Tag Archive for: nursing

Communicating

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Application and implications for practice come from the interpretation of meaning from research findings. Communicating and using research evidence is an expectation of a BSN graduate.

  • Select and describe one of the conclusions from the required article from the Week 6 assignment that you found interesting and applicable to practice. Describe how you would apply the evidence to improve nursing practice. Explain your answer.
  • Discuss ways you would disseminate research-based evidence; how would you share with your peers? Include your thoughts on why it is important for you to be involved in communicating and applying nursing research evidence.

conceptualizations

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I need a paper, it is really really important to me to follow exactly this directions:

This is an individual writing assignment. Select one of the following four concepts for your paper: trust, hope, suffering, uncertainty. Once you’ve chosen your concept, complete the following:Determine the aim or purpose of your analysis; what do you want to accomplish by conducting this concept analysis? Answer the questions “Why am I doing this?” and “Why is this relevant to nursing knowledge and nursing science?” Conduct your literature review by identifying all uses of the term that you can discover. Answer “what are the known conceptualizations?     Locate and use a minimum of: 3 dictionary definitions; 1 thesaurus entry; and 5 scholarly references from the nursing literature (you may use non-nursing literature, if necessary). Combined, these references will be the basis for identifying and defining attributes of your selected concept.Determine the critical or defining attributes of the concept by identifying what each instance or use of the term has in common with the other uses. The more scholarly references you locate and use, the easier it is to determine critical attributes of a concept.Define the 4 cases using the critical attributes:     Construct a model case, or a real-life scenario that uses the concept and includes all critical attributes of the concept. Explain how you use each critical attribute. This case should be an accurate representation or model of your concept.Construct a contrary case, or one that is opposite of the concept. Support the claims you make by explaining how and why the contrary case does not contain any of the critical attributes of your concept.Construct a borderline case, or one that is related to the concept but is not actually an example of the concept. Support the claims you make by explaining how and why the borderline case differs from the model and contrary cases (i.e., does not contain all of the critical attributes of your concept, etc.)Construct an invented case, or fictitious scenario that uses the concept and includes all of the critical attributes. Explain how you use each of the critical attributes

Instructions:Complete a working draft of steps 1-4 of your assignment “Paper: Concept Analysis.” As a “check-in” opportunity, selected components of steps 1-4 must be provided in your post. If you have had insights that have developed since beginning your assignment, post them in your initial post. If you are unsure about how to do something, ask in your initial post. In short, this is your space to use to your advantage in order to revise and refine your work thus far and progress towards a final product. You should include the following:Why are you doing a concept analysis (besides earning course credit)? Why are concepts significant to the discipline? How do concept analyses contribute to nursing knowledge and nursing science? These questions should be answered in your introduction paragraph where you describe your aim/purpose.Of the 4 concepts (trust, hope, suffering, uncertainty), which one did you select?Post your reference list thus far; include 3 dictionaries,1 thesaurus, and a minimum of 5 scholarly references from the literature (nursing and non-nursing literature).What are the defining attributes of your concept you’ve identified? Of the 4 cases (model, contrary, borderline, invented) using the critical attributes, select and describe 1 case in your initial post.

environmental health,

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Question 1

  1. In environmental health, the term toxin refers to a toxic substance that _______________.
[removed] is naturally produced by a plant or animal
[removed] occurs in the occupational setting
[removed] results from human activity
[removed] a man-made product introduced into the environment due to human activity

1 points

Question 2

  1. In toxicity testing in rodents, the LD50 is a dose that is _______________.
[removed] acutely fatal to 50 percent of test animals
[removed] fatal to 50 percent of test animals within a 90-day period
[removed] fatal to 50 percent of test animals after lifetime bioaccumulation

1 points

Question 3

  1. Which of the following is not characteristic of a health impact assessment?
[removed] It evaluates a site or activity as it is, rather than looking forward in time
[removed] It includes social and economic factors in the assessment
[removed] It incorporates input from community members

1 points

Question 4

  1. An exposure pathway connects _______________ to _______________.
[removed] an exposure / a change in tissue structure or function
[removed] inhalation / absorption
[removed] the environmental source of a contaminant / the point of exposure

1 points

Question 5

  1. The three major routes of human exposure to environmental contaminants are _______________.
[removed] by air, water, and soil
[removed] environmental, occupational, and residential
[removed] ingestion, inhalation, and dermal contact

1 points

Question 6

  1. The phrase contact with the human envelope is a common definition of _______________.
[removed] absorption
[removed] disposition
[removed] exposure

1 points

Question 7

  1. The quantity of a toxicant (or its breakdown product) that is available to interact with some vulnerable tissue in the body is called the _______________.
[removed] absorbed dose
[removed] biologically effective dose
[removed] body burden

1 points

Question 8

  1. The body burden of a chemical in the body reflects the net effect of _______________.
[removed] absorption and biological effectiveness
[removed] synergism and antagonism
[removed] the processes of toxicokinetics

1 points

Question 9

  1. Bioaccumulation is the _______________.
[removed] gradual building up of a chemical in the tissue of an organism
[removed] increase of concentrations of a chemical at higher levels of a food pyramid
[removed] movement of a chemical from water to living tissue

1 points

Question 10

  1. Which of the following is an example of a biomarker?
[removed] Body mass index calculated from measured height and weight
[removed] Concentration of a pesticide in blood
[removed] Inhalation rate in liters per hour

1 points

Question 11

  1. The Ames test is a test of a chemical’s _______________.
[removed] acute lethality, and is conducted in rodents
[removed] mutagenicity, and is conducted in bacteria
[removed] teratogenic potential, and is conducted mammalian cells

1 points

Question 12

  1. Exposure modeling is used to estimate the _______________.
[removed] biologically effective dose of a toxicant
[removed] fate and transport of a toxicant
[removed] ingestion of, inhalation of, or dermal contact with a toxicant

1 points

Question 13

  1. Conceptually, a reference dose is a dose that has no adverse effects in _______________.
[removed] sensitive subpopulations over a long-term exposure
[removed] sensitive subpopulations over a short-term exposure
[removed] the general population over a long-term exposure
[removed] the general population over a short-term exposure

1 points

Question 14

  1. Which of the following is one of the major processes which together make up toxicokinetics?
[removed] Bioconcentration
[removed] Distribution
[removed] Mutation
[removed] Synergism

1 points

Question 15

  1. In doing a risk assessment for a chemical, the usual assumption is that _______________.
[removed] carcinogenicity has a threshold; non-cancer effects do not
[removed] non-cancer effects have a threshold; carcinogenicity does not
[removed] both carcinogenicity and non-cancer effects have thresholds
[removed] neither carcinogenicity nor non-cancer effects has a threshold

1 points

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The Doctoral Degree and Professional Nursing Practice

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The Doctoral Degree and Professional Nursing Practice

 

In response to the continuous changes in health care today, nurses are charged with staying well informed on many rapidly evolving aspects of patient care. They are also expected to contribute to the improvement of health care quality. Engaging in doctoral education is an admirable way to position oneself for accomplishing this goal, and it can lead to new professional opportunities.

Why did you decide to enroll in graduate school? What informed your decision to pursue your chosen degree? How will earning this degree influence your career?

This week, you consider the characteristics of various programs, including the DNP and the PhD. The focus of the DNP degree is on clinical practice, whereas the focus of the PhD is on research. In conjunction with other professional colleagues, DNP- and PhD-prepared nurses often collaborate to analyze critical issues and find appropriate ways to address them.

This first Discussion provides an opportunity for you to examine what it means to earn a doctorate and how your selected degree program relates to your professional goals.

 

To prepare:

 

  • Consider the reasons you have chosen to pursue an advanced degree. How do you anticipate that earning this degree will support your professional goals?
  • Reflect on the comments shared by the experts in this week’s media regarding the value of a DNP degree and the various roles available to DNP-prepared nurses, as well as the characteristics of the PhD program and opportunities for PhD-prepared nurses.
  • Based on the information presented this week, have you developed any new ideas or goals for your future? If so, what are they?

 

By tomorrow 5/31/17, post 550 words essay in APA format with 3 references from the list below, that include the level one heading as numbered below:

Post a cohesive response that addresses the following:

1)       What does it mean to be a nurse with a practice or research doctorate? What are the expectations associated with this degree? How might this be different for a nurse who holds a different degree?

2)       How do these considerations relate to your motivation to pursue a doctoral degree right now?

Required Readings

 

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

[For DNP students ONLY]

“Imagining the DNP Role” (pp. xvii–xxviii)

This reading introduces and defines the DNP degree, with a particular emphasis on the aim to provide high-level preparation for the advanced practice of nursing.

 

Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Burlington, MA: Jones & Bartlett.

[For PhD students ONLY]

Chapter 1, “The Importance of Research as Evidence in Nursing”

This chapter describes nursing research, its evolution, and its application in nursing practice.

 

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author. Retrieved from http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf

[For DNP students ONLY]

“Introduction” (pp. 3–7)

This section of an AACN document focuses on how the practice-oriented DNP degree complements and relates to the research-oriented PhD and other degrees.

 

Cleary, M., Hunt, G. E., & Jackson, D. (2011). Demystifying PhDs: A review of doctorate programs designed to fulfill the needs of the next generation of nursing professionals. Contemporary Nurse: A Journal for the Australian Nursing Profession, 39(2), 273–280.

Note: You will access this article from the Walden Library databases.

[For PhD students ONLY]

Conn, V. S. (2014). Prepare to launch: Optimizing doctoral education to ensure career success. Western Journal of Nursing Research, 36(1), 3–5.

Note: You will access this article from the Walden Library databases.

 

Conn, V. S., Zerwic, J., Rawl, S., Wyman, J. F., Larson, J. L., Anderson, C. M., Markis, N. E. (2014). Strategies for a successful PhD program: Words of wisdom from the WJNR editorial board. Western Journal of Nursing Research, 36(1), 6–30.

Note: You will access this article from the Walden Library databases.

[For PhD students ONLY]

 

Foster, R. L. (2012). Doctoral education and the future of nursing. Journal for Specialists in Pediatric Nursing, 17(2), 77–78.

Note: You will access this article from the Walden Library databases.

 

Sperhac, A. M., & Clinton, P. (2008). Doctorate of nursing practice: Blueprint for excellence. Journal of Pediatric Health Care, 22(3), 146–151.

Note: You will access this article from the Walden Library databases.

[For DNP students ONLY]

This article provides background on the development of the DNP degree, illustrates its necessary competencies, and evaluates the value of a DNP degree as well as challenges to its validity.

 

Required Media

 

 Laureate Education (Producer). (2012g). Welcome to Walden [Video file]. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 2 minutes.

In this media program, the president of Walden University welcomes you to the Walden learning community and shares examples of how Walden students are making a difference in their communities. She also describes how Walden’s Welcome Center supports you as a new student and makes it easier for you to connect with Walden when you have a question or need information.

 

Laureate Education (Producer). (2011b). Introduction: The doctor of nursing practice [Video file]. Retrieved from https://class.waldenu.edu

Note:  The approximate length of this media piece is 15 minutes.

In this media presentation, Dr. Joan Stanley discusses how the DNP degree evolved. In addition, Dr. Linda Beechinor and Dr. Susan Stefan share their experiences completing the DNP degree and explain how it has influenced their nursing careers.

 

 

neurological medical-surgical unit

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You are caring for five patients on a busy, 28-bed neurological medical-surgical unit, which recently transitioned to all electronic documentation and healthcare computerized provider order entry (CPOE). There is no longer any bedside paperwork.

All of your staff members have completed the required training and you have been assigned as expert lead for any questions that may arise during your shift. The expectation is that all nurses and clinical staff will document all care delivery in the bedside computers located in each patient’s room or via the workstation on wheels (WOW).

However, you have noticed a trend with experienced nurses spending extra time at the end of their shifts (30 or more minutes) documenting the nursing care provided during the shift. The expectation is that they should be documenting care delivery as soon as it is complete rather than at the end of their shifts.

Answer the following questions based on the information provided:

  1. Explain how you would address the concern with the delay in nursing documentation with your team.
  2. Do you see the transition to all electronic documentation as having a positive or negative effect on patient-centered care? Support your answer with evidence from the literature.
  3. Explore the role of advancement in information technology and its effect in patient care. Does more technology use improve time with patients? Use at least two sources to support your response.

Florence Nightingale’s model of care

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Due date January 15

Discuss the various ways in which Florence Nightingale’s model of care can be applied in current nursing practice. Identify the most important factor of Nightingale’s theory that you utilize in your current practice.
Please make sure that your submission adheres to the following:

1.Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example Discussion 1: Micheal Cabrera or Discussion 3: Sheila Smith. This is important in identifying that students are submitting original posts as well as response posts as required.

2.Students must submit their discussions directly onto Blackboard Discussion Board. Attachments submitted as discussion board posts will not be graded.

3. All discussion posts must be minimum 250 words,at least  2 references, must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.  Please be sure to cite your reference(s) in APA format, at the end of your posting

maximun similarity copied allow 20% , use of turnitin

APA style  6th edition

Nightingales Environmental Theory

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Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy.   Mrs. Adams apartment is located in a low income area of the city where crime is prevalent.  Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment.  The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

  • Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment?
  • What are the five essential components of Nightingales Theory?
  • Prioritize an appropriate care plan for Mrs. Adams?
  • Apply Nightingale’s Environmental Theory to an area of your nursing practice, what patient population would benefit from this approach?  Support this practice change with at least one evidenced-based article (this means current EBP of 5 years of less for the article.)

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 2 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page, please see the Shell that I have included in this module. 1st person is not acceptable in APA papers, make sure to keep this is 3rd person. 

Employee Training and Development Programs in Risk Management

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For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

TOPIC: Employee Training and Development Programs in Risk Management

In a 1,250 word paper, provide an analysis that includes the following:

  1. Brief summary description of  the type of risk management plan you selected (new employee, specific      audience, community-focused, etc.) and your rationale for selecting that example.
  2. Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and  processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the      assignment successfully.)
  3. Analyze the key agencies and  organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process. (Occupational Safety and Health Administration) OSHA.
  4. Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to   privacy, health care worker safety, and patient safety.
  5. Proposed recommendations or  changes you would make to your selected risk management program example to      enhance, improve, or to secure compliance standards.

Minimum of three peer-reviewed references. No plagiarism please

Prepare this assignment according to the guidelines found in the APA Style Guide, 

Head-to-Toe Assessment

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Head-to-Toe Assessment
For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following:

Topical headings to delineate systems.
For any system for which you do not have equipment, explain how you would do the assessment.
Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.
An analysis of age-specific risk reduction, health screen, and immunizations.
Your expectation of normal findings and what might indicate abnormal findings in your review of systems.
The differential diagnosis (disease) associated with possible abnormal findings.
A plan of care (including nursing diagnosis, interventions, evaluation).
Client and age-appropriate evidenced based practice strategies for health promotion.
Pharmacological treatments that can be used to address health issues for this client.
Provide your answers in a 6- to 7-page Microsoft Word document.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.

evolution

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Details:
The field of nursing has changed over time. In a 750-1,000 word   paper, discuss nursing practice today by addressing the following:

  1. Explain how nursing practice has changed over time and how     this evolution has changed the scope of practice and the approach to     treating the individual.
  2. Compare and contrast the     differentiated practice competencies between an associate and     baccalaureate education in nursing. Explain how scope of practice     changes between an associate and baccalaureate nurse.
  3. Identify a patient care situation and describe how nursing care,     or approaches to decision-making, differ between the BSN-prepared     nurse and the ADN nurse.
  4. Discuss the significance of     applying evidence-based practice to nursing care and explain how the     academic preparation of the RN-BSN nurse supports its   application.
  5. Discuss how nurses today communicate and collaborate with     interdisciplinary teams and how this supports safer and more     effective patient outcomes.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.c