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growth and development

he term growth and development refers to a dynamic process. Growth being the term for physical changes and development being the term that refers to the increase in complexity of the skills a person is able to perform. There are many factors that influence growth and development these can be divided into biological, environmental, and social factors.

Theories are used to organize growth and development that humans experience. It is important that as a health care provider you have an understanding of the appropriate expectations of physical, psychosocial, cognitive, moral and spiritual development.

Choose one of the following theorists and describe the stages of development and the nursing implications: Erickson, Piaget, Kohlberg, or Fowler.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Scoring Rubric:

Criteria

Points

Describe what your job is as a nurse to help these individuals with their challenges. Your answers to each of the following prompts should be at least 2-3 paragraphs in length and should be contained within a single Word document.

Remaining independent
Maintaining self-esteem
Finding outlets for energies and interests
Developing a happy lifestyle with financial means
Continuing positive relationships with others
Meeting all basic human needs
Confronting morality
5

Total

5

Module 10 Written Assignment – Types of Hazards in Nursing

Scoring Rubric:

Criteria

emergency cesarean section,

Assign CPT code(s) and appropriate modifiers to each statement.

1)      After performing an emergency cesarean section, the physician noticed that the appendix was distended, resulting in medical necessity for an appendectomy performed during the same operative session.

2)      The physician freed intestinal adhesions.

3)      The physician resected two segments of small intestine and performed an anastomosis between the remaining intestinal ends. An open approach was used for this surgery.

4)      The physician repaired a defect in the mesentery with sutures.

5)      The physician performed a laparoscopic partial colectomy with end colostomy and closure of the distal segment.

6)      The physician drained a pelvic abscess through the rectum.

7)      The physician removed a portion of the rectum through combined abdominal and transsacral approaches.

8)      The physician performed rigid proctosigmoidoscopy and obtained brushings.

9)      The physician performed a flexible sigmoidoscopy and removed a polyp. The physician inserted the sigmoidoscope through the anus and advanced the scope into the sigmoid colon. The lumen of the sigmoid colon and rectum were well visualized, and the polyp was identified and removed with hot biopsy forceps. The sigmoidoscope was withdrawn upon completion of the procedure.

10)  The physician inserted a colonscope through the anus and advanced the scope past the splenic flexure. Two polps were identified and removed by hot biopsy forceps.

 

1)      Hepatotomy for open drainage of abscess or cyst, 1 stage.

2)      Surgeon removed segments II, III, and IV (the whole left lobe) of the liver from a living donor.

3)      The physician performed radiofrequency ablation of a liver tumor via open laparotomy.

4)      The physician removed the gallbladder and performed a common bile duct exploration through the laparoscope.

5)      The physician performed a cholecystostomy with removal of calculus.

6)      Subsequent to previous peritoneocentesis (performed at a different operative session), the physician withdrew fluid and performed infusion and drainage of fluid from the abdominal cavity (peritoneal lavage).

7)      The physician reopened a recent laparotomy incision, before the incision had fully healed, to drain a postoperative infection.

8)      The physician performed laparoscopic repair of an initial inguinal hernia.

9)      The physician performed a reducible ventral hernia (initial) repair and inserted mesh implantation.

10)  The physician repaired an initial reducible, inguinal hernia with hydrocelectomy in a 5 month old infant.

 

1)      Physician made an open incision and inserted multiple drain tubes to drain an infection (abscess) from the kidney.

2)      The physician pulverized a kidney stone (renal calculus) by directing shock waves through a water cushion that was placed against the left side of the patient’s body at the location of the kidney stone.

3)      The physician removed a kidney stone (calculus) by making an incision in the right kidney.

4)      The interventional radiologist inserted a percutaneous nephrostomy catheter into the right renal pelvis for drainage. Fluoroscopic guidance was provided.

5)      The physician performed a laparoscopic ablation of a solid mass from the posterior hilum of the left kidney.

6)      The physician made an incision in the left ureter through the abdominal wall for examination of the ureter and insertion of a catheter for drainage.

7)      The physician examined the patient’s right and left renal and ureteral structures with an endoscope, which passed through an established opening between the skin and the ureter (ureterostomy). He also inserted a catheter into the ureter.

8)      The physician revised a surgical opening between the skin and the right ureter.

9)      The physician injected contrast agent through an opening between the skin and the left ureter (ureterostomy) for ureterography (study of renal collecting system).

10)  The physician made an incision in the left ureter (ureterotomy) to insert a catheter (stent) into the ureter.

11)   The physician performed a transurethral resection of a postoperative bladder neck contracture using a resectoscope.

12)  The physician inserted a special instrument through the cystourethroscope to fragment a calculus in the ureter using electrohydraulics.

13)   The physician inserted a cystourethroscope through the urethra to drain an abscess on the prostate.

14)  The physician made an incision through the abdominal wall into the urinary bladder and inserted a suprapubic catheter to withdraw urine.

15)  The physician performed a cystourethroscopy with fulguration of the bladder neck and then removed a calculus from the ureter.

16)  The physician performed a sling procedure using synthetic material to treat a male patient’s urinary incontinence.

17)  The physician made an initial attempt to treat a male patient’s urethral stricture using a dilator.

18)  The physician, in the first two stages to reconstruct the urethra identified the area of stricture by urethrography and marked it with ink.

19)  The physician performed a transurethral destruction of the prostate using microwave therapy.

The physician excised a specimen of tis

Annotated Bibliography on Technology in Nursing 

Assessment 3 Instructions: Annotated Bibliography on Technology in Nursing

 

Content

  •  Print
  • Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.
    Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.
    Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

    • Patient monitoring devices.
    • Robotics.
    • Electronic medical records.
    • Data management resources.
    • Ready access to current science.
    • Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.
      This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.
      Demonstration of Proficiency
      By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
    • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
      • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
      • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
    • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
      • Describe organizational factors influencing the selection of a technology in the health care setting.
      • Justify the implementation and use of a selected technology in a health care setting.
    • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
      • Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
      • Follow APA style and formatting guidelines for all bibliographic entries.
    • Preparation
      To successfully complete this assessment, perform the following preparatory activities:
    • Select a single direct or indirect patient care technology that is relevant to your current practice or that is of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
      • Delivery robots.
      • Electronic medication administration with barcoding.
      • Electronic clinical documentation with clinical decision support.
      • Patient sensor devices/wireless communication solutions.
      • Real-time location systems.
      • Telehealth.
      • Workflow management systems.
    • Conduct a library search using the various electronic databases available through the Capella University Library.
      • Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
      • Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
    • Scan the search results related to your chosen technology.
    • Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
    • Notes
    • Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
    • Your selections need to be current—within the last five years.
    • Annotated Bibliography
      Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:
    • Introduction to the Selected Technology Topic
      • What is your rationale for selecting this particular technology topic? Why are you interested in this?
      • What research process did you employ?
        • What databases did you use?
        • What search terms did you use?
        • Note: In this section of your bibliography, you may use first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
    • Annotation Elements
      • For each resource, include the full reference followed by the annotation.
      • Explain the focus of the research or review article you chose.
      • Provide a summary overview of the publication.
        • According to this source, what is the impact of this technology on patient safety and quality of care?
        • According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
        • Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
    • Conclusion/Recommendation
      • How would you tie together the key learnings from each of the four publications you examined?
      • What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
      • How would you justify the implementation and use of the technology in a health care setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
    • Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
    • Assessment 3 Example [PDF].
    • Additional Requirements
    • Written communication: Ensure written communication is free of errors that detract from the overall message.
    • Length: 4–6-typed, double-spaced pages.
    • Number of resources: Cite a minimum of 4 peer-reviewed resources.
    • Font and font size: Use Times New Roman, 12 point.
    • APA: Follow APA style and formatting guidelines for all bibliographic entries.
    • Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

Diffusion of Innovation

Please respond to the following: “Diffusion of Innovation”

Per the text, health care consumers vary in their willingness to adopt new product offerings, with some being quicker to adopt than others. Suggest the key reasons why you believe these variances exist. Provide a rationale with at least (1) example of a situation or scenario that would support your response.
Assess the importance of Everett Rogers’ Diffusion of Innovation Model as a tool for understanding the product adoption tendencies of health care consumer. Provide at least two (2) specific examples of Everett Rogers’ Diffusion of Innovation Model being used in a health care organization with which you are familiar.

Healthcare organizations

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Article: 

https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf

External Factors that Impact Curriculum and Program Development

MSN APA format 3 references 1 from Walden University Library,

Due 3/14/19 7pm EST

 

Needs Assessment: External Factors that Impact Curriculum and Program Development

When a potential student is deciding on attending a new college or university, there are many factors that could change that decision.  The desire to attend a nationally accredited school can play a large part in the decision-making process.  Potential employers know that accredited institutions undergo rigorous processes to achieve and maintain the high quality standards set by accrediting bodies that looks great on a student’s resume.  During this weeks post, I will post a brief description of the setting my team selected for the course project.  I will explain which accrediting body or agency they have accreditation from and why.  Then I will identify the standards I selected and explain if the setting meets the outlined expectations.

Accrediting Body

The northeast region team has selected Seton Hall University for this course’s project.  The main campus of Seton Hall is located in South Orange, New Jersey with their health and sciences campus in Clifton and Nutley, New Jersey.  This university has accreditation from the Commission on Collegiate Nursing Education, or CCNE.  This agency is the national voice for academic nursing education and works to, influence the nursing profession to improve healthcare, establish quality standards for nursing education while assisting schools in implementing them, and promotes public support for research, practice, and professional nursing education (American Association of Colleges of Nursing, 2012).  It is the responsibility of the educators in the facility to make sure that the curriculum components such as the mission, vision, philosophy, organizational framework, student-learning outcomes, and the program of study are well outlined and taught appropriately (Keating & DeBoor, 2018).  Seton Hall continues to use this accrediting agency to make sure that their education is up to date and they are preparing students for the world of nursing.

Standards

The CCNE accreditation process is based on core values, I will discuss a few of them in this post and describe if Seton Hall meets the expectations.  The first is to foster an educational climate that supports program students, graduates, and faculty in their pursuit of lifelong learning (Billings & Halstead, 2016).  According to the Seton Hall University website (2019), students and faculty are encouraged to pursue their education and continue learning with multiple graduate nursing programs, graduate courses, doctoral programs, and certificate courses.  The second standard is to encourage programs to develop graduates who are effective professionals and socially responsible citizens (Billings & Halstead, 2016).  Seton Hall University obliges with this standard in a few different ways.  They offer multiple clinical settings to allow the student to become an effective professional, and they have classes discussing legal issues, research, leadership, and management.  Giving a student these tools will provide them with the skills to be socially responsible citizens as well as effective professionals.  The final standard is to facilitate and engage is self-assessment.  The University has a department whose sole focus is on self-assessment.  They consistently perform assessments on programs in the university and recommend improvements that should be made within each program (Seton Hall University, 2019).  As we continue to explore this university’s curriculum, I will continue to evaluate how Seton Hall is doing as a nursing program, and see what changes need to be made.  The CCNE standards discussed are currently being met, but there is much more to explore, and there are always improvements that could be made.

References

American Association of Colleges of Nursing. (2012). CCNE accreditation. Retrieved

from http://www.aacn.nche.edu/ccne-accreditation

Billings, D. M., & Halstead, J. A. (2016). Teaching in nursing: A guide for faculty (5th

ed.). St. Louis, MO: Elsevier.

Keating, S. B., & DeBoor, S. S.  (Ed.). (2018). Curriculum development and evaluation

            in nursing (4th ed.). New York, NY: Springer.

Seton Hall University. (2019).

types of budgets

Mention the types of budgets that you know and give examples of then?

2- What is budgeting?

3- What is directed and indirect cost?

4- Give examples of productive and non-productive hours?

5- What does HMO, PPO, POS means?

A) Mention one example of each of then in your city, or state?

6- What is DRGs.?

7- Give some examples of strategies for Cost-conscious nursing practice that your Nursing unit use to lower medical care cost? 

health concern

  1. Discuss aspects of a health concern not being addressed despite the efforts of services and partnerships involved and describe the ultimate outcome(s) or goal(s) from Healthy People 2020 relating to that specific health concern.

Answering the following questions may assist in data interpretation:

  • What similarities are apparent between the data that were gathered and the data that were generated?
  • What differences are apparent between the data that were gathered and the data that were generated?
  • What are the weakness and strengths of this community?
  • In what areas is improvement needed in this community?

The assignment should be written in an APA-formatted essay. The essay should be between 1500 and 2000 words in length and include at least two scholarly sources other than provided materials.

quantitative research

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

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.

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.

Attachments HLT-362V-RS5-ArticleAnalysisEthicalEval-Template.docx
Rubric

Attempt Start Date: 28-Oct-2019 at 12:00:00 AM

counseling

Post a 3- to 5-minute Kaltura video that addresses the following:

  • Describe a client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes.

Note: Do not use the client’s actual name.

  • Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
  • Identify any additional information about this client that may potentially impact expected outcomes.

Note: Nurse practitioners must have strong oral communication skills. This Discussion is designed to help you hone these skills. When filming your Kaltura video, be sure to dress and speak in a professional manner.