Discussion: The Nurse Informaticist

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Discussion: The Nurse Informaticist

Assignment Instructions:

  1. Pick your topic as above and email me for approval. Topics will be first come first serve.
  2. Address this issue through the lens of the nurse informaticist

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Your presentation should

  • Consist of 15–20 slides in length, including the title and reference slides.
  • Use the following bolded topics and subtopics (required) to guide the flow of discussion in your presentation.
  • Define and describe the issue. (one to two slides)
    • Describe the background and history of the issue. (two to three slides)
    • Perform a review of the literature. (three to four slides)
    • *Summarize what is known about the issue.
      *Discuss solutions to the issue as identified from the literature.
    • Explain how the issue is being addressed at the organization where each team member is employed.(one slide)
    • Propose a best practice solution integrating information from the review of literature and from team member’s organizations. (one to two slides)
    • Conclusion – one slide
    • Use course content, your textbooks, professional journal articles, and professional websites as references for your work. (A minimum of 10 professional references with at least five (5) nursing journal articles required.) Discussion: The Nurse Informaticist
  1. Submit your assignment electronically in the designated location. Sometimes, a voice-over PowerPoint presentation is large and will not submit if the size is larger than the designated drop box. Review the size of your file and check with your instructor regarding any size limits for submission.

Presentation Tips: When submitting a PowerPoint make sure content flows between slides, avoid duplication of information; make sure format, grammar, APA format, and content are seamless and flow. Voice recordings should be done in a quiet environment with easily audible sound levels.

Clinical Scenario:

REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated shortness of breath.

HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 22, blood pressure 138/38. O2 sat was 64% on room air. Discussion: The Nurse Informaticist

Assignment: Clinical Judgment in Nursing

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Assignment: Clinical Judgment in Nursing

Assignment: Clinical Judgment in Nursing

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

RN with 12 years of Trauma ED experience

New RN with 6 months ED experience

RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

A 76-year-old client who was involved in a motor vehicle accident and has hematuria.

A 38-year-old client with kidney stones complaining of severe pain.

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A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.

An 80-year-old client that has not had a bowel movement for 4 days. Assignment: Clinical Judgment in Nursing

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

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Module 2 discussion

Patient with Hyperkalemia

Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:

What interventions do expect to be ordered for Mr. Sweet? Why?

What type of acid-base disturbance does he have?

What do you think is Mr. Sweet’s Medical Diagnosis?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation

Module 3 discussion

Case Scenario: Tuberculosis

Wilson is a 36-year-old migrant worker. He was admitted to the Hospital with a cough, unintended weight loss, and night sweats. He is staying with 6 friends in a one bedroom apartment near the strawberry field where he works. The ED physician suspects Tuberculosis (TB).

What diagnostic testing will the Provider order to confirm a diagnosis of TB?

What Isolation precautions do you expect to be put in place and why?

Describe the recommended treatment regimen for TB, including the rationale for combination drug therapy.

Identify the reason compliance to medication therapy is often a concern in the patient with TB.

What should be done for Wilson’s 6 roommates?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation. Assignment: Clinical Judgment in Nursing

Module 4 discussion

I-SBAR-R Reporting

Think of a situation from clinical when the Provider needed to be informed of a change in patient condition. Using ISBARR write what you would report to the Provider. You can use the ISBARR form for guidance.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Module 5 discussion

Patient Teaching: Anticoagulants

Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.

Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.

Develop 3 teaching points important for Sandra to know about her medications regimen.

Teach Back is a great way to find out about patient teaching effectiveness. Watch the following video for an example of Teach Back

What questions would you ask Sandra to verify that she understand the 3 teaching points?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Module 7 discussion

Type 1 vs. Type 2 and Patient Education

Compare and contrast risk factors, age of onset, pathophysiology and clinical manifestations of Type 1 and Type 2 Diabetes. What do you think is the most important topic that must be taught to the diabetic patient and why?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Module 8 discussion

The Older Adult

A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.

Develop a Plan of Care for this patient that includes:

2 Nursing Diagnosis

2 goals for each Nursing Diagnosis

Interventions with rationales

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Module 10 discussion

Bariatric Surgery Patient

EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.

What client education topics are important to reinforce for this client?

How will this client’s diet be advanced?

What complications can occur after this surgery? Assignment: Clinical Judgment in Nursing

What is Dumping Syndrome and what are some interventions to help prevent its development?

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Assignment: Clinical Judgment in Nursing

Benchmark – Effective Approaches in Leadership and Management

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Benchmark – Effective Approaches in Leadership and Management

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
  2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct. Benchmark – Effective Approaches in Leadership and Management
  4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
  6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

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Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:       Exemplify professionalism in diverse health care settings.

1.3:       Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4:       Demonstrate professional standards of practice. Benchmark – Effective Approaches in Leadership and Management

RUBRIC

Attempt Start Date: 05-Aug-2019 at 12:00:00 AM

Due Date: 11-Aug-2019 at 11:59:59 PM

Maximum Points: 150.0

Discussion: Electronic Health Records

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Discussion: Electronic Health Records

1. Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient. o Is this due to lack of skill or training, poor computer system design, or just the nature of computer charting? o Is patient care suffering from the implementation of EHRs? o Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a law suit? 2. Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46). o Identify and explain another type of data, specific to your practice, that is being tracked by an organization. o Why do you feel this data is important to track? o Identify and discuss the organization that is tracking the data. o Are there any ethical concerns with an outside organization tracking this data, explain and give examples? 3. In this week’s discussion post, you identified and explain the topic selected for the project. o Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you? o Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why. Assignment Expectations:

An electronic health record (EHR) is the systematized collection of patient and population electronically-stored health information in a digital format.[1] These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information.[2]

A decade ago, electronic health records (EHRs) were touted as key to increasing of quality care. Today, providers are using data from patient records to improve quality outcomes through their care management programs. Combining multiple types of clinical data from the system’s health records has helped clinicians identify and stratify chronically ill patients. EHR can improve quality care by using the data and analytics to prevent hospitalizations among high-risk patients. Discussion: Electronic Health Records

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EHR systems are designed to store data accurately and to capture the state of a patient across time. It eliminates the need to track down a patient’s previous paper medical records and assists in ensuring data is accurate and legible. It can reduce risk of data replication as there is only one modifiable file, which means the file is more likely up to date, and decreases risk of lost paperwork. Due to the digital information being searchable and in a single file, EMRs (electronic medical record) are more effective when extracting medical data for the examination of possible trends and long term changes in a patient. Population-based studies of medical records may also be facilitated by the widespread adoption of EHRs and EMRs. Discussion: Electronic Health Records

Case Study: Nursing Leadership

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Case Study: Nursing Leadership

Read Chapter 9 attached and create a 500 words essay answering the following. (please use at least 2 references and follow APA style)

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

 

a-Will you have to leave earlier to be in class on time?

b-Will you meet different people on your way to class?Case Nursing Leadership Discussion Essay

c-See different sights?

d-Would you change your route to class on the day of the final exam?

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. Case Study: Nursing Leadership

a-How did you react to the change?

b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Case Nursing Leadership Discussion Essay

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

A leader is a person who can motivate others to do work to achieve the goals of the organization. In a nursing organization, improving the quality of healthcare delivered by the department to be equal with the organizational performance is a key role of leadership(Marquis and Huston, 2015). Case Nursing Leadership Discussion Essay Nursing leadership is essential in the clinical setting and plays an important role in the development of the nurse as an individual or as a professional. An effective leader often has persistence, initiative, integrity, courage, and can handle stress. Furthermore, leaders must be able to think critically, communicate effectively with other team members, set and execute goals (Davidson, 2010). During my clinical experience in the Cardiovascular Intensive Care Unit at Arkansas Children’s Hospital, I was apt to learn and perform leadership duties with Ms. Street, a Patient Care Manager. Hence, I addressed four important learning objectives, which are discussed in further detail below.
Currently, the CVICU is understaffed, especially on day shift due to many variables. This leads to the first objective, “Assess staffing to determine if staffing is adequate to meet the required staffing based on the current acuities of the patients.” The staffing is based on the current acuities and also based on the surgeries to be performed that day, direct admissions from the Emergency Department, the Catherization Lab, or outpatient clinics, and any neonates to be born with known fetal cardiac defects that require transportation to ACH for immediate care. Generally speaking, most of the days I was in the unit at least one of the Patient Care Managers were having to work in staffing due to staff shortages. My preceptor had to staff my first day of clinical experience due to nursing shortages. Consequently, I was able to examine an assignment with high acuity patients that had to be paired due to staffing issues. My preceptor’s assignment consisted of a seven-month-old Tetralogy of Fallot with multiple anomalies with pleural effusions status post-operative chest tube drains placed, currently on a Heated Nasal Cannula, with a right radial Arterial Line, femoral Central Venous Line, and a Peripherally Inserted Central Catheter, on contact Case Nursing Leadership Discussion Essay

Healthcare leadership is a complex multifaceted process, comprising of diverse definitions and qualities. It is highly beneficial for healthcare nurses to be able to identify the leadership styles applicable to their nursing practice. Being proficient in identifying these styles qualifies nurses to advance their expertise to become better leaders and also improves the relationship with other leaders and colleagues. Effective leadership is essential for the safety of the patients and better patient outcomes. This essay explores the connection between leadership and patient safety, different leadership styles and their main features and explains how these leadership styles are applicable in different clinical instances.Case Study: Nursing Leadership

Leadership and patient safety
Literature addressed the significant impacts of nursing leadership has on patient safety is extensive and a strong connection exists between patient safety and leadership in health care systems (Wong et al., 2013). Patient safety can be defined as the inhibition of mistakes and adversative effects to the patients allied with the healthcare system. With the advancement of the healthcare system, maintaining patient safety is also becoming more challenging. The main properties of safety emerge from the accurate interactions between components of the healthcare structure, thereby leading the approach to a well-defined emphasis for patient safety, namely system. The objective of patient safety can also be stated as the prevention, evasion, and amelioration of adverse outcomes or harms stemming from the course of care. Thus effective leadership is essential for the patient-centred care and patient safety. Case Nursing Leadership Discussion Essay

The essence of nursing leadership is to motivate, to inspire, to promote ethics, to generate and empower a consistency emphasis on the essentials of the patient being served. By the means of effective leadership, strategies can be implemented to prevent errors, make coordination with the patient and their families, delivery of individualized care to maintain diverse cultural health beliefs of the patients and most importantly maintain patient safety. An emerging body of information now demonstrates a strong association between leadership activities and safety metrics (Wong et al., 2013). A study found that high-performing healthcare organizations with high rank on measures of safety and quality tend to have clinical leaders with more skills in safety and quality issues and devoted more time to discussion of safety and quality with the management bodies. Studies have provided more insight into how leaders can positively influence safety and found that leaders of high-quality hospitals used more effective leadership practices to monitor and improve safety. These practices embrace planned use of data to improve care by allocating detailed eminence objective and frequently observing performance dashboards etc. (Scott & Miles, 2013). Clinical leaderships can address exact safety issues and noticeably illustrate the significance of patient safety as an organizational priority. Case Nursing Leadership Discussion Essay

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Leadership styles
Appropriate leadership styles are crucial for instigating evidence-based interdisciplinary clinical practice. The commonly used leadership styles are autocratic, democratic, transactional, transformational, situational, visionary and Laissez-Faire leadership (Huber, 2013). The manner in which clinical leaders execute leadership over their staff has positive or negative consequences that can give rise to far-reaching effects on the manoeuvres of healthcare organizations (Scott & Miles, 2013). A clinical professional’s individual style of leadership definitely holds a substantial impact on not only patient safety but also on vital health care aspects like employee attrition, teamwork and communication, morale, turnover rate, feedbacks and productivity (Wong et al., 2013).Case Nursing Leadership Discussion Essay

According to Huda (2014), autocratic leadership style characteristically involves leaders or nurse managers who make all relevant decisions, provides working orders and guidelines and also gives instructions to subordinate staffs who must follow under attentive supervision. In this styles, leaders do not consult other staff and the leaders retain as much power and decision-making authority as conceivable. Staffs are expected to follow instructions without receiving any explanation. Case Study: Nursing Leadership

The democratic style of leadership enables greater participation from subordinate workers in the decision-making process of the organization. Despite the fact that the democratic leaders have the ultimate decision-making authority, they gather ideas, information, and feedback from employees before concluding the very decision that will affect those employees (Huber, 2013). This is an extremely effective method of leadership since workers are more likely to present exceptional efforts when they feel valued. Employees feel appreciated when their contribution becomes an integral portion of the decision-making process of an organization. Democratic leadership prospers in healthcare context because of the diverse skill sets and educational backgrounds of staff members. This style encourages open communication of clinicians and decision making (McKeown & Carey, 2015).

According to Huber (2013), in transformational leadership style, a leader works with followers to detect the desirable changes, fashioning a revelation to direct the modification through encouragement and implementing the transformations in tandem with dedicated associates of the group. This style is most effective when handling lower-skilled employees who need closer observation or at the time of crisis (Clarke, 2013). Transformational leaders assists in motivating, increasing confidence and work performance of staff by means of multiple appliances such as linking the employee’s sense of self to the identity of the institute, being a role model for subordinates, inspiring employees to take bigger possession for their work and understanding the strengths and flaws of employees; it allows the leader to align employees with responsibilities that enrich their performance. (Antonakis & House, 2014).

Clinical instances. Case Study: Nursing Leadership
The assortment of a leadership style is entirely reliant on the clinical circumstances and the requirements of the patients. The application of autocratic or authoritarian leadership can be effective for a nurse in charge of the ward working with an inexperienced junior team. A patient unexpectedly collapses on his bed who shows no responses and the leading nurse suspects that he is having a cardiac arrest. The leading nurse can direct the followers and allocate tasks by applying autocratic leadership for the patient’s safety (McSherry & Warr, 2011). The leader cannot be democratic or transactional in this situation because the team members are inexperienced and expecting effective interventions from them can lead to the loss of valuable time for treatment of the patient.

When prescribing medicines clinical leaders frequently applies democratic leadership to avoid any medication error. It is always better to consult with the experienced team members and not to be an autocratic leader before prescribing a drug (Cunningham et al., 2012).

Transformational Leadership has a significant indirect effect on patient falls. Inspiring employees to rigorously assess the safety measurements of the organization, evaluate existing organizational attention to fall, improve supports for fall prevention programs and detect available as well as required resources for fall management can be done effectively by transformational leadership (Higgins, 2015). Autocratic and democratic leadership cannot effectively motivate the followers for patient safety and reduction of fall incidents.Case Nursing Leadership Discussion Essay

Conclusion
Different leadership styles are suitable according to the ever-changing environment of the healthcare system. Several pieces of evidence demonstrated a noteworthy association between affirmative leadership styles, behavior and practice with amplified patient satisfaction and declined adverse incidents. Autocratic leadership is highly effective in an emergency situation. Hospital administration, from workforces and secretarial divisions to amenities upkeep and insurance billing necessitates autocratic leadership to ensure accountability and uniformity. Simultaneously, physicians work collaboratively under democratic leaders to avoid medication and treatment errors. On the other hand, many results proposed that an emphasis on developing transformational nursing leadership can be an imperative organizational approach to enhance patient safety. Case Nursing Leadership Discussion Essay

This paper is on Ethical Decision Making Model for Nursing.

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This paper is on Ethical Decision Making Model for Nursing.

Grading Criteria NSG/426 r2 University of Phoenix Material Grading Criteria Wk 1 – Legal Issues Facing Nurses

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Content: 160 points possible Points possible Summarizes the legal issues present in the case 60 Lists risk-mitigation techniques 50 Includes potential nurse actions for improving the outcome 50 Format: 20 points possible Points possible Cites at least 3 evidence-based, peer-reviewed sources published within the last 5 years 10 Assignment is free of grammatical errors, language maintains a scholarly and succinct tone 5 Follows a structure that is clear, concise, and appropriate 5 Points earned Comments Points earned Comments Points earned/possible /180 Copyright © 2018, 2017 by University of Phoenix. All rights reserved. 1 Grading Criteria NSG/426 r2 Wk 2 – Applying Regulations in Varying Practice Settings Content: 160 points possible Points possible Chooses 2 different practice settings, with varying CfCs and CoPs 40 Compares and contrasts conditions for coverage 40 Compares and contrasts conditions of participation 40 Selects 2 appropriate factors 40 Format: 20 points possible Points possible Cites at least 3 peer-reviewed sources published within the last 5 years 10 Assignment is free of grammatical errors, language maintains a scholarly and succinct tone 5 Follows a structure that is clear, concise, and appropriate 5 Points earned Comments Points earned Comments Points earned/possible /180 Copyright © 2018, 2017 by University of Phoenix. All rights reserved. 2 Grading Criteria NSG/426 r2 Wk 3 – Applying an Ethical Decision Making Model Content: 160 points possible Points possible Clearly states the ethical issue and its relevance to nursing practice 40 Analyzes additional information: • Populations served • Key stakeholders • Information needed to overcome the problem • Was the problem stated correctly initially? 40 Lists alternative programs that address the issues 30 Explains why this is important, needed, or beneficial for vulnerable populations 30 Lists strategies to implement the plan 20 Format: 20 points possible Points possible Cites at least 3 peer-reviewed sources published within the last 5 years that clearly support the position(s) 10 Assignment is free of grammatical errors, language maintains a scholarly and succinct tone 5 Follows a structure that is clear, concise, and appropriate 5 Points earned Comments Points earned Comments Points earned/possible /180 Copyright © 2018, 2017 by University of Phoenix. All rights reserved. 3 Grading Criteria NSG/426 r2 Wk 4 – Signature Assignment: Legal and Ethical Responsibilities See embedded signature assignment rubric in the classroom. Copyright © 2018, 2017 by University of Phoenix. All rights reserved. 4 Grading Criteria NSG/426 r2 Wk 5 – Learning Team: Current Issues in Nursing Content: 60 points possible Points possible Discussion shows evidence of selection of appropriate topic 20 Discussion shows evidence of personal stance with sources to support 20 Discussion shows evidence of consideration for other viewpoints with evidence to support positions 20 Format: 20 points possible Points possible Discussion is substantive and provides evidence to support stance 10 Discussion is professional, appropriate, and maintains scholarly, respectful tone 10 Points earned Comments Points earned Comments Points earned Comments Points earned/possible /80 Wk 5 – Reflection: Current Issues in Nursing Content: 80 points possible Points possible Chooses an appropriate decision-making model 20 Summarizes the decision-making model 20 Explains each person’s position and evidence 20 Explains how seeing other positions affected their own stance 20 Copyright © 2018, 2017 by University of Phoenix. All rights reserved. 5 Grading Criteria NSG/426 r2 Format: 20 points possible Points possible Cites at least 3 peer-reviewed sources published within the last 5 years 10 Assignment is free of grammatical errors, language maintains a scholarly and succinct tone 5 Follows a structure that is clear, concise, and appropriate 5 Points earned Points earned/possible /100 Copyright © 2018, 2017 by University of Phoenix. All rights reserved. Comments 6 NSG/426: Integrity In Practice: Ethic And Legal Considerations Wk 3 – Applying an Ethical Decision-Making Model [due Mon] Wk 3 – Applying an Ethical Decision-Making Model [due Mon] Assignment Content 1. This assignment reinforces the importance of ethical decision-making in nursing. You will apply an ethical decision making model from this week’s readings to an ethical issue. Review “An Integrated Ethical-Decision-Making Model for Nurses” from this week’s University Library Readings. Apply the ethical decision-making model in the article to access to care or an ethical issue of your choice. Note: If you have questions about your chosen topic, contact your faculty member to ensure it is appropriate. o o o o o o o o o o o o Follow the steps provided in the model, including the following: State the ethical issue and its relevance for nursing practice. Collect and analyze additional information: What populations does this serve? Who are the key stakeholders? What information is needed to overcome the problem? After looking at additional information, decide whether the initial problem was correctly stated. Develop alternatives and compare them: What alternative programs address the issues? Justify the decision: Explain why this is important, needed, or beneficial for vulnerable populations. Find strategies to implement the plan: What ethical arguments could you use to dissuade someone who disagrees with the program? o o o o Format your assignment as one of the following: 18- to 20-slide presentation 15- to 20-minute oral presentation 875-word paper Another format approved by your instructor Cite at least 3 evidence-based, peer-reviewed sources published within the last 5 years to support your position(s). Include an APA-formatted reference list. Submit your assignment. o o o o Resources: Center for Writing Excellence Reference and Citation Generator Grammar and Writing Guides Learning Team Toolkit Copyright 2018 by University of Phoenix. All rights reserved. Required Reading • • • • Epstein, B., & Turner, M., (2015). The Nursing Code of Ethics: Its value, its history. Online Journal of Issues in Nursing, 20(2), 33-41. Park, E.J., (2012). An integrated ethical decision-making model for nurses. Nursing Ethics, 19(1), 139-159. Winland-Brown, J., Lachman, V.D., & Swanson, E.O., (2015). The new ‘Code of Ethics for Nurses with Interpretive Statements’ (2015): Practical clinical application, Part I. Medsurg Nursing, 24(4), 268-271. Winland-Brown, J., Lachman, V.D., & Swanson, E.O., (2015). The new ‘Code of Ethics for Nurses with Interpretive Statements’ (2015): Practical clinical application, Part II. Medsurg Nursing, 24(5), 363-366+. Recommended Reading • • • • • Griffith, R., & Tengnah, C., (2013). Shared decision-making: Nurses must respect autonomy over paternalism. British Journal of Community Nursing, 18(6), 303-306. Ivanov, L.L., & Oden, T.L., (2013). Public health nursing, ethics and human rights. Public Health Nursing, 30(3), 231-238. Menendez, J.B., (2013). Informed consent: Essential legal and ethical principles for nurses. JONA’s Healthcare Law, Ethics, and Regulation, 15(4), 140-144. Muhammad, L., (2013-2014). Ethical issues faced by health care professionals: Finding a solution. i-Manager’s Journal on Nursing, 3(4), 6-9. Rushton, C.H., & Broome, M.E., (2015). Safeguarding the public’s health: Ethical nursing. Hastings Center Report, 45(1), 1. Multimedia • • • Cinema House Films Inc., (2006). ANA Code of Ethics (04:14) [Video file]. Films on Demand. Medcom, (2006). INTRODUCTION: Concepts, Values and Decision Making (23 mins) [Video file]. Nursing Education in Video. Nevco Educational Videos Inc., (2011). Ethical Conduct (02:31) [Video file]. Films on Demand. Publications • • • • Advancing Professional Nursing Practice Everyday Medical Ethics and Law Lachman, V., (2005). Applied Ethics in Nursing, 8. Ulrich, C.M., (2012). Nursing Ethics in Everyday Practice, 115-128.
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Florida National Week 8 Community Nursing Illness and Disability Review

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Florida National Week 8 Community Nursing Illness and Disability Review

Read chapter 21 and 23 of the class textbook and review the attached PowerPoint presentations. Once done, answer

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the following questions.

1. Define and discuss in your own words the definitions and models for disability.

2. Discuss the difference between illness and disability.

3. Compare and contrast the characteristics of rural and urban communities.

4. Discuss the impact of structural and personal barriers on the health of rural aggregates.

As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 8 discussion questions” for grading and in the tab titled “Week 8 assignment” in Turnitin to verify originality. A minimum of 2 evidence-based references besides the class textbook must be used. You must post two replies to any of your peers sustained with the proper references and make sure that the references that you use in your assignment are properly quoted in it. A minimum of 700 words is required.

Discussion board post!!

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Discussion board post!!

ANSWER QUESTION IN 2 PARAGRAPHS AND SUPPORT WITH REFERENCES APA FORMAT and IN TEXT CITATION

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Ohio State University Mod 1 Delaying Newborn Initial Bath Project

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Ohio State University Mod 1 Delaying Newborn Initial Bath Project

Clinical Practice Project (CPP) Goals and Objectives: Module 1 Assignment Objectives: • Students will identify QSEN’s

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competencies for nursing. • Students will have the opportunity to synthesize knowledge and apply skills acquired in the nursing academic and practice settings. • Students will extend their academic experience into areas of nursing practice interest, working with new ideas, issues, organizations, and individuals. • Students will demonstrate the ability to think and act critically and creatively about nursing practice issues and will further develop their analytical and ethical leadership skills necessary to address and help solve these issues. • Students will refine the ability to utilize evidence based research and demonstrate proficiency in written and communication skills. Assignment Instructions: The CP is the culminating academic endeavor of nursing students who earn a baccalaureate degree in nursing. The project provides students with the opportunity to explore a problem or issue of particular professional interest that is somehow related to one of the following nursing QSEN competencies: patient-centered care, teamwork/ collaboration, evidence based practice, quality improvement, safety or informatics (QSEN: http://www.qsen.org). Each of the QSEN competencies somehow link to nursing excellence. You will actually implement your project during this five week course. For your project you will need to: 1. Select an issue/problem that you have a professional interest in. Example: Creation of a patient education tool to prevent falls 2. Select a QSEN competency that relates to that problem. Example: Example: Safety 3. Select a health care organization that can help support your issue: Example: The CDC 4. Develop a global objective: Example: At the completion of this project I will have developed a patient educational tool to present to staff on 1-South to be distributed to all patients on 1South to prevent falls. 5. Develop at least four project objectives: Example: a. Research current literature on the prevention of falls and patient educational material content. b. Seek falls data from ABC Hospital quality department and specifically from the 1South Unit. c. Review data results and evaluate for trends. d. Develop a patient educational tool on fall prevention. e. Educate staff on use of the patient educational tool f. Implement patient educational tool and present to at least ten patients on 1-South. 6. Develop possible resources needed to help meet your goals/objectives. a. Meet with unit manager and seek approval on project implementation. b. Review the CDC web site for current references and resources on fall prevention. c. Create patient educational tool, copy and prepare to distribute. d. Create a timeline to implement the patient educational tool. This week’s assignment is the first of five assignments to complete your Clinical Practice Project (CPP). Each weekly assignment will build upon the last one. It is very important that you follow the directions carefully and review your teachers document/grading rubric for comments so that you can improve each week. To complete this assignment type in the boxes below, the boxes will expand as you type. Be sure to save your document frequently. Points will be deducted for incomplete work, spelling/grammar errors, lack of thought and use of abbreviations. All content must be in your own words, not directly quoted; however you must provide supportive details by using in text citations (Journal Article references at the end of the form-please see your rubric for an explanation of refereed Journals). This assignment is worth 25 points…be sure your work reflects 25 points. Module 1: Clinical Practice Project Goals and Objectives Student Name Date: Jennifer Rubrecht 6/20/19 Project Topic: Give a brief explanation of your topic. QSEN Competency: (example, Patient-centered Care) Delay a newborns initial bath until 12-24hours of age Evidence Based Practice QSEN Definition: Define your QSEN Competency in your own words (paraphrase) using the QSEN.org web site>competencies>graduate KSAS, (example: for competency Patient-Centered Care the definition on the web site is Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs—take this information then write your definition in your own words (paraphrasing, remember to cite the QSEN site). Delaying an infants initial bath to promote skin protection and breast feeding, as well as reducing the risk for hypoglycemia. List two Knowledge/Skills/Attitudes (KSAs)- use two each (Knowledge/skills/attitudes) from the QSEN.org web site which are listed under your chosen competency that you think will help you to meet your selected competency. Then write your KSAS in your own words (paraphrasing/editing related to your specific project —remember to cite the QSEN site). Knowledge Skills Attitudes Discuss Health Care Organization (this is not the facility/organization where you are implementing your project, may be a nursing organization, or any organization which sets standards, conducts research, or publishes evidence based literature in relation to your topic) that will help support your project. Discussion should include the mission/values of the organization (in your own words). Provide citations and references (no direct quotes). Global Objective: the purpose of a global objective is to provide a vision for your overall project-what are you developing and implementing-what is your expected impact on patient outcome? It should be broadly statedin one sentence. (Do Not Use Any Abbreviations) Project Objectives: Now your global objective should be broken down into more focused steps. Be sure your Project Objectives support your Global Objective! How will you achieve your global objective? Be specific. Write 4 Project Objectives…objectives should start with an action verb! (Do Not Use Any Abbreviations) For example; Research on…Develop a tool/guide/protocol/policy/process to…Develop and present education to staff on new tool…Implement new tool on ___number (the number should be adequate to meet your minimum of 1-2 log hours in direct patient contact) of patients to improve (how will your project impact patient outcomes)… Possible Steps to Assist Me in Completing My Project: List at least 4 steps in your project (Do Not Use Any Abbreviations) Example: 1. Talk with manager on unit to discuss project. Date I hope to accomplish by, Provide hopeful completion date for each 1. Complete by 1/16/15 Direct patient engagement: Describe in a one or two sentences how you will provide direct engagement in your clinical practice project and how this will impact patient outcomes. Be specific. Log update: Begin typing documentation on your Clinical Log, provide here a brief explanation of time you have completed this week – you will need to document on your clinical log in addition to the templates, this update does NOT take the place of completing your required log. This is a non-graded item. — Do not include: Orientation off the Unit, Observation, writing or researching papers/assignments, Lunch or Break time. — Do include: A total over the course includes a Minimum of 3 hours with preceptor, Maximum of 6 hours on research of topic, a minimum of 1-2 hours in direct patient engagement and the remainder- 10-11 hours in implementation of your project, Total of 21 true hours. Type Date Time (ex: 1:00pm-2:0 0pm) Total Time Spent (ex: 1 hour) Description (describe specifically what you did in one or two sentences) Preceptor (a minimum of 3 hours is required for the course) Research on topic (a maximum of 6 hours is allowed for the course) Direct Patient Engagement Time (a minimum of 1-2 hours, Specify number of patients) Implementation (the remainder should be spent in implementation, 10-11 hours) Total Time spent this week (by the end of the course you should spend at least 21 true hours) Total for this week = References (double-space and use correct APA format)
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peer response

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peer response

1—– Implementing an evidence-based practice or program (EBP) increases the likelihood that students’

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performance will improve. An EBP is one that is supported by rigorous research demonstrating its effectiveness and changes, even the most effective EBPs do not work for all or students. Further, the more practice or program implemented with fidelity as intended by the researchers or developers a higher likelihood that it will produce positive student outcomes. To judge my project made a difference in practice.
1. Systematically monitor one’s learning outcomes: The purpose of monitoring progress is to determine whether individuals are improving. One of the best ways to measure improvement is progress monitoring, a type of formative assessment in which learning evaluated regularly. Example, each week, comments and grades received from my professor.
2. Systematically monitor the reliability of implementation: The purpose of monitoring fidelity is to ensure that the EBP is being implemented as intended, which will increase the likelihood of improved younger student outcomes.
3. Examine the relation between learner outcomes and fidelity of implementation: The purpose of comparing the two sets of data is to determine whether the EBP is useful for students with whom you are working (vanderbilt.edu).
If commitment is high, increases in performance can be attributed to the evidence-based practice or project. Likewise, if fidelity is high and there is no change in performance, it can be inferred that the plan was not effective for those students. However, if loyalty is low, the relation between the practices of student outcome data would be unclear.

2—-One major thing to review is to see if the nurse navigation staff are actually doing the task to make the difference. Making the mini diabetic assessment a mandatory fill in area in the EMR would help with this compliance. Having a meeting after several weeks of implementation with the navigation staff would look at areas of difficulty and concerns with the new assessment. Getting nursing feedback would determine barriers and open the door to questions and concerns.

One way to evaluate whether the project made a difference is to look at the patient satisfaction ratings. We send each patient a survey after they’ve been discharged to describe their experience. If patients feel as though their needs have been met then one would see an increase in the satisfaction rating. One ratings system we review is the Press Ganey scores. They are reviewed every three months.

Additionally, we can look at the readmission rates. At lot of our patients get readmitted for wound complications. This could be contributed to a low immune system and lack of nutritional intake due to their cancer diagnosis and if they are in active treatment with chemo and/or radiation. Having uncontrolled or poorly managed diabetes can further complicate this issue.

3– “Outcome standards and measures refer to whether the services provided by the organization make any difference: Were they effective?” (Pelletier, 2014, p. 297). In order to see an effective change in practice using the SBIRT (screening, brief intervention, and referral to treatment) model, the change agent can look at patient and staff satisfaction. Many patients have never used behavioral health services before, so performing a survey on patient experiences (when providing SBIRT services) can provide information on how well the clinic is providing care. Positive survey responses would show that patients are more likely to use behavioral health services after the practice changes were made. “Collaborations are needed with patients and families to better understand their preferences and ways to engage them in making healthcare decisions and improving health behaviors”, according to Cullen, Hanrahan, and Kleiber (2018, p. 7). If responses are negative, then changes should be made in the new practice to include patient preferences. In addition, it is important to see how staff view the results of the project by asking for feedback in a meeting or through a staff survey. Removing barriers for SBIRT can decrease staff frustration, thus, improving staff satisfaction. A survey can provide information on barriers.

The most important part of evaluating the project is making sure that those patients who have positive screenings, get a brief intervention or keep an appointment for a referral to treatment. Because the medical department has access to behavioral health’s schedules, the referral team can see if patients kept appointments in behavioral health. It is important to track the number of screenings, the number of brief interventions, and the number of referrals to treatment. If the number of brief interventions increase for positive screenings, it means that patients may be getting education on substance abuse that could potentially help them abstain from using drugs or alcohol. If the number of kept appointments for referrals to treatment have increased, it means that patients may be more comfortable scheduling appointments in behavioral health and may be more likely to get treatment for alcohol and drug abuse. These changes would show that the SBIRT project is making a difference at Indian Health, since these issues have been barriers for providing SBIRT services in the past.

peer response should be minimum of 60 words with proper citation and references.

Tags: dissemination of EBPs nursing Peer response