Nursing homework help

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This assignment incorporates knowledge of organizations and workplace culture. It also evaluates the ability to navigate a complex organization and recommend a change to a care process by involving stakeholders and reaching approval. This will incorporate systems theory, the influence of organizational structure, and the improvement of care delivery in this assignment.

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Using the following elements as a guide, address your findings and the graphics listed below.

  1. Introduce your concept map by identifying a process improvement in your department that includes economic, legal, and political factors that may influence the process.
  2. Using systems theory, create a concept map for the improvement process of your project. Be sure to include all aspects as well as other disciplines that will be involved.
  • This assignment will be a 2-page document. The first page is a written introduction explaining your findings, which addresses the topics in 1) above. The second page is your Lucidchart concept map.
  • Use Lucidchart or another tool such as Word to create your concept map for your improvement process plan. Nursing homework help

Evidence-Based Practice

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Evidence-Based Practice

Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

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To Prepare:

  1. Review the Resources and reflect on the definition and goal of EBP.
  2. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  3. Explore the website to determine where and to what extent EBP is evident.

 Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples Evidence-Based Practice.

Example Paper

According to Melnyk, in order to implement evidence-based practice (EBP) consistently one must cultivate a spirit of inquiry, ask clinical questions, search for the best evidence, appraise the evidence, implement the evidence, evaluate outcomes, and then lastly share the results (Melnyk, 2010). This step by step process is very evident in the organization I chose to explore Evidence-Based Practice.

The organization that I chose to focus on is referred as the Center for Evidence and Practice Improvement (CEPI). CEPI, “conducts and supports research and evidence synthesis on health care delivery and improvement; advances decision and communication sciences to facilitate informed treatment and health care decision making by patients and their health care providers; explores how health information technology can improve clinical decision making and health care quality; catalyzes and promotes sustainability of improvements in clinical practice across health care settings through research, demonstration projects, and partnership development; and operates the National Center for Excellence in Primary Care Research (CEPI, 2014).”

CEPI consists of five divisions: Evidence-Based Practice

  1. Evidence-Based Practice Center Program
  2. S. Preventive Services Task Force Program
  3. Division of Decision Science and Patient Engagement
  4. Division of Health Information Technology
  5. Division of Practice Improvement

CEPI is also home to AHRQ’s National Center for Excellence in Primary Care Research (NCEPCR). This organization is grounded in EBP and has made me appreciate the organization for what it is and what it stands for.

References

Center for Evidence and Practice Improvement (CEPI). (2014, July 15). Content last reviewed January 2017. Agency for Healthcare Research and Quality, Rockville, MD. Retrived May 26, 2019. http://www.ahrq.gov/cpi/centers/cepi/index.html

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2. Retrieved from http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf Evidence-Based Practice

 

DNP-805A HEALTH CARE INFORMATICS

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DNP-805A HEALTH CARE INFORMATICS

I need the following questions in 200 words each

MODULE 2

DQ 1

Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes. Describe strengths and limitations that might apply to its usage. DNP-805A HEALTH CARE INFORMATICS

DQ 2

You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new practice workflow to incorporate seeing patients and in regard to communication with the health care team and the infusion of the EHR into your practice. What elements do you need to consider if this position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change if the setting was a rural regional clinic system?

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MODULE 3

DQ 1

Describe how CPOE and CDSS embedded in the EHR can be useful towards a specific patient population of your choice. Identify one element of either the CPOE or CDSS you would improve that could enhance the effectiveness of the system for that patient population.DNP-805A HEALTH CARE INFORMATICS

MODULE 4

DQ 1

Select a defined patient population; for example, diabetic patients over 65 years of age. List elements that you think will be valuable in a database. Describe each element and explain each term of its type of data (text, numbers, date, time, binary, etc.). If an element can be more than one type of data, explain how that is possible. Be sure to post an element different from that of your peers.

MODULE 5

DQ 1

Select a specific clinical problem and post a clinical question that could potentially be answered using data mining. Identify data mining techniques you would apply to this challenge and provide your rationale. Are there any specific data mining techniques you would not use? Support your decision.

MODULE 6

DQ 1

A patient of your choice is being discharged to home and will use telehealth technology. Post the technology your patient will use at home and how will you connect with the patient using this technology.  DNP-805A HEALTH CARE INFORMATICS

DQ 2

Consider current telehealth strategies and alternatives. Evaluate current implementation strategies for telehealth systems and provide an assessment of the pros and cons. Identify a particular practice area (e.g., clinic, hospital, primary care site) and discuss how you as a health care leader might you implement a similar strategy in that area?

MODULE 8

DQ 2

Describe how you can apply the spectrum of health care technology options to develop a plan to manage your patient from acute care to home care and then into the community. What organizational, societal, cultural, or other factors might impact your plan, and how could you address these? DNP-805A HEALTH CARE INFORMATICS

 

 

Newborn Transitioning

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Newborn Transitioning

Sarah works in the labor and delivery unit as a transition nurse. Her department has instituted a new bedside transition period where newborns make the transition to extra uterine life in their mother’s recovery room about an hour after birth. Sarah’s next assignment is a new baby boy with Apgar scores of 8 and 9, born by cesarean about 1 hour ago to Lindsay, a 28-year-old G1. Sarah’s assessment findings of the new baby boy are: Newborn Transitioning

  • Vital signs: axillary temperature 37.0° C, heart rate 145, respiratory rate 75
  • Observations: color pink, respirations rapid and unlabored, good muscle tone, good arm and leg movement
  • Auscultation: breath sounds clear and equal bilaterally, strong heart sounds with a soft murmur, active bowel sounds in all four quadrants
  • Physical assessment: fontanels soft and flat, eyes clear with red reflex in both, ears normal shape and placement, soft and hard palate intact, strong suck, both nares patent, capillary refill less than 2 seconds, both testes descended
  • Measurements: weight 8 pounds 6 ounces, length 20 inches, head circumference 36.2 cm, chest circumference 36.0 cm Newborn Transitioning

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  1. Which assessment findings for this newborn are abnormal? What is the most likely cause of these abnormal findings?

The assessment shows that the baby has a high respiratory rate of seventy five. The normal respiratory rate for infants range from 30 to 60. When it goes higher than that then the baby is having some respiratory problems. This abnormality might be caused by respiratory distress syndrome or transient tachypnea of the new born.  It is TTN… RDS is a diagnosis of prematurity.  Go read about TTN.

  1. How would Sarah explain these abnormal findings to Lindsay?

Respiratory distress happens when the baby has difficulties in breathing. The difficulties may occur due to abnormalities in the lungs, nose, heart, and other respiratory passages. Sometimes, infants experience labored and high respiratory rates because their respiratory system is well and fully developed (Rici, 2013)..  this is a generic answer…  Newborn Transitioning

  1. Describe the nursing interventions that Sarah would implement based on these findings.

In this case, the most effective nursing interventions for the baby would be administering intratracheal surfactant and prophylactic surfactant.  This is done for prematurity…not the problem and it is a medical intervention NOT nursing..

The two are rescue interventions to enable the baby breath and supply the body with enough oxygen.

Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, and chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver’s face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her hand to her mouth and starts sucking on her fist and then begins to cry. Destiny falls asleep immediately after the feeding. The telephone, which is next to Destiny on her mother’s bed, rings loudly and Destiny does not appear to respond to the loud sound by moving her extremities or awakening briefly. (Learning Objective 5) Newborn Transitioning

  • Based on your observations of Destiny, are her behaviors normal? Which of the five typical behavioral responses were observed?

Destiny’s behaviors are not normal. Out of the five typical behavioral responses, crying is clearly observed with baby Destiny. She cries when she is hungry and when she needs a diaper change. Mostly infants communicate through crying. Also, reflex response is observed especially sucking. When she is hungry, she brings her fist to the mouth and begins to suck it.

  1. Does Destiny exhibit any behaviors that may be cause for concern? What is the concern and what might you as the nurse do to assess further?

The main behavior exhibited by the baby that causes concern is hearing. Infants have the ability to hear and react to sounds and voices. Therefore, the major concern could be ability of the child to hear. As a nurse, I would use otoacoustic emissions method to assess the hearing of the baby Newborn Transitioning.

References

Ricci, S. S. Esentials of Maternity, Newborn, and Wom     ens health Nursing.(2013).

 

Breast Examination Example Paper

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Breast Examination Example Paper

D.F. is a 27-year-old female who presents to the gynecologist’s office for her yearly examination complaining of bilateral breast pain and tenderness.
Subjective Data
Last menstrual cycle: 18 days ago
Pain is dull pain
Breasts feel heavy and tender
Performs monthly breast self-examinations

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Objective Data
Breasts moderate size, evenly pigmented, bilaterally symmetric, and hang equally with smooth contour. Venous patterns bilaterally similar. Breasts firm, smooth, elastic without tenderness, lumps, or nodules. Areolae round, nipples protruding, symmetric, soft, pliable, smooth, and intact without discharge. Axillary lymph nodes are not palpated.

1. What other questions should the nurse ask about the breast pain?

2.What are some of the causes of breast pain?

3. What is a  supernumerary nipple?

Breast Examination Example Paper

 

 

Qualitative Research Sample Essay

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Qualitative Research Sample Essay

discuss:

Qualitative research is a method of research that provides subjective data describing one’s perceptions, experiences, and meanings that accounts to contexts that helps understand the barriers that help bridge the gaps between scientific evidence and clinical practice.  An example, Green & Britten (1998) explain that qualitative research investigates attitudes, beliefs, and preference that addresses how evidence can be used in practice.

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Qualitative research is the evidence that shows empiric knowing that is necessary for practice.  It is a method of research that uses numbers and graphs to test theories and assumptions.  This research method can be used to make predictions and generalizes results that measure the effectiveness of an interventions (Albers, 2017).

In comparing these two research methods, both are used to collect and analyze data, however, they allow to answer different types of research questions.  For example, Morgan (2016) describes qualitative research as a method that enables data gathering using words and meanings.  It also explores concepts and experiences in more detail and quantitatively establishes facts about a topic using numbers and statistics measuring variables and hypotheses. Qualitative Research Sample Essay

HEALTHCARE FINANCING

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HEALTHCARE FINANCING

Health financing is a core function of health systems that can enable progress towards universal health coverage by improving effective service coverage and financial protection. Today, millions of people do not access services due to the cost. Many others receive poor quality of services even when they pay out-of-pocket. Carefully designed and implemented health financing policies can help to address these issues. For example, contracting and payment arrangements can incentivize care coordination and improved quality of care; sufficient and timely disbursement of funds to providers can help to ensure adequate staffing and medicines to treat patients HEALTHCARE FINANCING.

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WHO’s approach to health financing focuses on core functions:

  • revenue raising (sources of funds, including government budgets, compulsory or voluntary prepaid insurance schemes, direct out-of-pocket payments by users, and external aid)
  • pooling of funds (the accumulation of prepaid funds on behalf of some or all of the population)
  • purchasing of services (the payment or allocation of resources to health service providers)

In addition, all countries have policies on which services the population is entitled to, even if not explicitly stated by government; by extension those services not covered, are usually paid for by patients (sometimes called co-payments)HEALTHCARE FINANCING.

designed and implemented health financing policies can help to address these issues. For example, contracting and payment arrangements can incentivize care coordination and improved quality of care; sufficient and timely disbursement of funds to providers can help to ensure adequate staffing and medicines to treat patients.

WHO’s approach to health financing focuses on core functions:

  • revenue raising (sources of funds, including government budgets, compulsory or voluntary prepaid insurance schemes, direct out-of-pocket payments by users, and external aid)
  • pooling of funds (the accumulation of prepaid funds on behalf of some or all of the population)
  • purchasing of services (the payment or allocation of resources to health service providers)HEALTHCARE FINANCING

In addition, all countries have policies on which services the population is entitled to, even if not explicitly stated by government; by extension those services not covered, are usually paid for by patients (sometimes called co-payments).

AdvocacyWK10 Research Essay

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AdvocacyWK10 Research Essay

  • Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
  • Select an existing healthcare program or policy evaluation or choose one of interest to you.
  • Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.AdvocacyWK10 Research Essay

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 (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following: AdvocacyWK10 Research Essay

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy

AdvocacyWK10 Research Essay

 

Deep Vein Thrombosis (DVT)

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Case study:

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.

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  1. Can Sandra be placed on Coumadin and Heparin at the same time? What is the reason she is on both medications at the same time? Use critical thinking skills and rationale along with data from your resource to support the reason.
  2. Develop 3 teaching points important for Sandra to know about her medications regimen.
  3. What 3 questions would you ask Sandra to verify that she understand the 3 teaching points?
  4. Please include at least 1 reference and provide appropriate citation of your reference(s), only time frame of 2019-2021 is to be used for your references. Deep Vein Thrombosis (DVT)

Nurse Burn Out Assignment Paper

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Nurse Burn Out Assignment Paper

Discuss the impact of a clinical practice problem on the patient(s) and the organization it affects.

1.  Identify the following PICO components of the clinical practice problem:

•   patient/population/problem (P)

•   intervention (I)

•   comparison (C)

•   outcome (O)

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part A and the PICO components identified in part A1.

Note:  Refer to “Appendix B: Question Development Tool” for information on the creation of an EBP question. Nurse Burn Out Assignment Paper

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B.  Select a research-based article that answers your EBP question from part A2 to conduct an evidence appraisal.

1.  Discuss the background or introduction (i.e., the purpose) of the research article.

2.  Describe the research methodology.

3.  Identify the level of evidence using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the article.

5.  Summarize the ethical consideration(s) of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note:  Refer to “Appendix E: Research Evidence Appraisal Tool” for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article and explain how the article helps answer your EBP question.

C.  Select a non-research article from a peer-reviewed journal that helps to answer your EBP question from part A2 to conduct an evidence appraisal.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline).

3.  Identify the level of evidence using the JHNEBP model.

Note: The article you select should not be more than five years old. 
Note:  Refer to “Appendix F: Non-Research Evidence Appraisal Tool” for information on how to level the non-research-based article. Nurse Burn Out Assignment Paper

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendation(s) in the article helps to answer your EBP question.

D.  Recommend a practice change that addresses your EBP question using both the research and non-research articles you selected for Part B and Part C.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation.

3.  Identify one strategy that could be used to overcome the barrier discussed in part D2.

4.  Identify one outcome (the O component in PICO) from your EBP question to measure the recommended practice change.

E.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

F.  Demonstrate professional communication in the content and presentation of your submission. Nurse Burn Out Assignment Paper