Tag Archive for: nursing

staffing matrix.

The purpose of this assignment is to prepare students to make staffing decisions based on sound financial management principles and compliance guidelines.

Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the “NUR-621 Topic 8: Staffing Matrix” in the provided excel template.

After completing the matrix, compose an 1,000-1,250-word reflection answering the following questions:

  1. Why is it important to use a staffing matrix in your health care setting?
  2. Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix?
  3. Explain how you adjusted your staffing based on changes in the patient census.
  4. You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?

Include two to four peer-reviewed references in your essay, including the textbook.

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. Refer to the LopesWrite Technical Support articles for assistance.

Communication

Communication in the workplace is key. It is what makes employees feel comfortable, valuable and successful, which allows them to work to their fullest potential. Effective communication not only builds trust between employers and employees, but has a direct effect on the health and safety of nurses and their patients (Bergman, Dellve, & Skagert, 2016). The Clark Health Workplace Inventory is a tool that is used to determine if a work environment is perceived as healthy. After completing the survey, the results showed that my workplace is an unhealthy environment. Oddly enough, my coworkers and I have had many conversations about some of the very topics discussed in this assessment. That is why this result doesn’t surprise me at all. One of the question on this assessment asked specifically about staffing, which is something that my unit struggles with consistently. The absence of adequate staffing makes the workload difficult to manage. It leads to unnecessary stress. Also, there were several questions pertaining to clear communication through all the levels of the organization, which is something that I think my organization could get better at too. There are a lot of decisions made about the staff without actually getting the staff’s input on those decisions beforehand. It can make employees feel as though their thoughts or input doesn’t matter. No one can expect for every workplace to be perfect. In fact, any work environment has its issues and aspects that make people unhappy. However, overall employees should find some happiness in their jobs. Whether it be the impact of their work, location, coworkers, incentives, or opportunities for career advancement.

Incivility in the Workplace

Incivility in the workplace can cause employees to have little to no happiness in their jobs. Marshall & Broome define incivility as “ behavior of low intensity that can include such behavior as being rude, discourteous, impolite, or violating workplace norms or behavior” (pg, 76). I worked at a subacute rehabilitation center where the Director of Nursing behaved in this manner. She was very demeaning and aggressive when she would speak to the staff. It made for a very stressful environment. The nursing staff constantly felt like we were walking on eggshells, never knowing when we would have an encounter with her. There was a constant turnover of staff, not only among the staff nurses but mostly with the unit managers who worked directly under her. Even though she was a great nurse, I felt that she was not a good nurse leader for this reason. Although several nurses made her aware of their thoughts on how she treated and spoke to people, I can’t remember anything being done on a larger scale to combat the incivility. Looking back, I worked at this facility as a brand new nurse and really did not know that things could be done differently as far as leadership goes. I also wasn’t aware at the time of how working with this person impacted my views on the workplace as a whole.

References

Bergman, C., Dellve, L., & Skagert, K. (2016). Exploring communication processes in workplace meetings: A mixed-methods study in a Swedish healthcare organization. Work, 53(3), 533-541. DOI: 10.3233/WOR-162366

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

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

Professional Capstone

Throughout the course, students will engage in weekly reflection and scholarly activities. These assignments are presented in Topic 1 to allow students to plan ahead, and incorporate the deliverables into the Individual Success Plan if they so choose.

The weekly reflective journals and scholarly activities will not be submitted in LoudCloud each week; a final, culminating submission will be due in Topic 10. No submission is required until Topic 10.

Professional Capstone and Practicum Reflective Journal

Students are required to maintain weekly reflective narratives throughout the course to combine into a final, course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. This course-long journal assignment will be due in Topic 10.

In each week’s entry, you should reflect on the personal knowledge and skills gained throughout the Professional Capstone and Practicum course. Your entry should address a variable combination of the following, dependent on the specific practice immersion clinical experiences you encountered that week:

  1. New practice approaches
  2. Intraprofessional collaboration
  3. Health care delivery and clinical systems
  4. Ethical considerations in health care
  5. Population health concerns
  6. The role of technology in improving health care outcomes
  7. Health policy
  8. Leadership and economic models
  9. Health disparities

In the Topic 10 submission, each of the areas should be addressed in one or more of the weekly entries.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how they met competencies and course objectives.

Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

In Topic 10, you will submit a summary report of your scholarly activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

NRS-490-RS-ScholarlyActivitySummary.docx

systematic problem-solving method

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
  3. Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
  4. Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
  5. Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
  6. Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

2.1: Incorporate liberal arts and science studies into nursing knowledge.

3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.

Healthcare Program

Assignment: Assessing a Healthcare Program/Policy Evaluation

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

· Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.

· Select an existing healthcare program or policy evaluation or choose one of interest to you and get approval to use it from your Instructor.

· Review the healthcare program or policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

· Describe the healthcare program or policy outcomes.

· How was the success of the program or policy measured?

· How many people were reached by the program or policy selected?

· How much of an impact was realized with the program or policy selected?

· At what point in program implementation was the program or policy evaluation conducted?

· What data was used to conduct the program or policy evaluation?

· What specific information on unintended consequences was identified?

· What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.

· Did the program or policy meet the original intent and objectives? Why or why not?

· Would you recommend implementing this program or policy in your place of work? Why or why not?

· Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

Reflective Analysis Case Report Component Paper

Topic: Reflective Analysis Case Report Component Paper

In this assignment, learners are required to construct a reflective analysis incorporating a personal nursing philosophy which will directly relate to the case report assignment due in Topic 7. As such, learners are encouraged to review the case report assignment requirements in Topic 7 to ensure that the Reflective Analysis Case Report Component Paper will provide the foundational support necessary to complete the Topic 7 assignment successfully. The Reflective Analysis Case Report Component Paper may be written in first-person language as appropriate to express personal perspectives, but must otherwise adhere to the guidelines below.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

· Doctoral learners are required to use APA style for their writing assignments.

· This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

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

Directions:

Compose a 1,000-1,250 word reflective analysis incorporating your personal philosophy of nursing including the following core elements:

1. What is your central belief about the individual person?

2. How does your personal worldview influence your approach to patients?

3. What constitutes the environment?

4. How do the individual and the environment interact?

5. What is your view of health?

6. How does illness relate to health?

7. What is the central reason for the existence of nursing?

Study Materials

1. Philosophies and Theories for Advanced Nursing Practice: chapters 1-3.

a. URL: http://gcumedia.com/digital-resources/jones-and-bartlett/2013/philosophies-and-theories-for-advanced-nursing-practice-butts-philosophies-and-theories-for-advanced-nursing-practice_ebook_2e.php

2. From Carper’s Patterns of Knowing to Ways of Being: An Ontological Philosophical Shift in Nursing

a. Silva, M.C., Sorrell, J.M., & Sorrell, C.D (1995). From Carper’s patterns of knowing to ways of being: An ontological philosophical shift in nursing. Advances in Nursing Science, 18(1), 1-13.

b. URL:https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00012272-199509000-00002&LSLINK=80&D=ovft

3. The Importance of Theories in Health Care

a. Alderson, P. (1998). The importance of theories in health care. British Medical Journal, 317(7164), 1007-1010.

b. URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1114019/

4. Towards a Philosophic Theory of Nursing

a. Kikuchi, J. (2004). “Towards a philosophic theory of nursing. Nursing Philosophy, 5(1), 79-83.

b. URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=2004189543&site=ehost-live&scope=site

5. Nursing Theories and Worldviews

a. Huch, M. H. (2001). Nursing theories and worldviews. Nursing Science Quarterly, 14(2), 164-168.

b. URL: http://nsq.sagepub.com.lopes.idm.oclc.org/content/14/2/164

6. Nursing Knowledge and the Problem of Worldviews

a. Kikuchi, J. (2003). Nursing knowledge and the problem of worldviews. Research and Theory for Nursing Practice: An International Journal, 17(1), 7-17.

b. URL:https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/207667043?accountid=7374

7. Foundations of Christian Thought: Faith, Learning, and the Christian Worldview: Introduction and chapters 1 and 2.

a. URL: http://gcumedia.com/digital-resources/kregel/2006/foundations-of-christian-thought_-faith-learning-and-the-christian-worldview_ebook_1e.php

8. Building Bridges from Theory to Practice: Nursing Theory for Clinical Nurses

a. Jacobson, S. (2017). Building Bridges from Theory to Practice: Nursing Theory for Clinical Nurses. Med-Surg Matters, 26(3), 1-15.

b. URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124036015&site=ehost-live&scope=site

nursing interventions f

David Montanari is a 19-year-old male who suffered a T4-T5 burst fracture and a right scapula fracture as a result of a motorcycle accident on Sunday. He underwent spinal fusion on Sunday evening and has had an uneventful recovery period. David has no sensation or movement below the nipple line and is bedbound. He is frustrated and anxious about his condition and is refusing postoperative interventions, including pain medication and use of the incentive spirometer.

REVIEW AND COMPLETE PRIOR TO THE START OF PRE-BRIEFING:

In order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation. 

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.

Questions

1. What are three nursing interventions for a post-operative patient?

2. What patient findings might you notice for a patient with immobility issues?

3. Describe complications that can occur as a result of immobility for all body systems.

PLEASE USE APA FORMAT AND INCLUDE REFERENCES LESS THAN 5 YEARS OLD

animal research

APA style/ 250 words

MUST use Pence, G. E., (2017). Medical Ethics: Accounts of Ground-breaking Cases. New York, NY: McGraw-Hill. As a source.

Take a stance in the debate towards animal research

A. Dr. Nguyen is right. Most animal rights advocates are irrational at best, and antiscience at worst. They are not experts in the medical field, yet they act as if they are. We are not testing on animals for enjoyment. If it were not necessary and yielding results, we would not be doing it.

B. I agree with Dr. Miller. He is not advocation that all research be abolished, rather that we take a closer look at what we are doing and what tests are necessary. If we can stop animal suffering and throwing away innocent lives unnecessarily, we ought to do so. We can proceed from a scientific standpoint, take a middle ground, and change attitude like that of the AMA. In the process of changing minds, we can hopefully save a lot of animal lives as well.

Also briefly touch on The Animal Welfare Act

https://www.nal.usda.gov/awic/animal-welfare-act

weight and waist diameter

Mr. R is a 48-year-old Hispanic man who has worked the past 10 years as a warehouse worker. He is 5’6”, weighs 175 pounds, and has a waist circumference of 38”. At his last visit at your office, his blood pressure was 140/60 mm Hg. Prior to the visit, he had fasting blood work done, and his primary care provider plans to review the results with him today. The pertinent diagnostic results are as follows: a fasting plasma glucose level of 137 mg/dL, an HDL level of 27 mg/dL, LDL level of 247 mg/dL, a serum triglyceride level of 210 mg/dL. Use the following prompts as guidelines while performing and writing your case study:

Identify what this individual is most at risk for based on the information presented in this case above.
Explain the significance of this individual’s weight and waist diameter. Explain how this individual is at increased risk for insulin resistance.
Explain briefly the differences between hypoinsulinemia, hyperinsulinemia, hyperglycemia, and hypoglycemia as each relate to an individual with type 1 diabetes mellitus and type 2 diabetes mellitus.
For additional details, please refer to the Case Study Guidelines and Rubric document in the Assignments and Rubrics section of the course.

Type of Service Assignment 

1 page urgent task.

The topic in brief

Differentiation and Management of Abdomen, Anus/Rectum, and Genitourinary Disorders- code 0030005002019AA

Type of Service Assignment

Urgency:  2 to 3  hours

No. of Pages/Wordcount

1 page

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Topic 1: Differentiation and Management of Abdomen, Anus/Rectum, and Genitourinary Disorders

Please select a disorder of the GU, abdomen, anus/rectum systems (pelvic inflammatory disease, cervicitis, STDs, UTI, prostatitis, balanitis, urethritis, epididymitis, testicular torsion, hydrocele, epispadias, rectal prolapse, hemorrhoids, GERD, appendicitis, cholecystitis) and answer the following questions:

1.What are the presenting symptoms?

2.How is it distinguished from other similar disorders (assessment findings, common in particular age/sex or ethnic group, etc.)?

3.What is your first intervention?

4.How will you confirm the diagnosis?

5.What is the appropriate treatment?

6.Write a prescription to treat the illness (if applicable or refer to appropriate specialty if needed) that includes (patient name, date, name of drug, dose, and strength, quantity to dispense, directions of how often to take the medicine, and number of refills).

7.When will you schedule a follow-up appointment and what is your plan on the follow up visit

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Attached file available to the selected winning bidder