NURSING: EVIDENCED-BASED PRACTICE PROJECT

NURSING: EVIDENCED-BASED PRACTICE PROJECT

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects.      If there is a need for a consent or approval form, then one must be      created. Although you will not be submitting the consent or approval forms      in Topic 5 with the narrative, you will include the consent or approval      forms in the appendices for the final paper. NURSING: EVIDENCED-BASED PRACTICE PROJECT

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  2. Describe the amount of time needed to complete this      project. Create a timeline. Make sure the timeline is general enough that      it can be implemented at any date. Although you will not be submitting the      timeline in Topic 5 with the narrative, you will include the timeline in      the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or      changes needed in the implementation of the solution. Consider the clinical      tools or process changes that would need to take place. Provide a resource      list. Although you will not be submitting the resource list in Topic 5      with the narrative, you will include the resource list in the appendices      for the final paper.
  4. Describe the methods and instruments, such as a      questionnaire, scale, or test to be used for monitoring the implementation      of the proposed solution. Develop the instruments. Although you will not      be submitting the individual instruments in Topic 5 with the narrative,      you will include the instruments in the appendices for the final paper.
  5. Explain the process for delivering the (intervention)      solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan.      Describe how data management will be maintained and by whom. Furthermore,      provide an explanation of how the data analysis and interpretation process      will be conducted. Develop the data collection tools that will be needed.      Although you will not be submitting the data collection tools in Topic 5      with the narrative, you will include the data collection tools in the      appendices for the final paper.
  7. Describe the strategies to deal with the management of      any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan.      Address the costs for personnel, consumable supplies, equipment (if not      provided by the institute), computer-related costs (librarian      consultation, database access, etc.), and other costs (travel,      presentation development). Make sure to provide a brief rationale for      each. Develop a budget plan. Although you will not be submitting the      budget plan in Topic 5 with the narrative, you will include the budget      plan in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and      discontinue a proposed solution after implementation. NURSING: EVIDENCED-BASED PRACTICE PROJECT

You are required to cite 7 to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide.

You are required to submit this assignment to LopesWrite.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

NURSING: EVIDENCED-BASED PRACTICE PROJECT

Health Determinants In Mental Health

Health Determinants In Mental Health

In this assignment you will investigate the impacts of health determinants in the detection and treatment of mental health disorders.

Step 1

Research and evaluate the evidence of how health determinants impact mental health disorders. It is acceptable to confine your search to one disorder, or to consider mental health disorders in entirety. Gather data regarding detection, treatment, and  health outcomes for the disorder.

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Step 2

Write a three to four-page paper to include:

  • Introduction
  • Health determinants and detection of mental health disorder(s)
  • Health determinants and treatment of mental health disorder(s)
  • Synthesis of practical recommendations
    • Discussion of 1-2 interventions  in the literature related to health determinants that could be effective in reducing disparities in health outcomes in mental health disorders
  • Conclusion

Cite all references in APA format

Health Determinants In Mental Health

Effective Approaches In Leadership And Management

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.Effective Approaches In Leadership And Management
  2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.

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  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
  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.

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

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

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.

Effective Approaches In Leadership And Management

Holistic Care In Advanced Practice Nursing

Holistic Care In Advanced Practice Nursing

Holistic care refers to approaches and interventions that address the needs of the whole person: body, mind, emotion, and spirit. Consider the following case study:

You are caring for a first-time mother in a health clinic. While assessing the woman, you notice she is becoming visibly upset. When you ask, she notes that her mother, with whom she was very close, died last year and that she really would have loved to have shared this pregnancy with her. You empathize with the patient, as your own mother just died 6 months ago. She also notes that she and her partner have been bickering a lot lately on top of her feeling generally sore, tired, and overwhelmed.

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Define holistic care in your own words. Describe four ways you can implement a holistic nursing approach to care and facilitate healing. In addition, you may consider the intersection of holistic care and caritas principles from Jean Watson’s Theory of Human Caring/Caring Science from Week 1.

  • Length: A minimum of 300 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Holistic Care In Advanced Practice Nursing

Concepts Of Cardiovascular And Respiratory Disorders

Concepts Of Cardiovascular And Respiratory Disorders

Scenario 4: 45-year-old woman presents with a chief complaint of the 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. The patient has a history of COPD with a chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals a flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. Concepts Of Cardiovascular And Respiratory Disorders

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Develop a 1- to 2-page case study analysis, examine the patient symptoms presented in the case study. Be sure to address the following:

Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.

Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.

Explain any racial/ethnic variables that may impact physiological functioning.

Concepts Of Cardiovascular And Respiratory Disorders

Benchmark – Evidence-Based Practice Project—Paper On Diabetes

Benchmark – Evidence-Based Practice Project—Paper On Diabetes

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children. Benchmark – Evidence-Based Practice Project—Paper On Diabetes

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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

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

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

Benchmark – Evidence-Based Practice Project—Paper On Diabetes

Moral Dilemmas And Ethical Decisions

Moral Dilemmas And Ethical Decisions

Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room. Moral Dilemmas And Ethical Decisions

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

  • Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
    • Explain the health care policies that can affect emergency care.
    • Recommend evidence-based decision-making strategies nurses can use during triage.
  • Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
    • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.
    • Explain how health care disparities impact treatment decisions.
  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
    • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
    • Correctly format citations and references using APA style.

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

  • How does a triage nurse decide which patient gets seen first?
  • How does health disparity affect the triage nurse’s decision making?
  • What ethical and moral issues does the triage nurse take into account when making a decision?
  • What are triage-level designations?

Assessment Instructions

 

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

  • One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
  • The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

Directions

Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

  • Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
  • Explain how health care disparities impact treatment decisions.
  • Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
  • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
  • Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population. Moral Dilemmas And Ethical Decisions

Additional Requirements

Your presentation should meet the following requirements:

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Times New Roman, 12-point.

Moral Dilemmas And Ethical Decisions

Patient Communication

Patient Communication

Nursing professionals do not only communicate with others within their organizations—often, they are also the first point of contact with patients. Thus, nursing professionals need superior communication skills to explain procedures and medication instructions, as well as to listen to what patients need to say. Patient Communication

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

  • Competency 2: Describe the concepts, processes, and tools required to conduct comprehensive health assessments for individuals, families, communities, and populations.
    • Recommend evidence-based strategies to improve nurse-client/patient communication.
    • Explain how nurse-client/patient communication strategies consider individual demographics.
  • Competency 3: Explain the internal and external factors that can affect the health of individuals, families, communities, and populations.
    • Describe the types of communication that occur between nurses and clients/patients.
    • Explain the factors that influence the communication experience between nurses and clients/patients.
    • Explain how the client/patient communication experience can impact health care outcomes.

Prepare a 3–4-page report on nurse-patient communication in which you address types of communication, factors that influence the communication experience, and how the patient experience affects health outcomes. Recommend evidence-based strategies to improve nurse-patient communication and explain how the strategies consider patient demographics.

Assessment Instructions

 

Imagine that, in an effort to reduce the number of patient complaints about nursing staff, organizational leadership has asked your department to prepare some preliminary research on a number of different topics. Your topic is patient communication, such as the following:

  • The types of communication that take place between nurses and patients.
  • The factors that can influence both positive and negative experiences.
  • How the experience can impact health care outcomes.
  • Strategies that can improve the communication between nurses and patients.

Preparation

Search the Capella library  or the Internet for peer-reviewed journal articles or other professional resources on the topic of effective communication with patients. You will need at least 3 resources to support your work in this assessment. Patient Communication

Directions

Prepare a report on patient-nurse communication in which you include the following:

  • Describe the types of communication that take place between nurses and clients/patients. Do not forget to consider types of communication beyond verbal and written on paper.
  • Explain the factors that influence positive and negative experiences during the communication process. (Hint: Consider the experiences of both the client/patient and the nurse. Also, consider things such as age, gender, culture, and so on, of both the client/patient and the nurse.)
  • Explain how the client/patient experience can impact health care outcomes.
  • Recommend evidence-based strategies for improving communication between client/patients and nurses.
  • Explain how the strategies consider different client/patient demographics.

Format this assessment as a report that you would give to your supervisor. It may be helpful for you to review how your organization formats internal reports and incorporate your findings. You are still required to adhere to APA guidelines for in-text citations and references, as well as for formatting your reference page.

Additional Requirements

  • Include a title page and a reference page.
  • Ensure your assessment is 3–4 pages in length.
  • Use double-spaced, 12-pt., Times New Roman font.

Patient Communication

Benchmark – Human Experience Across The Health-Illness Continuum

Benchmark – Human Experience Across The Health-Illness Continuum

Details:

The benchmark assesses the following competency:

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

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:Benchmark – Human Experience Across The Health-Illness Continuum

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

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.

Benchmark – Human Experience Across The Health-Illness Continuum

Concepts And Theories In Nursing

Concepts And Theories In Nursing

Your assignment this week will be an APA paper to include a title page, level headings, and a reference page.

  1. Case Study

Parse’s theory focuses on quality of life and is from each person’s perspective. The concept of valuing at the level of human experiences focuses on the ways persons choose and act on what is important in their lives.

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye, and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small, fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann, his voice broke, choking back tears. “Ann, Ann, I saw Jessie…Jessie is calling.” Ben turned, “Jessie was our daughter. She died having a baby that was too big. When she died, it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe. Concepts And Theories In Nursing

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  • Based on this case study, how would the nurse actualize Parse’s theory of Human Becoming?

Make sure the first line of your paper is the title and is centered and NOT bold. You must have an intro paragraph that introduces all the topics of your paper. You will then address the question above and will have a level header Actualization.

  • What are the characteristics of a human becoming nurse?  What are the strengths and weaknesses of this theory of nursing?

This section should be at least one paragraph with a level header Strengths and Weaknesses. Think about how to apply this theory. Would it work for every setting?

What challenges exist for healthcare institutions to switch to this nursing approach?

This section should have a level header Challenge and should include at least two reasons. Make sure you explain why it is a challenge in detail. Concepts And Theories In Nursing

  • How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?

This section should have a level header Transcendence and should use key words from the theory to tie into the case study.

  • From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

This section should have a level header Additional theory. Why did you select this theory? How can you apply it to this case study? Again, make sure to use key words from the theory. Make sure you have a conclusion paragraph that sums up the content of your paper and has a level one header Conclusion.

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

Concepts And Theories In Nursing