Tag Archive for: nursing

risks inherent

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Describe the risks inherent with online websites and/or social media. Identify opportunities for effective use of online health information websites and/or social media.

Your presentation should include the following:

1. One social media in health care or public online health information site.
2. An overview of the use.
3. Their benefits and risks of use.
4. Your recommendations for nursing regarding appropriate use.

Submission Instructions:

  • Presentation is original work and logically organized in current APA style including citation of references.
  • Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • PowerPoint presentation with 5 slides, excluding the tile slide and the reference slide.
  • The presentation is clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • Speaker notes expanded upon and clarified content on the slides.

PICOT Statement Paper

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PICOT Statement Paper

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

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.

ormal or slow colonic transit,

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A patient reports having occasional acute constipation with large, hard stools and pain and asks the primary care NP about medication to treat this condition. The NP learns that the patient drinks 1500 mL of water daily; eats fruits, vegetables, and bran; and exercises regularly. How would you address your patient’s concerns?  What medication would you add and why?

Constipation is among the commonest reason that makes people self medicate (Teri Moser Woo 2016 pp535). It is very common and can be caused by variety of factors ranging from lack of exercise, immobility, neuronal abnormality, iatrogenic causes as well. Appropriate management requires an evaluation for secondary etiologies, such as systemic disorders and drugs. Once secondary causes have been eliminated, idiopathic constipation may be associated with normal or slow colonic transit, defecatory dysfunction (pelvic floor dysfunction), or both. Laboratory work up specifically electrolytes and radiological investigation would be considered for the above mentioned patient. This is after a thorough History and physical exam.

Since the patient above exercises and eats well, I would start with a stimulant Laxative in this case. Stimulant laxatives — Stimulant laxatives such as bisacodyl (e.g., some forms of Dulcolax), Senna (e.g., Senokot), and sodium picosulfate (e.g., Dulcolax drops). According to (Johnson DA, Barkun AN, Cohen LB, et al 2014) A randomized four-week trial of sodium picosulfate (10 mg daily) in 45 patients with chronic constipation demonstrated improved bowel function for those receiving medication compared with placebo

 

                                                                        Senna

Category: Senna is a stimulant laxative, primarily exert their effects via alteration of electrolyte transport by the intestinal mucosa. They also increase intestinal motor activity

Use: Senna is use for constipation, generally causes bowel movement in 6 to 12 hours

Warning and Education: Senna should be used appropriately. Failure to have a bowel movement or occurrence of rectal bleeding after use should be reported to health care provider. It is not recommended for use in patients experiencing stomach pain, nausea, vomiting, or a sudden change in bowel movements which lasts >2 weeks. If constipation did not improve after being on Senna for one week, return to the clinic. Do not use for more than 1 week.

Adverse reaction: Some adverse reaction that can result from Senna use include: abdominal cramps, diarrhea, nausea, vomiting

 

References

Anderson PO, Sauberan JB. Modeling drug passage into human milk. Clin Pharmacol Ther. 2016;100(1):42-52. [PubMed 27060684]

Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US multi-society task force on colorectal cancer. Am J Gastroenterol, 2014;109(10):1528-1545. [PubMed 25223578]

Woo, T. M. & Robinson, M. V. (2016): Pharmacotherapeutics for Advanced Practice Nurse

Prescribers. (4TH ed.). Philadelphia: F. A. Davis Co

Liu Z, Yan S, Wu J, et al. Acupuncture for Chronic Severe Functional Constipation: A Randomized Trial. Ann Intern Med 2016; 165:761.

Qualitative Study

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In an APA format paper, approximately 3-5 pages in length, address the following questions.  Locate two different qualitative studies in professional resources related to your PICOT topic of interest.  “Does handwashing among healthcare workers reduce hospital acquired infection?”

Give an overview and summary and then answer these three questions:      

1)Give an overview of the study and findings

2)What type pf qualitative study was it (i.e. phenomenology, ethnography, etc.)?

3) How did the authors establish trustworthiness (specifically discuss credibility, confirm ability, dependability, and transfer ability)?

4)Do you think this study will be applicable to your population? Why or why not?

Label each section using the template. Submit copies of studies in PDF format!

Template:

Quantitative Study One – the first study what is about?

Overview; what is the overview of the study?

Study design : what kind of study is it? Is it experimental, quasi-experimental, or non-experimental

Internal validity of the study and External Validity of the study  What threats to internal and external validity were noted? Are there others you think might be present that the author(s) did not describe? Define each of these terms . 

Applicability:  . Do you think this study will be applicable to your PICOT population? Why or why not? 

Qualitative Study Two

Overview

Study Design experimental, quasi-experimental, or non-experimental

Internal and External Validity

Applicability

References   in APA format you must include intext citation. cite every source of information. You must upload the study article you are referring to. The study must be peer reviewed scholarly articles between 2014  and 2019 . please upload 2 different kinds of studies addressing the PICO question above.

opportunities to promote health

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As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020

(Links to an external site.)

Links to an external site.

and your text as a guide, answer the following questions.

What additional information would you like to gather from Maria?

What are Maria’s real and potential health risks?

Why is Maria’s culture important when obtaining the health assessment?

Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?

What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.

Jarvis, C. (2016). Physical examination & health assessment (7 th ed.) Philadelphia, PA: Saunders.

Workplace Environment Assessment

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Discussion: Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

· Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

· Review and complete the Work Environment Assessment Template in the Resources.

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

Assignment: Workplace Environment Assessment

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

· Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

· Review the Work Environment Assessment Template.

· Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.

· Select and review one or more of the following articles found in the Resources:

o Clark, Olender, Cardoni, and Kenski (2011)

o Clark (2018)

o Clark (2015)

o Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

· Review the Work Environment Assessment Template you completed for this Module’s Discussion.

· Describe the results of the Work Environment Assessment you completed on your workplace.

· Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.

· Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

· Briefly describe the theory or concept presented in the article(s) you selected.

· Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.

· Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

· Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.

· Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

Resources to Use

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

  • Chapter 5, “Collaborative      Leadership Contexts: Networks, Communication, Decision Making, and      Motivation” (pp. 121–144)
  • Chapter 9, “Creating and      Shaping the Organizational Environment and Culture to Support Practice      Excellence” (pp. 247–278)
  • Chapter 10, “Building Cohesive and Effective      Teams” (pp. 279–298)

Select at least ONE of the following:

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4

Clark, C. M. (2018). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator. doi:10.1097/NNE.0000000000000563

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18–23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf 

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing, 45(12), 535–542. doi:10.3928/00220124-20141122-02

Document: Work Environment Assessment Template (Word document)

 

Work Environment Assessment 

Template

Work Environment Assessment Template

Use this document to complete the Module 4 Workplace Environment Assessment.

 

Summary of Results – Clark Healthy Workplace Inventory 

 

Identify two things that surprised   you about the results. Also identify one idea that you believed prior to   conducting the Assessment that was confirmed.

 

What do the results of the Assessment   suggest about the health and civility of your workplace?

 

Briefly describe the theory or concept presented in the   article(s) you selected.

Explain how the theory or concept   presented in the article(s) relates to the results of your Work Environment   Assessment.

 

Explain how your organization   could apply the theory highlighted in your selected article(s) to improve   organizational health and/or create stronger work teams. Be specific and provide   examples.

 

General Notes/Comments

comprehension of two qualitative research studies.

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Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

health care system.

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Task description:

  • Students are to engage with a consumer who is experiencing illness or who has had previous contact with the health care system.
  • Students are to produce a narrative piece of writing structured under Borton’s Framework for Reflection’s What? So What? and Now What? headings.

What?              Students are to provide a synopsis of the consumer interaction (What did they say? / What happened to the consumer? / What was their experience?).

So What?        Students are to provide a detailed exploration of the narratives of the consumer health journey  with reference to the three narrative theories discussed in week 1. (What does it all mean? / What are the underlying themes? / What narrative theory is evident?).

Now What?    Students are to provide an insightful reflection around how the interaction has contributed to their    professional development (How the experience will make you a better nurse?).

Use the following structure as a guide for your assignment:

  1. Cover page or header with the unit number, unit title, assignment title and your student number (not included in word count).
  2. Introduction: Approximately 150 words, including in-text citations.
  3. What?  Synopsis of the consumer’s story (Approximately 400 words, including in-text citations).
  4. So What?  Exploration of the consumer’s narratives and narrative theory (Approximately 400 words, including in-text citations).
  5. Now what? Refection on professional development (Approximately 400 words, including in-text citations).
  6. Conclusion: Sum up the consumer journey/narratives/reflection (approximately 150 words, including in-text citations).
  7. Reference list (not included in the word count).

Notes

  • Assignments should adhere to academic writing principals.
  • Students should use either Arial, Calibri or Times New Roman font styles in size 11 or 12. Assignments should be 1.5 or double spaced.
  • Please only write in the first or third person for this assignment. You may prefer to use a combination of both (eg: third person for the introduction, What? and So what? parts and first person in the Now what? and conclusion).
  • Students MUST use de-identified names for when referring to the consumer in your assignment. This is to protect their confidentiality.
  • Feel free to use headings to differentiate each section of your assignment (eg: What?, So What? and Now What?).
  • There is no minimum number of references for this assignment however Borton’s Framework for Reflection should be referenced appropriately.
  • Assignments should be first submitted through the URKUND portal in Canvas. Please review your URKUND result and make appropriate amendments (if required) prior to your final submission in the Assignment 1 portal on Canvas to avoid plagiarism.

Marking and moderation

  • Marking and moderation processes will be actioned in accordance with university policy.
  • Prior to the start of marking, a sample of 2-3 assignments will be individually marked by all members of the marking team.
  • Final marks and comments will then be discussed amongst the group to standardise the assignment expectations and marking process.
  • All assignments will be marked blind to student names (student IDs only visible).
  • All fail marks plus a cross section of all other marks (pass, credit, distinction and high distinctions) across all classes will be moderated.
  • Where there is a discrepancy between the marks awarded by the first and second marker, the average mark will be awarded.
  • If there is a student grievance around the marking, a third person will mark the assignment.

health concerns of a new immigrant population.

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 Write for your organization a 3–5-page impact report regarding the health concerns of a new immigrant population. Describe the population’s health concerns and issues, explain current pharmacological treatments, and explain how culture and traditional practices may affect use of pharmacology. Identify evidence-based strategies for the organization and nursing staff to use to educate the population and promote health and wellness.

 

Imagine the county health department notifies your organization that a large number of immigrants are expected to be resettled in your area. The organization, wanting to be prepared to handle any health concerns of the population, tasks each department with readying for the influx of immigrants. Your supervisor asks you to prepare an impact report on the pharmacological needs of the population that can be shared with other departments.

Preparation

Complete the following as you prepare for your impact report:

  1. Choose one of the global areas below as the area from which the population will be coming.
    • Sub-Saharan Africa.
    • India.
    • China.
    • Dominican Republic.
    • Guatemala.
    • Jamaica.
    • Bangladesh.
    • Saudi Arabia.
    • Pakistan.
    • Mexico.
  2. Research the most common health concerns and issues for immigrants from your chosen global area, the pharmacological treatments that will likely be prescribed, and any cultural values or traditional practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

  • Describe the health concerns and issues for the population.
  • Describe current pharmacological treatment regimens for the main health concerns and issues.
  • Explain any traditional beliefs and practices associated with the health concerns and issues. Does the population engage in culturally based methods of treating the health concern?
  • Explain how cultural values and traditional practices might affect acceptance and use of prescribed pharmacological treatments. Be sure to consider the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology.
  • Identify evidence-based, culturally sensitive strategies the organization can use to educate the population about the correct use of the pharmacology treatments.
  • Identify evidence-based, culturally sensitive strategies the nursing staff can employ with the population to promote health and wellness.

Write this assessment as an impact report formatted as other reports of a similar nature in your organization or an organization with which you are familiar. Include a title page and reference page and follow APA guidelines for your in-text citations and references.

Additional Requirements

  • Number of pages: 3–5
  • At least 3 current scholarly or professional resources.
  • Times New Roman font, 12 point, double-spaced font.

End Of Life

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In this course, we consider vulnerable populations and Health Promotion and Disease Prevention standards. We look at content through the lens of pediatrics, women’s health, adults, mental health, and the elderly. Having just completed exercises related to the five levels of prevention in Week 1, consider what you have learned and how to apply Quaternary Prevention. Watch the following video and write a one-page journal submission regarding your thoughts about the use of palliative and hospice care as an option for health promotion. In what scenario(s) might this be applicable? Have you ever thought about palliative and hospice care promoting health? Why or why not?

You may journal in first person, and this assignment does not require references as it is your thoughts; however, be sure to review the rubric, as a minimum of one reference is required to be considered exemplary work. If you choose to use quotes or citable material, you are expected to follow APA formatting.

Grading Rubric:

 

Journal Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Journal Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsFocus and ContentIn addition to self-reflection, the journal components are provided along with clear examples supported by course content and references that speak to how the journal content relates to the questions posed within the assignment.

Cites one or more references.

All instruction requirements noted.

45 pointsComponents of the journal are topic focused and accurately and thoroughly presented via self-reflective explanations and application of knowledge to personal and/or professional life.

All instruction requirements noted.

40 pointsComponents of the journal are summarized with minimal self-reflection or application to personal or professional life.

Synthesis of course content is present but missing depth and/or development.

Missing some instruction requirements.

35 pointsCourse content is present but there is no self-reflection noted within the journal.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Missing several instruction requirements.

Submits assignment late.

31 points45Application of Knowledge through Critical ThinkingCritical analysis is supported with information from scholarly resource(s), offering new insight into the context of the assignment.

Student indicates how the experience will have an impact on their professional practice.

All instruction requirements noted.

45 pointsThe journal submission presents findings and knowledge gained from the assignment. An obvious link between the assignment and nursing is noted.

Submission provides clarification of the assignment by answering all posed questions.

All instruction requirements noted.

40 pointsJournal content may be confusing, unclear, or incomplete–lacking clarification or new information.

The student alluded to a practice application, but the information provided was not clear.

Not all questions posed are addressed.

Missing some instruction requirements.

35 pointsSubmission is primarily a summation of the assignment without further synthesis or analysis of course content.

Application of knowledge is limited, with no direct application to clinical practice discussed.

Demonstrates incomplete understanding of content and/or inadequate preparation.

More than one question posed is not addressed.

Missing several instruction requirements.

Submits assignment late.

31 points45OrganizationWell-organized content with a clear and complex purpose statement and argument content. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA Referencing, Grammar, and SpellingCorrect applicable APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

There are no spelling, punctuation, or word-usage errors.

5 pointsThe writer demonstrates correct usage of formal English language in sentence construction.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThe writer occasionally uses awkward sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar.

Multiple grammar, punctuation, or word usage errors.

3 pointsThe writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points