nsg6630 -Evidence-Based Organizational Change

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nsg6630 -Evidence-Based Organizational Change

Typically it takes seventeen years to get nursing research from the “bench to the bedside,” and this is entirely too long! Just think of the compromises or “missteps” in nursing care that could negatively impact patient satisfaction and patient outcomes. Organizational change, as well as nursing care, must be grounded in evidence-based strategies at all times. It can be challenging to seek out and apply evidence-based knowledge for clinical practice, operational issues, and nursing leadership. Nurse leaders must have quality time to ponder, review, locate, analyze, and synthesize evidence-based resources to guide practice and organizational change. Nurse leaders must be able to apply effective evidence-based strategies to foster and promote quality care and achieve the organizational mission and strategic outcomes. Nurse leaders must also be able to clearly communicate change to multiple key stakeholders within the healthcare organization. One of the ways to communicate change is to prepare an executive summary describing the proposed change.

This week, you will begin preparing an executive summary of an evidence-based organizational change to improve one aspect or focus of the healthcare organization’s strategic plan. You will also present your rationale for implementing the evidence-based practice change.

The purpose of this assignment is to assess your progress on the final executive summary due in Week 10. This assignment provides you the opportunity to self-assess and determine any issues or challenges that need to be resolved prior to completing and submitting the final nsg6630 -Evidence-Based Organizational Change assignment.

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Week 7 Tasks

Begin this nsg6630 -Evidence-Based Organizational Change assignment by having a discussion with your practicum preceptor. Select a topic or area of interest related to your administrative experience in your chosen practicum setting.

Using the readings for the week, the South University Online Library, and the Internet, prepare a 1–2-page paper covering the following:

Selecting the Issue: Provide a brief summary of the issues or problem areas of your selected issue or area of interest. Provide a rationale for implementing the evidence-based practice change to this issue or area of interest.

Data Gathering: Conduct a literature review of at least two to three peer-reviewed articles as well as qualitative data related to the selected topic or area of interest. Explain your findings.

Identifying the Change Theory: Identify one change theory that could apply to your selected topic or area. Briefly explain how you plan to apply this change theory to your selected topic or area of interest. Explain the goodness-of-fit of the selected change theory. Provide a valid rationale for your answer.

Submission Details:

Submit your nsg6630 -Evidence-Based Organizational Change assignment in Word format to the Submissions Area by the due date assigned.

Evidence-Based Organizational Change—Part 2

In Week 7, you began preparing an executive summary of an evidence-based organizational change to improve one aspect or focus of the healthcare organization’s strategic plan. This week, you will finalize your executive summary and submit your assignment.

The purpose of the executive summary is to prepare a presentation for an audience of key stakeholders, such as a board of trustees or group of nurse executives and/or policy makers. An executive summary is a 2–3-page overview written in easy-to-understand language highlighting the essence of the evidence-based organizational change.

Week 10 Tasks

Begin this assignment by incorporating the instructor’s feedback on the assignment you submitted in Week 7.

Then, prepare a 2–3-page paper addressing the following:

Create an executive summary of the evidence-based organizational change to improve one aspect or focus of the healthcare organization’s strategic plan regarding your selected topic or area of interest. The text in the summary should be double-spaced.

Develop your rationale for implementing the evidence-based practice change by including the following:

An overview of your chosen topic or area of interest and rationale for selection.

An explanation of the change theory you selected and its goodness-of-fit.

A brief analysis and comment on your literature review findings and the qualitative data gathered in support.

Submission Details:

The forms should be submitted to the Submissions Area by the due date assigned.

Name your document SU_NSG6630_W10_A2_LastName_FirstInitial.doc

On a separate page, cite all sources using the APA format.

Discussion: The Application of Data to Problem-Solving

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Discussion: The Application of Data to Problem-Solving

Once upon a time, there was an era of paper charting and this was the norm in many health care facilities. There were using MAR and TAR  , I had an opportunity to be part of that generation where health care professionals where  locked in this system .This paper system was very stressful and it was hard to find the information needed regarding patients .Little did we all know that technology was evolving so fast and later on , Many software with EMR and ETR emerged . Now, most hospitals I work for are using Electronic Medical Records (EMR) and life is so much better. Since the implementation of EMR, access to critical information or data has been faster and more convenient for all health care professionals.

In the ICU where our patients are usually in a state of shock or going to it, various data collection sets are used to predict the severity of shock or if a patient is going to septic.  The use of MEWS or Modified Early Warning Score together with laboratory data has provided many hospital units to prevent delay in interventions of critically ill patients (Gardner-Thorpe et al., 2006). My current hospital integrated MEWS with our EPIC EMR which triggers or flags nurses to pay more attention to warning signs of sepsis or shock. The nurses will then contact the Rapid Response nurses to evaluate the patient and interventions are made to prevent further decline in health.

Without the integration of data as a useful source of information to drive nursing interventions, it would take nurses and other health care providers some time to gather information and formulate a solution Discussion: The Application of Data to Problem-Solving. With our EPIC system, which is maintained by the Information Systems department, led by a Nursing Informatics graduate, the digital solution to electronic records and retrieval is modeled on the nursing science. McGonigle and Mastrian enumerated the foundations of nursing informatics being knowledge acquisition, generation, dissemination, processing and feedback (2018). These processes drive the current nursing practice model to that of information systems.

Access to a vast collection of data about any medical issues has also been integrated into our EPIC. Medline and Micromedex for drugs are excellent resources that enable the nurses to administer correct medications and know the side effects of each medication that are not familiar to them (Flynn, 2001). As we can see, technology has come a long way to help as a tool for health care professionals to work effectively and safely.

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References

 

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

 

 

Gardner-Thorpe, J., Love, N., Wrightson, J., Walsh, S., & Keeling, N. (2006). The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study. Annals of the Royal College of Surgeons of England, 88(6), 571-5.

 

Flynn, M. B. (2001). Nursing and informatics: Implications for critical care practice. Critical Care Nurse, 21(4), 8-8, 10, 14, 16. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search-proquest-com.ezp.waldenulibrary.org/docview/228169558?accountid=14872

 

Response

Henry, I came into the nursing field just as the nursing field was transitioning into electronic records.  I remember seeing and hearing the older nurse’s frustrations because their generation was not as familiar with using computers.  Wu, Deoghare, Shan, Meganathan & Blondon (2019) reports that electronic health record (EHR) systems that are not easy to navigate through can increase frustration among users, which can result in increased errors.  While transitioning to EHR systems was difficult in the beginning, it was easier once everyone adjusted to the system.  Unlike paper systems, EHR systems allow providers to review lab results and diagnostic tests promptly  Discussion: The Application of Data to Problem-Solving. There is less of a chance that records will be misplaced or misfiled when an EHR system is in place.

Ayaad, Alloubani, ALhajaa, Farhan, Abuseif, Hroub & Akhu-Zaheya (2017) conducted a comparative study comparing paper-based records and EHR systems.  What the study showed was that the patients in hospitals that used EHR systems received higher quality care compared to those that did not.  EHR system allows providers to print off a summary of the patient’s condition that can be given to their peers during the change of shift, or when a patient is being transferred to a different unit (Wu, Deoghare, Shan, Meganathan & Blondon, 2019).  This help ensure that the oncoming nurse has all the information available to provide quality care.

References

Ayaad, O., Alloubani, A., ALhajaa, E., Farhan, M., Abuseif, S., Al Hroub, A., & Akhu-Zaheya, L. (2019). The role of electronic medical records in improving the quality of health care services: Comparative study. International Journal of Medical Informatics, 127, 63–67. Doi: 10.1016/j.ijmedinf.2019.04.014

Wu, D., Deoghare, S., Shan, Z., Meganathan, K., & Blondon, K. (2019). The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study. Health Systems, 8(3), 203–214. Doi: 10.1080/20476965.2019.1620637Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation. Discussion: The Application of Data to Problem-Solving

To Prepare:

  • Reflect on the concepts of informatics and knowledge work as presented in the Resources.
  • Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

By Day 3 of Week 1

Post a description of the focus of your scenario. Describe the data that could be used and how the data might be collected and accessed. What knowledge might be derived from that data? How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

By Day 6 of Week 1

Respond to at least two of your colleagues* on two different days, asking questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

 

 NURS_5051_Module01_Week01_Discussion_Rubric

Excellent Good Fair Poor
Main Posting
45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.
0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not post by day 3.
First Response
17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Second Response
16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.
14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.
12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.
0 (0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.
Participation
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

 

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Focus of My Scenario

 

In my clinical scenario, the danger of surgical smoke goes wholly ignored by my hospital. The surgical staff is constantly exposed to smoke from electrocautery and lasers without apparent care for their occupational health. Ignorance of the situation by surgeons and management is persistent. Examining the basis of such ignorance reveals multiple potential motivations. First, surgeons may believe, and it is frequently said, that there is no danger presented by inhaling surgical smoke. However, there is sufficient and credible evidence to the contrary. Second, there may be a corporate fear associated with the cost associated with smoke abatement technologies. However, the ethical and moral concern associated with cost-based value judgments when it comes to employee safety becomes ugly very quickly. This is especially true when such a clear body of knowledge regarding the issue exists. Third, there may be conflict within the scientific community about the subject. As more contemporary scientific knowledge is revealed, older notions that were once considered as knowledge are laid to rest. In this case, the most strident of the old-school thinkers still demand their say at the cost of so many affected healthcare workers.

 

Data Use, Collection and Access

 

The credible data required for a transformative effort in the knowledge of this the subject is current, copious and widely available through Google Scholar, the U.S. Department of Labor Occupational Safety and Health Administration, the National Institute of Health or any reputable research library. Discussion: The Application of Data to Problem-Solving

Using Knowledge Derived from Data

Under direct experimentation, exposure to surgical smoke has been definitively shown to increase the risk of lung cancer and may also promote chronic bronchitis, asthma , and emphysema. Increased mortality and increased risk of lung and airway disease are directly tied to biological and chemical pathogens transmitted by the inhalation of the contents of surgical smoke (Karjalainen et al., 2018). According to the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA), upper respiratory tract irritation and visual problems are well-established dangers of repeated exposure to surgical smoke. OSHA has acknowledged that surgical smoke may contain toxic gases that have mutagenic and carcinogenic properties (United States Department of Labor, 2019). According to the research of Sissler et al. (2018), surgical smoke contains biological and chemical pollutants that result in cytotoxicity and pulmonary irritation when inhaled. They feel that their research strongly supports other published research and that surgical smoke is a direct occupational hazard for surgical workers (Sissler et al., 2018). She et al. (2017) stated that surgical smoke contains known carcinogens and has established the inhalation of it as a vector for the transmission of infectious biological particles. Formaldehyde and benzene were shown to exist in surgical smoke at levels that exceed the United States Environmental Protection Agency’s cancer risk index by 1×10^6. They suggested that since the negative health impact of surgical smoke inhalation was so profound and highly carcinogenic in nature, a control measure must be taken (She, Lu, Yang, Hong, & Zhu, 2017). Furthermore, the Association of Perioperative Registered Nurses (AORN) believes that there is sufficient credible data to lobby for changes in the law regarding the protection of surgical staff. According to AORN, Colorado and Rhode Island have already enacted compulsory smoke evacuation laws. Similar efforts will soon become law in Oregon and Tennessee (Azzara, 2019).

 

References

 

Azzara, N. (2019, December). Standing up against surgical smoke. Outpatient Surgery. AORN. Retrieved from http://www.outpatientsurgery.net/surgical-facility-administration/personal-safety/standing-up-against-surgical-smoke–12-19

Karjalainen, M., Kontunen, A., Saari, S., Rönkkö, T., Lekkala, J., Roine, A., & Oksala, N. (2018). The characterization of surgical smoke from various tissues and its implications for occupational safety. PloS one, 13(4).                                                               doi:10.1371/journal.pone.0195274

She, S., Lu, G., Yang, W., Hong, M., & Zhu, L. (2017). Health risk assessment of VOCs from surgical smoke. Preprints, 2017070042. doi:10.20944/preprints201707.0042

Sisler, J., Shaffer, J., Soo, J., LeBouf, R., Harper, M., Qian, Y., & Lee, T. (2018). In vitro toxicological evaluation of surgical smoke from human tissue. Journal of Occupational Medicine and Toxicology, 13(12). doi:10.1186/s12995-018-0193-x . Discussion: The Application of Data to Problem-Solving.

United States Department of Labor. (2019). Smoke plume. Retrieved from https://www.osha.gov/SLTC/etools/hospital/surgical/surgical.html#LaserPlume

response

I agree that the danger of surgical smoke is an important issue that is often dismissed. When I switched from outpatient cardiology to plastic surgery, I became aware of the potential long-term health risks of being exposed to surgical smoke. I also felt that smoke evacuation systems were not always used properly in an effort to save money. When considering legal guidelines, it is important that the protection measures are consistent with the data. Similarly, exposure issues continue to surface at the VA, with disability compensation being requested for diseases related to military service. Unfortunately, it seems the data for possible connections between illnesses and exposure to environmental agents is lacking. While various hazards have been reported, data on long-term effects of exposure to surgical smoke are not available (Steege, Boiano, & Sweeney, 2016). According to the National Research Council (n.d.), the need for exposure assessment measures can improve the ability to assess adverse effects from environmental agents. As nurse leaders, it is important to provide clear, supported justifications for changes to existing protocols to encourage adoption of the new policies and procedures.

References

National Research Council (n.d.) Environmental Epidemiology: Volume 2: Use of the

Gray Literature and Other Data in Environmental Epidemiology. Washington (DC): National Academies Press (US). Retrieved February 28, 2020, from https://www.ncbi.nlm.nih.gov/books/NBK233635/

Steege, A. L., Boiano, J. M., & Sweeney, M. H. (2016). Secondhand smoke in the

operating room? Precautionary practices lacking for surgical smoke. American journal of industrial medicine, 59(11), 1020–1031. https://doi.org/10.1002/ajim.22614. Discussion: The Application of Data to Problem-Solving.

Payer–Patient Mix for a Healthcare Organization Essay Assignment Paper

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Payer–Patient Mix for a Healthcare Organization Essay Assignment Paper

Search course materials, including your text and the Internet, to find a spreadsheet program that will assist you in completing this assignment. The spreadsheet and calculations are to be attached at the end of the paper as an appendix after the Reference page.

Case Study: You are assessing the payer–patient mix for a health care organization. Currently, your payer mix is 40% Medicare, 10% Medicaid, 25% traditional indemnity insurance, 20% managed care, and 5% self-pay patients. Complete the following:

  • Using the most common office visit, CPT code 99214, determine the reimbursement from the Centers for Medicare and Medicaid Services (online fee schedule available for Medicare).
  • Using the same CPT code, 99214, determine the reimbursement for Medicaid (fee schedules should be available from the individual state).
  • Using the same CPT code, 99214, create at least 3 other traditional indemnity insurance reimbursements. If possible, use the actual reimbursement from the insurance carrier. It may be possible to obtain actual reimbursement information from your personal insurance carrier. If the information is not available, assume reimbursement by traditional indemnity insurance is usually 200% reimbursed more than Medicare and Medicaid, and managed care is usually 133% more than Medicare and Medicaid.
  • Compose an accounts receivable benchmark from this information showing columns for current, 30–60, 61–90, 90–120, and greater than 120 days.
  • Assess the information for areas of improved reimbursement of at least 20% or more.
  • Evaluate the options available to change the payer–patient mix with consideration of related legal and ethical issues.
  • Propose a best strategy with justification and rationale based on effective decision-making tenets.

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The body of the resultant Payer–Patient Mix for a Healthcare Organization Essay Assignment Paper should be 10–12 pages. Spreadsheets demonstrating the accounts receivable analysis will be attached as appendices, and there will be at least 7 relevant peer-reviewed academic or professional references published within the past 5 years. Also attach appropriate fee schedules.

Payer–Patient Mix for a Healthcare Organization Essay Assignment Paper

Professionalism and Social Media Essay

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Professionalism and Social Media Essay

Professionalism and Social Media

Social media plays crucial roles in the personal and professional lives of nurses. Numerous social media platforms are available for nurses, including blogs and social networking sites. Social media can facilitate professional networking by enabling nurses to connect with colleagues. However, social media poses potential risks to nurses and patients regarding violation of professional-personal boundaries, violations of patient confidentiality, harm to professional image and legal or licensing issues.   The paper identifies social media items that would be regarded as unprofessional and possibly detrimental to a nurse’s career and that adversely impact the reputation of the nursing profession.

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Posts that may be considered inappropriate

After reviewing my posts, I have noticed that I have made several posts on Facebook that may be regarded as inappropriate. In one post, I  complained about how I had a hard day at work and how I was made to working beyond my working hours and how exhausted  IN another post, I stated how I was annoyed by a drunkard who staggered in and peed on himself on the waiting area. Although I did not mention any names or post ant photos, the posts are inappropriate. Professionalism and Social Media Essay According to Weiss et al., (2019), nurses should not describe patients in a criticizing way, even if they do not identify patients using names or photos.  It is inappropriate and unprofessional to publicly air discontentment with her or his employer or talks about problems at work that might make the employer susceptible to mockery or loss of image in the health care field or community (Cherry & Jacob, 2018).

Why nurses have a responsibility to uphold a standard of conduct

Nurses have the responsibility of upholding standards of conduct consistent with the standards governing the profession of nursing in their personal lives and at work to safeguard the reputation of the nursing profession and their careers.  According to Ventola (2014), when nurses post unprofessional content on social media, it can reflect adversely on them or their organizations.   The activities of nurses on social media sites are regarded as public activities. Thus, the content that nurses post directly reflects the whole professionalism of nurses and are capable of influencing the opinions that the public has on nurses as well.

Inappropriate behavior might damage the professional image of nurses as well as a health care setting’s reputation. Furthermore, a nurse might face adverse consequences such as fines, job termination, or permanent or temporary revocation of license (Selekman et al., 2019).  Several social media behaviors can be interpreted as unprofessional Professionalism and Social Media Essay. For example, infringement of patient confidentiality, use of biased or profanity language, images of intoxication or sexual suggestiveness along with disparaging comments about an employer or patients (Ventola, 2014).

Personal confidentiality can violate HIPPA or considered unethical or unprofessional if it breaches patient privacy or confidentiality.   The disclosure of confidential health data, either intentional or unintentional, is a breach of HIPPA guidelines. According to Hao and Gao (2017), infringement of patient’s privacy and confidentiality when utilizing social media can be either unintentional or intentional and can occur in numerous diverse manners. A nurse might breach the privacy of a patient by the information that they post on social media sites, for instance, photos or videos of clients with no any valid approval even if there is no any information identifying them,   comments about patients in demeaning or degrading manners and exposure of too many details of patients that makes them be easily identified such as their room numbers and their treatments or medical conditions Professionalism and Social Media Essay.

Social media activity that reflects Christian values

Keeping the information of all my patients, regardless of their age, medical condition, nationality ethnicity are areas of y social media activity that reflect Christian values connected with respect for human value and dignity for all individuals.  As a professional nurse, I am committed to preserving the value and dignity of my patients and I understand that I am ethically bound to offer compassionate care by respecting the innate worth and dignity of all people. As indicated by Hao and GAO (2017), the privacy of patients involves their expectation and rights that they are treated in a dignified way. When patients’ privacy is breached, even unintentionally, it can make patients have the feeling that they have lost dignity and their therapeutic relationship with nurses has been damaged.

The areas of my asocial media activity that could be improved include engaging in conversations with my patients on my social media sites and accepting friend requests from my current and past patients. I will avoid accepting a social media friend request from patients, and if any patient sends me a friend request, I will redirect them to a means of communication that is more secure or connect them to a professional social networking page like LinkedIn. Patients can become fans or friends of this page, which offers only information that is pertinent to the professional nursing practice. Professionalism and Social Media Essay According to Chism (2019), health care professionals need to observe professional boundaries when using social media. Similar to face to face interactions, it is the responsibility of the nurse to establish, talk about and implement professional boundaries with clients within an online environment.  Nurses should be cautious when initiating conversations with their clients or former clients or their families.  It might be sensible to keep away from having contact with patients.

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References

Cherry, B., & Jacob, S. (2018). Contemporary Nursing E-Book: Issues, Trends, & Management.  St. Louis, MO: Elsevier.

Chism, L.  (2019). The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues. Burlington, MA: Jones & Bartlett Learning

Hao, J., & Gao, B. (2017). Advantages and Disadvantages for Nurses of Using Social Media. Journal of Primary Health Care and General Practice, 1(1), 1-4.

Selekman, J.,  Shannon, R., & Yonkaitis, C. (2019).  School Nursing: A Comprehensive Text.  Philadelphia, PA: F.A. Davis.

Ventola, C. (2014).  Social Media and Health Care Professionals: Benefits, Risks, and Best Practice.  Pharmacy and Therapeutics, 39(7), 491-499 Professionalism and Social Media Essay.

Weiss, S., Tappen, R., & Grimley, K. (2019).  Essentials of Nursing Leadership & Management. Philadelphia, PA:  F. A. Davis.

 

 

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.
Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field. Professionalism and Social Media Essay
In 500-750 words, summarize the findings of your review. Include the following:
Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.
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 Professionalism and Social Media Essay assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

NURS 4005 Assignment – Dashboard Analysis and Nursing Plan

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NURS 4005 Assignment – Dashboard Analysis and Nursing Plan

Assignment:

For the purpose of this assignment, review the quarterly Dashboard provided in the online classroom which contains a variety of clinical and administrative indicators. Write a 3- to 4-page paper analyzing areas where there is good performance and areas of opportunity. Then, select one area that needs improvement and develop a nursing action plan based on best practices. Support your idea with references from the professional nursing literature in the assigned course readings and other references in the Walden Library. If they are relevant, you may use one or two professional Web sites in addition to the literature references.

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NURS 4005 Assignment – Dashboard Analysis and Nursing Plan

As Dr. Rempher and Ms. Manna discussed this week, data from the NDNQI is used to improve nursing practices and support the strategic outcomes of an organization. This data is also used to create the Dashboard. The Dashboard, then, is used to create an action plan. Correctly interpreting information presented on the Dashboard provides nurses with a better understanding of the goals of the action plan. NURS 4005 Assignment – Dashboard Analysis and Nursing Plan.

This week, use the Dashboard, linked here and in this week’s Learning Resources, to interpret the data and frame a nursing plan based on best practices.

NURS 4005 Assignment – Dashboard Analysis and Nursing Plan

Assignment:

For the purpose of this assignment, review the quarterly Dashboard provided in the online classroom which contains a variety of clinical and administrative indicators. Write a 3- to 4-page paper analyzing areas where there is good performance and areas of opportunity. Then, select one area that needs improvement and develop a nursing action plan based on best practices. Support your idea with references from the professional nursing literature in the assigned course readings and other references in the Walden Library. If they are relevant, you may use one or two professional Web sites in addition to the literature references.

Electrolyte imbalance paper

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Electrolyte imbalance paper

WEEK 3 DQ1 Share a case study of an electrolyte imbalance from your practice or from the literature. Summarize the case study in 1-2 paragraphs. Then discuss the clinical manifestations of the imbalance, the pathophysiology behind the imbalance, normal cell membrane transport of the electrolyte(s), and any alterations in cell membrane transport caused by the imbalance. How was the electrolyte imbalance resolved? Analyze the case study to determine any areas in which patient or staff education may have helped to prevent the electrolyte imbalance.

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Q2

A widespread belief is that caffeine has a diuretic effect when consumed and will induce dehydration if used by athletes or those who perform strenuous exercise. Discuss the pathophysiology behind this belief. Share your thoughts on whether you agree or disagree that caffeine can induce dehydration. Support your answer with evidence-based literature.

Electrolyte imbalance paper

NURS6053 Essay Assignment Papers – Application-Systems Theory

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NURS6053 Essay Assignment Papers – Application-Systems Theory

Assignment: Application: Systems Theory

As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess all system components, as some may be relatively healthy while others are problematic.

For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this NURS6053 Essay Assignment Papers – Application-Systems Theory assignment.)

To prepare:

Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).

Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.

Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.

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Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.

Research professional standards that are pertinent to your identified problem.

Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

To complete:

By Day 7

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback. NURS6053 Essay Assignment Papers – Application-Systems Theory

Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).

Based on this information, explain how you would address the problem as follows:

Formulate a desired outcome.

Identify goals and objectives that would facilitate that outcome.

Translate those goals and objectives into policies and procedures for the department or unit.

Describe relevant professional standards.

Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

The Assignment, Systems Theory, is due by Day 7 of Week 2.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.

This Assignment is due by Day 7 of Week 2 (this week) and must be submitted through the Week 2 Assignment Link.

Submission and Grading Information

To submit your completed NURS6053 Essay Assignment Papers – Application-Systems Theory  Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.

Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

NURS6053 Essay Assignment Papers – Application-Systems Theory

Case Study on Death and Dying

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Case Study on Death and Dying

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.
Based on \”Case Study: End of Life Decisions,\” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George\’s situation and his decision from the perspective of the Christian worldview.
Provide a 1,500-2,000-word ethical analysis while answering the following questions:
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person? Case Study on Death and Dying

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What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
Based on the values and considerations above, what options would be morally justified in the Christian worldview for George and why?
Based on your worldview, what decision would you make if you were in George\’s situation?
Remember to support your responses with the topic study materials.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Case Study on Death and Dying

Jean Watson Grand Nursing Theorist Paper

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Jean Watson Grand Nursing Theorist Paper

Grand Nursing Theorist Paper—Jean Watson

Jean Watson’s Carative Factors/Caritas Processes

 

  1. Detail the theory’s usefulness. Explain how nurses can use the theory in nursing (that is, clinical practice, education or administration). Students can use information from the literature to address this section. However, clear examples must be provided of how the theory was (or can be) applied to practice, education, or administration. For example, were clinical practice guidelines developed using the theory? In addition to using information from the literature, students are required to develop a brief patient case applying the theory. For example, regarding nursing education, are there colleges that have based their curriculum on the theory? Yes, Nevada State College has new curriculum based on her theory that started in 2017 Jean Watson Grand Nursing Theorist Paper.

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  1. Describe the theory’s testability. Describe how the theory has been used in one nursing study. Describe the study’s key elements, purpose, sample, method, and key findings. In your description, address how the theory was applied to the research. The description must include the following identifying information about the article: author(s), title, journal, volume, issue (if applicable), and page numbers cited according to the APA 7 Manual) Jean Watson Grand Nursing Theorist Paper.

 

  1. Describe the theory’s parsimony. Discuss the theory’s level of complexity. Students should address the simplicity of the theory in its presentation and the level of complexity in its scope. For example, according to McEwen and Wills (2014), Henderson’s theory is simple in the presentation of its “14 Activities for Client Assurance” (p. 138), but it’s very broad scope of the role of nursing makes it complex. Jean Watson Grand Nursing Theorist Paper.

 

Theory and the APN Role Discussion Essay Assignment Paper

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Theory and the APN Role Discussion Essay Assignment Paper

Karen, a registered nurse, decided that she wants to become a CNP. She applied and was accepted to the Family Nurse Practitioner program at Chamberlain College of Nursing. She received a course curriculum that outlined the courses necessary to complete her degree. One of the early courses in the program curriculum is NR501 Theoretical Basis for Advanced Nursing Practice.

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You are a student colleague of Karen’s enrolled in the same class. On the course Q & A Forum, Karen posted, “Nursing theory is outdated and is too broad and isn’t useful for Advance Practice Nurses.”

Discussion Question:

Is Karen right? Is theory important to APN practice? Why, or why not?

Theory and the APN Role Discussion Essay Assignment Paper