Discussion Week 12

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Discussion Week 12

Chapter 16 Child and Adolescent Health Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. The Health of a Child Has Long-Term Implications    Health habits adopted by children and youth profoundly influence their potential to lead healthy, productive lives. The physical and emotional health of a child plays a pivotal role in the overall development and well-being of the entire family. Children who are healthy, well-nourished, well cared for at home, and safe

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and secure in their world achieve a higher potential. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 2 U.S. Children by Race/Ethnicity Figure 16-1 From Federal Interagency Forum on Child and Family Statistics: America’s children in brief: key national indicators of well-being, 2012. www.childstats.gov/americaschildren/demo.asp. Accessed March 8, 2013. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 3 Impact of Pregnancy on a Child’s Health   The health of the mother before, during, and after pregnancy has a direct impact on the health and well-being of her children. A comprehensive approach is needed to… ➢ ➢ ➢ ➢ Identify and treat potential risks Overcome barriers to good health before, between, and beyond pregnancy Protect and promote the health of women and children Ensure the health of future generations Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 4 Risk Factors Risks to mother → Risks to baby  Not in optimal health → Poor pregnancy outcome  Uncontrolled medical conditions → Low birth weight with serious medical conditions  Exposure to drug, alcohol, tobacco, poor nutrition → Chronic conditions that affect health and well-being  Unsafe environment (secondhand smoke, lead-based paint) → Chronic conditions throughout childhood and maybe adolescence/adulthood Risks to Children  No preventive health care and immunizations → preventable diseases or chronic conditions in life Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 5 Infant Mortality   Infant mortality reflects the health and welfare of an entire community and is used as a broad indicator of health care and health status. Infant mortality is related to several factors: ➢ ➢ ➢ ➢ Maternal health Medical care quality and access Socioeconomic conditions Public health practices Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 6 Infant Mortality (Cont.)  Leading causes of infant death in the United States (almost 60% of all infant deaths) ➢ ➢ ➢ ➢ ➢  Congenital defects Disorders relating to short gestation and low birth weight Sudden infant death syndrome (SIDS) Maternal complications of pregnancy Accidents such as suffocation United States ranks 27th in infant mortality among industrialized nations Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 7 U.S. Infant Mortality   Has dropped every year since 1940 (not 2002) Attributable to public health measures and improved standard of living ➢ ➢ ➢ ➢ ➢  Improved sanitation Clean milk supply Immunizations Nutritious food Enhances access to maternal health care Technological advances also contributed ➢ e.g., synthetic lung surfactant Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 8 International Comparisons of Infant Mortality Rates* (2011) World Rank Country 1960 2011 1 Iceland 13.0 0.9 2 Sweden 16.6 2.1 3 Japan 30.7 2.3 4 Finland 21.0 2.4 4 Norway 16.0 2.4 6 Czech Republic 20.0 2.7 7 Republic of Korea — 3.0 8 Portugal 77.5 3.1 9 Spain 43.7 3.2 10 Belgium 31.4 3.3 *Infant mortality rate represents infant deaths per 1000 live births. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 9 International Comparisons of Infant Mortality Rates* (2011) (Cont.) World Rank Country 1960 2011 11 Italy 43.9 3.4 11 Greece 40.1 3.4 13 France 27.7 3.5 13 Israel — 3.5 13 Ireland 29.3 3.5 16 Germany 35.0 3.6 16 Austria 37.5 3.6 16 Denmark 21.5 3.6 16 Netherlands 16.5 3.6 20 Switzerland 21.1 3.8 *Infant mortality rate represents infant deaths per 1000 live births. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 10 International Comparisons of Infant Mortality Rates* (2011) (Cont.) World Rank Country 1960 2011 20 Australia 20.2 3.8 22 United Kingdom 22.5 4.3 23 Poland 54.8 4.7 24 Slovakia 28.6 4.9 24 Hungary 47.6 4.9 26 New Zealand 22.6 5.5 27 United States 26.0 6.1 28 Chile 120.3 7.4 29 Turkey 189.5 7.7 30 Mexico 92.3 13.6 *Infant mortality rate represents infant deaths per 1000 live births. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 11 Infant Mortality Rates Figure 16-2 From Murphy SL, Xu J, Kochanek KD: Deaths: Final Data for 2010, National Vital Statistics Report, Vol 61, No.4, May 8, 2013. http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_04.pdf. Accessed September 3, 2013. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 12 Preterm Birth and Low Birth Weight      Preterm: Birth before 37 weeks of gestation LBW: Infant born less than 5.5 pounds Important predictors of infant health Greater risk of death than full term Greater risk of mental and physical disabilities ➢ ➢ ➢ ➢ ➢ Cerebral palsy Visual problems (e.g., retinopathy of prematurity) Feeding problems Hearing loss Developmental delays Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 13 Preterm Birth and Low Birth Weight (Cont.)  Factors associated with preterm and LBW ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ Minority status Chronic stress Maternal age of 35 years Chronic health problems of mother Lack of prenatal care Multiple births Certain problems with the uterus or cervix Low socioeconomic status Unhealthy maternal habits Induced labor and elective C-section births Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 14 Preconception Health   Half of all pregnancies are unintended. Impact on developing fetal organ systems by: ➢ ➢ ➢ ➢ ➢ ➢ Healthy maternal weight and good nutrition Tending to chronic maternal diseases Being up-to-date on vaccinations Avoiding environmental toxins Decreasing stress and eliminating abusive relationships Avoiding illicit drugs, tobacco, and alcohol Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 15 Preconception Health (Cont.)  Preconception counseling as a prevention strategy: ➢ Effective contraception to avoid unintended pregnancies and pregnancy spacing ➢ Recommend intake of folic acid daily ➢ Encourage healthy lifestyle modifications   Prenatal care Prenatal substance use Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 16 Prenatal Care  Early and regular prenatal care enhances chance of a healthy, full-term baby. ➢ Health education and counseling ➢ Risk identification ➢ Monitoring and treatment of symptoms ➢ Referral to health, nutrition, social services • Medicaid, WIC, food stamps, smoking cessation services, housing, child care, job training, substance abuse treatment, domestic violence screening and counseling Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 17 Prenatal Substance Use  The use of tobacco, alcohol, or illicit drugs in any combination is dangerous to a woman’s health and worsens infant health and development outcomes. ➢ ➢ ➢ Smoking is one of the most preventable causes of infant morbidity and mortality Alcohol can lead to FAS Drugs can cause permanent harm to an unborn baby Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 18 Breastfeeding “Breastfeeding is a natural and beneficial source of nutrition and provides the healthiest start for an infant. In addition to the nutritional benefits, breastfeeding promotes a unique and emotional connection between mother and baby.” – American Academy of Pediatrics, 2012 Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 19 Breastfeeding (Cont.)  AAP recommends ➢ Exclusive breastfeeding for first 6 months ➢ Breastfeeding in combination with introduction of complementary foods until at least 12 months ➢ Continuation of breastfeeding for as long as mutually desired by mother and baby  2011Surgeon General’s Call to Action to Support Breastfeeding ➢ ➢ Actions aimed at increasing society support Nurses, other professionals, and support groups Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 20 Breastfeeding Advantages Mother     Baby Lower risk of breast and ovarian cancer Lower risk of postpartum depression Lower risk of type 2 diabetes Saves money on formula       Cells, hormones, and antibodies in breast milk Lower risk of asthma Lower risk of obesity Lower risk of diabetes Lower risk of SIDS Fewer illnesses Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 21 Sudden Unexplained Infant Death  Definition of SUID ➢ ➢ ➢ ➢  Less than 1 year of age Occurs suddenly and unexpectedly Cause of death not immediately obvious before investigation Half of SUID are SIDS Definition of SIDS ➢ Death cannot be explained after a thorough investigation, including autopsy, examining death scene, and review of clinical history Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 22 Sudden Unexplained Infant Death (Cont.)  Back to Sleep campaign (1994) ➢ ➢  Heighten awareness of the safety of positioning infants on their backs for sleep SIDS death declined by >50% Safe to Sleep campaign (2010) ➢ Included other actions to reduce risks of other sleep-related causes of death (e.g., suffocation) http://www.nichd.nih.gov/sts Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 23 Safe to Sleep Campaign Recommendations           Always place baby on back to sleep for naps and night Place baby on firm surface with fitted sheet Not in adult bed, couch, or chair alone or with adults Keep soft objects, toys, and loose bedding out of sleep area Do not smoke during pregnancy Do not allow smoking around baby Do not let baby get too hot during sleep Follow vaccine and health check-up recommendations Avoid advertised SIDS products Get regular health care during pregnancy – National Institute of Child Health & Human Development: Safe sleep for your Baby, 2013 Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 24 Childhood Health Issues       Accidental injury is the leading cause of death in children ages 1 to 14. Childhood obesity is a health crisis; it can lead to numerous health problems. Childhood immunization is a benchmark of child health. Environmental concerns can be found in air, water, and from toxic exposure to chemicals. Child maltreatment is an indicator of children’s physical and emotional health status. Children with special health care needs frequently need multiple health care services. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 25 Adolescent Health Issues     Adolescent sexual activity is often unprotected and can result in pregnancy and STIs. Teen childbearing and parenting often have long-term negative consequences for both child and mother. Violence among youth is a multifaceted problem. The use of tobacco, alcohol, and drugs has serious and long-lasting consequences for adolescents and society. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 26 Factors Affecting Child and Adolescent Health  Significant factors in overall well-being: Parents’ or caregivers’ income, education, and stability ➢ Security and safety of the home ➢ Nutritional and environmental issues ➢ Health care access and use ➢  Specific issues: ➢ ➢ ➢ Poverty Racial and ethnic disparities Health care use Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 27 Children Lacking Health Insurance Figure 16-5 Data from DeNavas-Walt C, Proctor D, and Smith J: Income, poverty, and health insurance coverage in the United States: 2011. U.S. Census Bureau Current Population Reports, September 2012. http://www.census.gov/prod/2012pubs/p60-243.pdf. Accessed March 8, 2013. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 28 Strategies to Improve Child and Adolescent Health    Collect/analyze data tracking well-being of children and adolescents. Establish goals and set measurable objectives using Healthy People 2020. Implement health promotion and disease prevention strategies. ➢  More significant and cost-effective for children than other age groups. Utilize public health programs targeted to children and adolescents. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 29 Public Health Programs Targeted to Children and Adolescents  Health Care Coverage Programs ➢ ➢ ➢  Affordable Care Act Medicaid and CHIP EPSDT (Early and Periodic Screening, Diagnosis, and Treatment) Direct Health Care delivery programs ➢ ➢ ➢ ➢ Maternal and Child Health Block Grant (Title V) Community & Migrant Health Centers program School-Based Health Centers WIC Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 30 Sharing Responsibility for Improving Child and Adolescent Health      Parents’ role Community’s role Employer’s role Government’s role Community health nurse’s role Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 31 Community Health Nurse’s Role       An advocate for improved individual and community responses to children’s needs. A researcher for effective strategies to serve women and children. A participant in publicly funded programs. A promoter of social interventions that enhance the living situations of high-risk families. A partner with other professionals to improve service collaboration and coordination. Understand the legal and ethical implications of decision making. Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 32 Monitoring the Health and Well-Being of Children Resource Website address Centers for Disease Control and Prevention (CDC) http://www.cdc.gov Federal Interagency Forum on Child and Family Statistics http://www.childstats.gov National Center for Education Statistics (NCES) http://nces.ed.gov National Center for Health Statistics (NCHS) http://www.cdc.gov/nchs US Bureau of Justice http://www.ojp.usdoj.gov/bjs US Bureau of Labor Statistics http://www.bls.gov US Census Bureau http://www.census.gov USDHHS Healthy People 2020 http://www.healthypeople.gov Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc. 33
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Needing help beefing my resume, fixing to apply to a children’s hospital. (Nursing)

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Needing help beefing my resume, fixing to apply to a children’s hospital. (Nursing)

TRISTIN PADGETT 1557 Dry Valley Road | 940-255-9750 | tristinhopson13@gmail.com January 23 , 201 9 Children’s Health Nurse Residency Program Dear Recipient: Hospitals that strive to make their employees the best that they can be through good training and hard work is one that I am

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always interested in. I am always up for a challenge and to learn something new. My qualifications and experience, which are in detail on my resume attached, paired with my strong desire to enhance my knowledge as a nurse, make a position in this hospital an exciting possibility. Sincerely, T rist in P adgett
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Child Birth Classes Presentation

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Child Birth Classes Presentation

EDITION Foundations of Nursing Cooper Gosnell EVOLVE STUDY RESOURCES FREE WITH NEW TEXTBOOK PURCHASE EVOLVE.ELSEVIER.COM ELSEVIER e Box 25-14 Pregi M . Areas Typically Discussed in Childbirth Preparation Classes • A review of reproductive anatomy and physiology Physical and emotional changes commonly observed during pregnancy • Fetal growth and development • Nutrition • Routine aspects of prenatal hygiene and exercise Danger signs during pregnancy • The birth process, both vaginal and cesarean

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Analgesia and anesthesia during labor and delivery • Care of the newborn infan: • Selection of infant feeding roethods Sibling preparation Changing family dynamics Postpartal exercises pr gi es ta dc • B m or . nd th • A ca pr W HE th WE m • Vi ag re m • E pr lat m pri • SC tha tra ma ea or FIGURE 25-8 Entire family participating in a childbirth preparation course. (From Lowdermilk DL, Perry SE: Maternity and women’s health care, ed 9, St. Louis, 2007, Mosby.) ex 3 Il lui TUIU у Рог со learning. course. (From Lowdermilk DL, F health care, ed 9, St. Louis, 200 From Perry S, Hockenberry M, Lowdermilk D, et al.: Maternal-child nursing care, ed 5, St. Louis, 2014, Mosby. CHILDBIRTH PREPARATION CLASSES Communities often have a variety of courses that com- plement one another and meet the differing needs of specific segments of the population (Figure 25-8). Some classes are general, whereas others are targeted toward specific groups such as adolescents, those having cesarean or vaginal birth after cesarean delivery, sib- lings, or grandparents (Box 25-14). Common methods of prepared childbirth include Dick-Read, which focuses on progressive relaxation techniques and avoidance of analgesics; Bradley, which stresses control of environmental factors, such as light- ing, temperature, and noise, to provide a calm, sup- portive environment for childbirth; Leboyer, which uses a warm water bath to reduce the trauma of birth; and Lamaze, which uses breathing, distraction, and focusing techniques to mentally control pain and re- quires disciplined training throughout the pregoency. The Patient Teaching box on safety during pregnancy provides activity and environmental guidelines. V Patient Teaching Safety During Pregnancy Changes in the body as a resu of joints, alteration of the cer comfort. Problems with coorc Therefore, the woman should Use good body mechanic Use safety features on to shoulder harnesses, head specified. Avoid activities that require concentration. Take rest periods; resched and relaxation needs. CULTURAL VARIATIONS The practitioner must det practices and beliefs wit Considerations box, see sion of the cultural aspect
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Apaformat reference page

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Apaformat reference page

Discussion board reply Reply 1 (200-250 words) (experimental study)-2 references peer review articles This study could have been designed as more of an experimental study. There could have been randomized sampling from multiple outpatient clinics and a control group could have been included. Randomization and random sampling would provide researchers with the sense that there is enough variety in their groups and that their theory could be generalized to the whole patient population easier. Having a control group included in the study to compare intervention results to would help to further prove that the intervention is effective. Reply 2 (125 words)-2 references (adults abuse vs pediatric abuse) peer review articles If this were a 75-year-old adult who fell down the steps, there certainly would not be as many red flags as there were in this case. Get an x-ray of the patient’s arm, UA of her liver to ensure there was no laceration, or active bleed. Consult social service to make an in-home visit to determine if there is anything that can be done to prevent further falls. Also, I would consult orthopedic surgeon for casting and to follow the adult to ensure the bond heals correctly.

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NRBS4360 Medgar Evers College Managing Costs and Budgets Case Discussion

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NRBS4360 Medgar Evers College Managing Costs and Budgets Case Discussion

NRBS 4360 Organizational and Systems Leadership in Nursing Summer 2019 Weeks 5, 6, 7 Content Online Assignment The learning objectives for this assignment are stated in the beginning of each chapter assigned (Textbook-Yoder-Wise, 6th edition) Instructions: Read assigned Chapters 12, 14, & 15. Answer all the questions below related to each chapter assigned. Submit your response in a designated “drop box” in Blackboard on Friday, July 26, 2019 at 11:59 pm Chapter 12: Managing Costs and Budgets Case Study 1 Andrew RN, MSN, is the new nurse

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manager for a long-term care unit in a rural community hospital. The deadline for the next year’s budget proposal is 6 weeks from now. Andrew is aware of the current reimbursement schema and performance requirements by the Center for Medicare and Medicaid Services (CMS), research about concerns of staff nurses having a voice in decisions, research about the differences between Magnet facilities and facilities without that designation, and the organizational “politics” of submitting a budget request. As is true of the other units within the hospital, this unit experiences staffing problems. Andrew decides that the staff should be involved in creating the budget request. Questions What typical reports would it be useful for him to share with the staff so that they have a clear perspective on the current financial situation? 1 1. What documents will be needed to support a request for additional staff positions? Case Study 2 Myra, RN, BSN, has been the evening charge nurse on 3 South, a general medical-surgical unit at the Medical Center Hospital, for 3 years. The nurse manager has suddenly experienced a long-term illness, and Myra is asked to serve as the temporary manager of the unit. The first financial report Myra receives is the expendable supplies report. This report reveals that the projected unit expenditures were $30,000, but the unit was charged for actual expenses of $57,460. Myra notes that this is the second month for which the expendable supplies expenses have been dramatically over the budget. She wants to revise the projected budget to reflect the actual expenses more accurately. Question: 1. Describe the various factors that she must consider when revising the budget and the multiple approaches that might be used. Chapter 14: Staffing and Scheduling Case Study 1 During the budget preparation cycle, Jack, RN, BSN, the nurse manager of the cardiac telemetry unit, is asked to forecast the total anticipated patient days. Jack reviews past reports and finds that the total varies between 5740 and 5940. Based on this finding, Jack decides to forecast the total patient days at 5840. The telemetry unit uses a decentralized staffing approach and almost never uses nurses from other units or from staffing agencies or the hospital’s float pool to cover staffing needs. Six months into the year, Jack finds that the actual total patient days to date are 3094. In reviewing the past 6 months, Jack realizes that a new cardiac specialist began a practice associated with the hospital. Questions: 1. How should Jack project the staffing for the remainder of the year? 2. What are the possible approaches to staffing the unit? 2 Case Study 2 Melina, RN, MSN, is the director of a long-term care facility. Last year Melina created the staffing schedules for the entire facility, which consists of four distinct units. One of the units is an intensive service for residents with Alzheimer’s disease. When the staffing was centralized, Melina typically provided additional staffing to this unit by reassigning staff from one of the other three units. Now, the long-term care facility has been purchased by a corporation. As a result, there are many corporate policies that each newly purchased facility is expected to implement. One of those policies relates to decentralized staffing. In addition, there is a strong financial productivity expectation for each facility and for the various units within each facility. Clearly, a plan must be devised to ensure appropriate staffing that meets patient care needs, accreditation standards, and staff satisfaction in addition to the corporate expectations. Question: 1. How can a transition be planned to create the best possible outcomes? Chapter 15: Selecting, Developing, and Evaluating Staff Case Study Hope, RN, BSN, is a new graduate and has joined the staff of a busy multiservice surgical unit. She is frustrated and has difficulty performing the numerous psychomotor skills necessary to provide care to her clients. The equipment is very different from the equipment she has experienced, and the procedures differ from those that she learned in her nursing program. Hope’s orientation has been fragmented because of several changes of the nurse designated as her preceptor. Hope is nearing her initial 3-month evaluation and is worried. Question: 1. What should Hope do to prepare for the evaluation? 3
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Bryant University Data to Wisdom Continuum Analysis Paper

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Bryant University Data to Wisdom Continuum Analysis Paper

Data-to-Wisdom Continuum Analysis Paper The purpose of this assignment is to be able to incorporate the data-to-wisdom continuum into the practice of professional nurse. Question: Has electronic health records improved patient safety? -Describe the question you developed and then relate how you would work through the four steps of the

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data, information, knowledge, wisdom continuum. Be specific. -Identify the databases and search words you would use to search for data and information about your topic. -Relate how you would take the information gleaned and turn it into useable knowledge. -Can informatics be used to gain wisdom? -Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search. Must use at least 5 scholarly reference of which, at least 2 journal articles.
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Chamberlain College US Effects on Nursing Career Paper

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Chamberlain College US Effects on Nursing Career Paper

For this activity, reflect on the course content and address the following:

  • Identify and elaborate on  Economic and Healthcare Reforms
    lessons you have learned from our study of United States history that affect you today in your daily life and/or work.
  • Provide advice to the next group of students who will be taking this course.
    • How has this course affected you today in your daily life and/or work?
    • What should incoming students be aware of regarding this class?
    • What strategies did you use that they may find useful?
    • What advice can you provide to help them earn an A?

Writing Requirements

Capella University Safety Improvement Initiative and Workplace Safety Paper

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Capella University Safety Improvement Initiative and Workplace Safety Paper

Assessment 4 Instructions: Improvement Plan Tool Kit – … Course Navigation ! ” https://courserooma.capella.edu/webapps/blackboard/content/listCo… Colleen Koob FACULTY 11 NEW ! ” COACH ! Assessment 4 Instructions: Improvement Plan Tool Kit 1 of 3 9/2/19, 5:20 PM Assessment 4 Instructions: Improvement Plan Tool Kit – … https://courserooma.capella.edu/webapps/blackboard/content/listCo… For this assessment, you will develop an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan. Communication in the health care environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016). D e m o n s t r a t i o n o f P ro f i c i e n c y By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze the elements of a successful quality improvement initiative. Analyze the usefulness of resources to role group responsible for implementing quality and safety improvements. Competency 2: Analyze factors that lead to patient safety risks. Analyze the value of resources to reduce patient safety risk or improve quality. Competency 3: Identify organizational interventions to promote patient safety. Identify necessary resources to support the implementation and sustainability of a safety improvement initiative. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. Present compelling reasons and relevant situations for resource tool kit to be used by its target audience. Communicate in a clear, logically structured, and professional manner, using current APA style and formatting. References Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329–342. Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1–7. P ro f e s s i o n a l C o n t e x t Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory 2 of 3 9/2/19, 5:20 PM Assessment 4 Instructions: Improvement Plan Tool Kit – … https://courserooma.capella.edu/webapps/blackboard/content/listCo… SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. VIEW SCORING GUIDE 3 of 3 # 9/2/19, 5:20 PM
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please follow the instructions attached.

INSTRUCTIONS

Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.

It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, if your initiative concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.

Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories. Each resource listing should include the following:

  • An APA-formatted citation of the resource with a working link.
  • A description of the information, skills, or tools provided by the resource.
  • A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative.
  • A description of how nurses can use this resource and when its use may be appropriate.

Here is an example entry:

  • Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29. Retrieved from www.canadian-nurse.com/articles/issues/2011/octobe…
    • This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative.

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  • Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.
  • Analyze the value of resources to reduce patient safety risk.
  • Present compelling reasons and relevant situations for use of resource tool kit by its target audience.
  • Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.

To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Maternal Morbidity and Mortality Nursing Paper

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Maternal Morbidity and Mortality Nursing Paper

Maternal Morbidity and Mortality Make-up for missed clinical day: 11 hours The U.S. has unacceptable rates of maternal morbidity and mortality, especially when compared to other developed nations. Women in America

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continue to experience sickness and death throughout the perinatal period – during pregnancy, birth, and in the postpartum period. This activity provides resources and educational stories from National Public Radio (NPR), USA Today, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN), the March of Dimes, and the Illinois Department of Public Health. Please work through the activities and respond to the prompts after each section directly on this document. Student Name: _________________________________________ 1. NPR maternal mortality series (2017): https://www.npr.org/series/543928389/lost-mothers o o o o o o o o o Watch To Keep Women from Dying in Childbirth, Look to California (14:07) Watch Focus on Infants During Childbirth Leaves U.S. Moms in Danger (12:11) Watch Black mothers keep dying after giving birth: Shalon Irving’s story explains why (12:11) Watch For every woman who dies in childbirth in the U.S., 70 more come close (10:42) Read Redesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner and More Often (4/23/2018) Read Nearly Dying in Childbirth: Why Preventable Complications Are Growing in the U.S. (12/22/2017) Watch Many Nurses Lack Knowledge of Health Risks to Mothers After Childbirth (6:54) Read If You Hemorrhage, Don’t Clean Up: Advice From Mothers Who Almost Died (8/3/2017) Read U.S. has the worst rate of maternal deaths in the developed world (5/12/2017) Prompt #1: Choose two of the video stories and two of the article stories that captured your attention the most. Provide a brief summary for each of the four pieces. Include your reaction, and if anything surprised you. Each commentary should be a separate paragraph, 4-5 sentences for each. 2. USA Today videos and stories (2018) Deadly Deliveries: (9 minutes) https://www.usatoday.com/in-depth/news/investigations/deadlydeliveries/2018/09/19/maternal-death-rate-state-medical-deadly-deliveries/547050002/ Prompt #2: Briefly summarize Antoinette Pratsinakis, Ali Lowry and YoLanda Mention’s stories. What were their complications? What did the health care team do right? What did they do wrong? How Hospitals Are Failing New Moms, in Graphics: https://www.usatoday.com/deadly-deliveries/interactive/how-hospitals-are-failing-newmoms-in-graphics/ Prompt #3: Define maternal mortality. Rank the maternal mortality rate from lowest to highest for the following developed nations: U.S., Canada, Germany, Japan, France, England. Approximately how many women die in childbirth in America every year? How many suffer severe complications? 3. AWHONN: Review the POST-BIRTH warning signs handout, “Save Your Life”: https://cdn.ymaws.com/www.awhonn.org/resource/resmgr/pdfs/pbws/pbwssylhandoutengl ish.pdf Go to AWHONN’s postpartum education website: https://www.awhonn.org/page/POSTBIRTH Scroll down the page and listen to: “An Interview with a New Mother” Prompt #4: What does the acronym POSTBIRTH stand for? How can we use this to better educate our new mothers on postpartum risks? What struck you the most from the “interview with a new mother”? 4. March of Dimes – Read position statement: https://www.marchofdimes.org/materials/March-of-Dimes-Maternal-Mortality-and-SMMPosition-Statement-FINAL-June-2018.pdf Prompt #5: According to the CDC, what are “pregnancy-related deaths”? What are the top causes of maternal deaths? What is the role of the March of Dimes in efforts to reduce maternal mortality? 5. Read about House Resolution (HR) 1318: https://www.congress.gov/bill/115th-congress/house-bill/1318 Prompt #6: What is the name of HR 1318? In your own words, summarize HR 1318. What and when was the outcome of HR 1318? Do you think this will help to reduce the problem of maternal M&M? Why? 6. March of Dimes – Take this 6-question quiz to test your knowledge: https://quiz.marchofdimes.org/quiz/maternal-healthquiz/?utm_medium=email&utm_source=marchdimes&utm_content=2%20%20Take%20this%20quiz%20You%20may%20be%20surprised%20by%20s&utm_campaign=20 180913_MaternalMortality_quiz_SenderA&source=20180913_MaternalMortality_quiz_Sende rA Take a screen shot of your results and submit with this document 7. Read article: Illinois Releases First Maternal Morbidity and Mortality Report http://www.dph.illinois.gov/news/illinois-releases-first-maternal-morbidity-and-mortalityreport Prompt #7: What were the highlights of what the committee found? Summarize the 6 key recommendations from the report. 8. Final reflection Prompt #8: o What reaction did you have to these resources? What was the most impactful story, article, or new information you learned? Why? o What solutions have been suggested to address the growing problem of preventable complications? What is our responsibility, as health care professionals? o What do you think are the barriers that nurses face which prevent the delivery of quality care and education?
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OB Nursing EKG Class Atrial Fibrillation and Arrhythmia Reflection Paper

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OB Nursing EKG Class Atrial Fibrillation and Arrhythmia Reflection Paper

The length of the reflection paper is 2 pages. Include in the paper: 1) why you decided to take EKG class as an elective rather than other elective classes, and what were your expectations for the course 2) pick one arrhythmia that you found to be a challenge to learn; describe that arrhythmia (criteria, treatment, nursing interventions) 3) how will you apply the knowledge gained in this course. Remember to use APA format.

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Note: I want to pick Atrial Fibrillation as ( arrhythmia)