Leadership And Management Paper Example

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Leadership And Management Paper Example

    • What does it mean to “owe a duty of care”? What are the common clinical practice areas that give rise to allegations of malpractice? What are the most common acts of negligence by nurses?

      • For what activities can health care organizations be held liable? What can nurse managers do to help avoid corporate liability?

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 following the APA style guideline 

 500 words  

Site two resources  to complete assignment 

 

Leadership And Management Paper Example

history of and trends in nursing and nursing education. the role of the nurse educator has expanded with the times and moved beyond the faculty role in basic nursing education programs.

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Instructions: write a 2-page article about the history of and trends in nursing and nursing education. the role of the nurse educator has expanded with the times and moved beyond the faculty role in basic nursing education programs. nurse educators are also staff development specialists, clinical nurse educators, nurse navigators, patient educators, researchers, and community health educators to name a few of the many options available. a multitude of forces beyond our control, including economic and political forces, may shape our profession of nursing. as nurse educators, however, it is our work to provide the educational foundations needed for patient care, for improved health status for all and for a well-prepared workforce of nurses.

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write a short article about the history and future trends of the nurse educator role. the article will run in a newsletter for nurses and nurse educators, and should be approximately 2 pages long. in your article, be sure to do the following: explain five key historical influences on nursing and nursing education today. be sure to address why these influences are important and how they have had an impact. analyze three trends you believe will impact nursing and nursing education in the future. explain how those trends relate to what you understand about nursing history. support your assertions with credible sources. you can use the resources in this assessment and conduct additional research in the capella library. additional requirements your article should meet the following requirements: written communication: written communication should be free of grammar and spelling errors that distract from the content. apa format: use correct apa format for all citations and references (if used). format: submit your assessment as a word document. length: approximately two double-spaced pages, not including the title page and references page. font and font size: times new roman or arial, 12 point.

Malnutrition associated with specific health conditions

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Malnutrition associated with specific health conditions

TOPIC 3: Malnutrition associated with specific health conditions: What specific health conditions increase the risk of malnutrition?

 

Has to be 2-3 pages

 

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817125/

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  • Bold for each Heading and Subheading
  • Include in-text citations for all information/contents as needed
  • Summary paper MUST be written in this format Malnutrition associated with specific health conditions

 

Introduction and Key Points

Chosen Topics and Question

  • Select one topic and question from five main topic list

 

Define the Topic and Question

  • How do you interpret and/or understand the topic and question you selected?

 

Overview/Significance of Problem

  • Describe Overview and Significance of Problem of the topic and question you selected
  • Include in-text citations

 

Article Search

Current and credible resourcesList Chamberlain library Database(s) used Malnutrition associated with specific health conditions

 

Database search-terms and methods

 

Number of articles located

 

List additional sources outside of ATI module List all sources you used for article search outside of ATI (CDC, American Diabetic Association, etc.)

 

Article Findings

Why this article chosen?

 

How it addresses the topic?State the “Purpose/Aim of Study” the author stated in article

 

Type of Research conducted

  • Quantitative, Qualitative, Descriptive, or Mixed-Method study?
  • Briefly describe what was done (sample, methods, measurement tools used)

 

Findings of ResearchComprehensively describe ALLFindings in the article.

 

Evidence for Practice

Summary of Evidence

  • Briefly summarize the findings.

 

How will this evidence improve current practice?

  • Briefly describe what the current practice is.
  • Describe how this evidence improve current practice?

 

How will this evidence decrease a gap in current practice?

  • Briefly describe difference between the current knowledge, skills, competence, practice, performance or patient outcomes and the ideal or desirable state
  • Describe how this evidence decrease a gap in the practice?

 

Any concerns or weaknesses in the evidence/finding? (Found in Discussion)

 

 

Sharing of Evidence

Who would you share the information with?

 

 

How would you share this information?(in-services, health fair for patients, educate healthcare professionals)

 

 

What resources would you need to accomplish this sharing of evidence?

  • List resources you may need for sharing the evidence as you stated in above 2 questions (who and how) (i.e. administrator, manager, support for materials….etc)

 

Why would it be important to share this evidence with the nursing profession?

 

 

Conclusion

  • Summarizes the Research processes, Findings, and Key points.
  • Do NOT include Conclusion/Implication on the article

 

 

 

Nursing homework help

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Nursing homework help

 

https://www.jointcommission.org/topics/speak_up_campaigns.aspx

 

 

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  1. Follow these guidelines Nursing homework help
  2. Select a Speak Up brochure from The Joint Commission website.
  3. Write a short paper reviewing the brochure. Use the Grading Criteria (below) to structure your critique.
  4. Include current nursing or healthcare journal articles to support your critique.

 

  1. Include the following sections
  2. Introduction of brochure
  3. Includes brochure title
  4. Identifies date published

iii. Describes individuals or groups

  1. Brochure properly cited, included on the reference list, and submitted with assignment
  2. Summary of the article -brochure citation required
  3. Explain the main topics discussed
  4. Communication -brochure citation required
  5. Review information that promotes communication between patients and healthcare providers

 

  1. Personal Reflection
  2. Why did this topic interest you? Nursing homework help

 

  1. Evaluation of the brochure (Brochure & nursing article must be cited)
  2. Was the information provided in the brochure beneficial? Could you incorporate it into your patient education?
  3. What was done well, and what could have been improved in the brochure?

iii. Was the information presented clearly?

  1. Did current nursing or healthcare-related research articles support the information presented in the brochure?
  2. What population or individuals does this article apply to (i.e., who will benefit the most from this brochure)?
  3. Who else can use this information?

vii. Will this information increase patient safety?

 

  1. Evidence Review & Application
  2. Evidence was integrated from a recent (5 years) scholarly nursing journal article to support your answers.
  3. Conclusion
  4. Restates main ideas
  5. Includes supporting information from the body of the paper

iii. Summarizes the benefits of following the brochure’s advice to a person at risk

  1. APA style and structure
  2. Adheres to current APA edition formatting guidelines for the title page, margins, in-text citations, and references
  3. Section headers are required
  4. Summary of Brochure b. Patient Communication c. Personal Reflection d. Evaluation of Brochure e. Evidence Review and Application f. Conclusion iii. Paper is no longer than three (3) pages, excluding title page, reference page, and copy of brochure a. Extra pages will not be read or contribute to the assignment grade i. Clarity of writing
  5. Proper use of Standard English ii. Shows original thought iii. No spelling or grammar errors iv. Information is presented in a logical progression

 

 

 

Theory Of Cultural Care Diversity And Universality

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Read Chapter 22 in Alligood (2022).

Describe some difficulties you have experienced with patients you think are related to cultural differences.

What strategies can you use to support cultural sensitivity in your practice?

How has Leininger’s theoretical perspective influenced professional nursing practice?

Reference your posts in APA format and be sure to answer all questions posed in narrative form. Please use Rubic

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Reference

Alligood, M.R. (2022). Nursing theorists and their work (10th ed.).  Elsevier. Theory Of Cultural Care Diversity And Universality

 

 

NUR – 600Discussion Forum Rubric

Criteria Ratings
Quality of First Post 50 pts – Full Credit

Information clearly relates to the main topic and adds new concepts, information, it includes several supporting details and/or examples

 25 pts – Partial Credit

Information relates to the main topic, but lacking detail, depth, and/or examples

 0 pts – No Credit

Information has little or nothing to do with the main topic or simply restates the main concept without supporting details/examples
Professional Language and Writing 5 pts – Full Credit

Professional vocabulary, correct grammar, and correct spelling are consistently used throughout the discussion

 2 pts – Partial Credit

Three or less errors in professional vocabulary, grammar and spelling are identified in the discussion post

 0 pts – No Credit

Four of more errors in professional vocabulary, grammar and spelling are identified in the discussion post
APA Format 10 pts – Full Credit

Correct APA format consistently used throughout discussion posts

 5 pts – Partial Credit

No more than two errors in APA format are identified in the discussion posts

 0 pts – No Credit

Three or more errors in APA format are identified within the discussion posts or no reference list is provided
Quality of Second Post 30 pts – Full Credit

Information clearly relates to the main topic (original students post) and adds new concepts, information, and includes several supporting details and/or examples

 15 pts – Partial Credit

Information relates to the main topic (original students post) but lacking detail, depth, and/or examples

 0 pts – No Credit

Information has little or nothing to do with the main topic (original students post) or simply restates the main concept without supporting details/examples
Professional Language and Writing 5 pts – Full Credit

Professional vocabulary, correct grammar, and correct spelling are consistently used when commenting on another student’s response Theory Of Cultural Care Diversity And Universality

 2 pts – Partial Credit

Professional vocabulary, correct grammar, and correct spelling are consistently used when commenting on another student’s response

 0 pts – No Credit

Four or more errors in professional vocabulary, grammar and spelling are identified when commenting on another student’s response
Timeliness 0 pts – Full Credit 0 pts – Partial Credit 0 pts – No Credit
Total Points: 100

 

Analyze the use of technology in the reduction of medical errors

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Analyze the use of technology in the reduction of medical errors

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

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Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

 

Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

 

Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

The purpose of this assignment is to analyze the use of technology in the reduction of medical errors.

 

Identify a specific medical error and one of the types of technology that has been developed to aid in ensuring patient safety by reducing such errors. Create a PowerPoint presentation of 12-14 slides (not including title slide and reference slides) on the benefits and challenges of the technology for the example you have identified. Include the following in your presentation:

 

Describe your chosen medical error and the technology that has been used to address it.

Explain how the identified technology assists in improving quality and safety outcomes.

Discuss how you would monitor the success of the identified technology in improving quality and safety outcomes.

Describe three pros and cons (each) of the use of this technology in your example and in general (e.g., reliability, accessibility, training required, cost, clinician judgement, etc.).

Provide an example or develop a situation in which the use of this technology could still lead to a medical error.

This assignment requires a minimum of three peer-reviewed references.

 

Include a title slide, references slide, and comprehensive speaker notes.

 

Rubric

A description of the medical error and the technology used to address it is thorough.

An explanation of how the identified technology assists in improving quality and safety outcomes is thorough.

A discussion of how success of the identified technology would be monitored for improving quality and safety outcomes is thorough

Three pros and three cons of the use of the technology are thoroughly explained.

An example or situation where the use of this technology still could lead to a medical error is thorough.

Content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Speaker notes are extremely thorough and include substantial relevant supporting details.

Pharmacology Brochure Essay

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Pharmacology Brochure

 

Pharmacology Brochure Discussion

This brochure introduces a recent medication that was approved by the FDA but has not been in the market for long. It is a source of quick information but covers most of the essential areas of information that a nurse would need to have on their fingertips concerning the drug. Dayvigo is a sleeping pill that was approved in 2019, and whose effectiveness is quite high (FDA 2020).The drug is a lemborexant of the sedative-hypnotics class. It is an oral tablet whose dosage should not exceed 10mg. When co-administered with a CYP3A inhibitor, the dosage should be kept at only 5mg (Drugs.com, 2021). It is an effective medication for treating insomnia but can have serious side effects so it is essential for nurses to be well aware of its use, contraindications, side effects and other potential issues that could arise from its use. Pharmacology Brochure Essay

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The role of this brochure was to educate nurses on the existence and use of Dayvigo, an insomnia treatment medication that was recently introduced into the market. The brochure ought to offer all the critical information that nurses and pharmacists need to grasp promptly to effectively use the drug and achieve its full potential as an anti-insomnia medication. It is designed to offer detailed, verifiable and essential information on the drug to nurses and other users quickly and efficiently. It is not meant to be the definite primary education material on the drug, but a quick source of refreshing information on the drug. The brochure will be printed in an easily legible font and has a lot of information on most of the topics which a nurse would typically need to gather before issuing or when matching a patient to a prescription. Pharmacology Brochure Essay

 

 

References

Drugs.com. (2021). Lemborexant. Day ago. Full Drug Information. https://www.drugs.com/mtm/lemborexant.html

Food and Drgug Administration (2020). Drug Approval Package- Dayvigo. https://www.google.com/search?q=DAyvigo+FDa&oq=DAyvigo+FDa&aqs=chrome..69i57j35i39l2j0i512l4j69i60.3636j1j7&sourceid=chrome&ie=UTF-8

 

midepigastric abdominal pain

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midepigastric abdominal pain

A male went to the emergency room for severe midepigastric abdominal pain. He was diagnosed with AAA ; however, as a precaution, the doctor ordered a CTA scan.  midepigastric abdominal pain

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Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. midepigastric abdominal pain

To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.

  • With regard to the Episodic note case study provided:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or why not?
  4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. midepigastric abdominal pain

Welcome to Week 6. This week, students will complete an analysis of the SOAP note provided. I advise you to write this up as a narrative so that they are able to correctly explain their analysis. REMEMBER THIS IS AN ANALYSIS FROM EACH PART OF THE SOAP POINTING TO WHAT’S MISSING AND WHY DO YOU NEED THAT SECTION WITH SPECIFICS  JUSTIFYING AND EXPLAINING  EVERYTHING INCLUDIDNG THE DIAGNOSIS

This week, the midterm examination is due by Day 7. Students can find an exam review guide for the midterm in the “Resources” section for this week. The exam will not be available until the date of availability and will end promptly on the end date and time. Please make sure you understand this.  No outside resources including books, notes, websites, or any other type of resource are to be used to complete this exam. Students are expected to comply with Walden University’s Code of Conduct.

This exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. This exam is timed with a limit of two hours for completion. The exam will not open until the day it is scheduled to open.  If the students try to access the exam after the due date, it will be available and will show up late so your grade will reflect points deduction for lateness accordingly. IT or faculty are no longer allowed to reset exams.

In another note, I keep receiving emails about resetting your mistakes when posting. This is a clinical class, when you do not pay attention to the place to post or post a wrong paper it’s considered a patient mistake or a medical error. I would NOT reset another paper so do not bother emailing me if that’s the problem. I will grade what you post right or wrong, it is the student responsibility to post the right work same as it’s your responsibility to give the right medication.

This week a will be out of town in a conference until Friday so there are no office hours for the week and my email access will be limited. Everything needed it’s on this announcement and on the class website.

Assignment:

ABDOMINAL ASSESSMENT

Subjective:

CC: “My stomach has been hurting for the past two days.”

HPI: LZ, 65 y/o AA male, presents to the emergency department with a two days history of intermittent epigastric abdominal pain that radiates into his back. He went to the local Urgent Care where was given PPI’s with no relief. At this time, the patient reports that the pain has been increasing in severity over the past few hours; he vomited after lunch, which led his to go to the ED at this time. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain.

PMH: HTN

Medications: Metoprolol 50mg

Allergies: NKDA

FH: HTN, Gerd,  Hyperlipidemia

Social Hx: ETOH, smoking for 20 years but quit both 2 years ago, divorced for 5 years, 3 children, 2 males, 1 female

Objective:

  • VS: Temp 98.2; BP 91/60; RR 16; P 76; HT 6’10”; WT 262lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Skin: Intact without lesions, no urticaria
  • Abd: abdomen is tender in the epigastric area with guarding but without mass or rebound.
  • Diagnostics: US and CTA

Assessment:

  • Abdominal Aortic Aneurysm (AAA)
  • Perforated Ulcer
  •  Pancreatitis

 

 

Research Review Essay

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Research Review Essay

N320 Research Review Part 1

This is the first assignment to introduce your PICO(T) , scope and nature of the problem, background information of the problem, details regarding your research review, and the EBP approach you have taken for your research. This is a “building assignment” as part 1 and part 2 will build to complete the Final Assignment in which you will have a comprehensive Research Review.You do not need to worry about self-plagiarism when continuing to part 2 and so on. You will have a minimum of seven articles or more for the final Research Review. Research Review Essay

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Assignment Part 1-75 possible points. – should include significant detail and synthesis of your research as it relates to your PICO.  See Assignment Part 1 Rubric and Example papers.

Instructions:Follow APA 7th ed. format and follow Assignment Part 1 Rubric (refer to example paper part 1)

  1. Use APA 7th ed. Manual or recommend APA templatesites listed in content section to set up paper (Chapter 2, APA manual 7th ed.)
  2. Write in 12 font Times New Roman
  3. DO NOT write in first person. No I statements. This is a research reviewnot a study so refer to it as such in your work.
  4. Write about your topic in paragraph format
  5. Include a Tittle page (see APA 7th ed power point) (Do not use Assignment 1… as your title) The title should not be your entire PICO but should allow the reader to understand what your Research is about * see example papers in the course

You do not need to use a running head for your paper but include page # appropriately placed per APA (refer to Chapter 2 and Section 2.3 2.4.  Figure 2.2).

Example title: Comparison of pressure reduction boots versus repositioning to reduce pressure ulcers in the elderly

  1. Follow instructions for headings. Use the rubric headings for the headings in each section of your assignmentexcept “Introduction” the heading for the introduction.  In 7th ed. APA this is the restatement of your paper title( see APA 7th ed. Section 2.7)
  2. 8. Include data search table as a table labeled and referenced appropriately in your paper. (APA 7th Chapter 7, see example table 7.1)
  3. Include research model worksheet in paragraph format to describe your EBP model in your paper and include your simple diagram as a figure referenced appropriately in APA 7th ed. format in your paper.
  4. Include completed and corrected literature review tables as an Appendix labeled Appendix A and follow APA 7th ed. Instructions for correct placement of an appendix in your work ( after Reference section)
  5. References on a separate page following APA 7th ed format, Chapter 9-10.

 

Comparison of Silicone Foam Dressings Versus Pressure Reduction Techniques

Pressure injuries can have significant negative consequences for patients including infection, reduced quality of life, disability and even death (Campbell, et al., 2020). Pressure injuries are also very costly for patients and healthcare systems, estimated to average between $37,000-$70,000 per patient (Walker, et al. 2015). In patients who were both immobile and incontinent, Gray &Guiliano found the “prevalence of facility-acquired pressure injury in the sacral area remained statistically significant” compared to patients who were continent (2018, p. 65). Placing a silicone foam dressing over the sacrum is a commonpreventative practice in patients with stage 1 pressure injuries, but does research support this intervention when incontinence is involved? It is important to utilize evidence-based research to determine if this is the best practice to prevent skin breakdown in this population, as they have increased vulnerability to pressure injuries. Research Review Essay

Background

The first step toward preventing pressure injuries is thorough assessment. The Agency for Healthcare Research and Quality (AHRQ) recommends inspecting skin for the following: temperature, color, moisture, turgor and integrity. They advise utilization of assessment tools such as the Braden Scale to standardize skin assessments and determine patient risk for skin breakdown (Berlowitz, et al., 2014). There are two main types of skin breakdown in the pelvic area, pressure injuries and incontinence-associated dermatitis. Pressure injury is defined by Campbell et al., as “localized damage to the skin and/or underlying tissue, usually over a bony prominence” (2020, p. 30). When a patient is determined to be at risk for developing pressure injury through a Braden score or other scale, pressure reduction techniques are utilized to prevent breakdown. Pressure reduction techniques vary by hospital but typically include turning and repositioning, placing pillows to cushion bony prominences, and utilizing pressure-reducing mattresses. In contrast, incontinence-associated dermatitis (IAD) is defined by Gray &Guiliano as “erythema and edema of the surface of the skin, sometimes accompanied by serous exudate, erosion or secondary cutaneous infection” specifically found in patients who are incontinent of bowel and/or bladder (2018, p. 63). Though these two conditions are separate, incontinence is found to worsen the risk of developing pressure injuries. In their multivariate analysis on immobility, incontinence and pressure injury, Gray &Guiliano found that the presence of IAD significantly increased the likelihood of developing a pressure injury (2018.) Some of the prevention strategies overlap between these conditions, such as preventing moisture and pressure reduction techniques. Research Review Essay

Research Problem Statement

            With this known link between IAD and pressure injury, it is important for clinicians to determine the best interventions to prevent skin breakdown in populations where both are present. This paper is comparing the use of silicone foam dressings in this population, versus pressure reduction techniques alone.

Research Purpose

The purpose of this paper is to determine whether silicone foam dressings prevent skin breakdown more effectively than pressure reduction techniques alone, in hospitalized patients who have stage 1 pressure injuries and incontinence.

Research Question

            In individuals with both incontinence and stage 1 pressure injuries, how does a silicone foam dressing compared to pressure reduction techniques affect skin integrity within a hospital stay?

Research Utilization Model

The Johns Hopkins Nursing Evidenced-Based Practice Model (JHNEBP) is an appropriate research model to use for this research focus as it was developed to make incorporating evidence more manageable for nurses during clinical practice. This makes it well suited to research and implementation within a hospital system. Melnyk and Fineout-Overholt (2019) describe the three main steps: Practice Question, Evidence, and Translation. First, the question is developed and refined, a leader is determined, and an interdisciplinary team is formed. Then, evidence is screened, rated, and summarized. This phase ends with specific recommendations determined by the strength of the research. Recommendations can be one of four options such as changing the practice immediately because the evidence is strong, considering a pilot or research study, or if there is little evidence, continuing research or ending the project. Finally, the results of the study are integrated into practice (Melnyk & Fineout-Overholt, 2019, pp. 413-414). Research Review Essay

While utilizing this model, the interdisciplinary team should be composed of bedside nurses, managers, WOC nurses and hospitalists. The research obtained will guide the interdisciplinary team in answering the research question and determining the best way to disseminate this research into clinical practice in the hospital setting. Figure 1 visually depicts the JHNEBP model utilized in this research project.

 

 

 

 

 

 

Figure 1

The Johns Hopkins Nursing Evidence-Based Practice Model

 

Search Criteria and Results

The research for this study was completed utilizing CINAHL, PubMed, Medline, and Cochrane, including 313 articles from 2015 to present. Table one notes the keywords used in these searches.

Table 1

Data Research Table

Keyword CINAHL PubMed Medline PsychInfo Cochrane
Pressure injury AND prevention AND incontinence

Full Text

2015-2020

 15 35     0
Pressure injury AND prevention AND silicone foam dressing

Full Text

2015-2020

 16 16      
Pressure injury AND silicone foam dressing

Full Text

2015-2020

 19 17 28   2
Incontinence AND silicone foam dressing

Full Text

2015-2020

 5 1      
Pressure injury AND prevention AND case study

Full Text

2015-2020

   159      

 

11 research articles were included in this research project: two systematic reviews, two randomized-controlled trials, one non-randomized controlled trial, one case study, one case study analysis, one follow-up analysis, one non-experimental analysis, and two clinical guides. Figure 2 illustrates the strength of evidence of this research visually with the Strength-of-evidencerating pyramid which was found in Melnyk & Fineout-Overholt (2019, p. 116, Figure 4.2).

Figure 2

Strength-of evidence rating pyramid.

 

 

 

 

 

 

Nurse Informatics Specialist Role in the Project Implementation Phase Presentation

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Nurse Informatics Specialist Role in the Project Implementation Phase Presentation

Week 6 Assignment 1: Go—Live Readiness Assessment

Value: 100 points

Due: Day 7

Gradebook Category: Assignments

Instructions

Nurse Informatics Specialist Role in the Project Implementation Phase

Guidance: Your healthcare system has added an update to the electronic medical record for nursing assessment. At the latest project meeting status updates were reviewed and it is time to start planning for the project implementation phase and go-live.

You are the nurse informatics specialist project manager.

  1. Identify the steps needed for the project implementation phase.
  2. Complete a draft of the project activation checklist with essential components of the project activation checklist.
  3. Describe your plan to facilitate the education and training to be ready for the go-live date. (This may be a Gantt chart or other graphic.)

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  4. Describe the process and key elements you must have for the go-live support preparation and resources essential to this project to have a successful implementation phase/go-live.
  5. Describe your plan for the technical go-live and when you would start the technical go-live in relation to the actual go-live. Provide rationale to support these start dates.
  6. Describe what a command center is and how you will develop the command center communications at the go-live activation Nurse Informatics Specialist Role in the Project Implementation Phase Presentation.
  7. Describe how you as the project manager will handle/manage issues during the go-live.
  8. Identify the role and purpose of the nurse informatics specialist leading and handling daily debriefing calls during the go-live. Identify your plan to handle daily debriefing calls during the go-live.
  9. Identify your area of greatest learning from completing this assignment.
  10. You may use your course text as well as other external peer-reviewed, scholarly references to support this assignment. The assignment will be a PPT presentation consisting of 12–15 slides in proper APA format.

Use the Regis PowerPoint Template to complete this assignment.

Please refer to the Grading Rubric for details on how this activity will be graded Nurse Informatics Specialist Role in the Project Implementation Phase Presentation.