Tag Archive for: nursing

typical hospitalization

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Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

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

Assignment:

Describe the processes that take place during a typical hospitalization, or emergency department visit for a consumer under the ACA. From admission to discharge, including aftercare, rehab, and acquisition of medications; address the differences, with the same experience from before the ACA was passed into law?

Assignment Expectations: How will students be successful?

  • Length:
    • 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner
  • Structure:
    • Include a title page and reference page in APA style
  • References:
    • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions
  • Format:
    • Save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type
  • File name:
    • Name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)
  • Submission:
    • Submit your assignment to the Drop Box

psychotherapy

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Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.
Note: For guidance on nursing and counseling theories, refer to this week’s Learning Resources.

Explain why you selected these theories. Support your approach with evidence-based literature.

For the assignment write on  Nursing Theory (Hildegard Peplau’s Interpersonal Theory) and the  Counselling Theory (Humanistic Approach)

Coaching Employees

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Coaching Employees

Consider the following scenario:

You were very pleased with your decision to select Mala during your last recruitment initiative. Just out of college, Mala has the enthusiasm and professional drive that could benefit your health care organization. However, you recognize that Mala will have a lot to learn in a clinical setting. As a nurse manager, you have led many successful group trainings, but have far less experience coaching employees one-on-one. You wonder how you should approach this relationship and what steps you should take to increase the positivity and effectiveness of this experience.

Coaching is an ongoing process that is an integral function of the management role. It focuses on the development needs of the employee and is built on a relationship of trust between the leader and follower. Coaching is a powerful activity that demonstrates value of and respect for the employee. In this Assignment, you examine how you could serve as a coach to facilitate an individual’s professional development.

To prepare

  • Reflect on the information shared in the article, “Coaching Nurses: A Real Example of a Real Difference.” Which of these best practices might you use to strengthen your own coaching skills?
  • Review Chapter 7, “Coaching and Developing Others” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Consider how the author compares coaching staff in a health care setting to coaching athletes, directing a movie, and conducting a symphony. Then, examine the six steps of the coaching process. How does each of the coaching steps build upon one another to create a positive and effective coaching experience?
  • In preparation for this hypothetical coaching exercise, identify one individual, staff member, or employee (from your current organization or a past setting) who could benefit from coaching. Create a pseudonym for him or her.
  • Use the six-step coaching process to develop a coaching and dev

Neonatal Abstinence Syndrome

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Group A will complete the initial post. Group B will respond. You are called to the room and find Michael 2 hours old has been very irritable and spitting up large amounts of formula. He is very jittery. You do not know the maternal history before coming into the room so you advise the mother that you would like to return the baby to the nursery for an assessment and monitoring. In the medical record you focus on prenatal history. You witness the baby having some significant tremors. What would you suspect? Michaels VS are: T (axillary) – 36.0, RR- 70, HR- 166, he is very alert, irritable, and does not console easily. Is moving constantly, and sucking very vigorous on the pacifier you provide for comfort. You place the baby under the warmer and obtain what labs?It is determined that this baby is going through opioid withdrawal. Neonatal Abstinence Syndrome requires close observation and scoring. Methadone may be used. Neonatal Abstinence Syndrome Shows both the signs of withdrawal, scoring and the nursing care of a baby with Neonatal Abstinence Syndrome.
Group B Response
What is your feeling and knowledge regarding breastfeeding this baby?

DISCUSSION B

Group B will complete the initial post. Group A will respond. Baby Leah had a very traumatic vaginal birth. After a vacuum extraction for fetal heart rate tracing changes and a resultant shoulder dystocia, Leah has a mild Erb’s palsy, some facial and truncal bruising. Pediatrician has ordered physical therapy for the palsy and the doctor expects routine care to be provided to her. In addition, do not forget the education you must give to the new parents regarding this injury. Due to the bruising there is an increase in bilirubin levels and some behavioral changes occur with Leah. Please describe what is different and what will you discuss with the family to ensure safety? The bilirubin level requires phototherapy. What precautions must you take? What is essential to manage and treat the elevated bilirubin in addition to phototherapy?Group A Response Phototherapy is discontinued at the hospital, but at home the parents are encouraged to provide some ‘routine’ therapy for Hyperbilirubinemia. What would you suggest? Do not forget routine discharge instruction for this parent.

DO GROUP B ONLY, ANSWER ALL QUESTIONS, IN TEXT CITATION, 3-4 REFERENCES

Appraising the Literature

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Appraising the Literature

For the DNP-prepared nurse, it is important to hone skills related to reviewing and evaluating research literature to implement evidence-based practices. As you examine epidemiological research, in particular, it is essential to ask, “What are the strengths and weakness of the research method(s)? Are the data analysis and interpretation sound? Is there any evidence of bias?” This Discussion provides you and your colleagues valuable practice in critically analyzing research literature.

To prepare:

  • With      this week’s Learning Resources in mind, reflect on the importance of      analyzing epidemiological research studies.
  • Critically      appraise the Oppenheimer (2010) and Elliott, Smith, Penny, Smith and      Chambers (1999) articles presented in the Learning Resources using      Appendix A in Epidemiology for Public Health Practice as a guide.
  • Determine      the strengths and weaknesses of the research methods and data analysis of      each study.
  • Ask      yourself, “Is any bias evident in either study? What did the researchers      do to control for potential bias?”
  • Finally,      consider the importance of data interpretation in epidemiologic literature      and the issues that may arise if potential confounding factors are not      considered.

By tomorrow 04/05/2018 3pm, write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”

Post a cohesive scholarly response that addresses the following:

1) Appraise the Oppenheimer (2010) and Elliott et al. (1999) articles, summarizing the strengths and weaknesses of each study (see attached files for those articles).

2) Analyze potential sources of bias in each study and suggest strategies for minimizing bias.

3) Suggest possible confounding variables that may have influenced the results of each study.

Required Readings

Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.

Chapter 10, “Data Interpretation Issues”

Chapter 15, “Social, Behavioral, and Psychosocial Epidemiology”

Appendix A – Guide to the Critical Appraisal of an Epidemiologic/Public Health Research Article

In Chapter 10, the authors describe issues related to data interpretation and address the main types of research errors that need to be considered when conducting epidemiologic research, as well as when analyzing published results. It also presents techniques for reducing bias. Chapter 15 features psychosocial, behavioral, and social epidemiology. Appendix A includes criteria to consider when reading an empirical journal article.

Elliott, A. M., Smith, B. H., Penny, K., Smith, W. C., & Chambers, W. A. (1999). The epidemiology of chronic pain in the community. The Lancet, 354(9186), 1248–1252.

This article describes an early epidemiologic study on chronic pain. Carefully review this article noting the structure of the research design, assessment and data collection, and analysis strategies. You will refer to this article for Discussion 2. (see attached file)

Oppenheimer, G. M. (2010). Framingham Heart Study: The first 20 years. Progress in Cardiovascular Diseases, 53(1), 55–61.

The Framingham Heart Study is a landmark epidemiologic study that began in the 1940s. The author of this article reviews the history of the Framingham Heart Study and its contribution to population health. As you read this article, consider any sources of bias or potential conflict of interest. You will refer to this article for Discussion 2. (See attached file).

Phillips, C. V., & Goodman, K. J. (2004). The missed lessons of Sir Austin Bradford Hill. Epidemiologic Perspectives & Innovations, 1(3). Retrieved from http://www.biomedcentral.com/1742-5573/1/3

In 1965, Austin Bradford Hill worked on a paper that has become a standard in public health and epidemiologic study about how to make decisions based on epidemiologic evidence. Hill put forth strategies for inferring causation and stressed the need for considering costs and benefits when planning health-promoting interventions. Review this article, which examines how Hill’s strategies are often misused or misinterpreted.

Centers for Disease Control and Prevention. (2011). CDC health disparities and inequalities report—United States, 2011. Morbidity and Mortality Weekly Report, Supplement, (60), 1–114. Retrieved from http://www.cdc.gov/mmwr/pdf/other/su6001.pdf. [Read pages 11–32]

This report consolidates national data on disparities in mortality, morbidity, behavioral risk factors, health care access, preventive health services, and social determinants of critical health problems in the United States by using selected indicators. The required section of reading introduces the social determinants of health and environmental hazards.

World Health Organization. (2011). Social determinants of health. Retrieved from http://www.who.int/social_determinants/en/

According to the World Health Organization, “The social determinants of health are mostly responsible for health inequities—the unfair and avoidable differences in health status seen within and between countries.” This article presents an introduction to social determinants of health.

World Health Organization. (2011). Social determinants of health: Key concepts. Retrieved from http://www.who.int/social_determinants/thecommission/finalreport/key_concepts/en/index.html

This article outlines key concepts related to the social determinants of health.

Healthy People 2020. (2011). Social determinants of health. Retrieved from http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=39

This website presents an overview of the social determinants of health and addresses how the information relates to Healthy People 2020.

UCL Institute of Health Equity. (2012). ‘Fair society healthy lives’ (The Marmot Review). Retrieved from http://www.instituteofhealthequity.org/projects/fair-society-healthy-lives-the-marmot-review

Optional Resources

Genaidy, A. M., Lemasters, G. K., Lockey, J., Succop, P., Deddens, J., Sobeih, & Dunning, K. (2007). An epidemiological appraisal instrumental – a tool for evaluation of epidemiological studies. Ergonomics, 50(6), 920–960.

Centers for Disease Control and Prevention. (2011). Social determinants of health. Retrieved from http://www.cdc.gov/socialdeterminants/

directional strategies

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After reading this week’s reading materials, discuss in your own words how your case study’s organizational mission, vision, and values impact how the organization addresses its directional strategies and strategic alternatives.

Submit a journal assignment that evaluates how the organization incorporates directional strategies and strategic alternatives based on its mission and vision statements. In the evaluation, be sure to address the following:

  1. Summarize the directional strategies and strategic alternatives that the healthcare organization has available to it. Provide examples from the case study.
  2. Discuss how the organization connected its selected directional strategies and strategic alternatives to its mission, vision, and values. Provide examples from the case study.
  3. Evaluate the implementation of the directional strategies and strategic alternatives in light of the organization’s mission, vision, and values.

Nursing practice

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Purpose
Nursing practice is both an art and a science with caring as a central concept to nursing practice and the profession of nursing. Caring is influenced by the nurse’s knowledge, skills, and attitudes formed through lifelong learning and experiences. The purpose of this assessment is to explore definitions of caring in nursing. Students will create a definition of caring and an artistic expression of their perception on caring.

ETHICAL model

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Assignment:

Please complete the following Professional Development exercises.

  • Read the following Ethics case. Discuss and analyze using the ETHICAL model presented in Chapter 5.

Paul is a 12 year old male diabetic. He maintains his personal digital assistant (PDA), hand-held device, that interfaces with his glucometer and provides information based on inputted data from him and his parents. This information is transmitted to his MD/hospital, school nurse, case manager (CM), and to the parents’ home computer. All in an attempt to better control his diabetes. You are his CM.

The PDA sends an update to you since Paul’s blood glucose levels have been rising steadily for the last 5 days. The physician has left a message for you to contact this family and have them come in for an evaluation. You know that both of his parents work so you send an e-mail message to the parents’ via their home computer asking them to bring Paul in for an assessment. Since you are in a hurry and will be seeing other patients when they return from work, you decide to add more information to the message than normal reviewing with them the importance of maintaining control over the diabetes and expressing your concern since Paul has not checked in with you lately. You tell them that you think he might be over-doing it since he is trying to play football. You ask how they are doing and if they are still attending their counseling sessions.

Paul’s 4 year old sister, Lilah, sends your email out to all of the diabetic lists that both Paul and his parents belong. They interact with people on these lists regularly.

The parents are outraged that this information was sent everywhere. Imagine that you are the designated Privacy Officer in a healthcare institution.

Explain the following:

  • How would you feel in this situation?
  • What is the problem? (Clearly state the problem)
  • What ethical principles would guide you in this case?
  • What are the alternatives for solving this dilemma?
  • What are the consequences for each alternative generated?
  • In your opinion, what is the first choice from the alternatives and why?
  • Does your choice take into consideration all of the persons involved and the consequences to each of them?
  • If the worst case scenario would occur based on your choice, could you live with your decision?
  • Based on your choice, what is your plan of action?
  • What types of monitoring procedures would you develop?
  • What would you include in your sanctions for violations policy?
  • How would you address the following?
    • Tracking each point of access of the patient’s database including who entered the data
    • Nurses in your hospital have an access code that only gives them access to their Unit’s patients. A visitor accidentally comes to the wrong unit looking for a patient and asks the nurse to find out what unit the patient is on.

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

A New Marketing Opportunity

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Instructions

A New Marketing Opportunity

Before beginning work on this assignment, please review the expanded grading rubric for specific instructions relating to content and formatting.

 The CEO of your firm has just announced that the organization is considering two diverse strategies to increase business: marketing healthcare services to the mature healthcare consumer, or marketing healthcare services to international consumers.

 Read the following two articles:

 Fell, D. (2002). Taking the U.S. health services overseas. Marketing Health Services, 22(2), 21-23.

Click here to read the article.

 Marsh, D. (2010). Marketing to the mature marketplace. Marketing Health Services, 30(1), 12–17.

Click here to read the article.

 NOTE: You will draft two separate marketing proposals for the organization. Each proposal should be based on a marketing strategy covered in the course.

  • Explain which proposal best supports the marketing opportunities outlined by the firm’s CEO. In other words, does targeting one or the other group make sense in light of either of the proposals you have just drafted?
  • Decide which (if either) of the strategies should be a part of your marketing proposal. Explain why and be sure to address each of the following: The opportunities available to the organization by marketing healthcare services to the mature marketplace and the opportunities available to the organization by marketing healthcare services to the international consumer. How either or both of the opportunities compliment or conflict with the organization’s current marketing strategy. What recommendations you would make to the CEO concerning the two proposals.

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Submission Details:

  • Your assignment should be addressed in an 8- to 10-page document.
  • Submit your documents to the Submissions Area by the due date assigned.

quantitative research studies.

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Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.  Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.  In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.  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.

Attachments NRS-433V-RS3-ResearchCritiqueGuidelinesPart II.docx