Tag Archive for: nursing

Prioritization of Care 

SBAR

Prioritization of Care

The Prioritization of Care digital activity provides a safe and convenient environment for students to practice clinical judgement and decision-making skills related to identifying and prioritizing patient care and needs.

Complete the Prioritization of Care virtual simulation activity which can be found by clicking Enter Virtual Simulation. Then debrief on the experience by creating a VoiceThread, video or a written essay.

Once you enter Sentinel Hospital

  1. Click BEGIN
  2. You’ll enter the lobby and be led to the hospital map
  3. Clicking SKIP will take you directly to map
  4. Select Location: Emergency Department or SIMPath Competencies: • Evidence-Based Practice OR Population Health OR Baccalaureate Generalist OR Application of Patient Care Technology

All levels of simulation fidelity or reality have become an integral component in the preparation of healthcare workers for practice in recent years. This new digital technology increases new skill retention and performance through immersive engagement while learning. The digital environment offers reproducible conditions that can contribute to the development of non-technical skills of communication, teamwork, and decision-making, essential in today’s healthcare (Peddle, Bearman & Nestel, 2016).

Virtual simulation has been used in the airline industry for many years, requiring new pilots to train on flight simulators before commanding a passenger flight (Alinier, Hunt, Gordon & Harwood, 2006).

The United States military has used virtual worlds to train military personnel for disaster and emergency preparedness (Foronda, Godsall & Trybulski, 2013). Simulation has also been used in the preparation of physicians and the training of nurse anesthetists (Bremner, Aduddell, Bennett & VanGeest, 2006).

A team of Nurse Educators and Instructional Designers created Prioritization of Care to provide a learning environment unique to nursing and complementary to existing curricula.

From the safety of the home or the office, digital activities like Prioritization of Care, presents students with situations they might not encounter in the course of clinically-based preparation.

Watch this brief video demo of Prioritization of Care.

Additional Instructions:

  1. All submissions should have a title page and reference page.
  2. Utilize a minimum of two scholarly resources.
  3. Adhere to grammar, spelling and punctuation criteria.
  4. Adhere to APA compliance guidelines.
  5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

  • 1 to 2-page paper. Include title and reference pages.

Note: Title and reference pages/slides do not count towards the count requirements.

Attachments areaPreview YouTube video Prioritization of Care DemoReplyReply allForward

U.S. health care delivery system.

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three 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.

National Health Information Infrastructure (NHII)

From the National Health Information Infrastructure (NHII) legislation of the 1990s to current day Health Information Technology for Economic and Clinical Health (HITECH) legislation and the health information technology, the NHII continues to evolve, but at a more rapid pace. Part of that evolution has included not only the public and private health infrastructure development between the health providers, CDC, and the states but also many nongovernment partners, such as the commercial MEDLINE Plus, the Agency for Healthcare Quality and Research (AHQR), and many more.

  • Consider the NHII’s evolution and its achievements over the last two decades and share your understanding of its many components and how they work together to provide greater access to health information.
  • How is that information used to build healthier communities
  • What are the key drivers in the evolution of the NHII?
  • How do you envision the NHII will evolve and function in the coming years?

You may review the following resources:

  • Cusack, C. M., Hripcsak, G., Bloomrosen, M., Rosenbloom, S. T., Weaver, C. A., Wright, A., . . . Mamykina, L. (2013). The future state of clinical data capture and documentation: A report from AMIA’s 2011 policy meeting. Journal of the American Medical Informatics Association, 20, 134–140. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3555335/pdf/amiajnl-2012-001093.pdf
  • Agency for Healthcare Research and Quality. (n.d.). National guideline clearinghouse. Retrieved from http://www.guideline.gov/
  • CDC. (2013). National notifiable diseases surveillance system (NNDSS): Data collection and reporting. Retrieved from http://wwwn.cdc.gov/nndss/script/DataCollection.aspx
  • U.S. Department of Health and Human Services. (n.d.). The national health information infrastructure (NHII): Site index. Retrieved from http://aspe.hhs.gov/sp/nhii/siteindex.html
  • U.S. Department of Health and Human Services. (n.d.). Health information privacy: HITECH act enforcement interim final rule. Retrieved from  http://www.hhs.gov/ocr/privacy/hipaa/administrative/enforcementrule/hitechenforcementifr.html
  • HealthIT.gov (n.d.). Retrieved from http://www.healthit.gov/

Submission Details:

  • Write your response in a minimum of 300–400 words, providing relevant references. Apply APA standards to citation of sources. Respond to at least two students’ postings.
  • By the due date assigned, respond to the assigned discussion question and submit your responses to the appropriate topic in the Discussion Area.
  • By the end of the week , review and respond to at least two of your classmates’ postings. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Start a New Thread

health care institution.

The purpose of this assignment is to have a clear understanding of the elements of a theory and to apply a theory to practice. The CLC group must use a grand theory or a high-level mid-range theory.

The group will create a report for a practice committee at a health care institution. The objective is to convince your peers of the value of using a specific theory to guide practice and evaluate care.

Since the text does not provide adequate information on any one theory for the purpose of this assignment, further research through nursing theory websites (general and specific), as well as theory texts specific to individual theories, will be required.

Begin the assignment by identifying a theorist and providing the rationale for the group’s selection.

Planned Change in a Department or Unit

Application: Planned Change in a Department or Unit

Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

· Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

· Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

· Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

· Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

· Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

· Identify a problem, inefficiency, or issue within a specific department/unit.

· Describe a specific, realistic change that could be made to address the issue.

· Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

· Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

· Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

· Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Learning Resources

Required Readings

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Review Chapter 7, “Strategic and Operational Planning”
Chapter 8, “Planned Change”
This chapter explores methods for facilitating change and the theoretical underpinnings of implementing effective change

McAlearney, A., Terris, D., Hardacre, J., Spurgeon, P. Brown, C., Baumgart, A., Nyström, M. (2014). Organizational coherence in health care organizations: Conceptual guidance to facilitate quality improvement and organizational change. Quality Management in Health Care, 23(4), 254–267 doi: 10.1097/QMH.0b013e31828bc37d

An international group of investigators explored the issues of organizational culture and Quality Improvement (QI) in different health care contexts and settings. The aim of the research was to examine if a core set of organizational cultural attributes are associated with successful QI systems.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management – UK, 20(1), 32–37. doi: 10.7748/nm2013.04.20.1.32.e1013

Shirey, M. R. (2013). Lewin’s Theory of Planned Change as a strategic resource. The Journal of Nursing Administration, 43(2), 69–72. doi:10.1097/NNA.0b013e31827f20a9

Required Media

Laureate Education (Producer). (2012g). Organizational dynamics: Planned change and project planning. Baltimore, MD: Author.

Optional Resources

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 9, “Time Management”
Batras, D., Duff, C., & Smith, B. J. (2014). Organizational change theory: implications for health promotion practice. Health Promotion International, Retrieved from MEDLINE with Full Text, EBSCOhost

This article reviews select organizational change models to identify the most pertinent insights for health promotion practitioners.

 Poetry Analysis

Poetry Analysis – Final Draft  By the due date assigned, submit your revised analytical essay on poetry as a Microsoft Word document.  Consider the feedback you received on the Week 1 rough draft from your instructor, peers, and Smarthinking (if your paper was submitted for review), and determine what changes you want to make. Consider:  Do you need a more engaging opener or a stronger thesis? Do you need to reinforce your arguments and add more supporting evidence? Do you have areas to develop or clarify? Are you satisfied with your conclusion? Once you have revised the essay, review it for editing issues. Run the spell checker and grammar checker in Word, and then proofread, looking for typos the checkers might have missed. Read it aloud to listen for awkward places and to fine tune the flow. Make sure you have applied APA rules of style to source citations as well as the overall formatting of your essay.

Assignment-Professional Portfolio  

Assignment-Professional Portfolio

Details:

The purpose of this assignment is for the nursing education student to have a forum to showcase personal achievements and to demonstrate current qualifications in preparation for certification as a nurse educator or in seeking a position as a nurse educator.

There is no one right way to submit a portfolio. Organizations that utilize this format for clinical advancement and/or peer review may have a standard format that is to be followed for submission. Organizations may also require a portfolio as part of a job application. These may or may not have specific formatting guidelines. For the purposes of this assignment, the portfolio must contain the following pieces:

1. Introduction that includes a professional goal(s) statement2. Current license and credentials3. Reference list comprising of at least three references4. Two letters of reference5. Integration of the Boyer’s model for scholarship and the National League for Nursing (NLN) eight competencies for nurse educators, outlining your accomplishments in each of the eight areas6.

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

NUR-665E-ProfessionalNursingPortfolioTemplate.docx

Data-Based Changes

Data-Based Changes  Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.  Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not? Assignment Expectations:  Length: 500 words per essay prompt/section (1500 total for this assignment)  Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.  References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.  Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.  Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)  File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

e Topic Materials

Review the Topic Materials and the work completed in NRS-433V to   formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing   Practice

ON Abnormal Uterine Bleeding

To prepare Assignment 1: Application – Comprehensive Patient Assessment ON Abnormal Uterine Bleeding

 

Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.

 

Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

 

To complete

 

Write an 8- to 10-page comprehensive soap Note paper on Abnormal Uterine Bleeding , that addresses the following:

 

Age, race and ethnicity, and partner status of the patient

 

Current health status, including chief concern or complaint of the patient

 

Contraception method (if any)

 

Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)

 

Review of systems

 

Physical exam

 

Labs, tests, and other diagnostics

 

Differential diagnoses

 

Management plan, including diagnosis, treatment, patient education, and follow-up care.

 

 

 

PLEASE FOLLOW ASSIGNMENT CRITERIA AND SAMPLE PAPER ATTACHED WITH THIS ASSIGNMENT. 100% ORINALITY AND APA FORMATE IS REQUIRED. DO NOT COPY SAMPLE PAPER , JUST FOLLOW THE PATTERN.

References

Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.

 

    • Chapter 5, “Gynecologic Anatomy and Physiology” (pp. 81–101)

 

    • Chapter 6, “Gynecologic History and Physical Examination” (pp. 103–131)

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

    • Chapter 6, “Care of the Well Woman Across the Life Span
    • “Preventive Health Care for Well Women” (pp. 263–265)
    • . Retrieved from http://www.womenshealth.gov/screening-tests-and-vaccines/screening-tests-for-women/Screening tests and vaccinesU.S. Department of Health and Human Services. (2012b). Care of the Well Woman: Health Assessment and Screening” (pp. 265–270)
    • Society for Reporoductive Endocrinology and Infertility. (2012). Abnormal uterine bleeding. Retrieved from http://www.socrei.org/BOOKLET_abnormal_uteine_bleeding/

      Taran, F. A., Stewart, E. A., & Brucker, S. (2013). Adenomyosis: Epidemiology, risk factors, clinical phenotype and surgical and interventional alternative to hysterectomy. Geburtshilfe Frauenheilkunde, 73(9), 924-931.