unsafe staffing and it’s impact on the patient safety

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unsafe staffing and it’s impact on the patient safety

describe in one paragraph the nursing shortage which is a huge problem in the healthcare field.

also add references.

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AACN BSN Essentials and Your Future Practice (1)

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AACN BSN Essentials and Your Future Practice (1)

Good morning Professor and fellow students,

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Here we are in the last discussion of the class. Time has gone by quick here. This has been a great class and easing myself back into the classroom environment has been enjoyable. I hope to see you all in my future courses as well. Now on with the show…

The AACN BSN Essential that I have chosen to discuss today is Essential IV: Information Management and Application of Patient Care Technology. Graduates must have basic competence in technical skills, which includes the use of computers, as well as the application of patient care technologies such as monitors, data gathering devices, and other technological supports for patient care interventions (AACN Essentials, 2018).

Previously being in the tech field before entering nursing, I’ve seen a lot of nurses and even doctors having trouble with the technology whether it’s the computers, scanners, software, etc. There is so much that can be done with the technology but it just needs to be taught properly and in a way that won’t make the user feel it’s too complicated. I see my career vision being nursing informatics. I feel I could be a great asset to help others not feel intimidated by the technology. The ideal professional nursing career vision would include nursing-related passions (Hood, 2018, p. 552).

Essential V: Health care policy, Finance, and Regulatory Environments seem to be one for the most part that wouldn’t impact my future practice too much. The Healthcare policy is very important but the finance and regulatory stuff I would leave to the much higher powers that be.

References

AACN Essentials. (2018). Retrieved from American Association of Colleges of Nursing: http://www.aacnnursing.org/Education-Resources/AACN-Essentials (Links to an external site.)Links to an external site.

Hood, L. J. (2018). Leddy & Peppers professional nursing. Philadelphia: Wolters Kluwer.

AACN BSN Essentials and Your Future Practice (2)

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AACN BSN Essentials and Your Future Practice (2)

Hi Everyone,

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An AACN BSN Essential that is important in my professional practice is Essential IV: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes.

I selected this essential because communication with the interdisciplinary team plays an important role in my work on a daily basis. As a nurse one has to be constantly communicating with not only patients and their families, but with their health care team as well.

As a baccalaureate graduate I will be able to work in my unit with the appropriate knowledge and have gained the confidence needed for better interactions and communication skills with the interdisciplinary team (AACN, 2008, p.22). As stated by the AACN (2008), “teamwork among healthcare professionals is associated with a delivery of high quality and safe patient care” (p. 22). As one can see communication and collaboration are key in providing patient centered care, thus promoting quality care.

All AACN BSN Essentials technically impact our nursing practice/careers. However, the AACN BSN Essentialthat I feel would not impact my future nursing practice directly is Essential V: Healthcare Policy, Finance, and Regulatory Environments. The reason being is because in my workplace I do not directly deal with the finance, legal, and political aspect of patient care. In my practice setting, I am responsible for taking care of patients who are acutely ill and are recovering from a variety of medical diagnoses.

I wish everyone the best of luck in their education!

References:

American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. Retrieved from http://www.aacnnursing.org/Education-Resources/AAC…

Reply

Texas safe harbour law

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Texas safe harbour law

N3375 Health Policy & Legal Aspects Self-Assessment – Legal Issues Submit by Saturday of Module 2 Name: Date:

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This self-assessment will help you check your own understanding of important legal issues and their applications to nursing practice. Although this self-assessment will only count as a participation grade, answer it as best as you can with your current knowledge. NOTE: If your state has its own version of a Safe Harbor law, you may apply it to this activity instead. In the responses, note that you are applying your state’s Safe Harbor provision. Additionally you must include the exact wording of your state’s Safe Harbor provision so the Academic Coach will have access to that information. If your state has no Safe Harbor provision, you will be responsible for reading the Texas provision and proceeding with the activity as if you were a Texas nurse. Follow all other directions as stated. Throughout module 2-3, we will be covering topics that will provide you with an understanding of what your legal options are in these types of situations. At the conclusion of Module 4, the answers will be discussed in the Review. Read this scenario then answer the questions that follow. ©2014 College of Nursing Page 1 of 3 N3375 Health Policy & Legal Aspects You, the RN, arrive early on your regular orthopedic unit. Your Charge Nurse comes to you and says that you need to go to the cardiac step-down unit. You protest, but she says she has no control over the situation and that you at least need to go to the step-down unit and see what is going on. You arrive at the step-down unit. The House Supervisor is present with the unit Charge Nurse. You are told that the unit is very understaffed that day and that you must take patients. You protest that you have worked only orthopedics for the past 10 years- that you do not know the current cardiac drugs and side effects, the current treatments and posttreatment care and that you have never had to read the type of cardiac monitoring strips that are generated on all the patients on this unit. The House Supervisor tells you to not worry. She explains as follows: • There are monitoring techs who are responsible for reading the strips. • You have access to a PDR and Pharmacy if you have questions about the drugs. • A nurse with recent experience on this floor will be able to go around with you to orient you for about two hours. (That nurse must return to his regular floor in two hours.)] You again express concerns that you are not qualified to take this assignment. The House Supervisor takes you aside and says, “We need you to step up and help out here. We need team players in situations like this. If you refuse, I’m going to have to discuss your refusal with the Director of Nursing and your unit manager — it may not be good for your career here at this hospital. Besides, do you think you are the first nurse who ever had to take patients in a less than perfect circumstance? The patients are worse off if you refuse.” Reluctantly, you accept the assignment. About 5 hours into the 12-hour shift, you mis-titrate a cardiac drug. The patient codes, never regains consciousness and is transferred to ICU. The patient dies 3 hours after being transferred. Two weeks later, you are called to Human Resources. Your unit manager, the House Supervisor, and an HR representative are there. You are told that you are being reported to the state’s Board of Nursing due to the negative outcome of your patient. ©2014 College of Nursing Page 2 of 3 N3375 Health Policy & Legal Aspects 1. What were your four options as to taking or refusing the assignment? 2. Was this a situation in which you should have claimed Safe Harbor? 3. Other than Safe Harbor, what Board Rule should you have considered when told to take the assignment? 4. Should the hospital have sent you to the Peer Review Committee before reporting you to the Board? If so, what Board Rule was violated? 5. How should you have responded (from a legal/patient safety/license protection perspective) in response to each of these statements? a) “You will get a two-hour orientation.” b) “The monitor tech will be responsible for reading the strips.” c) “You need to be a team player or you may suffer employment consequences.” ©2014 College of Nursing Page 3 of 3

Discussion post

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Discussion post

There are You, the RN, arrive early on your regular orthopedic unit. Your Charge Nurse comes to you and says that

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you need to go to the cardiac step-down unit. You protest, but she says she has no control over the situation and that you at least need to go to the step-down unit and see what is going on. You arrive at the step-down unit. The House Supervisor is present with the unit Charge Nurse. You are told that the unit is very understaffed that day and that you must take patients. You protest that you have worked only orthopedics for the past 10 years- that you do not know the current cardiac drugs and side effects, the current treatments and post-treatment care and that you have never had to read the type of cardiac monitoring strips that are generated on all the patients on this unit. The House Supervisor tells you to not worry. She explains as follows:

monitoring techs who are responsible for reading the strips.
You have access to a PDR and Pharmacy if you have questions about the drugs.
A nurse with recent experience on this floor will be able to go around with you to orient you for about two hours. (That nurse must return to his regular floor in two hours.)]
You again express concerns that you are not qualified to take this assignment. The House Supervisor takes you aside and says, “We need you to step up and help out here. We need team players in situations like this. If you refuse, I’m going to have to discuss your refusal with the Director of Nursing and your unit manager — it may not be good for your career here at this hospital. Besides, do you think you are the first nurse who ever had to take patients in a less than perfect circumstance? The patients are worse off if you refuse.”

Reluctantly, you accept the assignment. About 5 hours into the 12-hour shift, you mis-titrate a cardiac drug. The patient codes, never regains consciousness and is transferred to ICU. The patient dies 3 hours after being transferred.

Two weeks later, you are called to Human Resources. Your unit manager, the House Supervisor, and an HR representative are there. You are told that you are being reported to the state’s Board of Nursing due to the negative outcome of your patient.

Have you encountered a situation similar to the scenario in the Self-Evaluation? If so, how did you handle it? (Throughout Modules 2-3, we will cover information pertinent to this scenario and your options.)

 

How does your State(TEXAS) Nurse Practice Act address Nursing Peer Review situations?

Powerpoint 2 slides

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Powerpoint 2 slides

Assignment Criteria: Students will address the following information relating to the chosen professional organization

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in the PowerPoint Presentation: 1. Strong introduction and conclusion. 2. Overview of the nursing organization. 3. Organization mission and vision. 4. Organizational funding sources. 5. Membership requirements. 6. Publications and services related to the organization. 7. Identify how the organization promotes professional nursing within the global healthcare delivery system. 8. Present strong arguments why the professional nurse should join this organization. 9. Include presenter’s notes to explain each slide. 10. The presentation should include in-text citations for the professional organization website. Include references for the Guidelines.gov website for this assignment. Additional references should be from scholarly peer-reviewed journals (check Ulrich’s Periodical Directory) and be less than five (5) years old if used. 11. The PowerPoint presentation should not be more than 10-12 slides (excluding the title slide and reference slide). Be complete and concise. Remember to use bulleted statements not complete sentences or paragraphs. 12. Use APA format for presentation, which always includes a title slide, a reference slide, and APA requirements. Resources found in APA Documents/Resources.
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Tags: powerpoint writing nursing

qualitative article essay

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qualitative article essay

A 1000-1500 word essay on article found http://qualitysafety.bmj.com/content/21/Suppl_1/i3…

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Article name: Are patients discharged with care? A qualitative study of perceptions and experiences of patients, family members and care providers

To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment

Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.

Qualitative Study

Background of Study:

Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.

How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

Were the purpose and research questions related to the problem?

Method of Study:

Were qualitative methods appropriate to answer the research questions?

Did the author identify a specific perspective from which the study was developed? If so, what was it?

Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?

Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.

Did the author evaluate or indicate the weaknesses of the available studies?

Did the literature review include adequate information to build a logical argument?

When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

Results of Study

What were the study findings?

What are the implications to nursing?

Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?

Ethical Considerations

Was the study approved by an Institutional Review Board?

Was patient privacy protected?

Were there ethical considerations regarding the treatment or lack of?

Conclusion

Emphasize the importance and congruity of the thesis statement.

Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.

Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.

Integrate a summary of the knowledge learned

PowerPoint presentation

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PowerPoint presentation

Assignment Criteria: Students will address the following information relating to the chosen professional organization

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in the PowerPoint Presentation: 1. Strong introduction and conclusion. 2. Overview of the nursing organization. 3. Organization mission and vision. 4. Organizational funding sources. 5. Membership requirements. 6. Publications and services related to the organization. 7. Identify how the organization promotes professional nursing within the global healthcare delivery system. 8. Present strong arguments why the professional nurse should join this organization. 9. Include presenter’s notes to explain each slide. 10. The presentation should include in-text citations for the professional organization website. Include references for the Guidelines.gov website for this assignment. Additional references should be from scholarly peer-reviewed journals (check Ulrich’s Periodical Directory) and be less than five (5) years old if used. 11. The PowerPoint presentation should not be more than 10-12 slides (excluding the title slide and reference slide). Be complete and concise. Remember to use bulleted statements not complete sentences or paragraphs. 12. Use APA format for presentation, which always includes a title slide, a reference slide, and APA requirements. Resources found in APA Documents/Resources.
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Creating a flow chart

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Creating a flow chart

Assignment: Creating a Flowchart

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Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

To prepare:

Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.
Consider how you would design a flowchart to represent the current workflow.
Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.
To complete:

Write a 3- to 5-page paper which includes the following:

Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)
Next, in your paper:
Explain the process you have diagrammed.
For each step or decision point in the process, identify the following:
Who does this step? (It can be several people.)
What technology is used?
What policies and rules are involved in determining how, when, why, or where the step is executed?
What information is needed for the execution of this step?
Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?
Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.
Summarize why it is important to be aware of the flow of an activity.
Remember to include a cover page, introduction, and summary for your paper.
BY DAY 7 OF WEEK 8
Submit the Assignment.

Note: This paper will serve as the Portfolio Assignment for the course.

SEE GRADING RUBRIC!!!

Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.
27 (27%) – 30 (30%)

Assignment exceedsexpectations. All topics are addressed with a minimum of 75% containing exceptionalbreadth and depth about each of the assignment topics.

24 (24%) – 26 (26%)

Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.

21 (21%) – 23 (23%)

Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.

0 (0%) – 20 (20%)

Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.

Quality of Work Submitted:
The purpose of the paper is clear.
5 (5%) – 5 (5%)

A clear and comprehensive purpose statement is provided which delineates all required criteria.

4 (4%) – 4 (4%)

Purpose of the assignment is stated, yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Purpose of the assignment is vague or off topic.

0 (0%) – 3 (3%)

No purpose statement was provided.

Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:

Understand and interpret the assignment’s key concepts.
9 (9%) – 10 (10%)

Demonstrates the ability to critically appraise and intellectually explore key concepts.

8 (8%) – 8 (8%)

Demonstrates a clear understanding of key concepts.

7 (7%) – 7 (7%)

Shows some degree of understanding of key concepts.

0 (0%) – 6 (6%)

Shows a lack of understanding of key concepts, deviates from topics.

Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:

Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.
18 (18%) – 20 (20%)

Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view.

16 (16%) – 17 (17%)

Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.

14 (14%) – 15 (15%)

Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.

0 (0%) – 13 (13%)

Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view.

Assimilation and Synthesis of Ideas:
The extend to which the work reflects the student’s ability to:

Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.
18 (18%) – 20 (20%)

Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.

16 (16%) – 17 (17%)

Summarizes information gleaned from sources to support major points, but does not synthesize.

14 (14%) – 15 (15%)

Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.

0 (0%) – 13 (13%)

Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.

quantatative critique essay

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quantatative critique essay

I need a quantitative critique essay 1000-1250 word essay using this article found

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http://circoutcomes.ahajournals.org/content/6/4/44… Hospital Strategies Associated With 30-Day Readmission Rates for Patients With Heart Failure. Here are the guideline to writing it,

Research Critique Guidelines

To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for quantitative study in the Topic 3 assignment.

Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.

Quantitative Study

Background of Study:

Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.

How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

Were the purpose and research questions related to the problem?

Methods of Study

Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?

Was informed consent obtained from the subjects or participants?

Did it seem that the subjects participated voluntarily in the study?

Was institutional review board approval obtained from the agency in which the study was conducted?

Are the major variables (independent and dependent variables) identified and defined? What were these variables?

How were data collected in this study?

What rationale did the author provide for using this data collection method?

Identify the time period for data collection of the study.

Describe the sequence of data collection events for a participant.

Describe the data management and analysis methods used in the study.

Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?

What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?

Results of Study

What is the researcher’s interpretation of findings?

Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?

What limitations of the study were identified by researchers?

Was there a coherent logic to the presentation of findings?

What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?

What suggestions are made for further studies?

Ethical Considerations

Was the study approved by an Institutional Review Board?

Was patient privacy protected?

Were there ethical considerations regarding the treatment or lack of?

Conclusion

Emphasize the importance and congruity of the thesis statement.

Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.

Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.

Integrate a summary of the knowledge learned.