Tag Archive for: nursing

Nursing Practice

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Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one?

To Prepare:

  • Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

In a 2- to 3-page paper, address the following:

  • Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.
  • Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.
  • Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted

growth, development, and learned behaviors

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The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

  1. Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
  2. Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
  3. Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
  4. Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
  5. Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
  6. In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored

How healthy is your workplace

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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.

By Day 3 of Week 7

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

FOUR REFERENCE NOT MORE THAN 5YEARS

Shock and Multiple Organ Dysfunction Syndrome

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Case Study, Chapter 14, Shock and Multiple Organ Dysfunction Syndrome

1. Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient is confused, afebrile, and hypotensive with a blood pressure of 82/44 mm Hg. His respiratory rate is 28 breaths/min and the pulse oximeter reading is at 88% room air, so the physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. The patient has diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for inflammation, is elevated. The patient is being treated with broad-spectrum antibiotics and norepinephrine (Levophed) beginning at 2 mcg/min and titrated to keep systolic blood pressure greater than 100 mm Hg. A subclavian triple lumen catheter was inserted and verified by chest x-ray for correct placement. An arterial line was placed in the right radial artery to closely monitor the patient’s blood pressure during the usage of the vasopressor therapy.

  1. What predisposed the patient to develop septic shock?
  2. What potential findings would suggest that the patient’s septic shock is worsening from the point of admission?
  3. The norepinephrine concentration is 16 mg in 250 mL of normal saline (NS). Explain how the nurse should administer the medication. What nursing implications are related to the usage of a vasoactive medication?
  4. Explain why the effectiveness of a vasoactive medication decreases as the septic shock worsens. What treatment should the nurse anticipate to be obtained to help the patient?
  5. Explain the importance for nutritional support for this patient and which type of nutritional support should be provided?

2. Carlos Adams was involved in a motor vehicle accident and suffered blunt trauma to his abdomen. Upon presentation to the emergency department, his vital signs are as follows: temperature, 100.9°F; heart rate, 120 bpm; respiratory rate, 20 breaths/min; and blood pressure, 90/54 mm Hg. His abdomen is firm, with bruising around the umbilicus. He is alert and oriented, but complains of dizziness when changing positions. The patient is admitted for management of suspected hypovolemic shock.

The following orders are written for the patient:

Place two large-bore IVs and infuse 0.9% NS at 125 mL/hr/line

Obtain complete blood count, serum electrolytes

Oxygen at 2 L/min via nasal cannula

Type and cross for 4 units of blood

Flat plate of the abdomen STAT

(Learning Objectives 1, 4, and5)

  1. Describe the pathophysiologic sequence of events seen with hypovolemic shock.
  2. What are the major goals of medical management in this patient?
  3. What is the rationale for placing two large-bore IVs?
  4. What are advantages of using 0.9% NS in this patient?
  5. What is the rationale for placing the patient in a modified Trendelenburg position?

course

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You will develop a syllabus for an 8-week undergraduate nursing course in your area of interest that conveys the essential components of that course to the learner.

Assignment GuidelinesWhen preparing your syllabus, pay attention to the organization and layout to ensure it is easy to read. Your syllabus should set the tone for your course and convey enthusiasm for the course topic; show how your course fits into a broader picture; communicate what, when, and how students will learn; clarify what students need to do to be successful; and communicate your expectations of student performance to satisfactorily complete your 8-week course.Your course syllabus should include:General information about the course: The instructor’s name (you), course title, course number, course credit hours, class days and time period (start and end times), class location (room number), and any prerequisites. You may also wish to include your office hours and contact information.A course description: A description of the course and how students will benefit; this is similar to a catalog description of a course.Course outcome objectives expected: A list of outcome statements describing the knowledge and skills that you expect students to have learned after completing your 8-week course. Your objectives should be: Appropriate to course and educational levelRealistic and clearStated in measurable termsRequired materials and learning resources: Textbook(s), supplies, and anything you may require students to bring to class each dayInstructional methods and activities: List the teaching strategies and approaches you plan to use for students to achieve the learning objectives (e.g., lecture, games, inquiry, discussions). If appropriate, you may want to include any special events or activities (e.g., field trips, experiments, guest speakers, projects). Note: This section is a list of your instructional methods and activities and not an explanation or description of how they will be implemented.Classroom policies or rules: This section should include any policies or rules that are specific to your course (e.g., classroom behavior, absenteeism, tardiness, late assignments, makeup work, and tests).Evaluation methods: This section should include all graded course requirements with the percent value (of the total course grade) for each requirement. This is where you list each of the course requirements or means of evaluating student learning (e.g., tests, quizzes, assignments, presentations, group work). You do not need to provide a rubric for grading each of the course requirements, guidelines, and grading criteria.You do need to provide the total percent value or the grade weight of each requirement.If using tests or quizzes, state the number of tests or quizzes and the grade weight for each.Note: As part of your teaching plan and presentation during weeks 6 and 7, you will provide guidelines and grading criteria (a rubric) for one of your required assignments.An outline and general time line of the course content: This section should be a table or flowchart depicting a schedule of the content to be covered over the 8-week period. In addition to the content, your table or flowchart should include: Estimated dates for when you plan to cover the content. Specific dates are not necessary, but some time line estimate should be provided (e.g., week 1 or class 1)Any activities, assignments, and tests, etc., with corresponding due datesRequired readings for each date and any supplemental or suggested readings you may want to list

Business Plan/Contract PPY Presentation

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Business Plan/Contract PPY Presentation

Estimated time to complete: 10 hours

Instructions:

  • Generate a professional Power Point presentation that sums the following areas:
  • Introduction to topic, include introducing yourself, why this is important (1 slide)
  • Develop a business plan to start or manage a practice (6-10), identify SWOT analysis, marketing plan, key stakeholders, reimbursement, insurance issues, a solid budget plan (expense and revenue sheet)
  • Construct  an employment contract for an advanced practice nurse in your selected care setting. (3-4)) Be specific. What should APN ask for salary, vacation, Health insurance, dental, vision, long and short term insurance, professional development/education fees, professional journals, any others?
  • Compare the legal, ethical, and contractual considerations for APN in the employment setting (2-3 slides)

Parameters

  • Inclusive of references in presentation, and references then fully presented in final slide of presentation as a reference page (1-2 slides)
  • Use APA for formatting
  • Presentation should be minimally 25 slides, enough slides to appropriately cover material being presented
  • Presentation is to be designed as if you, the APN, were seeking funding for starting your own clinic.
  • Presentation to include:Contract portion is to be designed as if student/APN was seeking a position. What would an APN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc
    • Type of clinic, clientele serving, location
    • Mission/vision statement
    • DETAILED budget analysis. Expense and revenue reports
    • Insurance and reimbursement: Provide information on expected revenue. What would an APN charge for certain visits (sick versus health check), what is epected pay from insurance types (private, Medicare/Medicaid?)
  • Contract portion is to be designed as if student/APN was seeking a position. What would an APN want in the contract? Provide details within the contract about salary, insurances, benefits, duties, etc.
  • MUST USE NOTES SECTION. NO AUDIO. Use the notes section to discuss content. Professor will be assessing analysis and synthesis of understanding of the content)

professional ethics

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Write a 2-3 page paper that examines end-of-life issues in relationship to hospitals, professional ethics, and accrediting bodies.
How Institutional Conceptual Frameworks Influence Ethical Decision Making
We wrap things up by exploring institutions and groups designed to help ensure that hospital staff at all levels think and act ethically in caring for patients. Accrediting bodies are oversight agencies charged with performing accreditation of hospitals and helping to establish standards for health care delivery. Their aim is to keep the quality of care as high as possible and to make sure the care is delivered ethically. Ethics committees are groups of individuals within hospitals that meet regularly to advise staff on ethically difficult cases and to promote an ethical institutional culture.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 2: Apply sound ethical thinking related to a health care issue.
    • Demonstrate sound ethical thinking in applying ethical principles and moral theories to a specific case.
  • Competency 3: Analyze ethical issues associated with patient care from the perspectives of various health care professionals.
    • Explain professional codes of ethics and apply them in to a specific case.
  • Competency 4: Explain the conceptual framework that health care leaders use to make ethical decisions.
    • Explain organizational documents like mission and value statements and use them to analyze a case study.
    • Explain the role of accrediting bodies and applies this understanding in analyzing a case study.
  • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
    • Provides validation and support within written communications by including relevant examples and supporting evidence using APA citations.
    • Produce writing with minimal errors in grammar, usage, spelling, and mechanics.
  • Preparation
    Complete the Case Study: Tonya Archer media activity, which is linked later in this assessment.
    Before you begin creating your submission for this assessment, make sure you have worked through the Tonya Archer case study. This will provide the foundational context for the assessment, for which you will be carrying out independent research by using the Internet to complete the following:
  • Identify the professional code of ethics for your professional specialty or a specialty that you are interested in.
  • With a local hospital in mind (perhaps one you work for), locate the mission, vision, and values statement of that hospital.
  • After you identify the professional ethics code and the hospital mission, vision, and values statements relevant to your work and interests, it may be useful to complete the following:
  • Identify which item in the ethical code you believe is the most important and explain why.
  • Name something in the code you would like to see addressed in more depth. Why?
  • Which item in the code do you think would be the most challenging to follow and why?
  • Does your code make an explicit distinction between what is legal and what is ethical? That is, is the code clear that, while an action may be legal, it may not be ethical?
  • Finally, how well does your professional code of ethics align with the mission and values statement of your hospital? Can you imagine a situation in which following one would make it challenging to follow the other?
  • Instructions
    For this assessment you will apply some concepts we have learned in the course, particularly those relating to the basic principles of health care ethics, professional codes of ethics, and values of health care institutions.
    Write a paper that answers the following questions as it relates to the Tonya Archer Case Study:
  • What are the most relevant end-of-life issues in health care ethics as they relate to this case?
  • What should the hospital do? Should doctors simply keep Tonya on life support, as the parents want? Or, since all medical evidence indicates that Tonya’s brain damage is permanent, should life support be removed?
  • Support your answer with the following considerations in mind:
  • Explain which principles of health care ethics and which moral theory are the best philosophical foundations for your view.
  • Is your view supported by your professional code of ethics? If so, explain how. If not, explain what your code gets wrong about a case like this.
  • Is your view consistent with the mission statement and values of the hospital you identified in your independent research you conducted to prepare to complete this assessment?
  • Would an accrediting body, like the Joint Commission, support your choice? Why or why not?
  • Submission Requirements
    Your paper should meet the following requirements:
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting guidelines.
  • Length: 2–3 typed, double-spaced pages.
  • Font and font size: Times New Roman, 12 point.

Research Critiques

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Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

Health Care in the Community  

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Chapter 1  Opening the Door to Health Care in the Community

Chapter 2  Community and Population Health: Assessment and Intervention

Read chapter 1 and 2 of the class textbook and review the attached Power Point presentations, once done answer the following questions:

1.  In your own words and using the proper evidence-based references please define the following terms;

a.  Community health nursing

b.  Community based nursing

c.  Population focus care

d.  Public Health nursing

2.  Discuss any relationship between Community health nursing and Public Health Nursing and mention and discuss any relationship between both terms.

3.  Discuss the concept of community assessment and why is the purpose of it and how  beneficial it is for the community health nurse.

4.  Mention and discuss at least 2 community health frameworks/models.

– Assignments must be presented in an APA format, word document, Arial 12 font attach the forum in the discussion board call “week 1 discussion questions”.

– A minimum of 2 evidence-based references must be cited according to APA and  two replies to any of your peers posting sustained with the proper references are required.

– A minimum of 500 words excluding the first and references page are require

health care article

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Search the  Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.