Describe potential obstacles in your own community to providing health care services related to community crises.

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Overview Create a 10 slide PowerPoint presentation that compares how different communities respond.. 

Overview
Create a 10 slide PowerPoint presentation that compares how different communities respond to crises, describes obstacles to providing health care services related to community crises, and explains current practices for providing health care services related to community crises. Recommend an evidence-based nursing response for providing health care services related to community crises.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

§  Competency 1: Explain the factors that affect the health of communities.

§  Explain how a crisis situation affects community health.

§  Competency 3: Develop an evidence-based nursing response for providing health care services related to community crises.

§  Compare different approaches for responding to a community crisis.

§  Describe obstacles to providing health care services related to a community crisis.

§  Recommend an evidence-based nursing response for providing health care services related to community crises.

§  Explain current practices for providing health care services related to community crises.

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

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

§  Correctly format citations and references, using current APA style.

§  Toggle Drawer

Context

As in acute nursing, emergencies do arise in the community/public health arena. These emergencies can take the form of manmade or natural disasters. Health care professionals have had to increase their awareness of their duty to care during these situations. The need for planning and preparing for these possible events is being reinforced (Tomczyk, et al., 2008). Public health nurses bring specific skills to disaster response. Their roles can range from first responders to policy developers.

Reference 

Tomczyk, D., Alvarez, D., Borgman, P., Cartier, M., Caulum, L., Galloway, C., … Meske, D. (2008). Caring for those who care: The role of the occupational health nurse in disasters. AAOHN Journal, 56(6), 243–250.

§  Toggle Drawer

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

§  What would you do in the event of a disaster?

§  What information would be critical to have, to ensure appropriate care for your loved ones?

Internet Resources

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

§  Federal Emergency Management Agency. (2008, January).Emergency support function #8 – Public health and medical services annex (ESF #8). Retrieved from http://www.fema.gov/pdf/emergency/nrf/nrf-esf-08.pdf

§  Lee, C. H. (2010).Disaster and mass casualty triage. American Medical Association Journal of Ethics, 12(6), 466–470. Retrieved from http://journalofethics.ama-assn.org/2010/06/cprl1-1006.html

§  Columbia University Medical Center. (n.d.).National center for disaster preparedness. Retrieved from http://ncdp.columbia.edu/

§  Centers for Disease Control and Prevention. (n.d.).Emergency preparedness and response: Preparation and planning. Retrieved from http://emergency.cdc.gov/planning/

§  Association of Public Health Nurses Public Health Preparedness Committee. (2013).The role of the public health nurse in disaster preparedness, response, and recovery [Policy statement]. Retrieved from http://www.achne.org/files/public/APHN_RoleOfPHNinDisasterPRR_FINALJan14.pdf

Assessment Instructions

Preparation

Suppose you have been invited to participate in a roundtable discussion meeting on the development of a community response to crises. To prepare for this discussion, you have been asked to research ways that other communities have provided health care services during crisis situations, identify best practices, and develop a nursing response for providing health care services. You would be presenting your research and nursing response to the roundtable panel during the meeting.
Select two communities that have suffered a crisis of some kind within ten years of each other. For example, you might choose to look at New Orleans and Hurricane Katrina in comparison to New Jersey and Hurricane Sandy. You might address the 2011 tornado outbreak and compare the response of Joplin, Missouri with the response of Birmingham, Alabama. Or, you might choose to look at the responses to volcano eruptions in Hawaii as compared to Washington State. You are not limited to natural disasters; feel free to explore environmental disasters and outbreaks of disease. Try to choose the type of crisis situation that could occur within your own community.
Once you have selected your two communities and their comparable crisis situations, look in the Internet for scholarly journal articles on how health care professionals responded to the crises.

Requirements

For this assessment, create a PowerPoint presentation that examines provision of health care services related to community crises, from a nursing perspective. In your PowerPoint, address the following:

§  Compare the different approaches of two communities for responding to a community crisis.

§  Explain how the crisis situation in each community affected the overall health of the community.

§  Describe potential obstacles in your own community to providing health care services related to community crises.

§  Explain current practices in your own community for providing health care services related to community crises.

§  Recommend an evidence-based nursing response for providing health care services related to community crises.

§  Your nursing response does not need to be overly detailed. In real life, a nursing response would be the work of a committee or another group, based on the research and recommendations of others.

§  Your nursing response should provide foundational research and recommendations based on evidence. Consider things such as triage points, communication methods, caring for staff, providing basic necessities such as food and water, use of other organizations for shelter, and so on.

Use the Notes section of each PowerPoint slide to expand your points and provide supporting evidence.

Additional Requirements

Complete your assessment using the following specifications:

§  Include a title slide and reference slide.

§  Number of slides: 10.

§  At least 3 current scholarly or professional resources.

§  APA format for in-text citations and references.

§  Be creative. Consider your target audience.

provide a 750-word report detailing your strategies and recommendations to overcome the workforce shortages and to improve employee morale.

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You are the new Chief Executive Officer (CEO) of Middlefield Hospital. Middlefield Hospital is a… 

1 answer below »

**Only 750 Words**

You are the new Chief Executive Officer (CEO) of Middlefield Hospital. Middlefield Hospital is a 450-bed tertiary care facility in a major urban area in the Northeast. The hospital is an integrated health system that provides the full array of inpatient and outpatient services. The hospital enjoys a reputation for quality care in the area.

As the new CEO, you have learned that the hospital’s employee turnover rate exceeds 20%, and there are over 100 nursing vacancies. You have also learned the following facts that may be impacting these workforce shortages.

  • A new hospital has recently opened in your market area that has produced competition for Middlefield Hospital.
  • Employee morale has deteriorated over the last 12 months.
  • Essex University (a local college) is considering eliminating its nursing degree program because there is continual difficulty in recruiting well-qualified instructors.

Your Role/Assignment

The board of directors has asked that you provide a 750-word report detailing your strategies and recommendations to overcome the workforce shortages and to improve employee morale. The strategies and recommendations should be as specific as possible and include the resources needed for implementation.

*Include a follow-up paragraph on how your recommendations would, or would not, change if a new federal law was passed that provided free nursing education to all students who work in an underserved area (which you would qualify) with rationale and justification.

Your primary text and journal and website research must be used as a reference to support your analysis.Available Resources

Review the points of view of the following people to obtain further insights on this assignment.Key Players Dr. Rusty Gates: Internist

I have been admitting patients to Middlefield Hospital for 5 years. However, I recently moved my practice to the new hospital across town. The new hospital has much better facilities and the technology is state of the art. The staff appear much more invested in the quality of patient care and my patients seem happier.

Eileen Wright: Board Member for Middlefield Hospital

From my perspective, the employee morale at Middlefield has declined over the last 12 months. More and more employees are leaving Middlefield to go to the new hospital, and we have staffing shortages in most areas. The director of nursing is a great leader, but he is having difficulty retaining nursing staff. I am not sure what to do, but I don’t want the reputation of the hospital to suffer.Anne Teaks: Registered Nurse for Middlefield Hospital

I have worked for Middlefield Hospital for 22 years. This hospital has always been committed to high quality in patient care. These nursing shortages have occurred many times through the years, and we will get through this one as well. I don’t like that we are short of staff on many shifts, but we all have to pitch in and make sure our patients get the care they need.You Decide Activity

Submit your strategy and recommendation report.View less »Mar 13 2019 08:17 PM

Provide a brief biography/overview of nursing theorist Dr. JeanWatson

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Provide a brief biography/overview of nursing theorist Dr. JeanWatson (200 words)- Tell us about the 

Provide a brief biography/overview of nursing theorist Dr. JeanWatson (200 words)-

Tell us about the person – relate this to their nursing career Some things to consider are listed below: Where did they study/train? Where have they worked. What positions have she (Jean Watson) heldPost graduate experiencesConferences, publications, presentation development of teaching/training/patient education materialMentoringMembership of professional bodiesVoluntary workInterests/passions/specialityInter-disciplinary relationships

1. Why did you choose this leader? (250 words)a. What inspired/interested you about this person? b. What lessons do you hope to learn to incorporate into your nursing practices. This can be written in the first person – think of it as a reflection d. If you refer to something you sourced from evidence you would still need to reference it

2.Attributes of effective leadership (250 words)

a. Provide 6-8 attributes and give 2 very good examples.b. Don’t just list the attribute – you need to show that you understand what it means so provide some detail.c.Make sure your examples are specific and not generic/broad e.g. is a good mentor for students is broad – provides mentorship tailored to new graduate nurses by running weekly catch up/debriefing sessions where nurses can discuss their experiences and seek advice

3.Leadership style (250 words)a. What are the specific style they used in their careers – look at the definitions and discuss what you would expect to see in an effective nursing leaderb. Discuss 2 leadership style c. Use 1-2 examples overall of how this leadership style looked/might look in practice d. Provide specific detail – not generic/broad/vague statements e.g. colleagues involved in decision making is broad – adding how this was done would be specific

4.Significant contributions/achievements to nursing profession(250 words)

a. What are the highlights or important things she (Jean Watson) contributed as a nurse leader b. Don’t just write a dot point list – provide enough detail so that we can see exactly what their contribution is c. There would be a continuum of things ranging from simple things done in a ward setting e.g.started monthly in-service program, regular audits of nurse sensitive indicators like pressure areas – to complex and significant achievements e.g. sitting on WHO nurse regulatory board in Geneva, head of a professional body.

5. What have you learned that you will use in your future professional practice (300 words)

a. This is a reflection – so can be written in the first person: eg (as a nurse, I wil……..) – it is your summing up of this nurse leader and the take-home message you took from it. Some things to consider include:-b.What tips for succeeding as a leader did you find?c.What attributes of a leader are important and can be integrated in to your nursing practice?d.What leadership style will you aim to use when your first act as a Team Leader e. What mentorship skills will you aim to adopt f. What career planning tips did you find?

Identify teaching/learning needs from the health history of an individual. (PO #2)

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Guidelines for Course Project Milestone 2: Nursing Diagnosis and Care Plan Assignment Purpose This.. 

Guidelines for Course Project Milestone 2:

Nursing Diagnosis and Care Plan Assignment

Purpose

This activity will be a continuation of the Milestone 1: Health History that you submitted in Week 4. In this part of the assignment you will take the information you gathered, analyze the data, and develop a nursing care plan.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO #3: Utilize effective communication when performing a health assessment. (PO #3)

CO #4: Identify teaching/learning needs from the health history of an individual. (PO #2)

CO #5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (PO #6)

Points

This assignment is worth a total of 250 points.

Due Date

The assignment is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6.Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance.See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time may result in a deduction of points.

Directions

  1. Download the NR305_Milestone2_Form from Doc Sharing. You will type your answers directly into this Word document. Your paper does NOT need to follow APA formatting; however, you are expected to use correct grammar, spelling, syntax and write in complete sentences.
  2. Save the file by clicking “Save as” and adding your last name to the file name, e.g., “NR305_Milestone2_Form_Smith”
  3. Submit the completed form to the Dropbox by Sunday, 11:59 p.m. MT at the end of Week 6. Please post questions in the weekly Q & A Forums so the entire class may view the answers.

Grading Criteria

CategoryPoints%Description
ANALYZE THE DATA
Areas for focused assessment3012Provide an overview of those areas of strength and weakness noted on the Health Assessment, Health History. Do not go into detail in this section.
Client’s strengths3012Expand on areas identified as strengths related to the person’s overall health. Support your conclusions with data from the textbook.
Areas of concern3012Expand on areas previously identified as abnormal and those that place the person at health risk. Support your observations with data from the textbook.
Health teaching topics3012What health education needs have you identified? Support your statements with facts from the Health History and information from your textbook.
NURSING CARE PLAN
Diagnosis3012Write one nursing diagnosis that reflects a priority need for this person. Types of diagnoses include an illness, risk for illness or a wellness diagnosis.
Plan3012Write one goal and one measurable expected outcome related your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural consideration of the client. For example, African Americans are at higher risk for hypertension and any prehypertensive blood pressure readings should be addressed.
Intervention3012Write as many nursing orders or nursing interventions that you need in order to achieve the outcome. Provide the rationale for each intervention listed
Evaluation3012You won’t have an opportunity to carry out your care plan so you cannot evaluate the effectiveness of your nursing orders/interventions. Instead comment on what you would look for in order to evaluate your effectiveness
CLARITY OF WRITING104Use proper grammar, spelling and medical language
Total250 pts100%A quality paper will meet or exceed all of the above requirements.

Grading Rubric

Assignment CriteriaAOutstanding or highest level of performanceBVery good or high level of performanceCCompetent or satisfactory level of performanceFPoor or failing or unsatisfactory level of performance
Analyze the Data
Areas for focused assessment30 pointsIdentifies all strengths and weaknesses27-30 pointsOverlooks no more than 1 strength and/or 1 weakness25-26 pointsOverlooks more than 1 strength and 1 weakness22-24 pointsOverlooks more than 2 strengths and 2 weakness areas; item not included0-21
Client’s strengths30 pointsUses textbook (cites source) to validate all traits identified as strengths27-30 pointsUses textbook (cites source) to validate all but 1 trait identified as a strength25-26 pointsUses source to validate strengths, but not the textbook22-24Does not validate identified strengths0-21
Areas of concern30 pointsUses textbook (cites source) to validate all traits identified as concerns27-30 pointsUses textbook (cites source) to validate all but 1 trait identified as a concern25-26 pointsUses source to validate concerns, but not the textbook22-24Does not validate identified concerns0-21
Health teaching topics30 pointsIdentifies all areas of knowledge deficit contained in Health History; validates findings using textbook (cites source)27-30 pointsIdentifies all but 1-2 knowledge deficits contained in Health History; validates findings using textbook (cites source)25-26 pointsFails to identify 3 areas of knowledge deficit contained in Health History; validates findings using textbook (cites source)22-24Does not validate findings with textbook0-21
Nursing Care Plan
Diagnosis30 pointsDiagnosis properly written in NANDA terms and reflects an illness, risk for illness or a wellness diagnosis.27-30 pointsDiagnosis not written in NANDA terms or does not reflect an illness, risk for illness or a wellness diagnosis.25-26 pointsDiagnosis not written in NANDA terms and does not reflectan illness, risk for illness or wellness diagnosis.22-24Diagnosis is not documented0-21
Plan30 pointsGoal realistic; outcome measurable and timed. Cultural considerations are identified and addressed.27-30 pointsGoal realistic but outcome not measurable or timed. Cultural considerations are mostly addressed25-26 pointsGoal somewhat realistic; outcome not measurable or timed. Cultural considerations are barely addressed.22-24Goal is not documented; cultural considerations are not adequately addressed0-21
Intervention30 pointsInterventions will aid in achievement of outcome; sound, rationale provided27-30 pointsInterventions will aid in achievement of outcome; rationale provided but not necessarily sound25-26 pointsInterventions incomplete and rationale provided but not necessarily sound22-24Interventions will not support outcome achievement; no rationale provided0-21
Evaluation30 pointsCriteria listed to thoroughly evaluate effectiveness of health education27-30 pointsCriteria listed mostly evaluates effectiveness of health education25-26 pointsCriteria listed partially evaluates effectiveness of health education22-24No evaluation criteria listed0-21
CLARITY OF WRITING10 pointsNo grammar, spelling, or syntax errors. Writes logically in complete sentences.10 pointsNo more than 2 errors of any type8-9 points2-3 errors of any type6-7 points3 or more errors of any type0-5 points
Total Points Possible = 250 pointsCourse Project Milestone #2: Nursing Diagnosis and Care Plan FormYour Name: Date:Your Instructor’s Name:Directions: Refer to the Milestone 2: Nursing Diagnosis and Care plan guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 250 points, with 10 points awarded for clarity of writing, which means the use of proper grammar, spelling and medical language.Type your answers on this form. Click “Save as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone2_Form_Smith” When you are finished, submit the form to the Milestone 2 Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.1: Analyze Assessment Data:Based on the health history information, identify the following:A. Areas for focused assessment (30 points)Provide a brief overview of those areas of strength and weakness noted from Milestone 1: Health History.B. Client’s strengths (30 points)Expand on areas identified as strengths related to the person’s overall health. Support your conclusions with data from the textbook.C. Areas of concern (30 points)Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the textbook.D. Health teaching topics (30 points)Identify health education needs. Support your statements with facts from the Health History and information from your textbook.2: Nursing Care PlanNext, plan your care based on your analysis of your assessment data:A. Diagnosis (30 points)Write one nursing diagnosis that reflects a priority need for this person. Remember a wellness diagnosis is a possibility.B. Plan (30 points)Write one goal and onemeasurable expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client.C. Intervention (30 points)Write as many nursing orders or nursing interventions that you need in order to achieve the outcome. Provide the rationale for each intervention listed.D. Evaluation (30 points)You will not carry out your care plan so you cannot evaluate the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness.

Purpose of the article Nursing Implications to the APN role Results

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Purpose of the article Nursing Implications to the APN role Results/ Conclusion… 

1 answer below »

Write a one-half page abstract, using scientific article that is attached. The abstract shall highlight the salient points in the article and comply with APA format and style.

it should contain

Purpose of the article

Nursing Implications to the APN roleResults/ Conclusion
Document Preview:

Rubric for Abstracts and Bibliography CriteriaPoints Points earnedCommentsContent Summarized Purpose of the article Results/ Conclusion Nursing Implications to the APN role 3 9 Grammar4 APA4 1 Title page 2 Running head pagination 3 Use of headings Subheadings 4 Citations in text Correct 5 References should be from 2012-2017 and it should be professional scientific journals and research-based. Write a one-half page abstract, using scientific articles that is attached. The abstract shall highlight the salient points in the article and comply with APA format and style. The abstract worth 100 points and it should contain Purpose of the article Nursing Implications to the APN role Results/ Conclusion

Disscuss and explain the pathogoical changes that occur in nephrotic syndrome

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Pathology relates to the causes and effects of disease and can indicate the type of symptoms and… 

NSW Clinical Excellence Commission- Pathophysiology- Nursing

Task:

Pathology relates to the causes and effects of disease and can indicate the type of symptoms and behaviour that would be expected from a particular medical condition.
Pathophysiology relates to the process or mechanisms through which a condition develops or progresses. Go to the link provided for the NSW Clinical Excellence Commission Between the Fags program and the site information, including

A) Paediatric deterioration.
B) PD2013_049 policy directive ( link below)
http://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2013_049.pdf

Identify the actions to be taken if observations fall in the yellow & read zones. Discuss the differences in responses between the zones and why.

use the work of at least one nurse theorist (e.g orem, Henderson, Nighttingale) to assist in writing your own personal philosophy of nursing . You will need to identify the connection between your philosophy and the work of the nurse theorist. Words 200-250.

You have been provided with a case study on Nephrotic Syndrome for an infant.
Read the case study and answer the following four (4) questions.

Reference: Harvard referencing style to be used.
Word limit: 1500 word ( +/ – 10%)
(1) Define Nephrotic syndrome
(2) Disscuss and explain the pathogoical changes that occur in nephrotic syndrome
(3) outline the key strategies for the management of nephrotic syndrome
(4) complete a nursing care for the patient

Explain how health and illness and health care practices are constructed by people within the culture of a host country

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NRSG370: Nursing – Clinical integration- Nursing Assignment Help TASK Distinguish the roles and… 

NRSG370: Nursing – Clinical integration- Nursing Assignment Help

TASK

Distinguish the roles and responsibilities of a nurse in the selected speciality practice area.

Utilise a collaborative approach to plan, coordinate and implement, after meticulous and comprehensive assessment, evidence based, safe person-centred care of individuals experiencing alterations in health specific to the elected specialty; and their families;(GA6)

Demonstrate safe use of selected technologies in the environment of the elected specialty

Utilise effective communication skills when interacting with people and the health care team;(GA9)

Utilise a clinical decision-making framework in the provision of appropriate ethical, legal, evidence-based, holistic care to people and their families/carers;

Promote the rights of clients and carers and their role in treatment planning and recovery.(GA1)

Reflect upon personal perceptions and meanings of health, illness, dying and death as appropriate in the specialty practice area; (GA4)

Extend your professional portfolio reflecting on your learning and development towards the NMBA Registered nurse standards for practice using examples of skill development and nursing. (GA4,10) Additional Learning Outcomes for students undertaking an international health study program:

Explain how health and illness and health care practices are constructed by people within the culture of a host country

Discuss factors that can impact on the roles and functions of health care professionals within the host country

In 1,500-2,000 words, describe the teaching experience and discuss your observations

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NRS 427 V Teaching Experience and Observations Details: The RN to BSN program at Grand Canyon… 

NRS 427 V Teaching Experience and Observations 

Details:

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1.      Summary of teaching plan

2.      Epidemiological rationale for topic

3.      Evaluation of teaching experience

4.      Community response to teaching

5.      Areas of strengths and areas of improvement

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Examine the above scenario from the perspective of health care policy.

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ssignment: Mrs. R., an 87- year- old patient, has a past history that includes coronary artery… 

Assignment:

  • Mrs. R., an 87- year- old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R. would never have wanted such care. They also note that Mrs. R. has not recognized them in past months and that they plan to visit less in future days, but can be contacted should any change in Mrs. R.’ s condition occur. Her primary physician has practiced in this community for multiple years; he is well known for his reluctance to discontinue any type of life support for any patient. When questioned, Dr. G.’ s consistent response is, if this were his frail 92- year- old mother, he would prescribe the very same treatment for her. Dr. G. has now requested that the nurses talk to the family about moving Mrs. R. to a major medical center, where she can receive more advanced care, including vigorous rehabilitation and physical therapy, so that she may eventually return to a long- term nursing care facility. How might the nurses in this scenario respond to the physician’s request? How would this scenario begin to cause moral distress among the nursing staff, and what are the positive actions that the nurses might begin to take to prevent moral distress?
  • Read Exercise 4.1 (Guido, p. 44) and apply the MORAL model to resolve the dilemma.
  • Read the case study presented at the end of Chapter 3 (Guido, p. 41).You are one of the staff registered nurses in a busy emergency department in a large metropolitan area. Several of the patients have existing chronic health care problems and frequently return to the emergency center for reevaluation and follow-up treatment. As a means of working with these patients, you and some of your co-workers have increased the amount of time discussing discharge orders and the need for compliancy with discharge orders, prescriptions, and treatment plans. This has resulted in longer “wait times” for incoming patients, and the nurse manager has dictated that nurses are to limit their discharge instructions to essential facts, informing patients that they need to read the written materials and call their family health care providers if further problems arise.
    • What compelling right does this case address?
    • Whose rights should take precedence?
    • Does a child (here, a competent 14-year old) have the right to determine what will happen to him? Should he ethically have this right?
    • How would you have decided the outcome if his disease state had not intervened?

Examine the above scenario from the perspective of health care policy. How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy? Do the 10 questions outlined by Malone (as listed in Guido, p. 50) assist in this process? Draft a proposed policy to address the issue you have identified.

___________________________________________________________________________________

Please combine all of these responses into a word document

Develop a plan that could be carried out by a nurse to resolve the clinical issue.

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REQUIREMENTS When selecting a clinical issue ( the clinical issue chosen is Hand washing ) to be… 

REQUIREMENTS

  • When selecting a clinical issue (the clinical issue chosen is Hand washing) to be addressed in the assignment, the student is expected to draw from one of the four main categories of the NCLEX‐RN examination blueprint: assurance of a safe and effective care environment, health promotion and maintenance of health, the preservation of the patient’s psychosocial and physiological integrity.
  • Length of paper 8‐10 pages excluding the title page and the reference page.
  • The sources cited both in text and on the reference page for this assignment will be formatted according APA 6th edition guidelines.
  • A minimum of six (6) peer‐reviewed scholarly sources are required in support of the Evidence‐based Capstone Evidence‐based Paper.
  • This assignment will be graded using the Capstone Evidence‐ based Paper Rubric available in Unit 6 of the course.

PREPARING THE ASSIGNMENT

The student will be required to:

  • Produce an 8‐10 page evidence‐based paper addressing a significant clinical issue
  • Identify and explore a solution to a clinical issue
  • Gather additional background information on:

o   the clinical issue

o   the patient population

  • Develop a plan that could be carried out by a nurse to resolve the clinical issue.
  • Reflect on the knowledge and experience gained in the nursing program
  • Draw from one of the four main categories of the NCLEX‐RN examination blueprint

o   assurance of a safe and effective care environment,

o   health promotion and maintenance of health,

o   preservation of the patient’s psychosocial

o   preservation of the patient’s physiological integrity

  • With the exception of the Introduction, each criterion listed below will serve as the major headings of this assignment due in Unit Six and will include the following:
  • Title Page: (APA 6th edition formatting)
  • Introduction:

o   Offers a detailed description of the statement of purpose for the paper.

o   Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX‐RN examination blueprint:

  • Assurance of a safe and effective care environment
  • Health promotion and maintenance of health
  • Preservation of the patient population’s psychosocial integrity
  • Preservation of the patient population ’s physiological integrity
  • In this paper the student will provide a detailed description of the relationship between the category from the NCLEX‐RN examination blueprint and the clinical issue.
  • The reference to the NCLEX‐RN examination blueprint found at the National Council of State Boards of Nursing website constitutes one scholarly reference.
  • Importance: The student will describe the importance of the clinical issue to the health of a patient population. This discussion will include the potential negative effect of leaving the clinical issue unresolved.

3

  • Patient Population: The student will describe the patient population that is impacted by the clinical issue. With a focus on the diversity of the human condition found within this patient population, the student will describe the influence that cultural values may have on the proposed solution.
  • Proposed Solution: The student will set the stage for proposing the best solution to the clinical problem by using appropriate evidence‐based data and integrating data from peer‐reviewed journal articles. In this paper, the student will:

o   Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer‐reviewed journal articles.

o   Expand on the ethical considerations when developing the plan.

  • Goals: While the intervention will not actually be carried out, the student will discuss the plan that could be implemented by a nurse to address the clinical issue. One short‐term and one long‐term goal of the intervention will be identified. The student will include a description of how attainment of each of the goals would be measured.
  • Barriers: The student will identify a minimum of two potential barriers to the success of the plan as well as a strategy for addressing each one.
  • Benefits: The student will describe a minimum of one benefit to the patient population and one benefit to the nursing profession that will result from carrying out the plan. Provides a minimum of one scholarly, peer‐reviewed source in support of the benefit of the plan to the patient population.
  • Participants and Interdisciplinary Approach: The student will identify all of the parties whose participation is important for the success of implementing the plan.

o   This list will include a minimum of two members of disciplines outside of nursing.

o   A description of the benefit of including each member from another discipline to the success of the plan.

o   A minimum of one scholarly, peer‐reviewed source providing support for the success of the plan by including the healthcare team member outside of nursing.

  • Conclusion:

o   Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical issue.

o   Includes a complete statement describing why addressing this clinical problem matters and to whom.

o   Reference Page: (APA 6th edition formatting)

Attachments:

capstone_evidence_based_paper.pdf