Please follow the instructions below

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 Details:
Assess your knowledge of foundational concepts essential to the nursing management of client health by taking the interactive quiz, located in the media “Arterial Blood Gas Interpretation.” http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_self-assessment-v1.1.php
The quiz is designed as a tool for self-assessment. When you encounter questions that seem vaguely familiar, click on the media’s study materials, which are organized by topic (e.g., anatomy, biology, chemistry, pharmacology). This media will serve as a refresher for the concepts that build upon one another in nursing practice.
You will have the opportunity to retake the quiz until you achieve a passing score of 100%.
Once completed, please save your results and submit to the instructor.
NRS410V.R.StudentADAVersionoftheArterialBloodGasInterpretationPre-Assessment_Student_02-11-13.docx 

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What are neurons that carry nerve impulses toward the central nervous system called?

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Sensory neurons
Because, it carry nerve impulses toward the central nervous system
Diagram of a sensory neuron :The post What are neurons that carry nerve impulses toward the central nervous system called? first appeared on Nursing School Essays.

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Assessment of the Abdomen and Genitourinary System

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CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1) CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) CO3 Utilize effective communication when performing a health assessment. (PO 3)
Amira is a 27-year-old Syrian refugee who has been residing in a local homeless shelter since her arrival here in the United States 4 weeks ago. She was brought into the emergency room this morning via squad after being found by a shelter employee sitting in a pool of blood on the bathroom floor crying and holding her abdomen. Due to her limited English speaking abilities, she is unable to provide specific details as to her complaints but the shelter employee states that she has recently stopped eating and has not looked well for the past couple of days.
Based on the limited information provided, please answer the following questions. How will you prioritize your care of Amira, what assessments will you complete, and in what order? Please provide rationale for choosing this order. Are there any cultural beliefs/practices that must be taken into consideration when planning her care? Considering her symptoms of abdominal pain and bleeding, is it possible that her status as a homeless refugee is a causative or contributing factor to her illness? Please provide rationale for your response.

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Integrating the Field of Developmental Psychology: A Review of the Literature

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Prior to beginning work on this assignment, review the age group / developmental stage you selected in Week Two of the course. Remember, you must use this age group / developmental stage.
You will then review the Developmental Psychology literature examining findings for that age group / developmental stage in terms of the physical, emotional, cognitive, social dimensions, and how they impact development and can best be used to meet developmental needs.  Additionally, create a summary of the developmental stage as viewed through the lens of one developmental theory we have studied across the course (Piaget’s Theory of Cognitive Development, Freud’s Psychosexual Theory, Erickson’s Psychosocial Theory, etc.).
In your paper,

Examine the physical changes associated with the selected developmental stage.
Examine the cognitive changes associated with the selected developmental stage.
Examine the emotional changes associated with the selected developmental stage.
Examine the social changes associated with the selected developmental stage.
Evaluate the developmental changes and appraise the effects of the physical, cognitive, emotional, and social environments.
Integrate developmental and environmental factors into an assessment of developmental needs.
Create a summary of the developmental stage as viewed through the lens of a selected developmental theory.
Propose solutions for areas not addressed by the theory.
Analyze the ethical considerations for research and practice with the selected developmental stage.

The Integrating the Field of Developmental Psychology: A Review of the Literature

Must be 8 to 10 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.).
Must include a separate title page with the following:

Title of paper
Student’s name
Course name and number
Instructor’s name
Date submitted

Must use at least five scholarly sources in addition to the course text.

The Scholarly, Peer Reviewed, and Other Credible Sources table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.

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Please follow the instructions below ,at least 250 words please

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The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data Complains of pain and heaviness in her leg. States she cannot bear weight on her leg and has been in bed for 3 days. Lives alone and has not had anyone to help her with meals.
Objective Data Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage Left leg red from knee to ankle Calf measurement on left 3 in > than right Temperature: 38.9 degrees C Height: 160 cm; Weight: 83.7 kg
Laboratory Results WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands Wound culture: Staphylococcus aureus
Critical Thinking Questions What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.” What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

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Quantitative Research to Answer Evaluation Questions

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You need to write a response to the peer posting. Your response needs to be supported with at least two
references.
Describe your research design for answering key evaluation questions for your program evaluation.
The research design for the program evaluation is the One Group Pretest-Posttest Design. This design allows the evaluator to measure the youth’s problems before the intervention as well as after the intervention. In this approach because data was gathered twice, success can be measured in terms of any decrease in the percentage of support group members who were depressed or improvements in the group’s average score from pre- to post test (Royse, Thyer & Padgett, 2016). In this case, we are more concerned with the individual score but we are willing to use the score of the group to evaluate the effectiveness of the entire program for the entire group selected.
Briefly provide the following information for your peers’ review:

Population – children and adolescents
Clinical area of concern– depression
Clinical intervention to be evaluated – wrap around services to address mental health needs

State one evaluation question (pertinent to your planned evaluation) that could be answered with a quantitative study. Then, specify the type of research design that would best answer this question, offering your rationale. Lastly, identify the dependent and independent variables that would be measured to answer this evaluation question.
Depression is a major problem during adolescence for many reasons (Stikkelbroek, Bodden, Kleinjan, Reijnders & van Baar, A. L. (2016). Empowerment Evaluation Model has the goal of assisting the program with being successful. In order to do this, it is necessary to improve the stakeholder’s ability to plan, implement and self-evaluate their program (Fettermam as cited by Chyung, Wisniewski, Inderbitzen & Campbell, 2013). One evaluation question that could be answered with a quantitative study is, ‘Have my symptoms reduced since starting the program?’ This can be answered with 1-Yes, 2-No, and 3-I Don’t Know. The independent variable would be the children and youth and the dependent variable would be the answer to the question of whether their symptoms have reduced since starting the program.
State another evaluation question (pertinent to your planned evaluation) that could be answered with a quantitative study. Then, specify the type of research design that would best answer this question, offering your rationale. Lastly, identify the dependent and independent variables that would be measured to answer this evaluation question.
Another question that could be answered with a quantitative study is, ‘What wrap around services have been effective with addressing my needs?’ The youth/family will answer the question based on their experiences. For example, they may select housing services, social services, vocational services, medical services, etc… The responses will be categorized and assigned a number. For example, 1-housing services, 2-social services, etc… Crusto et al. (2008) noted that a wraparound approach is a team based strategy that provides individualized service planning for youth and their families. This service is a very important aspect of the program because a lot of the children and adolescents require other supports to assist with reducing their current symptoms. In this case, the independent variable would be the children and adolescents and the dependent variable would be the response to the question. This question will also assist with recognizing trends in services needed to support individuals who are depressed which may also shed some light on the contributing factors when it comes to their depressive symptoms and/or behaviors.
References:
Crusto, C. A., Lowell, D. I., Paulicin, B., Reynolds, J., Feinn, R., Friedman, S. R., & Kaufman, J. S. (2008). Evaluation of a Wraparound Process for Children Exposed to Family Violence. Best Practice In Mental Health, 4(1), 1-18.
Chyung, S. Y., Wisniewski, A., Inderbitzen, B., & Campbell, D. (2013). An improvement- and
accountability-oriented program evaluation: An evaluation of the Adventure Scouts
Program. Performance Improvement Quarterly, 26(3), 87–115.
Royse, D., Thyer, B. A., & Padgett, D. K. (2016). Program evaluation: An introduction to an evidence-based approach (6th ed.). Boston, MA: Cengage Learning. ISBN: 9781305101968.
Stikkelbroek, Y., Bodden, D. M., Kleinjan, M., Reijnders, M., & van Baar, A. L. (2016). Adolescent Depression and Negative Life Events, the Mediating Role of Cognitive Emotion Regulation. Plos ONE, 11(8), 1-16. doi:10.1371/journal.pone.0161062

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dq1111111

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What are some of the potential benefits you could share with your colleagues, to encourage nurses to participate?  
The post dq1111111 appeared first on Nursing Essay Tutors.
dq1111111 was first posted on April 14, 2024 at 8:37 am.©2019 "nursingassignmenttutor". Use of this feed is for personal non-commercial use only. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Please contact me at [email protected]

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Topic & Research Design Presentation and Rationale

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Prior to beginning work on this interactive assignment, it is recommended that you review the recommended resources for this week as they will assist you in the creation of an effective presentation of your Research Design.
This interactive assignment will provide you with an opportunity to create a dynamic presentation of some of the materials you are creating for your Research Proposal. This type of presentation would be used in the professional world to request Institutional Review Board (IRB) approval, and potentially elicit funding, for your research.
In your presentation, summarize the main points and ideas for your Reseach Design. Over the course of the week, you will have the opportunity to share feedback and suggestions with your classmates and instructor, which may assist you in improving your research proposal before submitting the Research Proposal.
For this interactive assignment, create a presentation file using PowerPoint and then create a three- to five-minute screencast video of your presentation with pertinent audio that includes important points about the content of each slide. In order to make sure your video remains within the 3-5 minute time requirement, create a script for your screencast video. You must attach your script to your initial post. It is recommended you rehearse your presentation using your script to ensure that you are within the time limit and that all pertinent information is presented in a manner that is easy to understand. You may use any screencasting software of your choice (e.g., Screencast-O-Matic, Jing, etc.). A quick-start guide is available for Screencast-O-Matic for your convenience.
The content of the presentation must include the following:

A brief introduction
Devise a specific research question related to the topic you chose in Week One.
Explain the importance of the topic and research question.
A brief literature review
Evaluate published research studies on your topic found during your work on the Weeks One, Two, and Four assignments and identify two relevant published studies.
A description of potential methods
Based on what you have learned about research design options and requirements in this course, create an appropriate research approach and design to investigate your research question.
Provide a rationale for your design choices.
A discussion on ethical issues
Apply ethical standards to the proposed research and identify potential ethical issues that would apply. Explain how you plan to address these issues.
A conclusion
Summarize the main points of the presentation and reiterate why the proposed research is important and why it should be carried out.

In your initial discussion post, introduce your presentation and provide a link to the screencast URL. Be sure to attach your PowerPoint presentation and script documents to your initial post.Guided Response: Review several of your colleagues’ posts and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion. 
Apply the scientific method to the research problem(s) presented and comment on the appropriateness of the research question devised. If the question devised does not seem appropriate and researchable, suggest another research question that would apply to this topic. Compare the characteristics of various appropriate research paradigms related to your colleague’s chosen topic and suggest another research method that could be applied to this research question. Provide a rationale that explains how this method may be equally or more appropriate for the research question. Evaluate the ethical implications of the proposed research and suggest other issues your colleague has not mentioned. Provide any other comments to your colleague that may assist him or her in creating a more effective research proposal.
Continue to monitor the discussion forum until 5:00 p.m. Mountain Standard Time (MST) on Day 7 of the week and respond to anyone who replies to your initial post. In your replies to these comments to your initial post either respectfully defend your choices providing supporting information from your research, or explain how you might incorporate the suggested changes into your research proposal.
Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread.

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power point presentation 2

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  Moving beyond medical errors: How EHRs are ‘nudging’ practices to change certain behaviors
by Eli Richman | Jan 28, 2019 6:00amThe University of Chicago Medical Center is one health system experimenting with ways the EHR can nudge physician and nurse behavior. (Courtesy of University of Chicago)ShareFacebookTwitterLinkedInEmailPrint
Electronic health records (EHRs) are usually cited for their ability to help diagnose diseases and reduce medical errors. But several health systems are testing how EHRs can be used to target other factors, like patient comfort and drug shortages.
Since EHRs are frequently used to guide patient care, adjusting the output of those systems can have considerable impact on patients—beyond just their immediate health condition.
Consider the University of Chicago Medical Center, which has been experimenting with a study module called SIESTA (Sleep for Inpatients: Empowering Staff to Act) to help patients in hospitals sleep better. The study is aimed at reducing nighttime awakenings for inpatients so they don’t experience in-hospital sleep deprivation. FREE DAILY NEWSLETTER Like this story? Subscribe to FierceHealthcare!
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Inpatient sleep deprivation occurs when EHRs prompt doctors and nurses to take vital signs, administer medication or perform a test irrespective of the time of day. If a patient is being consistently woken up this way, they can suffer grogginess, delirium and falls.
“As a frequently hospitalized patient, I am used to being woken up as often as every one to two hours,” Sara Ringer, a hospital patient, told the University. “It never feels like your body has a chance to rest and heal. My last hospitalization at University of Chicago was one of the easiest I’ve had because the hospital staff made it possible for me to sleep.” Alerting clinicians to potential problems—constantly
SIESTA works by adding alerts to the EHR, which remind healthcare workers they may want to delay disruptions that are minimally important (such as measuring vital signs). While it’s certainly possible to simply provide training to clinicians to avoid nighttime awakenings, the researchers said the EHR reminders work better.
“Efforts to improve patients’ sleep are not new, but they do not often stick because they rely on staff to remember to implement the changes,” said the study’s lead author Vineet Arora, M.D., professor of medicine at the University of Chicago.
But alerts aren’t always effective either because clinicians can start mentally blocking them out, said Raj Ratwani, M.D., director of the national center for human factors in healthcare at Medstar Health. When a physician gets an alert for something or other every few minutes (a suggestion to use a certain drug, a suggestion about when to perform a test, etc.), it stops being a concern and starts becoming an interruption of their workflow, according to Ratwani’s research.
Ratwani pointed to an eye-tracking study done on residents completing certain tasks in an EHR. It found that after a time, physicians would by habit bring their cursor to the place on the screen ready to close an alert box after selecting certain options—before it had even popped up. They had become that inured to the reminders.
“Those are the kind of alerts that drive physicians nuts, because think about how many of those they get, how busy they are,” Ratwani told FierceHealthcare in an interview. “What’s happening is you just get used to it, it becomes an interruption of your workflow, and you just want to get past it.” Background UI changes—subtle and concerningly unnoticeable
Another approach to nudging clinicians’ behavior is to change the EHR’s user interface (UI) to cognitively disincentivize certain choices. Putting undesired options further down on a drop-down list, for instance, or graying them out, can cause clinicians to select them less often without interrupting workflow.
Many EHRs already do this to avoid negative health outcomes, like unintended drug interactions or dangerous opioid doses. But all those tools are available to nudge behavior for other reasons, Ratwani said. They can just as easily be employed to avoid a drug that’s on shortage or out of range.
“Oftentimes what happens is providers get emails, and they’ll get an email that says ‘please don’t prescribe medication A, prescribe medication B instead’. And then they’re tasked with having to remember that information on top of all the other things they have to do. So that’s a great instance where it would be far more effective to manipulate the interface a little bit to make it more difficult to order those medications that are on shortage,” he said.
“Things that you want to prevent or push people away from—you want that to take more cognitive effort than you want people to actually use,” Ratwani added. “So you’re guiding them without them needing to do a lot of effort to acknowledge them or interrupt their workflow. And that’s where it’s most effective—where it’s very passive and doesn’t require a lot of effort on the part of the physician.”
The trouble here is that the UI changes can tread into the territory of making decisions instead of clinicians. And while the grayed-out options should still be available to select in most cases, the psychological disincentive it provides is powerful, Ratwani said. One study showed that even a one- to two-second delay in the time that it takes to do something will push people away from that action most of the time.
Furthermore, it’s not clear that the suggestions pushed by the UI will always be appropriate. It would be easy for a drug shortage to end, for instance, but not have the EHR update to reflect that until months later.
“There is tremendous potential for unintended consequences in this kind of change—to any interface. Just in the example of order sets, many have been updated but the clinician’s not aware that it’s been updated, so they may be operating under the previous conditions of that order set,” Ratwani said. “This can be a big problem, and it’s similar to the drug shortage scenario, where there is a change and it’s not obvious.”
Ultimately, no solution is perfect. Personal reminders are too forgettable, EHR reminders are too repetitive and easy to ignore, and UI changes are too difficult to notice and overrule.
So while EHR changes can be a powerful tool for hospitals and health systems to incentivize certain behavior, they will have to be vigilant about the unintended consequences.
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For chrisbenjamin

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From ongoing assignment
Milestone 4
For this assignment, you will submit an initial draft of your Methods and Results sections. Now that you have completed your data collection, it is important to revise your methods section so that it accurately reflects the methods that were actually used in your study. In your Results section, you should first describe how you reduced your data for analysis (e.g., how your questionnaires were summed or averaged to get a composite score to analyze). Your Results section should also include a table of the relevant descriptive statistics. Last, you will need to describe the statistical test that you chose to run and provide the key results for the test as well as a brief explanation of the results. It is essential that you follow APA style when writing this section. Please refer to Chapters 2 and 5 of your APA manual for further instructions on how best to write a Methods and Results section.
Guidelines for Submission: Must adhere to standard formatting
(Times New Roman, 12-point font, one-inch margins), using the most recent version of the APA style manual for citations.
Milestone 5
For this assignment, you will submit an initial draft of your final project Discussion section. This section should recap your findings, discuss how the findings fit in with prior research on the topic, discuss areas for future research, and mention limitations and ethical considerations related to your research. It is essential that you follow APA style when writing this section.
Requirements of Submission: Must adhere to standard formatting (Times New Roman, 12-point font, one-inch margins), using the most recent version of the APA style manual for the citations.The post For chrisbenjamin first appeared on Nursing School Essays.

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