s standard guidelines for nursing information and data evaluation, which is based on nursing knowledge and specialty. It has shown an accurate indicator in terms of its usefulness in the nursing practice, education and research. Various clinical settings continue to adopt NOC in evaluating the nursing practices. In addition, educational settings use it to structure and set curricula, as well as the clinical evaluation of students. Many countries across the world continue to show interest in NOC (Brennan & Mazanec, 2011[BS3] ).

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[BS1]Make sure that you fully define (write out) every abbreviation the first time you use them in your paper. After that you can abbreviate.

[BS2]Make sure you also include the concept of DIKW in your introduction as a key element of the paper.

[BS3]Good descriptions of NANDA, NIC and NOC.

References

Brennan, C., & Mazanec, P. (2011). Dyspnea management across the palliative care continuum. Journal of Hospitals & Palliative Nursing, 13(3), 130-139[BS1] .

Jarvis, C., & Jarvis, C. (2012). Student laboratory manual, Physical examination & health assessment (6th ed.). St. Louis, Mo.: Elsevier Saunders.

Johnson, M. (2006). NANDA, NOC, and NIC linkages: Nursing diagnoses, outcomes, & interventions (2nd ed.). St. Louis, Mo.: Mosby Elsevier.

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[BS1]Make sure you include DOIs or retrieval websites on all references.

Question Description

Outline for Strategic Plan for Change Paper regarding implementing a new EMR into a hospital.

Write a structured outline of your paper including the references you plan for each section.

1. Introduction and Statement of the Problem
   1. What is the problem?
   2. Why is it important enough to warrant a change?
      1. Scholarly Reference #1
      2. Scholarly Reference #2
      3. Scholarly Reference #3

*References in this section support the importance (2-3 is adequate to establish that the problem is significant). These may be peer reviewed journal articles and may or may not, be original research.

1. Review of Literature
   1. Research Reference #1
   2. Research Reference #2
   3. Research Reference #3
   4. Research Reference #4
   5. Research Reference #5

The review of literature section requires at least five current scholarly peer reviewed articles. Research articles are required for this section! Include a short synopsis of the studies, the population studied, and indicate if the research is Qualitative or Quantitative. The purpose of a literature review is to identify strategies for change to address the problem. This is not a place for articles establishing the problem (that is in the introduction/background). Example of Research Reference:

MacKusick, C. I., & Minick, P. (2010). Why are nurses leaving? Findings from an initial qualitative study on nursing attrition. Medsurg Nursing, 19(6), 335-340.

Mackusick and Minick (2010) conducted an interpretive, qualitative study to identify reasons influencing the decisions of RNs to leave clinical practice.

1. Synthesis of the Evidence
   1. Provide a clear, concise, summary of potential actions derived from your evidence review.
   2. Compare and contrast recommendations to improve on the problem.
   3. Determine the best action for your organization and make a succinct statement of your recommended plan.
2. Suggested Courses of Action
   1. Restate the action you want to occur
   2. Outline how you will implement the change
   3. Use and identify a Change theory or Leadership strategy to guide the change process.
   4. Who, what, when, and where?
3. Summary or Conclusion
   1. Summarize the main ideas and arguments, pulling everything together to help clarify the thesis of the paper.