Borrowed Theory

Write a paper (1800 words) that describes how borrowed theory can be applied to the identified problem(The identified problem is nursing shortage). The paper should include the following:

  1. A brief summary of the problem including the potential middle-range theory that could be applied. (NOTE THE MIDDLE RANGE THEORY THAT WAS APPLIED TO THE PROBLEM OF NURSING SHORTAGE IN THE PREVIOUS PAPER WAS JEAN WATSON’S THEORY).
  2. A description of a borrowed theory that could be applied to the problem. Is this borrowed theory appropriate to your identified problem?
  3. A brief history of the borrowed theory’s origins.
  4. A discussion of how the borrowed theory has been previously applied.
  5. A discussion of the application of the borrowed theory to the identified problem. How would your practice change by incorporating this theory?
  6. A discussion of how application of both the borrowed theory and the middle-range theory can be integrated to create the most appropriate solution to the identified problem.

APA FORMAT WITH IN TEXT CITATIONS AND REFERENCES, NO PLAGIARISM PLEASE.

Deliverable 4 – Project Risk

Instructions

Risk Matrix

As a project manager for this company, you are to analyze the risks associated with the project. Risks should be identified and defined as cost, probability, impact, and mitigation plans for each risk. Below, you are to provide a risk assessment for the project based on the criteria and template provided.

  • Identify and name at least three risks and name them (risk name).
  • Determine the expected costs for each named risk.
  •  Provide expected costs for each of the name risks using clear 2 examples.
  • Include factored risk value (should automatically calculate using the Risk Assessment Matrix template 1).Determined risk  using clear examples.
  • Determine the risk impact to project (using the drop-down menu in the Risk Assessment Matrix template 2).
  • Provide the Risk Mitigation Plan.Determined the impact of risk on the project for each named risk using 2 examples.
  •  Determined risk end date for each named risk using clear examples.
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    Risk_Assessment_Matrix1.xlsx
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    Risk_Assessment_Matrix2.xlsx

P3@#2

Hello i need a Good and Positive Comment related with this argument.Thank you.  I need at least two references.

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    P3A2.docx

Please follow the instructions below,you must follow the rubric that I am including in the question, I will not accept errors, or that you do not follow the instructions

Implementation of the IOM Future of Nursing Report

In a formal paper of 1,000‐1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state‐based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000‐1,250 words:

  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state‐based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

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

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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    Rubricm.xlsx

P3#1 and P3#2

   Hello i need a Good and Positive Comment related with this argument.Thank you.  I need at least two references.

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    P32.docx
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    P31.docx

Discussion Post Answer. Please See Case Study And Answer The 5 Question Using The Data Provided.

Mrs. Davies is a 70-year-old white woman who presented to the emergency department because of a 4-day history of increased shortness of breath and generalized weakness. Mrs. Davies stated that she has been able to do her daily chores at home independently, but for the last few days it was getting difficult for her to get around and that she needed to take frequent breaks because she was short of breath and had no energy. She has a long history of heart failure, diabetes mellitus type 2, and hypertension. She is admitted with a tentative diagnosis of acute kidney injury (AKI).

Subjective Data

Has been having headaches on and off, with nausea and dizziness

Reported that she hadn’t been taking her medications regularly at home because of ‘forgetfulness’

Has not been urinating a lot

Feels ‘puffy’ in her legs and hands

Objective Data

Physical Examination

Blood pressure 178/96, pulse 110, temperature 98.9° F, respirations 24

Alert and oriented to person, place, and time

Mild jugular venous distention

Fine crackles in bilateral lower lobes

Heart rate regular, no murmurs

Bowel sounds normoactive and present in all four quadrants

2+ edema bilateral lower extremities and hands

Diagnostic Studies

Echocardiogram shows decreased left ventricular function

Urinalysis: Urine dark yellow and cloudy, protein 28 mg/dL, negative for glucose and ketones, positive for casts, red blood cells and white blood cells

24-hour urine output = 380 mL

Laboratory Tests:

Hemoglobin 8 g/dL

Hematocrit 23.8%

RBC 2.57 million/mm3

WBC 4.7 mm3

Sodium 132 mEq/L

Potassium 5.2 mEq/L

Calcium 9 mg/dL

BUN 36 mg/dL

Creatinine 4.9 mg/dL

BNP 182 pg/mL

Question 1

Interpret Mrs. Davies’s laboratory test results and describe their significance.

Question 2

What is the most likely cause of Mrs. Davies’s AKI?

Question 3

What additional tests, if needed, could be done to determine the cause of AKI?

Question 4

What are the priority nursing diagnoses to address the concern of fluid retention?

Question 5

What are the priority nursing interventions for these nursing diagnoses?

Week 4 Midweek Assignment Assignment Research Proposal Draft

Research Proposal Draft

By the due date assigned, write a (2-3 pages) paper addressing the sections below of the research proposal.

This week you will submit the Literature Review section of your proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.

The following resources will help guide you (in addition to our course textbooks):

WEEK 4 Discussion

Visit South’s online library and review these two articles.

  • Connelly, L. M. (2014). Use of theoretical frameworks in research. MEDSURG Nursing, 23(3), 187-188.
  • Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34-38.

Next, review the evidence you are collecting for your proposed study. Which theories have others cited? Are you seeing a common theme? Next construct a conceptual map (see p. 138 in your textbook). Use Microsoft Word or Microsoft PowerPoint and include this as an attachment. Be sure you have defined the concepts and included relational statements.

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    conceptualmap.jpg
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    GreenH.E.2014.Useoftheoreticalandconceptualframeworksinqualitativeresearch.NurseResearcher21634-38..pdf
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    conceptualmap.docx
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    ConnellyL.M.2014.Useoftheoreticalframeworksinresearch.MEDSURGNursing233187-188..pdf

post- Siohba

Respond to the Main post bellow offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

Note: the answer should be in a positive way

Main Question Post

Nursing Informatics

Nurse informaticists interact with other professionals in my healthcare setting in a variety of ways. One of these ways is through sharing patient information as and when needed. The increased manner in which medical facilities are adopting the use of health information technology means that the nurse informaticists have an integral role that they play in ensuring that patient data is availed when needed (Harrington, 2017). The Nurse informaticists also ensure that patient data is kept accurately and safely so that it can help in proper medical attention of the concerned patients. In so doing, nurse informaticists interact with those who admit patients at the facilities, those in charge of diagnosing and the laboratory technicians to ensure that there is a smooth flow of data from one point to the next (Lee, 2014).

The IT department at my current work place is not physically around or on the floors for night shift, which is when I work. So there isn’t much interaction with the nurse informatistics, but for their physical absence at night there is a contact line that we the employees can access whenever needed. That nurse informatistics has access to mirror what we are seeing on the actual computer screen so that they are able to help in more productive manner. If there is a new feature on the software there will be a super user which are more than likely nurses who have been trained on the new feature to help and aid in the process when needed. For instance, there is a new feature on the software at my work place that involves an innovative way to waste narcotics via the software. Because it has such a huge impact on the hospital they are having an information sessions at various times to accommodate every shift, which will allow a better understanding of the new feature at hand.

One way of improving these interactions will be by increasing familiarity among team members to the extent that every team member knows the strengths, weaknesses, and idiosyncrasies of all team members (Kalisch & Begeny, 2015). In so doing, it will be possible to take decisive measures on who should handle a particular aspect so that its outcome is the most desirable. Increased familiarity will lead to teamwork, which is likely to enhance the productivity of the nurse informaticists and other segments of the medical facility.

I believe that the continued evolution of nursing informaticists is likely to eliminate the physical distances among nurses and their facilities, something that will lead to improved patient outcomes. Nursing informaticist is likely to lead to seamless societies where it is possible to interact with other nurses located very many miles from each other and share their experiences or challenges in their line of duty. In so doing, it will be possible to come up with the most desired patient outcomes.

 

References

Harrington L. (2017). The role of nurse informaticists in the emerging field of clinical

intelligence. NI 2017: 11th International Congress on Nursing Informatics, June 23-27, 2017, Montreal, Canada. International Congress in Nursing Informatics (11th: 2017: Montreal, Quebec)

Kalisch, B.J. & Begeny, M.J. (2015). Improving nursing teamwork. The Journal of Nursing

Administration, 35 (12) pp 550-556.

Lee, A. (2014). The role of informatics in nursing. Nursing Made Incredibly Easy, 12(4), 55-57. doi:10.1097/01.NME.0000450294.60987.00

 

 

post-tiffani

Respond to the Main post bellow offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

Note: the answer should be in a positive way 

Main Post

Nurse informatics

According to Sipes (2016), The American Nurses Association (ANA) defines nurse informatics as “the specialty that integrates nursing science with information and analytical sciences to identify, define, manage and communicate data, information, knowledge and wisdom in nursing practice” (p.252). The nursing profession indeed has come a long way. As new technology in healthcare improves so will the nursing process. Nurse informaticists use technology to connect healthcare workers to the collected data wherein information is readily available for nurses to postulate interventions to deliver the best outcome.

Interaction between bedside nurses and nurse informaticists

In my experience as a bedside nurse, I don’t normally interact with the nurse informaticists of the organization I work for. Perhaps a few minutes every now and again when there is a new process that was just introduced or when they need to follow up and ask about how the staff nurses are doing with the new technology that came along. As a staff nurse, I get to interact more with the “super users” of the new technology that comes along. They are the ones that teach us bedside nurses about the new equipment, process change, charting on and of the new technology and how to navigate the new system. Given these new iphones that we now use, piloted in February of this year, the super users were the ones that are in attendance in the unit, available for any questions or difficulty we may face. Prior to the initiation of the said process, we had to attend an hour-long training about it and complete online training as well. This is not to say that we cannot call the nurse informaticists if we get into major issues. However for times as such, we go through the chain of command and if no one is knowledgeable to fix the issue, we call the experts. More often we call the service desk and they fix the issues we encounter on the system (EHR) over the phone.

Opportunities for improvement

Nursing is a continuous learning experience. It constantly evolves. From paper charting, now we have electronic charting, and from here, I’m quite sure we will see more interesting changes in the near future. EHR is really a marvelous technology, with the use of EHR, we can go back months, even years of patient history and we are able to compare from presentation or baseline even without having seen the patient first, we can pretty much formulate a good picture. My only comment about this is that human interaction is missing. My suggestion is that nurse informaticists should hold meetings probably, if feasible, at least every quarter, to check on the system’s strengths and weaknesses coming from the bedside nurses, the ones that use the technology day in and day out. I think, in that way, we, as bedside nurses at least can feel their palpable support. Additionally, nurse informaticists should work on possibly reducing redundancy in charting. The current EHR system we use at the organization I work for has so many redundant charting that I feel as though, it takes away from nurse to patient interaction. Moreover, honestly, I don’t even know the name of our organization’s nurse informaticists. Although I’m sure I can find it on the intranet and perhaps the one we see in the unit asking about any system issues is one of them, or maybe she is just another superuser, I honestly don’t know. I think we, as a people, are so in awe of new technology that we forget that human interaction is just as important.

References

Adams, E., Hussey, P., & Shaffer, F. A. (2015). Nursing informatics and leadership, an essential competency for a global priority: eHealth. Nurse Leader, 13(5), 52-57.

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47. Retrieved from: https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Sipes, C. (2016). Project Management: Essential skill of nurse informaticists. Studies in Health Technology and Informatics, 255, 252-256.