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People of Irish Heritage.

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People of Irish Heritage.

People of Italian Heritage.

People of Puerto Rican Heritage.

Read chapter 23, 33 and 34 of the class textbook and review the attached Power Point presentations.  Read content chapter 33 and 34 in Davis Plus Online Website. Once done present a 500 words essay discussing the healthcare beliefs of each heritage and how religion as part of the culture influence the delivery of health care.  The essay must be presented in an APA format, word document, Arial 12 font attached to the forum in the discussion board title “week 14 essay”.  You must cited/quoted at least 3 evidence based references besides the class textbook and 2 replies to any of your peers sustained with the proper references are required.

Nurse Manager Skills Inventory

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Rate yourself using the results from the “Nurse Manager Skills Inventory”: http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace. Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

Casino Floor Manager.

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Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

Ms. C is a 28-year-old Casino Floor Manager. She had gestational diabetes during her fourth pregnancy which she delivered about a year ago and during that time she was treated with NPH BID and NovoLog QID with meals. After delivery she started Metformin and then after that Pioglitazone and Sitagliptin and Glimepiride were added. She eats three meals a day. She prepares them at home. She doesn’t eat fast food or junk food and she’s pretty consistent with what she eats day-to-day. She’s very active, exercises regularly and when she sees you in the office her A1C is despite all that she is doing to control the sugars, her A1C is 8.9. What are your treatment options? Give probable diagnosis and differentials

Aquifer Case Study

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Apply information from the Aquifer Case Study to answer the following discussion questions:

  • Discuss the Mr. Payne’s history that would be pertinent to his genitourinary problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
  • Describe the physical exam and diagnostic tools to be used for Mr. Payne. Are there any additional you would have liked to be included that were not? 
  • Please list 3 differential diagnoses for Mr. Payne and explain why you chose them.  What was your final diagnosis and how did you make the determination?
  • What plan of care will Mr. Payne be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

To support your work with evidence bases references. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Developing Organizational Policies and Practices

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The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

Physician Assisted-Suicide 

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TOPIC – Physician Assisted-Suicide

Prompt: In this activity, you’ll create an annotated bibliography by following the steps below and answering the questions as thoroughly as possible. The questions will prompt you to engage in a conversation with your sources. You will need to follow the steps below three times (for your three different sources).

Before you begin, make sure you have:

Specifically, the following critical elements must be addressed:

  1. Identify your sources, including author, title, and the database information or website.
  2. Summarize your source. (Use the template below.)
    • It seems this source is arguing ____________________. This source is using this evidence to support the argument: ____________________.
    • A counterargument for one of the provided sources could be: __________________________________.
  3. Credibility and Relevance
    • Explain the rationale for the credibility of the source by providing supporting evidence. (Use the template below.)
      • Personally, I believe the source is doing a (good job/bad job) of supporting its arguments because ____________________.
    • Explain the relevance of the source to your argument. (Use the template below.)
      • I think this source will be very helpful in supporting my argument because ________________________.

Guidelines for Submission: Your annotations must include at least three sources. Save your work in a Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Then, check your writing for errors.

personal and medical history

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In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

  • Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

Sampling and Collecting Quantitative and Qualitative Data

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Sampling and Collecting Quantitative and Qualitative Data

Specific methods of data collection (e.g., surveys, interviews, observations) produce specific types of data that will answer particular research questions, but not others; so here too, as covered in previous weeks, the research questions inform how the data will be obtained.  Furthermore, the method used to collect the data may impact the reliability and the validity of that data.

For this Discussion, you will first consider sampling strategies. Then, you will turn your attention to data collection methods, including their strengths, limitations, and ethical implications. Last, you will consider measurement reliability and validity in the context of your discipline (Healthcare Science).

With these thoughts in mind, use Position A, to complete your discussion.

Position A: Probability sampling represents the best strategy for selecting research participants.

Write a Post: A restatement of your assigned position on sampling strategies. Explain why this position is the best strategy for selecting research participants. Support your explanation with an example and support from the scholarly literature. Next, select a data collection method (e.g., surveys, interviews, observations) and briefly explain at least one strength and at least one limitation. Then, identify a potential ethical issue with this method and describe a strategy to address it. Last, explain the relationship between measurement reliability and measurement validity using an example from your discipline.

Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.

Resources for the week:

Teddlie, C., & Yu, F. (2007). Mixed methods sampling: A typology with examples. Journal of Mixed Methods Research, 1(1), 77–100. 

Mixed Methods Sampling: A Typology with Examples by Teddlie, C., & Yu, F., in Journal of Mixed Methods Research, Vol. 1/Issue 1. Copyright 2007 by Sage Publications Inc. Reprinted by permission of Sage Publications Inc. via the Copyright Clearance Center.

Onwuegbuzie, A. J., & Collins, K. M. (2007). A typology of mixed methods sampling designs in social science research. The Qualitative Report, 12(2), 281–316. Retrieved from http://nsuworks.nova.edu/tqr/vol12/iss2/9

Drost, E. A. (2011). Validity and reliability in social science research. Education Research and Perspectives, 38(1), 105–124.

Walden University: Center for Research Quality. (2015a). Data resources & support: Home. Retrieved from http://academicguides.waldenu.edu/researchcenter/dataresources 

Download the “Sources of Data for Research: A Research Primer” document.

Walden University: Center for Research Quality. (2015d). Research resources: Walden University participant pool. Retrieved from http://academicguides.waldenu.edu/researchcenter/resources/participantpool 

Walden University. (2015a). How do I find an article that reports on research that uses a specific methodology? Retrieved from http://academicanswers.waldenu.edu/faq/72633

Walden University: Writing Center. (2015). Common course assignments: Annotated bibliographies. Retrieved from http://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies 

Course Outcomes (COs).

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This week’s graded topics relate to the following Course Outcomes (COs).

  • CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)
  • CO 4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)
  • CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)

Access the following information. You may read the PDF online or download it.

American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. Retrieved from https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdf  (Links to an external site.)Links to an external site.

  • Review the data presented in the ANA Fast Facts and describe some of the key attributes/characteristics of this sample of the nursing workforce.
  • Discuss some of the data that you found interesting; include what you believe the purpose (intent) of ANA sharing these results.
  • The instruments and tools that we use to collect data need to be reliable and valid. Define these terms and explain the importance of each. Share one way that can be used to collect data that you were not aware of or familiar with.

Informatics Functional Areas 

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Informatics Functional Areas 

 

Informatics is one of the most diverse disciplines in health care. Many nurses have been able to capitalize on their informatics knowledge and interests to carve out new roles within their own health care setting.  As you embark on your own informatics career path, it is important to be aware of the vast possibilities that await you. One of the best sources to begin your investigation is the American Nurses Association (ANA). The ANA recognizes that nursing informatics titles have little standardization across health care settings. As such, they have categorized the roles of informaticist into nine functional categories:

 

  • Administration, Leadership, and Management
  • Systems Analysis and Design
  • Compliance and Integrity Management
  • Consultation
  • Coordination, Facilitation, and Integration
  • Development of Systems, Products, and Resources
  • Education and Professional Development
  • Genetics and Genomics
  • Information Management and Operational Architecture
  • Policy Development and Advocacy
  • Quality and Performance Improvement
  • Research and Evaluation
  • Safety, Security and Environmental Health. (ANA, 2015, pp. 18-34)

    In this Assignment, you first consider the various functional areas as outlined by the ANA. You then examine your personal attributes and interests as you consider your future as a nurse informaticist.

    To prepare:

 

  • Review the nine functional areas for nurse informaticists as identified by the ANA.
  • Select the functional area in which you are most interested. Then, conduct additional research to identify the general responsibilities and duties associated with nurses working within this area.
  • Consider your current professional role. How might your personal attributes and interests help you to be successful in your selected functional area? What skills might you wish to develop to better position yourself for success?

    To complete:

    Submit a 4- to 5-page paper on Saturday 06/11/2016 by 12pm noon  in APA format  with 6 references that addresses the following:

 

  • Identify the nursing informatics functional area in which you are most interested.
  • Summarize the general responsibilities and duties of nurses who work within this functional area.
  • Explain how your personal attributes, interests, knowledge, and nursing background will help you thrive within this area.
  • Propose three overarching skills you could develop to become more effective in this functional area. Justify the importance of each skill by providing applicable examples. Cite your resources as appropriate.

     

     

     

 

Required Resources

 

Readings

 

  • Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
    • Chapter 1, “Historical Perspectives of Nursing Informatics”

      In this chapter, the authors explain the transition from paper-based records to electronic records. The chapter provides an overview of the historical events that contributed to the rise of electronic health records.

  • Liaw, S.-T., & Boyle, D. I. R. (2010). Primary care informatics and integrated care. Studies in Health Technology and Informatics, 151, 255–268.
    Retrieved from the Walden University databases.

    This article discusses how the health care field can be reformed by increasing access to information across organizations and professionals. The authors of the article justify the need for this reform and provide guidance on how it can be achieved.

  • Mitchell, J. K. (2011). Nursing informatics 101: Using technology to improve patient care. ONS Connect, 26(4), 8–12.
    Retrieved from the Walden Library databases.

    The emergence of nursing informatics in health care is the main topic of this article. New trends in informatics are discussed, as well as the certification process, nurse education, and the implementation of new systems to support patient care.

  • Morath, J. (2011). Nurses create a culture of patient safety: It takes more than projects. Online Journal of Issues in Nursing, 16(3).
    Retrieved from the Walden Library databases.

    The author of this article emphasizes the need for nurses to develop skills for improving care and embracing new health care innovations. The author also describes the connection between individual nursing practice and the system-wide success of informatics.

  • Reiner, B. I. (2011). Improving healthcare delivery through patient informatics and quality centric data. Journal of Digital Imaging, 24(2), 177–178.
    Retrieved from the Walden Library databases.

    In this article, the author analyzes the impact of the movement towards digitized medical data on patient care. The author discusses how this movement places more responsibility and empowerment on the patient.

 

Media

 

  • Laureate Education, Inc. (Executive Producer). (2012b). Dual nature of informatics systems. Baltimore: Author.

    Note: The approximate length of this media piece is 7 minutes.

    In this week’s media presentation, Gail Latimer, Dr. Patricia Button, and Dr. Roy Simpson discuss one of the most important aspects of informatics: the collection and aggregation of health information. The electronic health record (EHR) is discussed, as well as the nurse’s roles in working with EHR systems