Malnutrition associated with specific health conditions

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Malnutrition associated with specific health conditions

TOPIC 3: Malnutrition associated with specific health conditions: What specific health conditions increase the risk of malnutrition?

 

Has to be 2-3 pages

 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817125/

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  • Bold for each Heading and Subheading
  • Include in-text citations for all information/contents as needed
  • Summary paper MUST be written in this format Malnutrition associated with specific health conditions

 

Introduction and Key Points

Chosen Topics and Question

  • Select one topic and question from five main topic list

 

Define the Topic and Question

  • How do you interpret and/or understand the topic and question you selected?

 

Overview/Significance of Problem

  • Describe Overview and Significance of Problem of the topic and question you selected
  • Include in-text citations

 

Article Search

Current and credible resourcesList Chamberlain library Database(s) used Malnutrition associated with specific health conditions

 

Database search-terms and methods

 

Number of articles located

 

List additional sources outside of ATI module List all sources you used for article search outside of ATI (CDC, American Diabetic Association, etc.)

 

Article Findings

Why this article chosen?

 

How it addresses the topic?State the “Purpose/Aim of Study” the author stated in article

 

Type of Research conducted

  • Quantitative, Qualitative, Descriptive, or Mixed-Method study?
  • Briefly describe what was done (sample, methods, measurement tools used)

 

Findings of ResearchComprehensively describe ALLFindings in the article.

 

Evidence for Practice

Summary of Evidence

  • Briefly summarize the findings.

 

How will this evidence improve current practice?

  • Briefly describe what the current practice is.
  • Describe how this evidence improve current practice?

 

How will this evidence decrease a gap in current practice?

  • Briefly describe difference between the current knowledge, skills, competence, practice, performance or patient outcomes and the ideal or desirable state
  • Describe how this evidence decrease a gap in the practice?

 

Any concerns or weaknesses in the evidence/finding? (Found in Discussion)

 

 

Sharing of Evidence

Who would you share the information with?

 

 

How would you share this information?(in-services, health fair for patients, educate healthcare professionals)

 

 

What resources would you need to accomplish this sharing of evidence?

  • List resources you may need for sharing the evidence as you stated in above 2 questions (who and how) (i.e. administrator, manager, support for materials….etc)

 

Why would it be important to share this evidence with the nursing profession?

 

 

Conclusion

  • Summarizes the Research processes, Findings, and Key points.
  • Do NOT include Conclusion/Implication on the article

 

 

 

Nursing homework help

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Nursing homework help

Patrick Realon

Posted Date

Mar 31, 2022, 8:25 AM

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Postoperative cerebrospinal fluid (CSF) leak is a well-known complication following transsphenoidal surgery for sellar lesions, with a reported incidence in the range of 8.6%–15.9%. Its occurrence may result in meningitis, and prolonged treatment or reparative surgery are required in some patients. Following transsphenoidal surgery, patients are at risk for developing a variety of neuroendocrine or other postoperative complications, which can potentially be minimized or prevented by maintaining a high degree of awareness for such issues on the part of the neurosurgical team and nursing staff. Serial clinical monitoring of a patient’s neurological and visual status is imperative following transsphenoidal surgery, as patients may develop untoward complications such as postoperative hematomas, epistaxis, ischemic events, hydrocephalus, CSF leaks, or meningitis. Maintaining a constant state of vigilance for these uncommon, but serious, events in all patients is absolutely critical. If a CSF leak is suspected in the postoperative period, a noncontrast CT scan of the head is a useful study that may demonstrate the presence of intracranial air in the event of a CSF leak. Although the majority of patients do not require insertion of nasal packing at the time of surgery, some patients (especially those with or intraoperative CSF leaks requiring sellar floor reconstruction, Cushing’s Disease, and acromegaly) may benefit from their insertion. If used, nasal packing can typically be removed on postoperative day one. Postoperative epistaxis infrequently develops following transsphenoidal surgery and can typically be treated successfully with routine nasal packing for 2-3 days. In rare refractory cases of epistaxis, reoperation or endovascular embolization of an arterial bleeder may be required (Sun et al., 2018). Nursing homework help

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Aberrancies of fluid homeostasis and serum electrolytes occur quite commonly following transsphenoidal surgery. An understanding of the underlying physiology, coupled with monitoring of a patient’s volume status, as well as serum and urine laboratory studies, may make a significant difference in a patient’s postoperative course. Although a foley catheter is not inserted at the time of surgery in the majority of patients at our institution, strict measurement of a patient’s intake, output, and daily weight should be carried out in order to provide a continuous assessment of volume status.  Patients with preoperative evidence of hypopituitarism should be maintained on sufficient stress doses of hormonal replacement during the initial perioperative period, and then kept on physiological maintenance doses of replacement agents until it is appropriate to assess their pituitary function in a controlled manner. Patients with evidence of hormonal excess typically undergo appropriate lab testing during the first few days following surgery to assess for evidence of early endocrinological remission (Sun et al., 2018).

Primary reconstruction techniques use autologous grafts (e.g., fascia lata) or a pedicled nasoseptal flap to reconstruct the skull base when a CSF leak occurs during or after surgery. However, due to the unpopularity of endoscopy and unfamiliarity with this reconstruction method in surgery department, we used alternative repair methods and also obtained excellent results. Most patients chose conservative methods for CSF rhinorrhoea repair, with surgical repair used only if conservative treatment failed. Our strategies often eliminated the need for additional surgery; however, conservative treatment may increase the risk of infection, duration of hospitalization and economic and psychological burden on the patient. Surgical repair should be performed as soon as general clinical conditions allow if diagnostic assessments have detected CSF rhinorrhoea and identified the exact site of the leak. They concluded that clinical presentation and office-based endoscopic nasal exam were of primary importance to evaluate suspected CSF leaks. Prospective randomised controlled studies are needed to clarify the optimal approach and time window for surgical repair of CSF rhinorrhoea (Zhang et al., 2017).

Endoscopic endonasal pituitary surgery differs from the transsphenoidal microsurgery in the following aspects: plane vision, close-up view, no nasal speculum, endonasal approach and ample vision field. Microscopy features a three-dimensional visualisation, wider view and use of a transnasal speculum. Use of the endoscope during TSS is important in that it allows maximum tumoural excision and better visualisation of a small CSF fistula. Because of the enhanced illumination and visualisation of lesions, endoscopic surgery for CSF rhinorrhoea is more reliable and convenient than traditional TSS. In addition, we found that the endoscopic approach enables precise confirmation of the leakage site, sufficient exposure, minimal invasiveness and high rate of success. Although endoscopy was underutilised initially in our department, we subsequently used endoscopy to repair CSF leakage with excellent results. We therefore strongly recommend endoscopy for surgical repair as well as tumour removal (Zhang et al., 2017).

Following discharge, patients are usually seen in the clinic for routine follow-up one week after surgery, then again at the 6-week postoperative time point for routine endocrine and postoperative evaluation, to account for equilibration of the hypothalamic-pituitary-adrenal axis as well as the longer half-life of thyroid hormone. Postoperative MR imaging is obtained 3 months following the operation, to allow sufficient resolution of postoperative changes prior to any meaningful assessment regarding the extent of tumor resection. Routine imaging studies may then be obtained annually, or more often as indicated. Patients with sellar pathology may have delayed tumor recurrences occurring up to several years after successful remission, therefore mandating continued endocrinological and imaging surveillance, even beyond a decade following initial remission (Sun et al., 2018).

References:

Sun, I., Lim, J. X., Goh, C. P., Low, S. W., Kirollos, R. W., Tan, C. S., Lwin, S., & Yeo, T. T. (2018). Body mass index and the risk of postoperative cerebrospinal fluid leak following transsphenoidal surgery in an asian population. Singapore medical journal, 59(5), 257–263. https://doi.org/10.11622/smedj.2016159

Zhang, C., Ding, X., Lu, Y., Hu, L., & Hu, G. (2017). Cerebrospinal fluid rhinorrhoea following transsphenoidal surgery for pituitary adenoma: Experience in a Chinese centre. Rinoliquorrea dopo chirurgiadell’adenomaipofisario con approcciotransfenoidale: esperienza in un centrocinese. Acta otorhinolaryngologicaItalica : organoufficialedellaSocietaitaliana di otorinolaringologia e chirurgiacervico-facciale, 37(4), 303–307. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584102/

 

Nursing homework help

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Nursing homework help

Transsphenoidal surgery is the approach of choice for pituitary adenomas and is indicated when the mass impacts the function of other surrounding structures (Melmed & Jameson, 2018, p. 2672).  The common symptoms from a local mass effect of a pituitary tumor are headache and visual disturbances; and other symptoms that vary by adenoma type (Melmed & Jameson, 2018, p. 2671). Postoperative central diabetes insipidus (CDI) is a result of damage to the pituitary stalk, hypothalamic injury, or a disruption in the hypothalamic-neurohypophyseal connections (Elisaus & Ball, 2021). This results in a deficiency of AHD and prevents concentration of urine in the renal collecting tubule. DI can be classified into three different types: nephrogenic, central, and dipsogenic (Elisaus & Ball, 2021). Nephrogenic occurs when there is a lack of renal response to ADH and dipsogenic occurs secondary excess fluid intake. To determine which etiology of DI is present; a water restriction test is performed. If urine concentrates with water restriction, then there is no DI; next desmopressin (dDAVP) is given and if urine concentrates then it is CDI; in nephrogenic DI, urine will not concentrate with either intervention (Elisaus & Ball, 2021). In this scenario, we know the patient is manifesting CDI secondary to a pituitary adenoma resection. CDI occurs transiently in 10-20% of transsphenoidal pituitary surgeries and is permanent in 2-7% of patients (Swearingen, 2021). Thus, post-operative transsphenoidal surgical patient should be closely monitored for CDI by monitoring urine output. Polyuria (3L/d) and polydipsia are hallmark symptoms of DI (Elisaus & Ball, 2021). A diagnosis can be made by a low urine osmolality (<250mosmol/kg) with high serum osmolality (>290mosmol/kg) and no hyperglycemia (Elisaus & Ball, 2021). Treatment for CDI is with DDAVP 5-20mcg/day and fluid replacement. Serum sodium, urine osmolality, and urine output help guide the continued need for dDAVP and fluid therapy (Swearingen, 2021). Typically, only one or two doses of dDAVP are needed (Elisaus & Ball, 2021). CDI can vary from mild to severe with the major concern of life-threatening hypernatremia and dehydration. Hypernatremia can manifest with neurologic symptoms of: confusion, restlessness, lethargy, seizures, and death. Severe volume depletion can cause circulatory collapse. For these reasons, post-op transsphenoidal patients are typically monitored in the ICU for the first 48 hours to monitor for the development of DI.  Nursing homework help

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References

Elisaus, P., & Ball, S. (2021). Diabetes insipidus. Medicine, 49(8), 495–497. https://doi.org/10.1016/j.mpmed.2021.05.009

Melmed, S., & Jameson, J. L. (2018). Pituitary tumor syndromes. In Harrison’s principles and practice of hospital medicine (20th ed.). McGraw Hill.

Swearingen, B. (2021). Transsphenoidal surgery for pituitary adenomas and other sellar masses. UpToDate. Retrieved March 31, 2022, from https://www.uptodate.com/contents/transsphenoidal-surgery-for-pituitary-adenomas-and-other-sellar-masses?search=transsphenoidal%20surgery&source=search_result&selectedTitle=1~35&usage_type=default&display_rank=1#H21307966

REPLYRLRommel Lantajo

Posted Date

Mar 31, 2022, 1:53 AM

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Diabetes insipidus (DI) is an uncommon neurological condition that accounts for 1 in every 25,000-patient population (Christ-Crain et al., 2021). The underlying clinical issue with DI comes as part of the polydipsia-polyuria syndrome, which is characterized by hypotonic urine and excessive polydipsia (Christ-Crain et al., 2021; Christ-Crain, 2020). The postoperative neurosurgical patient is prone to developing the central form of DI (Christ-Crain et al., 2021; Christ-Crain, 2020). The pathophysiological underpinning of central DI is the lack or inability of the posterior pituitary to secrete arginine vasopressin (Christ-Crain et al., 2021; Christ-Crain, 2020). The insufficient synthesis of arginine vasopressin in the hypothalamic neurohypophyseal system causes this inappropriate osmotic stimulation (Christ-Crain et al., 2021; Christ-Crain, 2020).  Nursing homework help

The clinical manifestation of Di is excessive urinary excretion, usually more than 50 mL per kilogram in 24 hours, and increased oral intake of water (Christ-Crain & Gaisl, 2021). The patient with DI will also present with serum hyperosmolar and hypernatremia associated with urinary hypo osmolar (Christ-Crain & Gaisl, 2021). Some patients may or may not present with fever, excessive sense of thirst, irritability, etc. (Christ-Crain & Gaisl, 2021). The main treatment in DI is to identify the primary cause, postoperative neurosurgery in this case (Christ-Crain & Gaisl, 2021). Therefore, it is vital that the provider must keep in mind that severe hyperosmolality from dehydration should be managed promptly (Christ-Crain & Gaisl, 2021). The water should be replaced by at least 50 % of the calculated free water deficit within 24 hours (Christ-Crain & Gaisl, 2021). The overcorrection of water can lead to unwanted neurological consequences such as cerebral edema, seizures (Christ-Crain & Gaisl, 2021). Furthermore, the management of diabetes insipidus should be focused on the prevention of secondary complications of excessive water intake, which can further cause severe fluid and electrolyte imbalances (Christ-Crain & Gaisl, 2021). In addition, a single dose of desmopressin is sufficient to treat neurosurgery-related DI (Christ-Crain & Gaisl, 2021).

References

Christ-Crain, M, Winzeler, B, Refardt, J. (2021). (University Hospital Basel, University of Basel, Basel, Switzerland). Diagnosis and management of diabetes insipidus for the internist: an update (Review). J Intern Med.,290(1), 73– 87. https://doi.org/10.1111/joim.13261

Christ-Crain M: Diabetes Insipidus: New Concepts for Diagnosis. Neuroendocrinology 2020;110:859-867. doi: 10.1159/000505548

Christ-Crain, M. & Gaisl, O. (2021). Diabetes insipidus. La Presse Médicale, 50 (4), 104093. https://doi.org/10.1016/j.lpm.2021.104093.

Social Concepts of Nursing,

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Social Concepts of Nursing,

Social Concepts of Nursing, Guidance for the Poster of Community Profile.

 

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50% of your mark for the Social Concepts of Nursing Module will be assessed from creation and presentation of a Community Profile presented as an online Poster. You will be allocated a Ward from the Kirklees District and your task is to produce a poster giving a community profile of the allocated area.

 

There maybe be more than one group looking at each ward, this provides the opportunity to learn how different groups approach a task. 

 

Below explains what a community Profile is, how to create one and aspects to include. You can be as creative as you like with your poster in terms of pictures, charts etc.  but you must produce a 2 Power-point slides one is the poster and the second references.  Please ensure that you support the information you use with appropriate references. Social Concepts of Nursing, 

 

What is a community profile?

A community profile provides an overview of the community at a certain point in time. It is auseful way to identify the strengths and weaknesses of a local area and the health challenges. There are many different types of community profiles that can be prepared using a variety of techniques. This guide will identify the areas that should be included.Your community profile MUST identify the health needs of your focus area and contributing factors to the health outcomes of the local population. Social Concepts of Nursing, 

 

Basic Tools and Methods

 

Statistics

The Census provides the basic skeleton for any community profile. Information on a range of key statistics such as population, age and gender can be obtained. Census figures are available fromhttps://www.ons.gov.uk/census

Although the Census is from 2011 it is still a valuable starting point, and it is regarded as the highest quality data albeit somewhat out of date. The last Census took place on 21 March 2021 however the information will not be available for you to use in your community profile. 

 

Other official statistics produced by the Government are available at a local level found here for Kirklees-Joint Strategic Assessment: http://observatory.kirklees.gov.uk/jsna/population

 

 

Other methods

Kirklees district is divided into 23 wards and information on these different wards can be found here:

https://www.kirklees.gov.uk/beta/information-and-data/area-and-ward-profiles.aspx

 

When gathering informationto build a CommunityProfileyou need to research widely and include in your community profiledemographics of the population and the health needsof the specific ward. You need to consider the area you are focusing on and research the health of the population within the ward. Consider and explore the factors in the area which impact on the population.Considering aspects such as location, urban, rural, facilities- shops, library, fast food outlets, restaurants, leisure, green spaces parks, health care, clinics, gyms, transport networks, type of housing, traffic – pollution, social factors, education and education outcomes, crime affluence, poverty and social deprivation, employment etc. Think about the health topics covered in the module and how the aspects of the ward you are covering might contribute to better or poorer health outcomes.

 

This link provides information about public health within the Kirklees District

https://www.kirklees.gov.uk/beta/delivering-services/pdf/public-health-report.pdf

 

Question to consider
Topic: Brief summary of history and description of the area (covered by the plan)
Is the local area a village, town or city?
Is the local area urban or rural or a combination?
Is the community population growing or declining in general?
What is the physical character of the local area? E.g. lots of green spaces, large houses, rural lanes What type of housing? Council, private owned, private rented, general housing stock? Back to back terraced housing, large detached houses?
Population
What is the total population of the local area? Is it a diverse population in terms of age, ethnicity?
What is the gender break down? E.g. 50 / 50
What is the average age of the community? Creating a chart showing the age structure of your community could be very useful as it may help to showif

there may be a future demand for particular housing types eg if there is ahigh

 

 

proportion of elderly people there may be a demand for appropriate housing to cater for older people’s needs
What is the general state of health of the community? Any particular health focus, problems or targets for the community.
What proportion of your community has a disability?
What proportion of the community is working?
What is the ethnic breakdown of the community?
Are there changes taking place which may affect the size or makeup of the population? e.g. has significant development taken place since the Census?
Service provision
Which of the following services are provided within your local area? If not available within your local area how far is it to the nearest:

►       Police station

►       Fire Station

►       Post Office

►       Library

►       Food banks
Which of the following health facilities are provided within your local area? If not available within your local area how far is it to the nearest:

►       Doctor (or healthcentre)

►       Nurse

►       Dentist

►       Hospital
Education
Which of the following education facilities are available within the local area? If available in the local area please indicate how many. If not available within the local area how far is it to the nearest:

►       Pre-schoolfacility

►       Primaryschool

►       Secondaryschool

►       Further educationcollege

►       University

►       How many children are on free school meals in the area?

►       Number of children leaving school with GCSE Maths and English passes or 5 GCSEs and above?
Is provision made for pre-school and after school childcare?
Is childcare provision before and afterschool adequate for its purpose?
Is there a library service available in the local area? What services does it offer?
When the schools and colleges identified above are not in use do other community activitiesoccur use e.g. fitness classes? Adult education?
Work and economy
Where are the main concentrations of employment located within the local area?
Who are the major employers? E.g they employ more than 10 people
Where do most people who work in the local area live? E.g. proportion of people who commute in or out of the local area everyday to work
What is the level of unemployment in your local area?
Is the community’s economy generally vibrant or are many shops closing?
Would you be able to complete a weekly shop within the local area?

Is there a large number of fast food Outlets, restaurants?
*Is out of town shopping available?
Do local people have a means to obtain cash or pay bills? Please indicate which facility is available in your local area?

►       Banks

 
►       buildingsociety

►       postoffice

►       ATM
Please indicate which of the following facilities are available:

►       Shop(s)

►       Pub(s)
Transport
What public transport services are available in your local area?

►       Bus

►       Train

Is the frequency of service adequate?
Do the public transport services serve all parts of community?
Is there community transport available e.g. dial-a-ride
Where are the nearest train stations?
Is there a designed cycle route?
Leisure / recreation
Do you have a leisure centre?
*Which of the following leisure / recreation facilities are available

►       children’s playarea

►       skatepark

►       community / villagehall
Crime and Nuisance
What is the perceived level of non violent crime in your area eg vandalism, burglary?

Lots of incidents A few incidents

Very occasional incidents Not at all

Don’t know

Are there perceived issues relating to Anti- Social behaviour in your area?
Are there specific areas where crime levels are perceived to be concentrated?
Are you aware of what the police or community safety teams are doing to

tackle crime issues in your area?

 

 

Making a Profile work for your community

Doing a community profile can be hard work so it is always worth thinking about how to make the most of it and making sure it gives you useful and relevant information. Below are a few pointers:

 

  • Be clear about the area being profiled – clearly indicate boundaries on a map ifnecessary
  • Don’t do more than you have to; only look at topics/issues relevant to your plan beingproduced (see above for areas to focus on).
  • Ensure you give a description of the ward you are focusing on and include the demographics of the population, the health needs and how the area contributes to the health outcomes of the population.

 

  • Think about how the profile will be written up and presented; your target audience is your peers and University lecturers.Remember your work should consist of 2 power-point slides. The first slide should be the poster and the second the supporting references.

 

 

Nursing homework help

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Nursing homework help

AGACNPs have a pivotal role in the healthcare team and are proven assets as members of the surgical team. A literature review conducted of NPs in the orthopedic setting (but can logically be applied to other surgical specialties) discuss the growing concern of physician shortages in surgery specialties and legislation in the early 1990s that limits the hours residents can work (Spence et al., 2019). This left many surgical specialties with less clinicians to severe a large population of patients. NPs have helped fill that void. The AGANP is a skilled clinician that can take accurate medical history, order necessary tests, initiate a plan of can, and consult other services (Spence et al., 2019). There are several modules in which an AGANP can function in the surgical setting; however, they have important role in all aspects of perioperative care. In the postoperative period NPs round on patients, address concerns or issues, provide patient education, coordinate care, lead the interdisciplinary team, perform complex dressing changes/remove drains, and order additional testing as appropriate (Spence et al., 2019). This model allows for surgeons to operate and ensure their post-op patients are being safely managed (Spence et al., 2019).  Nursing homework help

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            In the presented scenario, increased/inadequate chest tube output, change in output color, or increased pain could indicate a potential complication (Columbus et al., 2017, p. 800). The first assessment should always be the patient rather than the device. The patient should be evaluated for respiratory distress and hemodynamic instability. The amount of drainage is highly variable depending on the reason for the chest tube. Occasionally in lobectomy patients, two chest tubes are used; one for lung re-expansion and the other for blood/fluid collection (Shintani et al., 2018). In this instance, it would be expected for one tube to have little to no drainage and the other to have larger amounts. Some lobectomy patients have massive air leaks, pleural effusions, or hemorrhage that require two chest tubes (Shintani et al., 2018). It’s important to note the characteristics of the drainage and if they’ve changed. Large amounts of sanguineous drainage would be cause for concern especially coupled with hemodynamic changes; serous drainage is expected as effusions are common in malignancy; and milky can be consistent with chyle which could be expected or a complication. An abrupt stoppage of drainage in the immediate post-op period is concerning for potential tube occlusion or migration, which can result in pneumothorax.

Tubes and drains are commonly placed in surgery as part of postoperative management. A chest tube can be placed in the pleural or mediastinal space for pneumothorax, hemothorax, and cardiac/thoracic surgeries (Columbus et al., 2017, Tables 45-1). GI tubes can be placed for feeding or decompression including: NG tube, gastrostomy tube, jejunostomy tube, or duodenal tube (Columbus et al., 2017, Tables 45-1). A Penrose is a small drain that is open at both ends and is intended to maintain a surgical tract for drainage (Columbus et al., 2017, pp. 45–1). Closed suction drain systems (Jackson-Pratt or Hemovac) are placed in the surgical space to facilitate drainage of blood and other fluids (Columbus et al., 2017, pp. 45–1). AGACNPs should be well versed in different drainage devices and be aware of potential complications. Depending on the specialty of the AGACNP, drains should not be manipulated without discussing it with the placing surgeon and all unexpected changes or concerns should be addressed with the surgeon (Columbus et al., 2017, p. 804).  Nursing homework help

In the scenario, depending what the assessment demonstrated possible causes of large chest tube output are: hemorrhage, chylothorax, or expected high volume drainage. If the concern of the nurse was no output, possible causes are tube malposition or occlusion. In the scenario of large volume output, I’d expect to see hemodynamic instability with hypotension and tachycardia due to fluid loss or significant fluid shifts. In the case of low/no output, this could cause a pneumothorax or tension pneumothorax and the patient would have respiratory distress along with hypotension and tachycardia.

In the case with sever hemorrhage the patient will likely need transfusion of blood products and taken back to OR for exploration for the source of the bleed. Chylothorax is a rare complication secondary to a thoracic duct injury (Chen et al., 2020). Treatment options are drug therapy with Somatostatin analogs, thoracic duct embolization, or possible surgical intervention (Chen et al., 2020). In some cases, high output may be expected from a large effusion. In this case no intervention is needed if the patient is stable. In the case of decreased output, chest x-ray would be need to verify placement and possible repositioning or clot evacuation may be necessary.

References

Chen, C., Wang, Z., Hao, J., Zhou, J., Chen, N., Lui, L., & Pu, Q. (2020). Chylothorax after lung cancer surgery: A key factor influencing prognosis and quality of life. Annals of Thoracic and Cardiovascular Surgery, 26(6), 303–310. https://doi.org/10.5761%2Fatcs.ra.20-00039

Columbus, A., Havens, J. M., & Peetz, A. B. (2017). Surgical tubes and drains. In Principles and practice of hospital medicine (2nd ed., pp. 798–804). McGraw Hill.

Shintani, Y., Funaki, S., Ose, N., Kanou, T., Kanzaki, R., Minami, M., & Okumura, M. (2018). Chest tube management in patients undergoing lobectomy. Journal of Thoracic Disease, 10(12), 6432–6435. https://doi.org/10.21037%2Fjtd.2018.11.47

Spence, B. G., Ricci, J., & McCuaig, F. (2019). Nurse practitioners in orthopedic surgical settings. Orthopedic Nursing, 38(1), 17–24. https://doi.org/10.1097%2FNOR.0000000000000514

Nursing Theory And Transition To Practice

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Nursing Theory And Transition To Practice

APA format

1) Minimum 7 pages  (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per page

You must strictly comply with the number of paragraphs requested per page.

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           Part 1: minimum  2 pages

           Part 2: minimum  1 page 

           Part 3: minimum  4 pages

      

   Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

         Bulleted responses are not accepted Nursing Theory And Transition To Practice

         Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

Part 1: Minimum  5 references (APA format) per part not older than 5 years  (Journals, books) (No websites)

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc

__________________________________________________________________________________

Part 1: Madeleine Leininger’s Theory of Culture Care Diversity (Due 20 hours)

1. Discuss the theory’s core concepts  and their apply in nursing today (2 paragraphs)

2.  Relevance of the theory to healthcare and nursing. Also, (2 paragraphs) Nursing Theory And Transition To Practice

a. Connect the theory to healthcare today

3. Application to research and/or practice provided. Also, (1 paragraph)

a. Connect the theory to current research/practice

b.  How will this theory advance nursing practice?

4.  Summary   (1 paragraph)

a. Describe the benefits of the theory for current nursing

a. Include theory strengths and limitations of theory

Part 2: Transition to practice (Due 20 hours)

 

Topic: Professional Social Networking

One of the best ways to keep informed about what is going on in your profession is social networking. Whether it is a blog or LinkedIn, there are numerous opportunities to make contact with your colleagues and keep informed of what opportunities are available.

1. Discuss various strategies for utilizing social media for your career enhancement.

Part 3: Transition to practice (ONLY Write in the first person) (No references) (It will be verified by Turnitin and SafeAssing) (40 hours)

 

Graduation and certification are the beginning of your career as an NP. Whether you are looking for that dream job or you have decided to open your own practice as an independent NP, you need a plan to get there. Before the Web and social media, job hunting was relatively simple. Job hunters perused the classifieds, made cold calls, and many times just showed up with a resume in hand. There has been a dramatic change in the last decade in how people find and get jobs, and NPs are no exception. For those seeking employment now, there is a wealth of resources available from mega employment websites to specialty blogs. Finding a job as an NP may not be a big challenge, but landing the position that you have passionately prepared for and pursued is going to take some work. A well-crafted cover letter and resume may be necessary items, but it may not be enough to get you exactly where you want to be. With so many opportunities and career trajectories available to NPs today, you need to focus and get serious about what you want to do and where you want to do it.

Purpose: Develop your own strategic career plan for starting your new career as an NP.

1. What is your career vision? (1 paragraph)

2.  Where do you want to work? (pediatric psyquiatry) (1 paragraph)

3. What are your short term and long term goals (give timeline). (1 paragraph)

4. What are the most important things you are looking for? (1 paragraph)

5. Discuss your desires for salary (1 paragraph)

a. Vacation

b. Sick leave

c. CME allowance

d. Medical benefits

e. Retirement

6. Next, describe your ideal work situation, include (1 paragraph)

a. Is it a rural clinic or major trauma center?

b. Who is your target patient population?

c. Do you have a passion for a particular population or specialty? (1 paragraph)

d. What schedule do you want?

7. What are the priorities in your career right now?

a. Where do you see your career in five years?

8. How do you plan on researching opportunities (whether looking for employment or independent practice site)? (1 paragraph)

a.Describe three (3) methods:

i.Job fairs

ii. Web

iii. medical employment agencies.

9. Discuss your networking ideas. (1 paragraph)

a. Networking

b. What Internet resources might you use to network and connect with other healthcare providers?

10. How will you prepare for the interview? (1 paragraph)

a. Describe the specific steps for interview

11. Imagine you are starting your own practice: (2 paragraphs)

a. What population will it serve?

b. How will you market your practice?

c. What personnel will you need to hire?

d. How will you obtain funding?

e. Will you be open extended hours to meet the needs of working patients?

f. Will you be the sole provider, or will you hire other providers?

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Nursing homework help

 

https://www.jointcommission.org/topics/speak_up_campaigns.aspx

 

 

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  1. Follow these guidelines Nursing homework help
  2. Select a Speak Up brochure from The Joint Commission website.
  3. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure your critique.
  4. Include current nursing or healthcare journal articles to support your critique.

 

  1. Include the following sections
  2. Introduction of brochure
  3. Includes brochure title
  4. Identifies date published

iii. Describes individuals or groups

  1. Brochure properly cited, included on the reference list, and submitted with assignment
  2. Summary of the article -brochure citation required
  3. Explain the main topics discussed
  4. Communication -brochure citation required
  5. Review information that promotes communication between patients and healthcare providers

 

  1. Personal Reflection
  2. Why did this topic interest you? Nursing homework help

 

  1. Evaluation of the brochure (Brochure & nursing article must be cited)
  2. Was the information provided in the brochure beneficial? Could you incorporate it into your patient education?
  3. What was done well, and what could have been improved in the brochure?

iii. Was the information presented clearly?

  1. Did current nursing or healthcare-related research articles support the information presented in the brochure?
  2. What population or individuals does this article apply to (i.e., who will benefit the most from this brochure)?
  3. Who else can use this information?

vii. Will this information increase patient safety?

 

  1. Evidence Review & Application
  2. Evidence was integrated from a recent (5 years) scholarly nursing journal article to support your answers.
  3. Conclusion
  4. Restates main ideas
  5. Includes supporting information from the body of the paper

iii. Summarizes the benefits of following the brochure’s advice to a person at risk

  1. APA style and structure
  2. Adheres to current APA edition formatting guidelines for the title page, margins, in-text citations, and references
  3. Section headers are required
  4. Summary of Brochure b. Patient Communication c. Personal Reflection d. Evaluation of Brochure e. Evidence Review and Application f. Conclusion iii. Paper is no longer than three (3) pages, excluding title page, reference page, and copy of brochure a. Extra pages will not be read or contribute to the assignment grade i. Clarity of writing
  5. Proper use of Standard English ii. Shows original thought iii. No spelling or grammar errors iv. Information is presented in a logical progression

 

 

 

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Nursing homework help

For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you. And then, use Canvas Studio’s Screen Capture feature to record (voice-over) your presentation. Develop your presentation based on a clinical case that was seen during your experience or a topic that is of interest to you. How do I record a Canvas Studio video with a webcam in a course?

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Content Requirements You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following: Nursing homework help

  1. Subjective data: Demographics; Chief Complaint; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Medications; Allergies; Past medical history; Family history; Past surgical history; Social history;  Review of Systems (ROS)
  2. Objective data: Vital signs; Physical exam, Labs (reviewed from the patient’s medical records, if no lab/diagnostic tests were done recently to review, you must indicate that to receive credit). Nursing homework help
  3. Assessment: Differential diagnosis; Primary Diagnosis
  4. Plan: Laboratory and diagnostic tests; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan. Nursing homework help
  5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner

Submission Instructions:

  • The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
  • The presentation should consist of 10-15 slides and less than 5 minutes in length.  Nursing homework help
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual). Nursing homework help

 

PICOT Question and Literature Research

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PICOT Question and Literature Research

 

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Clinic issue: pressure ulcer (pressure injury)

An Ulcer of Pressure is a localized injury to the skin and underlying tissue, usually over a bony prominence, as a result of pressure alone or pressure in conjunction with shear (Dorner et al., 2009). Today, pressure ulcers rank third in terms of cost after cancers and cardiovascular diseases. This disease has a mortality rate of two to six times higher than most other diseases, with 60,000 deaths occurring every year due to this complication(Schindler et al., 2011). Inpatients are more susceptible to pressure ulcers in the tissues of the extremities and in bony extensions such as the sacrum and heel. Pressure ulcers are most often caused by low physical activity, decreased consciousness, urinary and fecal incontinence, malnutrition, and advanced age (Afzali Borojeny et al., 2011). PICOT Question and Literature Research

In the United States, pressure ulcers are estimated to cause about 2.5 million hospitalizations (Kottner & Dassen, 2010). Pressure ulcers can result in pain, reduced autonomy, increased infection and sepsis risks, more surgical procedures, long hospital stays, and higher costs for patients, families, and health care systems (Stinson et al., 2013). In addition to physical-social and self-care dysfunction, pressure ulcer patients may also experience several complications such as depression, pain, topical infection, osteomyelitis, sepsis, and even death (Senmar et al., 2017).

Despite advances in medicine, pressure ulcers remain one of the most common medical problems. There is currently no consensus on the risk factors of pressure ulcers, so identifying them is the first step in preventing an increase in their incidence (Donnelly et al., 2011). The development of counseling and prevention systems for pressure ulcers in the USA and Europe has become so important because pressure ulcers pose a major concern for patients and healthcare providers(Reddy, Gill, & Rochon, 2006). PICOT Question and Literature Research

PICOT Question 

Population: patients who have developed pressure ulcer

The intervention of interest: patients who utilize pressure ulcer prevention strategies

Comparison: patients who are not been used pressure ulcer strategyies

Outcome: better or faster wound healing

Time: in the monitoring phase.

 

Are those pressure ulcer prevention strategies such as use use of specialty beds, turn and re-position, urinary catheter , nutritional consult better or faster for wound healing and prevention Compare patients who not been used pressure ulcer strategies.

 

 

 

Criteria Article 1 Article 2 Article 3
APA-Formatted Article Citation with Permalink Reddy, M., Gill, S. S., & Rochon, P. A. (2006). Preventing Pressure Ulcers: A Systematic Review. JAMA, 296(8), 974.doi:10.1001/jama.296.8.974 McInnes, E., Jammali-Blasi, A., Bell-Syer, S. E., Dumville, J. C., Middleton, V., & Cullum, N. (2015). Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews.doi:10.1002/14651858.cd001735 Schindler, C. A., Mikhailov, T. A., Kuhn, E. M., Christopher, J., Conway, P., Ridling, D., … Simpson, V. S. (2010). Protecting Fragile Skin: Nursing Interventions to Decrease Development of Pressure Ulcers in Pediatric Intensive Care. American Journal of Critical Care, 20(1), 26–35.doi:10.4037/ajcc2011754

 

 
How Does the Article Relate to the PICOT Question? This article is relevant to general pressure ulcer prevention strategyies among patients who suffer pressure ulcers The aim of this systematic review is to determine the extent to which pressure-relieving support surfaces reduce the incidence of pressure ulcers compared to standard support surfaces, as well as their comparative effectiveness in ulcer prevention. This article is relevant to determine nursing strategies associated with a lower incidence of pressure ulcers.

 

 

 

 

 
Quantitative, Qualitative (How do you know?)                          methodological quality of randomized control trial                          Randomised controlled trials (RCTs) and quasi-randomised trials

 

  

Randomized clinical trial                                     multivariate logistic regression models

 

 

 

 
Purpose Statement To systematically review the evidence examining interventions to pre- vent pressure ulcers. To review which material of mattress or supportive surface can help relieve pressure ulcer To determine effective interventions associated with low pressure ulcer incident
Research Question Studies assessed three categories of interventions, namely those that addressed impairments of mobility, nutrition, and skin health.

 

 People at high risk of developing pressure ulcers should use higher-specification foam mattresses rather than standard hospital foam mattresses.

 

 

 

 Effective nursing care with targeted interven- tions can reduce the incidence of pressure ulcers.

 

 

 

 

 
Outcome Examed difference approaches: reposition on the special mattress, incontinence care, skin care, nutritional supplement all benefit for decrease or prevention  pressure ulcer

 

 higher-specification foam mattresses show more evidence to prevent pressure injury In this multisite study, we focused on determining the incidence of pressure ulcers among critically ill and injured infants and children, comparing the characteristics of patients with and without pressure ulcers, and identifying prevention strategies associated with fewer pressure ulcers.

 
Setting

(Where did the study take place?)

 Participants  from acute care, long term care,  rehab, and mixed setting

 

 

 Participants who have hight risk of pressure ulcer or some of them have pressure ulcer In PEDs ICU
Sample The 59 selected studies enrolled a total of 13 845 patients: 9397 (67.9%) in acute care, 2367 (17.1%) in LTC, 333 (2.4%) in re- habilitation, and 1748 (12.6%) in mixed settings People receiving health care who were deemed to be at risk of developing pressure ulcers, in any setting, total of included trials to 59 , in comparison 1, participant including

2407

 

 

 

 

 

 

 

 5346 patients in pediatric inten- sive care units in whom pressure ulcers did and did not develop were compared
Method Based on whether the intervention being evaluated addressed mobility, nutrition, or skin health impairments, RCTs were divided into three categories.

 

 Randomised controlled trials (RCTs) and quasi-randomised trials .

Trials that evaluated the following interventions included:

1. “Low-tech” CLP support surfaces

2. “High-tech” support surfaces

3. Other support surfaces

 

 

 The 29 separate preventive measures evaluated in this way were entered into the multivariate logistic regression models described above in order to determine which preventive measures had the greatest influence on pressure ulcer development..

 
Key Findings of the Study  Re-position on the special mattress, skincare, nutritional supple all affectively reduce incident happen High special supportive surface show show more benefit for preventing pressure ulcer Infants and chil- dren sink into low–air loss beds and specialty beds in turning mode, increasing occipital friction and shearing. Pressure ulcers were more likely in children who remained in the pediatric intensive care unit at least 4 days

Some of the pressure ulcers in our patients were related to devices.

Strategies associated with less frequent development of pressure ulcers included use of specialty beds, egg crates, foam overlays, gel pads, dry-weave diapers, urinary catheters, disposable under-pads, body lotion, nutrition consultations, change in body position every 2 to 4 hours, blanket rolls, foam wedges, pillows, and draw sheets
Recommendations of the Researcher The in-complete reporting in the RCTs may have influenced our assessment.  In future studies, the interventions required to prevent pressure ulcers specifically among high-risk populations should be defined. There are several risk factors for pressure ulcers, including being bedridden or chairbound, being unable to reposition without assistance, difficulty ambulating, history of stroke, fecal incontinence (which is highly related to immobility), low body weight, lymphopenia, difficulty feeding independently, impaired nutritional intake, nonblanchable erythema of intact skin (ie, stage 1 pressure ulcer), and dry sacrum. The study also found that people who used sheepskin overlays for their mattresses tended to develop fewer pressure ulcers. In contrast to high-specification constant low-pressure or alternating-pressure support surfaces, there is little evidence that alternating-pressure mattresses can prevent pressure ulcers more effectively than alternating-pressure overlays. These patients may benefit from targeted nursing interventions to reduce pressure ulcers. We plan to conduct a prospective randomized clinical trial to confirm that specific nursing interventions improve outcomes.  During the study, critical care nurses will have access to a set of interventions that can significantly reduce pressure ulcer risk in critically ill children and infants

 

Criteria Article 4 Article 5 Article 6
APA-Formatted Article Citation with Permalink Medical Advisory Secretariat (2009). Community-based care for chronic wound management: an evidence-based analysis. Ontario health technology assessment series, 9(18), 1–24. Lavallée, J. F., Gray, T. A., Dumville, J., & Cullum, N. (2019). Preventing pressure ulcers in nursing homes using a care bundle: A feasibility study. Health & social care in the community, 27(4), e417–e427. https://doi.org/10.1111/hsc.12742 Soban, L. M., Kim, L., Yuan, A. H., & Miltner, R. S. (2017). Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. Journal of nursing management, 25(6), 457–467. https://doi.org/10.1111/jonm.12416
How Does the Article Relate to the PICOT Question? Managing pressure ulcers with a multidisciplinary wound care team significantly increases wound healing Assessed pressure ulcer prevention strategies in nursing home Programs designed to prevent pressure ulcers include nursing interventions such as risk assessments, as well as organizational strategies such as policies and performance monitoring to embed these interventions into routine care.
Quantitative, Qualitative (How do you know?) Randomized controlled trials and Controlled clinical Trials Quantitative and qualitative data were analyzed using descriptive statistics A cross-sectional survey ,Descriptive statistics
Purpose Statement To determine the effectiveness of a multidisciplinary wound care team for the management of chronic wounds.  To determine, the implementation bundle effective on pressure ulcer To describe the presence and operationalization of organizational strategies to support implementation of pressure ulcer prevention programs across acute care hospitals in a large, integrated healthcare system.

 

 
Research Question  Multidisciplinary team can help manage Chronic wounds assessed the feasibility of implementing our pressure ulcer prevention care bundle in a nursing home setting.

 

 Assess the presence and operationalization of organizational strategies to support implementation of pressure ulcer
Outcome The percentage of persons and/or wounds completely healed. Reduction in healing time, improved quality of life, and pain management.

 

 

 According to this study, a pressure ulcer prevention bundle is acceptable to nursing home staff and can improve care provision. Participants reported an increase in their motivation to provide more comprehensive care.

 

 Organizational strategies that support pressure ulcer prevention program implementation (policy, oversight committee, wound care specialist, staff education, performance data, and performance improvement activities) were reported at high levels
Setting

(Where did the study take place?)

 Nursing home Nursing home hospitals

 

 
Sample Population includes persons with pressure ulcers (anywhere) and/or leg and foot ulcers

In 2007, control Group 119, experimental  127.

Harrison et al, 2005: before 78, after 180

Vu et al, 2007 : 176 residents (342 wounds)

 

 collected data for 462 resident bed days prior to implementing the bundle; collected data for 1,181 resident bed days during the intervention phase achieved 97% response rate (N=116/120)

 

 
Method Randomized controlled trials and Controlled Clinical Trials (CCT), The intervention includes a multidisciplinary (two or more disciplines) wound care team, The control group does not receive care by a wound care team

 

 

 For 5 weeks before implementing the bundle, we collected quantitative data on nursing home staff pressure ulcer prevention behaviors, as well as pressure ulcer incidence rates. After implementation, we collected data for an additional 9 weeks.

The bundle comprised three evidence-based elements: support surfaces,skininspection,repositioning

 

 A cross-sectional survey of key informants at all VHA acute care hospitals was conducted via email to assess pressure ulcer prevention programs. Surveys were sent to 124 nurse leaders
Key Findings of the Study Using a multidisciplinary wound care team, we’ve been able to reduce the pain and the need for daily wound care. And significantly increases wound healing Before the implementation of this period, five new pressure ulcers were recorded, and repositioning was the only documented way to prevent pressure ulcers.

Following implementation, no new pressure ulcers developed. Documented prevention strategies included repositioning, skin inspection, and checking support surfaces.

 For the year October 1, 2013 to September 31, 2014, the aggregated mean HAPU rate for acute care hospital medical/surgical units was 1.02% (range 0–3.1%)

 

 

 

 
Recommendations of the Researcher Evidence for these outcomes is low to very low, so further research will likely have a big impact on how confident we are in the estimate of effect. Further research is needed to enhance adherence and/or documentation to further investigate a bundle’s potential for preventing pressure ulcers in nursing homes.In spite of low completion rates of the bundle (or the documentation of this), feedback from participants indicates that the bundle was easy to follow, facilitated continuity of care, and resulted in comprehensive pressure ulcer prevention. Nurse leaders and committees and quality improvement teams play important roles in operationalizing patient safety initiatives such as pressure ulcer prevention.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reference

Afzali Borojeny, L., Albatineh, A. N., Hasanpour Dehkordi, A., & Ghanei Gheshlagh, R. (2020). The Incidence of Pressure Ulcers and its Associations in Different Wards of the Hospital: A Systematic Review and Meta-Analysis. International journal of preventive medicine, 11, 171. https://doi.org/10.4103/ijpvm.IJPVM_182_19

Dorner BD, Posthauer ME, Thomas D. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Role of Nutrition in Pressure Ulcer Healing Clinical Practice Guideline. 2009

Donnelly, J., Winder, J., Kernohan, W. G., & Stevenson, M. (2011). An RCT to determine the effect of a heel elevation device in pressure ulcer prevention post-hip fracture. Journal of wound care, 20(7), 309–318. https://doi.org/10.12968/jowc.2011.20.7.309

Kottner, J., & Dassen, T. (2010). Pressure ulcer risk assessment in critical care: interrater reliability and validity studies of the Braden and Waterlow scales and subjective ratings in two intensive care units. International journal of nursing studies, 47(6), 671–677. https://doi.org/10.1016/j.ijnurstu.2009.11.005

Reddy, M., Gill, S. S., & Rochon, P. A. (2006). Preventing pressure ulcers: a systematic review. JAMA, 296(8), 974–984. https://doi.org/10.1001/jama.296.8.974

Schindler CA, Mikhailov TA, Kuhn EM, Christopher J, Conway P, Ridling D, Scott AM, Simpson VS Am J Crit Care. 2011 Jan; 20(1):26-34; quiz 35.

Stinson, M., Gillian, C., & Porter-Armstrong, A. (2013). A literature review of pressure ulcer prevention: weight shift activity, cost of pressure care and role of the OT. British Journal of Occupational Therapy, 76(4), 1-10.

 

 

Senmar, M., Azimian, J., Rafiei, H., Habibollahpour, M., & Yousefi, F. (2017). The incidence of pressure ulcer in old patients undergoing open heart surgery and the relevant factors. Journal of Preventive Epidemiology, 2(2), e15-e15.

 

 

 

 

Nursing homework help

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Nursing homework help

Practice Question: In adult patients aged 18 years and older with a diagnosis of depression, will implementing the National Institute for Health and Care Excellence (NICE) Guidelines for exercising impact depression scores over 8-10 weeks? Nursing homework help

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            Information technology is an integral component of quality, safe, and efficient healthcare delivery (Bergey et al., 2019). As the foundation of the future, IT plays an important role in nursing practice (Farokhzadian et al., 2020). Using IT, the DNP student can educate the staff, patients, and families about health-related issues to expand knowledge and improve patient outcomes.

My practicum site is faced with a knowledge-practice gap. To address this practice gap of a non-pharmacological approach to the management of depression affecting patients, the organization as well as the Doctor of Nursing Practice (DNP) student must leverage innovative strategies and the use of information technology (IT) to improve patient care, outcomes, and provide quality care (Role et al., 2021). IT skills are required to identify the extent of the practice gap, its incidence, significance, and cost to the patients as well as the facility and how to provide the solution to the problem.

The DNP student must use IT skills to capture data that will be used in the planning, implementation, and evaluation of the Project. IT skills are required to map out how the project will be implemented, where and how the participants will document their activities, track the activities as well as evaluate the effectiveness of the project.

How important will IT competencies be to the role/position that you aspire to after completion of your DNP degree? What IT skills do you need to develop? Share your plan for professional development to develop these skills.

IT skills are essential to the role I perform and aspire to perform in the future. My goal is to use evidence-based practice to continue to advocate for patients’ safety and improve patient outcomes. This process requires an extensive literature search using IT. IT will be required to gather and store data needed as well as to educate the patients and staff to expand their knowledge. I will continue to expand on my IT skills, learning how to navigate library searches more efficiently, how to create tables, and embed documents.

Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or barriers you experienced this week Nursing homework help

I continue to make corrections to my synthesis of the literature paper as highlighted by the instructor. This will help ensure smoother project implementation.

References

Bergey, Goldsack, J. C., & Robinson, E. J. (2019). Invisible work and changing roles: Health information technology implementation and reorganization of work practices for the inpatient nursing team. Social Science & Medicine (1982), 235, 112387–112387. https://doi.org/10.1016/j.socscimed.2019.112387 (Links to an external site.)

Farokhzadian, Khajouei, R., Hasman, A., &Ahmadian, L. (2020). Nurses’ experiences and viewpoints about the benefits of adopting information technology in health care: a qualitative study in Iran. BMC Medical Informatics and Decision Making, 20(1), 240–240. https://doi.org/10.1186/s12911-020-01260-5

Role, Chao, H., Rosario, C., Ho, P., &Hodgkins, M. (2021). Inpatient Staffing Dashboard: A nursing–information technology collaborative project. Computers, Informatics, Nursing, 39(11), 772–779. https://doi.org/10.1097/CIN.0000000000000778