plan for continuing education in psychopharmacology.

Develop a plan for continuing education in psychopharmacology.Familiarize yourself with various learning resources and continuing education opportunities including but not limited to reference books, clinical journals, newsletters, professional organizations, conferences, CME events, local psychiatry grand rounds, psychiatry podcasts (several universities podcast their grand rounds).Identify the resources that you find most useful. What do you like about them?Which resources are appropriate for use on a routine basis for point of care clinical information?Which resources are helpful for staying current with emerging information in psychopharmacology?Which resources are useful for in depth learning on topics of interest?What is the feasibility of these resources in terms of cost, time and travel?Develop a continuing education plan. This is your commitment to independent learning. Identify the actions that you plan to take:On a routine basis, when questions arise at point of care.On a weekly or monthly basis – subscriptions, online readings, etc.On an annual basis, such as conferences or symposiums.Include resources that will provide a meet a variety of learning needs – guide clinical decision making at point of care, provide current information on new drugs or new safety information and deepen your understanding of particular topics.Write a summary of your plan. How do your chosen resources support your learning goals? Why did you choose them?Please provide references and links to your educational resources.Submit your plan to Moodle.The main ideas are to:Identify your psychopharmacology learning goals. Research available resources including journals, newsletters, lecture series (such as grand rounds), conferences. Then, create a learning plan to meet your learning goals.Note when you would like to complete each goal and the feasibility of the time range.Note future plans for your continuing education that would allow to reach your goals.Your assignment should be in APA format with evidence-based references to support your statements.

Week 2 Case Assignment

For your week Two Cases/Questions Assignment, complete the following case from Chapter Five.Please submit your answers typed in a Word Document via the assignment link above by Sunday midnight.Workers at Amazon Are Not Feeling Motivated – Page 195Read the Case Study entitled, “Workers at Amazon Are Not Feeling Motivated” on page 195. Then, follow the instructions at the end of the case by using the 3-Step Problem Solving approach.I selected the most interesting and applicable questions and cases for the class.  Please be sure to back up your answers with facts from the textbook by including in-text citations and references on a reference page.Please include section headings for each of your answers. This is very important so that I understand which questions you are responding to.Please answer the questions completely. Remember, it is quality that counts, so be thorough yet to the point.Please upload answers in a Microsoft Word document via the link above. This assignment must be submitted by Sunday 11:59 PM Eastern Time.Case Assignment Grading Criteria:Thoroughly and substantively completed all assignment requirements:   60 Points Possible       References and citations to course material (citations in each section and references on Reference page):   20 Points Possible        Spelling/Grammar at college level:                                                           10 Points Possible        Quality/Content of APA format:                                                                 10 Points Possible        TOTAL:

Bullying Mitigatation Through Behaviorist

Bullying Mitigatation Through Behaviorist

Bullying Mitigatation Through Behaviorist

Bullying Mitigatation Through Behaviorist Approaches

Can Bullying Be Mitigated Through Behaviorist Approaches?
Behaviorism (or behaviourism) is a systematic approach to understanding the behavior of humans and other animals.[1] It assumes that all behaviors are either reflexes produced by a response to certain stimuli in the environment, or a consequence of that individual’s history, including especially reinforcement and punishment, together with the individual’s current motivational state and controlling stimuli. Although behaviorists generally accept the important role of heredity in determining behavior, they focus primarily on environmental factors.

Behaviorism combines elements of philosophy, methodology, and psychological theory. It emerged in the late nineteenth century as a reaction to depth psychology and other traditional forms of psychology, which often had difficulty making predictions that could be tested experimentally. The earliest derivatives of Behaviorism can be traced back to the late 19th century where Edward Thorndike pioneered the law of effect, a process that involved strengthening or weakening behavior through the use of reinforcement and punishment. Bullying Mitigatation Through Behaviorist

During the first half of the twentieth century, John B. Watson devised methodological behaviorism, which rejected introspective methods and sought to understand behavior by only measuring observable behaviors and events. It was not until the 1930s that B. F. Skinner suggested that private events—including thoughts and feelings—should be subjected to the same controlling variables as observable behavior, which became the basis for his philosophy called “radical behaviorism.”[2][3] While Watson and Ivan Pavlov investigated the stimulus-response procedures of classical conditioning, Skinner assessed the controlling nature of consequences and also its potential effect on the antecedents (or discriminative stimuli) that emits behavior; the technique became known as operant conditioning.

Skinner’s radical behaviorism has been highly successful experimentally, revealing new phenomena with new methods, but Skinner’s dismissal of theory limited its development. Theoretical behaviorism[4] recognized that a historical system, an organism, has a state as well as sensitivity to stimuli and the ability to emit responses. Indeed, Skinner himself acknowledged the possibility of what he called “latent” responses in humans, even though he neglected to extend this idea to rats and pigeons.[5] Latent responses constitute a repertoire, from which operant reinforcement can select.

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The application of radical behaviorism—known as applied behavior analysis—is used in a variety of settings, including, for example, organizational behavior management, to the treatment of mental disorders, such as autism and substance abuse.[6][7][8] In addition, while behaviorism and cognitive schools of psychological thought may not agree theoretically, they have complemented each other in cognitive-behavior therapies, which have demonstrated utility in treating certain pathologies, including simple phobias, PTSD, and mood disorders.
!!Bullying Mitigatation Through Behaviorist Approaches
A classic example of bullying is a scenario in which a much larger, stronger bully physically intimidates and harasses a smaller, weaker victim to steal the victim’s lunch money. You might think that the obvious solution to the bullying in this example is to punish the bully to prevent the behavior from reoccurring. It would be nice if the solution were that simple, but it often is not. The bully may receive gains from the behavior (positive reinforcement; e.g., money to buy more food at lunch or respect from peers) that outweigh the punishment. Furthermore, if the bullying has occurred over a length of time with the same victim, the victim may also develop a conditioned response. For example, suppose that the school bell signaling that it is lunch time rings just before the bully approaches the victim for his lunch money. Initially the bell is a neutral stimulus that produces no specific response. Over time, the victim may associate the bell with the fear response of being bullied, such that the bell alone triggers a fear response in the potential victim. Now the bell is a conditioned stimulus because it elicits a conditioned response. Bullying Mitigatation Through Behaviorist

Classical and operant conditioning can be used to understand why bullying occurs, as illustrated in the previous example, and to design effective interventions to reduce bullying behavior. In this discussion, you will use classical or operant conditioning to propose a strategy to mitigate bullying.

To Prepare:
Review this week’s Learning Resources on the behaviorist perspective and classical and operant conditioning.
Pay particular attention to the meaning of the terms in each type of conditioning. Classical conditioning terms include: UCS (unconditioned stimulus), UCR (unconditioned response), NS (neutral stimulus), CS (conditioned stimulus), CR (conditioned response). Operant conditioning terms include positive reinforcers, and negative reinforcers, and punishers.
Select one conditioning approach and use it to propose a strategy to mitigate bullying.
Operationalize the characteristics of your strategy. For example, if you selected the classical approach, identify which aspects of your strategy represent the UCS, UCR, NS, CS, and CR.  If you selected the operant approach, identify which aspects (or operants) of your strategy represent positive reinforcers, negative reinforcers, and/or punishers. Bullying Mitigatation Through Behaviorist

****For Miss Deana***

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This is a Master Degree Nurse Practioner program minimum of 350 words with at least 2 peer review reference in 7 the edition apa style.  Please do not use international references1. Explain the value of invasive hemodynamic monitoring, including a discussion of whether an acute, chronic, or complex-care patient is a candidate for this type of assessment. For a complex-care patient, propose an evidence-based treatment plan regarding the hemodynamic information. What are the risk factors to take into consideration for this patient?2. provide the normal values and discuss the differential diagnoses for the alteration in normal readings for pulmonary capillary wedge pressures.

Assignment: Health-Illness Continuum

Assignment: Health-Illness Continuum

Assignment: Health-Illness Continuum

The benchmark assesses the following competency:

Benchmark: 5.1. Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.). Assignment: Health-Illness Continuum

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract or thesis is required.

Question 2

Reflect on the concepts of informatics and knowledge work as presented in the Resources. Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

NURS 6051N

1. In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

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To Prepare:

Reflect on the concepts of informatics and knowledge work as presented in the Resources.

Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

Part 2:

Assignment: The Nurse Leader as Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways. Assignment: Health-Illness Continuum

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a presentation with an info graphic to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Review the concepts of informatics as presented in the Resources.

Reflect on the role of a nurse leader as a knowledge worker.

Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Develop a simple infographic to help explain these concepts.

NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” as presented in the Resources.

Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ replies. Assignment: Health-Illness Continuum

FP 6103 assessment 4 paper

FP 6103 assessment 4 paper

Question

Write a 6–8-page professional development plan for your work as a nurse educator.

Learning never stops for the nurse educator. Lifelong learning is necessary to stay current both in the practice world and in education. Nurse educators need to have a plan for their own continued professional development that will help them maintain and advance their skills both as nurses and as educators.

<pstyle=”margin-bottom: 1em;=”” padding:=”” 0px;=”” border:=”” outline:=”” font-family:=”” “avenir=”” lt=”” w02=”” 55=”” roman”,=”” arial,=”” sans-serif;=”” font-size:=”” 17px;=”” position:=”” unset;=”” overflow:=”” visible;=”” color:=”” rgb(34,=”” 34,=”” 34);=”” letter-spacing:=”” normal;”=””>The nursing profession needs nurse educators to educate more nurses, to introduce and educate about evidence-based practice changes, and more than ever, to join with our colleagues in other health care disciplines to exchange ideas and engage in interdisciplinary learning. As educators, we must continue to learn, be certified, and function at a high level to ensure continued growth for the nursing profession.  FP 6103 assessment 4 paper

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

Competency 1: Analyze the historical evolution of nursing education.
Describe forces (social, economic, political, or institutional) that may influence the nurse educator role.
Competency 3: Analyze professionally established nurse educator competencies and models.
Describe area of focus as a nurse educator, associated educator competencies, and professional goals in relation to nurse educator philosophy.
Competency 4: Apply knowledge of legal and ethical issues relevant to higher education and nursing education.
Assess abilities to meet goals, achieve professional development, and maintain ethical practices.
Competency 5: Articulate how nurse educators serve as change agents and leaders to help advance nursing education and nursing practice.
Discuss development of a leadership role in a chosen area of nurse educator focus.
Competency 6: Develop a plan for engaging in scholarship in an established area of expertise.
Develop a scholarship plan that includes analysis of how scholarship will be carried out in the nurse educator role.
Competency 7: Establish a plan for pursuing continuous improvement in the nurse educator role.
Develop specific plans for professional growth that identify any additional education, certifications, or training to be acquired. FP 6103 assessment 4 paper
Competency 8: Communicate in a manner that is scholarly, professional, and consistent with the expectations for a nursing education professional.
Write coherently to support a central idea with correct grammar, usage, mechanics, and APA format and style as expected of a nursing education professional.

Write a 6–8-page professional development plan for your career as an MSN-prepared nurse. The professional development plan should include the following:

Introduction: A brief introductory paragraph that clearly states the purpose of the paper.
Area of focus: A description of your specific area of focus in nursing education, the position that you wish to obtain, and the educator competencies that you will need as an MSN-prepared nurse.
Professional goals: A statement of your specific professional goals (a minimum of three) and discussion of their relationship to your nurse educator philosophy.
Influences: A brief description of any additional forces (social, economic, political, or institutional) that may influence your nursing education role.
Analysis: An analysis of how you will carry out scholarship activities as an MSN-prepared nurse and a specific plan for scholarship based on a model.
Leadership role: A discussion of specific ways (a minimum of two) that you will develop a leadership role in your chosen area of focus.
Development plan: Specific plans for professional growth and any additional education, certifications, or training to be acquired.
Reflection: A reflection in a concluding paragraph on your abilities to meet goals and achieve your professional development plan and ethical practice.
Additional Requirements

Your assessment should meet the following requirements:

Written communication: Written communication should be free of grammar and spelling errors that distract from the content.
APA format: Use correct APA format, including running head, page numbers, and a title page. Citations and references (if used) are to be in correct APA format.
Format: Submit your assessment as a Word document.
Length: 6–8 double-spaced pages, not including the title page and references page.
Font and font size: Times New Roman or Arial, 12 point. FP 6103 assessment 4 paper

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FP 6016 assessment 3 paper

FP 6016 assessment 3 paper

Question

Write a report on the application of population health improvement initiative outcomes to patient-centered care, based on information presented in an interactive multimedia scenario.

In this assessment, you have an opportunity to apply the tenets of evidence-based practice in both patient-centered care and population health improvement contexts. You will be challenged to think critically, evaluate what the evidence suggests is an appropriate approach to personalizing patient care, and determine what aspects of the approach could be applied to similar situations and patients.

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

Competency 1: Apply evidence-based practice to plan patient-centered care.
Evaluate the outcomes of a population health improvement initiative.
Develop an approach to personalizing patient care that incorporates lessons learned from a population health improvement initiative. FP 6016 assessment 3 paper
Competency 2: Apply evidence-based practice to design interventions to improve population health.
Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence.
Competency 3: Evaluate outcomes of evidence-based interventions.
Propose a framework for evaluating the outcomes of an approach to personalizing patient care and determining what aspects of the approach could be applied to similar situations and patients.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
Justify the value and relevance of evidence used to support an approach to personalizing patient care.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
Write clearly and logically, with correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Preparation

In this assessment, you will base your Patient-Centered Care Report on the scenario presented in the Evidence-Based Health Evaluation and Application media piece. Some of the writing you completed and exported from the media piece should serve as pre-writing for this assessment and inform the final draft of your report. Even though the media piece presented only one type of care setting, you can extrapolate individualized care decisions, based on population health improvement initiative outcomes, to other settings.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.

Writing, Supporting Evidence, and APA Style

Write clearly and logically, using correct grammar and mechanics.
Integrate relevant evidence from 3–5 current scholarly or professional sources to support your evaluation, recommendations, and plans.
Apply correct APA formatting to all in-text citations and references.
Attach a reference list to your report.

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Report Content

Address the following points in a 4–6 page report:

Evaluate the expected outcomes of the population health improvement initiative that were, and were not, achieved.
Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups.
Describe the outcomes that were not achieved, the extent to which they fell short of expectations, and any variance across demographic groups.
Identify the factors (for example: institutional, community, environmental, resources, communication) that may have contributed to any achievement shortfalls.
Propose a strategy for improving the outcomes of the population health improvement initiative, or ensuring that all outcomes are being addressed, based on the best available evidence.
Describe the corrective measures you would take to address the factors that may have contributed to achievement shortfalls. FP 6016 assessment 3 paper
Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing.
Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted
Develop an approach to personalizing patient care that incorporates lessons learned from the population health improvement initiative outcomes.
Explain how the outcomes and lessons learned informed the decisions you made in your approach for personalizing care for the patient with a health condition related to the population health concern addressed in the improvement initiative.
Ensure that your approach to personalizing care for the individual patient addresses the patient’s:
Individual health needs.
Economic and environmental realities.
Culture and family.
Incorporate the best available evidence (from both the population health improvement initiative and other relevant sources) to inform your approach and actions you intend to take.
Justify the value and relevance of evidence you used to support your approach to personalizing care for your patient.
Explain why your evidence is valuable and relevant to your patient’s case.
Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.
Propose a framework for evaluating the outcomes of your approach to personalizing patient care.
Ensure that your framework includes measurable criteria that are relevant to your desired outcomes.
Explain why the criteria are appropriate and useful measures of success.
Identify the specific aspects of your approach that are most likely to be transferable to other individual cases. FP 6016 assessment 3 paper

Discussion: Managerial Levers Model

Discussion: Managerial Levers Model

Discussion: Managerial Levers Model

Organizational strategy includes the organization’s design, as well as the managerial choices that define, set up, coordinate, and control its work processes. As discussed in Chapter 1, many models of organizational strategy are available. One is the managerial levers framework that includes the complementary design variables shown in Figure 3.3. Optimized organizational designs support optimal business processes, and they, in turn, reflect the firm’s values and culture. Organizational strategy may be considered as the coordinated set of actions that lever- ages the use of organizational design, management control systems, and organizational culture to make the orga- nization effective by achieving its objectives. The organizational strategy works best when it meshes well with the IS strategy.

This chapter builds on the managerial levers model. Of primary concern is how IS impact the three types of managerial levers: organizational, control, and cultural. This chapter looks at organizational designs that incorpo- rate IS to define the flow of information throughout the organization, explores how IS can facilitate management control at the organizational and individual levels, and concludes with some ideas about how culture impacts IS and organizational performance. It focuses on organizational‐level issues related to strategy. The next two chapters complement these concepts with a discussion of new approaches to work and organizational processes. Discussion: Managerial Levers Model

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Chief Executive Officer

Chief Operating Officer

Director, Industry

Solutions Unit

Director, Organization Infrastructure

Director, Strategic

Initiative Unit

Director, Major

Markets

Director, New Growth Markets

India

APAC

Emerging Markets

Europe

UK

USA

Business Process

Outsourcing Solutions

SME Solutions

Financial Solutions

Process Excellence

Resource Management

Shared Services

Technology Excellence

Multiple units

FIGURE 3.2 Tata Consultancy Services. Source: “TCS Plans New Organizational Structure” (February 12, 2008), http://www.livemint.com/Companies/2ODg7L1mCcRlFow K1ktX5N/TCS‐plans‐new‐organisational‐structure.html (accessed August 20, 2015). Discussion: Managerial Levers Model

c03.indd 57 11/26/2015 6:22:12 PM

http://www.livemint.com/Companies/2ODg7L1mCcRlFowK1ktX5N/TCS%E2%80%90plans%E2%80%90new%E2%80%90organisational%E2%80%90structure.html%20
58 Organizational Strategy and Information Systems

Information Systems and Organizational Design Organizations must be designed in a way that enables them to perform effectively. Different designs accomplish different goals. This section examines organizational variables. It focuses on how IS are designed in conjunction with an organization’s structure. Ideally, an organizational structure is designed to facilitate the communication and work processes necessary for it to accomplish the organization’s goals, and the use of IS is often the way coordination and workflow are done. The organizational structures of Cognizant and TCS, while very different, reflect and support the goals of each company. Perhaps intuitively, organizational designers at those companies used organizational variables described in Figure 3.3 to build their structures. Those variables include decision rights that underlie formal structures, formal reporting relationships, and informal networks. Organizational processes are another important design component discussed in more detail in Chapter 5. Discussion: Managerial Levers Model

Nursing Leadership Discussion Question

Nursing Leadership Discussion Question

Nursing Leadership

Discussion Question:

Read this article: Austin, S. (2011). Stay out of court with proper documentation. Nursing, 41(4), 24-30. Of the four elements that must be proven to determine negligence, do you think that any of them is harder to prove than others?

If you have ever come close to committing nursing negligence, what would your advice be for others? If not, have you ever seen someone commit negligence, and if so, what is the lesson in it? If no for each, make up a scenario to share your professional advice.

Choose scenario 1, 2, or 3 in the article. Summarize the lesson to be learned, and what you would have done to avoid the error.

Response 1:

(A)According to Weiss and Tappen (2015) the definition of negligence is “the unintentional tort of acting or failing to act as an ordinary, reasonable, prudent person, resulting in harm to the person to who the duty of care is owed”. There are four legal elements in negligence: duty, breach of duty, causation, and harm or injury (Weiss& Tappen, 2015). To be proven guilty of negligence, all four elements must be shown and proven. In nursing, negligence is how we perform or not perform our duties within the scope of practice and standards of patient care. Standards of care policies and procedures are set by the healthcare facility to protect patients from sub-standard care. According to Westrick and Jacob (2016) one of the leading causes of nursing negligence is medication errors. A report showed close to 98,000 patients die in the United States each year due to preventable medication errors (Westrick & Jacob, 2016).

In regards to the four elements of negligence, the hardest to prove might be causation. Causation may be direct or indirect and may be challenging to form a judgment based solely on one clinician’s action causing injury or death to a patient. Other significant factors may often contribute to the patient’s injury or death, with one cause not being specifically determined or pinpointed. Nursing Leadership Discussion Question

In working on a medical-surgical floor, there were many times nursing negligence unintentionally occurred with the limited number of nurses scheduled. For a nurse to have ten patients on a night shift with one nursing assistant, the probability of negligence was high. It is vital that every patient be provided with the highest quality of care. To ensure you are providing quality care, go to the charge nurse or house supervisor to verbalize your concerns of potential negligence.

Regarding the stay out of court with proper documentation article, the first scenario may be the most commonly type of negligence committed. Patients who do not receive treatments, medication as ordered by physicians are at risk. In this scenario, if the nurse had taken the time to suction the patient, and put in a call to the physician, this fatal outcome may have been avoided. Although, many nurses may not like to suction traches, it must be done. The nurse needed to place a call to the provider to inform him or her of their patients breathing difficulties. This nurse needed to document both to protect her license and the facility. Documentation is essential, as we all learned in nursing school, if is not documented, it was not done.

Reference

Austin S. (2011). Stay out of court with proper documentation. Retrieved from Nursing2020, April 2011 Vol41(4), pg. 24-29. Retrieved from

doi: 10.1097/01.NURSE.0000395202.86451d4

Weiss, S. & Tappen, R. (2015). Essentials of nursing leadership and management (6th ed.). F.A. Davis Company.

Westrick, S., & Jacob, N. (2016). Disclosure of errors and apology: Law and ethics. The Journal for Nurse Practitioners, 12(2), 120-126. http://dx.doi.org/10.1016/j.nurpra.2015.10.007

Respond 2

Of the four elements that must be proven to determine negligence, I think that the hardest to prove is “a duty to the patient existed” Unlike a patient being injured or a breach of duty occurred, a duty to the patient existed would only be proven if the nurse’s moral compass is intact or the nurse is ethical enough to admit.

I was working in a nursing home as an LPN, one weekend, the second nurse called out, subsequently I had to work the entire floor by myself. This was a rehabilitation unit with a census of forty patients, I had numerous wound care, vital sign, and endless narcotic due to post surgical wound. That day I did my best to accomplish all my duties, however, there was one patient that had hip surgery and needed a dressing change, I checked the dressing which looks clean and decided omit it. At the end of my shift I gave hand off report and endorse to the oncoming nurse, who stated, “It doesn’t have to be done every day anyway.” I went to my car and could not leave, knowing that the dressing would not be done for more than twenty four hours. I went back to the unit and did the dressing and felt a sense of relief. My advice would be, if there is a breach in ethics never try to cover it, the consequences of that is always greater. Nurses are human and we are expected to make mistakes, we are also expected to do right by that mistake by reporting it. that mistake could be a teaching or an inservice to all. Negligence occurs sometimes when we refuse to asked for help. If you feel overwhelmed, and know that there is no way you can accomplish the goals set forth, reach out to someone for help, if there is no help document properly, but never leave anything undone without proper documentation.

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The Joint Commission on Accreditation of Healthcare Organization defines negligence as a failure to use such care as a reasonably prudent and careful person would use under similar circumstances. They also defines malpractice as improper or unethical conduct or unreasonable lack of skills by a holder of a professional or official position (lippincott NursingCenter. Nursing Leadership Discussion Question

Health Assessment Question

Discussion Question:1

The CDC and Healthy People 2020 continue to educate on the importance, the improved ease of access and insurance coverage for screenings and vaccinations. It is the responsibility of nurses to engage our ageing adults in self-advocating for services that benefit the individual and community health. How can you, as a registered nurse, impact older adults to encourage routine vaccination? What impact does this have on the

RESPONSE 1

(A)Vaccines do not apply only to children. Older adults and those with chronic health conditions are particularly at risk for vaccine-preventable diseases. Every year thousands of adults in the U.S. become seriously ill and are hospitalized because of diseases that vaccines can help prevent. By getting vaccinated, older adults can lower the chances of getting certain diseases (Sampathkumar, 2012). Vaccines that are recommended for older adults include, Shingles Vaccine, Pneumococcal Vaccine, and the Flu Vaccine (Sampathkumar, 2012). Unfortunately, rates among U.S. adults have remained below the U.S. Department of Health and Human Services Healthy People 2020 goals (Healthy People, 2020). Approximately 42,000 adults and 300 children in the United States die each year from vaccine-preventable diseases (Healthy People, 2020).

The community also improves financially. Vaccination is among the most cost‐effective interventions for healthy aging strategies (Ozawa et al., 2016). For example, a recent study estimated that under-vaccination of adults costs the US 7.1 billion USD in healthcare expenditure per year (Ozawa et al., 2016).

Nurses are leaders for a multidisciplinary team that focuses on disease prevention, including immunization. In general, nurses have the most contact with patients, proving that they have a vital role in addressing the vaccination recommendations. Communication with patients is essential in delivering the education necessary for appropriate health choices regarding vaccinations. Nurses must advocate the cause of adult immunization and organize activities to ensure that opportunities for vaccination are readily available. By taking advantage of the electronic health record (EHR), nurses can be reminded when vaccines are needed. Once alerted to the need for a vaccine, nurses must seize the appropriate opportunity to begin a discussion with the patient regarding their beliefs and concerns about vaccinations. In addition to strong communication, the use of standing orders enables nurses to assess the patient’s immunization recommendations and administer vaccines without obtaining a physician order (Doherty et al., 2018).

Infectious diseases are a critical public health concern, and nurses must continue to advocate for vaccinations. Vaccination can serve as an additional strategy to support healthy aging, alongside healthy diet, and exercise.

References

Doherty, T. M., Connolly, M. P., Giudice, G. D., Flamaing, J., Goronzy, J. J., Grubeck-Loebenstein, B., . . . Pasquale, A. D. (2018). Vaccination programs for older adults in an era of demographic change. European Geriatric Medicine, 9(3), 289-300. doi:10.1007/s41999-018-0040-8

Healthy People. (2020). Immunization and Infectious Diseases. Retrieved November 17, 2020, from https://www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases

Ozawa, S., Portnoy, A., Getaneh, H., Clark, S., Knoll, M., Bishai, D., . . . Patwardhan, P. D. (2016). Modeling The Economic Burden Of Adult Vaccine-Preventable Diseases In The United States. Health Affairs, 35(11), 2124-2132. doi:10.1377/hlthaff.2016.046

Sampathkumar, P. (2012). Adult Immunizations. Mayo Clinic Infectious Diseases Board Review, 516-524. doi:10.1093/med/9780199827626.003.0044

RESPONSE 2

(B) https://www.youtube.com/watch?v=hodb65EkorM

Do you believe or oppose to the use of vaccinations? Should vaccinations be mandatory? Please reply. Nursing Leadership Discussion Question