Evidence-based Project on Hospital-acquired Infections

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Evidence-based Project on Hospital-acquired Infections

The topic of my evidence-based project focuses on hospital-acquired infections, (HAI), and am focusing on patients on a long-term stay, like post-operative patients. I want to know how the infection is gotten, the most predominant cases, and what means it spreads. Hospital-acquired infections (HAIs) are nosocomial acquired illnesses that are neither present nor incubating when a patient is admitted to a hospital. Catheter-associated urinary tract infections, central line-associated bloodstream infections, surgical site infections, ventilator-associated pneumonia, hospital-acquired pneumonia, and Clostridium difficile infections are among the infections that might occur. Productive cough, shortness of breath, stomach discomfort, rebound tenderness, changed mental status, palpitations, suprapubic pain, polyuria, dysuria, and costovertebral angle tenderness are all signs of infection (Monegro & Hariharan, 2019).  Evidence-based Project on Hospital-acquired Infections

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To address the problem, I intend to adopt an educational process on prevention, using hand sanitizer, hand washing, use of appropriate PPE, and placing appropriate isolation tags on patient’s door even when it is just been suspected. The risk of hospital-acquired illnesses is determined by the facility’s infection control policies, the patient’s immunological condition, and the community’s presence of various pathogens. Immunosuppression, advanced age, duration of hospital stays, various underlying comorbidities, frequent trips to healthcare institutions, mechanical ventilatory support, recent invasive surgeries, indwelling devices, and a stay in an intensive care unit are all risk factors for HAI ICU (Intensive Care Unit) (Monegro & Hariharan, 2019). Cleaning and disinfecting the environment is an important part of infection control programs because it ensures that rooms and equipment are safe for patients. While proper hand hygiene has gotten adequate attention, hospital cleaning has typically been relegated to the “too difficult basket” and under-resourced (Fernando et al., 2017).  Evidence-based Project on Hospital-acquired Infections

Reference

Fernando, S. A., Gray, T. J., & Gottlieb, T. (2017). Healthcare-acquired infections: prevention strategies. Internal Medicine Journal, 47(12), 1341–1351. https://doi.org/10.1111/imj.13642

3. Write a 175-word message in which you identify guidelines that patients may use to evaluate the accuracy of health information obtained from the Internet?

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Please provide 175word message fro each of the following questions below. Need references of each of the questions. Must include a question for the class at the end of the paper.   1. Educational en

Please provide 175word message fro each of the following questions below. Need references of each of the questions. Must include a question for the class at the end of the paper.   

1. Educational entry level for the NP

Should a DNP be the entry-level education for NP practice? Briefly explain your answer.

2. APRN issues

Rank the top-three trends or issues you believe to be currently most important for APNs. Provide a brief summary of why you think these are important. For the issue you ranked as most important, identify two strategies that you as an individual APN and the nursing profession as a whole should take to address these issues and strengthen advanced nursing practice.

3. Write a 175-word message in which you identify guidelines that patients may use to evaluate the accuracy of health information obtained from the Internet?

2. What clinical problems have you noticed in nursing practice (you can discuss the one you selected for the assignment, in addition to any others you have found)?

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EVIDENCE-BASED RESEARCH1.locate and read one evidence-based practice reference that describes standards of behavior and/or ethical dimensions, issues, or challenges in public and community health. Bri

EVIDENCE-BASED RESEARCH

1.locate and read one evidence-based practice reference that describes standards of behavior and/or ethical dimensions, issues, or challenges in public and community health. Briefly describe what you found and how what you learned will influence your nursing practice. Reference the source.

2. What clinical problems have you noticed in nursing practice (you can discuss the one you selected for the assignment, in addition to any others you have found)?

Have you been able to address them? Were these efforts successful?

What changes were made to address these issues (if any)?

What new questions arose after the changes were made? Did these lead to any further research or changes in practice (think of the 5-step process for EBP)?

Discuss the various forms of elder abuse and the court decisions that have helped to define elder abuse and standards of care.

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FOR PHYLLIS YOUNG

For this discussion, respond to the following questions.

Elder abuse has become a growing concern as the American population ages and the elderly make up a larger percentage of the population.

  • Discuss the various forms of elder abuse and the court decisions that have helped to define elder abuse and standards of care.
  • Read the case study in Exercise 20–4, “Witnessing Patient Abuse,” (Guido, p. 437) of Legal and Ethical Issues in Nursing text and then respond to the following questions:
    • Did the elder abuse in the case study constitute civil or criminal abuse? State the rationale for your position.
    • Ethically, how should the elder resident in the case study have been treated? What ethical principles were violated in the case?

Your initial post is to be about 150 words, referenced with at least one APA formatted reference.

Please inclue in reference section:

Guido, G. (2014). Legal and Ethical Issues in Nursing. Vancouver: Pearson.

EXERCISE 20-4

Ethical Scenario 20–4 Witnessing Patient Abuse

An 83-year-old resident of a nursing home was physically in good health, but had been diagnosed with Alzheimer’s disease. At times, this resident would become confused and wander toward the doors of the nursing home, looking for her parents and a way to exit the facility. To prevent her from leaving the nursing home, the resident was fitted with a special bracelet that automatically locked an outer door if she came within 30 feet of the door. For fire-safety purposes, the door automatically unlocked within a 15-second time frame. Thus, staff members had essentially a 15-second time frame to notice an elopement attempt and redirect the resident.

Early one morning, the resident was trying to get out through the door and a staff member came up behind her, slapped her on the buttocks, grabbed her by the shoulders, turned her around, and shoved her back into an interior hallway. This episode was reported to the director of nurses. The director interviewed the other nursing staff members who were present during this incident; the director also examined the resident, noting that a red mark was present on the resident’s buttocks. The director then reported the nursing staff member to the proper state agency, and the staff member was charged with criminal abuse of a nursing home resident.

Without argument, the treatment of this patient was abusive. You are one of the nurses who witnessed and later testified to this incident. Ethically, what should you have done at the time of the incident? How might you have prevented the overt abuse that the resident encountered? What are your and your peer nurses’ ethical responsibilities to ensure that such an incident would not again occur?

Describe two or more significant ethical issues relevant to the DNP- or PhD-prepared nurse.

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Ethics

Ethics

As referenced in Week 2, Discussion 2, nurses are perceived as having very high ethical standards (Gallup, 2013). Doctorally prepared nurses should be able to consider ethical issues from multiple viewpoints. In this week’s media presentation, the experts discuss ethical challenges encountered by nurses as they assume leadership positions and as they engage in research.

To prepare:

  • Reflect on ethical challenges that you have encountered in your nursing practice.
  • Think about the information the experts shared in this week’s media presentation, focusing on the ethical challenges they have encountered as nurse leaders or scientists, as well as information presented in other Learning Resources.
  • With this information in mind, consider what new ethical challenges you may face once you obtain your doctoral degree.

By Wednesday 6/28/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:

Post a cohesive response that addresses the following:

1)       Describe two or more significant ethical issues relevant to the DNP- or PhD-prepared nurse.

2)       Explain how these issues might compare to the types of issues you have already encountered in your practice.

Required Readings

Campbell-Crofts, S., Field, J., & Fetherstonhaugh, D. (2013). Ethical considerations for nurses undertaking research with a potentially vulnerable population with chronic kidney disease. Renal Society of Australasia Journal, 9(2), 74–79.

Note: You will access this article from the Walden Library databases.

Milton, C. L. (2010). Nursing ethics and power in position. Nursing Science Quarterly, 23(1), 18–21.

Note: You will access this article from the Walden Library databases.

 The author discusses what is meant by health care leaders judiciously and transparently addressing ethical challenges.

Suhonen, R., Stolt, M., & Leino-Kilpi, H. (2013). Older people in long-term care settings as research informants: Ethical challenges. Nursing Ethics, 20(5), 551–567.

Note: You will access this article from the Walden Library databases.

Peirce, A. G., & Smith, J. A. (2008). The ethics curriculum for doctor of nursing practice programs. Journal of Professional Nursing, 24(5), 270–274.

Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2011a). Ethical issues relevant to the DNP [Video file]. Retrieved from https://class.waldenu.edu

 Note:  The approximate length of this media piece is 5 minutes.

 In this media program, Dr. Joan Stanley discusses the importance of considering multiple perspectives when approaching ethical issues as part of a health care team. Dr. Linda Beechinor and Dr. Susan Stefan share ethical challenges they face as nurse leaders.

Optional Resource

Fairchild, R. M. (2010). Practical ethical theory for nurses responding to complexity in care. Nursing Ethics, 17(3), 353–362.

 Note: You will access this article from the Walden Library databases.

Grimm, J. (2010). Effective leadership: Making the difference. JEN: Journal of Emergency Nursing, 36(1), 74–77.

Note: You will access this article from the Walden Library databases.

Review how one of the following theorists have influenced: quality improvement, decisions on quality care, patient health, and safety goals:1. Dorothea Orem,2. Betty Neuman,3. Madeleine Leininger,4. J

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Review how one of the following theorists have influenced: quality improvement, decisions on quality care, patient health, and safety goals:1. Dorothea Orem,2. Betty Neuman,3. Madeleine Leininger,4. J

Review how one of the following theorists have influenced: quality improvement, decisions on quality care, patient health, and safety goals:

1. Dorothea Orem,

2. Betty Neuman,

3. Madeleine Leininger,

4. Jean Watson, and

5. Patricia Benner.

Primary reference must be from peer-reviewed NURSING journals less than 5 y/o. One other reference may be from National professional, or governmental, or educational organizations. Supplemental  references (.org, .gov, and .edu) and the course textbook may be used as supplemental references:

George, J. (2011). Nursing theories: The base for professional practice (6thed.). Boston: Pearson.

The initial posting must have a different reference than the response to peer posting. See grading criteria and rubric for discussion postings. APA format required.

Write a three-page paper outlining your design for a performance improvement project based on the near miss/great saves examples in this module's lecture.

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Write a three-page paper outlining your design for a performance improvement project based on the near miss/great saves examples in this module’s lecture.Submit your completed assignment by following

Write a three-page paper outlining your design for a performance improvement project based on the near miss/great saves examples in this module’s lecture.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.)

I would like my paper to be over a performance improvement project that works to prevent errors made when performing life saving measures on a paties. Evidence should include “near misses” and “great saves” in the field of nursing- from scholarly articles. The paper should talk about the benefits of using the project in the field of nursing and how it can prevent errors in patient care. APA FORMAT. ENGLISH SPEAKING. 

identify clinical problems or issues that arise from clinical care.

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Formulate a PICOT statement for your capstone project.A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   fr

Formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing   Practice

Prepare this assignment according to the guidelines found in the APA   Style Guide. An abstract is not required.

This assignment uses a rubric.

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

Rubric:

1. Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention. 

2. Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution. 

3. PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

4. Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details. 

5. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

6. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

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

8. All format elements are correct.

9. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 

Describe the importance of this question to your clinical practice previously, currently, or in the future.

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The Clinical question

Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.

  • Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
  • Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
  • Relate how you developed the question.
  • Describe the importance of this question to your clinical practice previously, currently, or in the future.
  • Describe what a research-practice gap is.
  • REFERENCE
  • American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.
    • Read Professional Nursing’s Scope and Standards of Practice (description, development, and function), Integrating the Art and Science of Nursing, The Nursing Process, pp. 1–11, 110

Below find general idea on the topic. A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The

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Below find general idea on the topic.  A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The

Below find general idea on the topic.  

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

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