Tag Archive for: nursing

Descriptive Paragraph

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English 101

Essay Assignment 2: Descriptive Paragraph

Topic and Structure:

Outdoor Experience Description – Detail a real or imaginary experience walking through an outdoor event or activity, such as a zoo, open-air market, festival, etc.

You only need to develop one paragraph for this assignment, but it should include many sensory details and directional transitions. Start with a topic sentence, which will also serve as the thesis statement, that explains the exhibition you are experiencing as well as mentions how the adventure ignites your senses. In the sentences following, describe your journey. What do you see? Hear? Feel? Smell? Taste? Where are these experiences located (directional transitions)? To the right? Just above? The reader should be able to build the environment around you and take part in the sensory experience you illustrate as he or she reads along, so be as descriptive as necessary, touching upon all five senses within the body paragraph. Finally, complete your paragraph with a concluding sentence that summarizes your outing, and make sure it has a point! In other words, what did you take away from this excursion?

Sample thesis statement: As I walk toward the Brook field Zoo entrance gate for my first zoo experience, I notice a flurry of lively activity in front of me, so on my way to the gorilla den, I can feel my excitement building, and as I get closer, the sounds and smells strengthen, making the chill of my cold beverage much more apparent; I hope I am ready for this.

Notes

· You can use either past or present tense verbs to describe your experience in this assignment, but avoid unnecessary tense shifts.

· In addition to directional transitions, be sure to use standard transitions between sentences where applicable so that your ideas are fluid from start to finish.

Format Requirements:

Header: Include a header in the upper left-hand corner of your writing assignment with the following information:

  • Your first and last name
  • Course Title (Composition      I)
  • Assignment name (Comparison and      Contrast)
  • Current Date

Page Layout:

  • MLA style documentation (please      see the tutorial in the course topic)
  • Last name and page number in      upper-right corner of each page
  • Double-spacing throughout
  • Title, centered after heading
  • Standard font (Times New Roman      or Calibri)
  • 1″ margins on all sides
  • Save the file as .docx or .doc      format

Length: This assignment should be at least 15 sentences in a single paragraph.

Underline your thesis statement.

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Signature Assignment Description/

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Signature Assignment Title: What Makes a Good Leader?

Signature Assignment Description/Directions:

Choose one or more leadership topic(s) from your textbook or from a scholarly source from a previous discussion or assignment from this course and write about its application to nursing practice. Provide definitions, history/background, and major concepts of chosen topic.  Describe the topic’s function in nursing practice by examining at least three different nursing roles (for example, bedside nurse, public health nurse, CNO, unit manager, etc.). Discuss how the leadership topic can be used in your own practice. Discuss your personal growth in regard to your chosen leadership topic. Evaluate personal strengths, weaknesses, opportunities, and threats to your career advancement.

Then, discuss the top three traits you feel makes a good nurse leader. Support your statements with examples from your practice experience and scholarly sources.

Assignment Expectations:

Length: 1750 to 2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

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Literature Evaluation

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A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table(I give you PICOT question and the table below, with link for articles that you will be use in essay),  assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title      page
  2. Introduction      section
  3. A      comparison of research questions
  4. A      comparison of sample populations
  5. A      comparison of the limitations of the study
  6. A      conclusion section, incorporating recommendations for further research

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.

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Pediatric Nursing,

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Read the article: “Coker-Bolt, P., Jarrard, C.,Woodard, F., & Merrill, P. (2013). The effects of oral motor stimulation on feeding behaviors of infants born with univentricle anatomy. Journal of Pediatric Nursing, 28(1), 64-71.” After reviewing the article, please answer the following questions (see below).

Coker-Bolt, P., Jarrard, C.,Woodard, F., & Merrill, P. (2013). The effects of oral motor stimulation on feeding behaviors of infants born with univentricle anatomy. Journal of Pediatric Nursing, 28(1), 64-71.

1. The Problem/Question:

  • Was there a clear statement of the question, objectives and aims of the research?
  • Is the problem practically important?
  • What is the hypothesis?

2. Background

  • Are the cited sources pertinent to the study?
  • Is the review too broad or too narrow?
  • Are the references recent?
  • Was a theoretical perspective identified?

3. Design and procedures

  • What research methodology was used?
  • What are the variables? What is the dependent variable and independent variable?
  • How was sampling performed?

4. Conclusions and Implications

  • Were the implications discussed?
  • What recommendations were made at the conclusion?
  • Is it possible to implement these recommendations in practice?

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impact of NP care

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As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:

Why are quality measures important?

What is the difference between quality measures and performance indicators?

What performance measures are used for NP productivity?

Why are incentive plans used in clinical organizations?

To prepare:

Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)

Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)

By Day 3

Post an explanation of the importance of quality measures using the clinical performance measure you identified as an example. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.

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Differential Diagnosis for Skin Conditions

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ssignment 1:

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To prepare:

· Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment.

· Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?

· Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.

· Consider which of the conditions is most likely to be the correct diagnosis, and why.

· Download the SOAP Template found in this week’s Learning Resources.

To complete:

· Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style.  Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

· Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature.

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pharmacokinetics and pharmacodynamics.

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As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

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leadership

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As entrepreneur John C. Maxwell points out, “A leader is one who knows the way, goes the way, and shows the way.” We have all been influenced by leaders at some point in our lives. Individuals who know the way act in a way that achieves the set goals and demonstrates to others how to accomplish the tasks at hand.

To prepare for this Assignment, consider the characteristics of leaders described in your Learning Resources.

Write a 1- to 2-page paper that identifies the following:

  1. What is the true value of leadership in decision making?
  2. How do individuals with the different leadership styles described in your Learning Resources make decisions?
  3. Using examples from your own personal work experience, how are those decisions perceived by teammates or other employees based on the different leadership styles?
  4. What leadership style do you believe is most effective in a health care setting of your choice?

Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style

Refernce to article below:

Book: Borkowski, N. (2011). Organizational behavior in health care (2nd ed.). Sudbury, MA: Jones and Bartlett.

*Chapter 1, “Overview and History of Organizational Behavior”

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Unintended Consequences of Health Care Reform

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Unintended Consequences of Health Care Reform

The PPACA of 2010 fostered new provisions for health care and the structure of health care delivery. The individual mandate to obtain insurance is one provocative provision. While this provision attempts to increase access to health care, it raises questions on how the existing system could sustain the potentially large influx of newly insured individuals.

Another provision calls for new models of health care provider organizations to ensure delivery efficiency and continuity of care. In this week’s media presentation, Dr. Kathleen White discusses the accountable care organization, which comprises a group of providers coordinating care across a variety of institutional settings. Yet becoming an accountable care organization may present a number of challenges.

This week’s Discussion builds on Week 1, continuing the examination of those societal and organizational contexts that influence health care reform. The unintended consequences of reform policy on the health care system are also considered.

To prepare:

  • Review      this week’s media presentation and the other Learning Resources focusing      on how reform may lead to improved quality, greater access, and reduced      cost of care. Also think about the unintended consequences that may arise      as a result.
  • Consider      the information presented about the individual mandate and accountable      care organizations. What are some questions or concerns you might have      regarding the individual mandate? What are the pros and cons associated      with becoming an accountable care organization?
  • With      posting instructions in mind, select either the individual mandate or      accountable care organizations as the focus of your Discussion this week.

By tomorrow Wednesday 03/07/18 BY 12pm, write a minimum of 550 words in APA format with a minimum of THREE scholarly references from the list of required readings below. Include the level one headers as numbered below:

Post a cohesive response that addresses the following:

1) In the first line of your posting, identify the topic you have selected—either the individual mandate or accountable care organizations. With regard to this topic, describe one or more positive results that could be achieved, and one or more unintended consequence(s) that organizations or individuals may experience.

2) Briefly evaluate issues on the topic that may be a consideration for the organization you work in and the nursing profession ( I WORK I A HOSPITAL SETTING).

Required Readings

Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed.). New York, NY: McGraw-Hill Medical.

Chapter 5, “How Health Care is Organized – I: Primary, Secondary, and Tertiary Care”

Chapter 6, “How Health Care is Organized – II: Health Delivery Systems”

McClellan, M. (2010). Accountable care organizations in the era of health care reform. American Health & Drug Benefits, 3(4), 242–244.

The PPACA of 2010 encourages the formation of accountable care organizations (ACOs) to improve the quality and efficiency of health care delivery. An ACO is a group of health care providers who coordinate care for their Medicare patients and share the financial incentives of health care improvement gains.

Moore, K. D., & Coddington, D. C. (2010). Accountable care: The journey begins. Health Care Financial Management, 64(8), 57–63.

This article provides information on the importance of health care provider organizations taking steps to become accountable care organizations (ACOs) and provides examples of systems that have historically functioned in this capacity. The authors also provide steps for developing and transitioning to an ACO structure.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

This report discusses how nurses can and should play a fundamental role in meeting the challenges of increased demand for health care brought about by the implementation of the 2010 Affordable Care Act. In addition, it stresses the need for nurses to be partners with other health professionals and assume leadership roles in redesigning health care in the United States.

Institute of Medicine. (2010). Report brief: The future of nursing: Leading change, advancing health. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf

This report brief highlights the four key recommendations from the Robert Wood Johnson and Institute of Medicine the Future of Nursing: Leading Change, Advancing Health report. The recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.

HealthCare.gov. (n.d.). Understanding the Affordable Care Act. Retrieved from http://www.hhs.gov/healthcare/rights/index.html

This website introduces the Affordable Care Act and presents the timeline for implementation of the various provisions of the Act.

HealthCare.gov. (n.d.). Understanding the Affordable Care Act: About the law. Retrieved from http://www.hhs.gov/healthcare/rights/law/index.html

Read the full Affordable Care Act law at this website. An overview of the law is also provided along with an outline of how the Affordable Care Act helps reduce health insurance costs.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Reforming health care delivery: Accountable care organizations. Baltimore: Author.

 

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

In this media presentation, Dr. Kathleen White explains the structure of accountable care organizations (ACO) and discusses the benefits and challenges of becoming an ACO.

Optional Resources

APRN Joint Dialogue Group Report. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. Retrieved from http://www.aacn.nche.edu/education-resources/APRNReport.pdf

Fisher, E. S., & Shortell, S. M. (2010). Accountable care organizations: Accountable for what, to whom, and how. JAMA: Journal of the American Medical Association, 304(15), 1715–1716.

Fisher, E. S., Staiger, D. O., Bynum, J. W., & Gottlieb, D. J. (2007). Creating accountable care organizations: The extended hospital medical staff. JHealth Affairs, 26, w44-w57. doi:10.1377/hlthaff.26.1.w44–57

McClellan, M., McKethan, A. N., Lewis, J. L., Roski, J., & Fisher, E. S. (2010). A national strategy to put accountable care into practice. Health Affairs, 29(5), 982–990.

Kaiser Health News. (2011). Accountable care organization proposed regulations: Resources. Kaiser Family Foundation. Retrieved from http://www.kaiserhealthnews.org/Stories/2011/March/31/ACO-Documents-In-The-News.aspx

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descriptive statistics

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Discussion Questions

By the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

No later than by the end of the week, review and comment on the discussion question responses posted by at least two of your peers. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

Discussion Question

Using the Excel Sheet and descriptive statistics page; you will write up your analysis for the 20 participants.

This week, you learned about the statistical software applications used to analyze data for research analysis. For this week’s discussion, you will use Excel sheet provide to run descriptive statistics, create graphs and respond to the following:

  • How could you use Excel descriptive statistics for data analysis research?
  • What are your plans for learning more about Excel and how will the information you learned about this software be of benefit in your future analysis of research data?

Refer to this week’s readings and video tutorials before starting this two part discussion question assignment. 

Step 1: Entering Data

Open a blank worksheet in the Excel program

You will now use Excel to view a sample dataset

Dataset Options

In many cases, researchers may have the data from their study in another software package like Microsoft Excel. However, if the data is not available in a software spreadsheet you can manually enter the data. Option 2: Manual Data Entry

In the Worksheet window, type “Age” in C1. Enter the numbers as shown in the dataset below. Enter the remaining data as shown below (set up your column labels i.e., variable). The measure reflects math anxiety and the study variables (cringe, uneasy, afraid, worried, understand) the math anxiety range is from 1–5 with low being the least and 5 the highest.

 Age

 Cringe

 Uneasy

 Afraid

 Worried

 Understand

 28

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