Tag Archive for: nursing

Understanding Scope of Practice

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Discussion: Understanding Scope of Practice in relation to Certification and Licensure

The National Council of State Boards of Nursing (NCSBN) is a non-profit organization comprised of members from each state board of nursing in the U.S., the District of Columbia, and the four U.S. territories. Their role is to provide a platform for all state boards of nursing to convene, discuss, and ensure all state boards work together to provide the appropriate regulation to ensure that public health, safety, and welfare is the primary focus. A key element of NP licensure is understanding the components of Scope of Practice and subsequent practice within the parameters of the educational program completed and appropriate national certification.

To prepare:
  • Consider whether primary care NP graduates are qualified to seek employment in acute care settings such as ER, OR, or hospitalist/intensivist
  • Review and select one of the following case studies to research in depth:
    • Case Study One: Selecting the Certification Exam for your specialty.
      Mary is in the last two months of her program of study. She is trying to decide whether to take the American Association of Nurse Practitioner Credentialing Exam or the American Nurses Credentialing Exam.
    • Case Study Two: Obtaining initial licensure post matriculation.
      Amy, FNP-BC has recently graduated from an accredited Family Nurse Practitioner Program. She decides to relocate from her home state of Tennessee to Missouri and practice in a rural area. She is very excited about her new role and new position.
By Day 3

Post an explanation of the professional and/or clinical practice issues the new Nurse Practitioner will need to consider and address with the certification, licensure, credentialing, or relocation process. Compare Scope of Practice between the Acute Care, Family Practice, and Adult Gerontology Primary Care Nurse Practitioner and how practice may differ from state to state. Then, identify and explain at least two types of settings that are appropriate for FNP and AGPCNP graduates to practice.

Read a selection of your colleagues’ responses.

By Day 7

Respond to at least two of your colleagues on three different days in one or more of the ways listed below. Respond to colleagues who selected a different Case Study than you did.

  • Reflect on the differences between certifying bodies that offer credentialing exams for registered nurses.
  • Provide key components a Nurse Practitioner should consider when relocating from one state to another.

naturalism or modernism

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Choose a different author from the list below for each question. Use each author only once.

A. F. Scott Fitzgerald (“Babylon Revisited”)      B. Willa Cather (“Neighbor Rosicky”)

1. How would you describe the protagonist in the work of your first author?  Clearly identify three of the protagonist’s most important characteristics and supply examples that support your idea.

2. Using the definitions from the course lectures, discuss how the idea of naturalism or modernism is depicted in your author’s work. For naturalism, you will be looking for ways that the characters are portrayed as victims of their society or economy.  For modernism, you will be looking for ways the text challenges traditional ideas and/or portrays the failure of the American Dream.  Give examples of the particular period you find in the story or poems. 250 word each passage

flowchart

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Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

To prepare:

· Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.

· Consider how you would design a flowchart to represent the current workflow.

· Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.

To complete:

Write a 3- to 5-page paper which includes the following:

· Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)

· Next, in your paper:

o Explain the process you have diagrammed.

o For each step or decision point in the process, identify the following:

§ Who does this step? (It can be several people.)

§ What technology is used?

§ What policies and rules are involved in determining how, when, why, or where the step is executed?

§ What information is needed for the execution of this step?

o Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?

o Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.

o Summarize why it is important to be aware of the flow of an activity.

· Remember to include a cover page, introduction, and summary for your paper.

Hepatitis C

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Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

  • Synthroid 100 mcg daily
  • Nifedipine 30 mg daily
  • Prednisone 10 mg daily

Photo Credit: Getty Images/iStockphoto

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

To Prepare
  • Review the case study assigned by your Instructor for this Assignment
  • Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
  • Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
  • Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
By Day 7 of Week 4

Write a 1-page paper that addresses the following:

  • Explain your diagnosis for the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

five references not more than 5 yaers

zero plagiarism

Developing Organizational Policies and Practices

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Assignment is 5 pages Issue is WORKPLACE VIOLENCE IN HEALTHCARE

Developing Organizational Policies and Practices

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor ( Workplace violence in healthcare ).

Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.

Recommend two policies or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies.

Be specific and provide examples.

Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

APA FORMAT REFERENCES WITH IN-TEXT CITATIONS

 nursing theories

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Task:

Theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment. These are sometimes referred to as the basic metaparadigms of the nursing domain. Identify two additional concepts that are relevant to your personal practice of nursing and explain how they relate to your practice and why they are important to your practice.

Do 1 page and provide references.

Registered Nurse Hospital Practice.

high-risk nutritional behaviors

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Examine the high-risk nutritional behaviors associated with different cultures. Identify the historical perspectives, belief systems, and other factors associated with these high-risk nutritional behaviors for each culture. Write a 1,500-3,000 word paper on your findings in which you accomplish the following:

  1. Summarize the high risk-nutritional behaviors practiced among two or three different cultures.
  2. Discuss the historical perspectives and belief systems of these cultures that influence the high-risk nutritional behaviors.
  3. Explore additional influencing factors on high-risk behaviors for each culture. These may include, but are not limited to (a) education, (b) family roles, (c) spiritual beliefs, (d) health care practices, and (e) drug and alcohol use.

This paper requires minimum of six outside resources in addition to the textbook.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

dissemination of EBP

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The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

  • Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
  • Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

  • Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

 

Evidence-based practice focus on essential elements that can help create a highly integrated environment where it is possible to attain better outcomes. The evidence-based practice focuses on a specific problem where the findings can be compared with other results previously obtained. Dissemination of evidence-based practice findings can be evaluated based on different settings, mainly where the practice will be applied.  The work of evidence-based practice (EBP) is a relentless process that requires practitioners to continuously provide evidence in support of their decision-making process and policy/practice changes. Healthcare workers may use the EBP model to initiate and implement policy changes which will improve patient care. During the process, practitioners must present their appeals to the lawmakers providing evidence to why should the changes happen. There are several ways of disseminating the evidence. Melnyk and Fineout-Overholt (2018) define dissemination as “the process of distributing or circulating information widely” (p. 752).

Two dissemination strategies that I would be most inclined to use

The best dissemination strategies that I would consider include a unit-level presentation and local dissemination (Harvey & Kitson, 2015). Unit-level dissemination is only successful, especially in ensuring where the issue that has been considered help improving the underlying problem within the unit. Different units with a given setting can have a varied assessment of the operational environment. This means there is a need to take into consideration the context under which the evidence-based practice. Therefore, ensuring that the engagement is strategic help ensure that based on the results, the intervention that is put in place is unit-based (Brownson et al., 2018). Organizations strive to implement essential aspects of improving their performance. However, evidence-based practice eliminated the uncertainty risk, which is crucial in attaining better outcomes.

Local dissemination entails significant players at the local level, which is a better aspect that helps provide a strong emphasis on institutional development (Hall & Roussel, 2016).  However, it is essential to ensure that dissemination of outcomes is done in an environment where there exist resources and technical ability to attain better results. Skills and knowledge among the population are likely to be a challenge in successfully implementing the developed practice. There is a need to manage the needs of existing stakeholders, which is essential and help in organizational planning as well as service delivery. The implementation of evidence-based practice should focus on creating a profoundly transformed environment where it is easier to implement positive change. Therefore, training is crucial in empowering stakeholders on how to implement evidence-based practice (Brownson et al., 2018).

Least Inclined Dissemination Strategies to be used

The least inclined dissemination strategies to be used in communicating EBP are poster presentations and podium presentations. The poster presentations may not give out enough information, and the presentation may not look engaging and exciting, thereby losing the aim of the presentation. The podium presentation, on the other hand, may encounter poor turnout of participants. There could be poor publicity of the presentation leading to poor attendance.

Barriers to be Encountered and Overcoming These Barriers

The barrier that could be encountered from the unit level presentation is the lack of interest from staff. An example is a resistance from staff when a change is to be implemented that they do not like or want. One way in overcoming this barrier is by getting staff involved in the presentation. For instance, making a member of staff one of the speakers at the presentation. In that way, they will be very interested in their presentation. The barrier that could be encountered in making use of peer-reviewed journals is the lack of access to the journals. An example are journals that mandates a subscription fee, which often puts off many readers. One way in overcoming this barrier is by giving such journals free access to online readers.

References

Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2018). Dissemination and implementation research in health: translating science to practice. Oxford University Press.

Hall, H. R., & Roussel, L. A. (Eds.). (2016). Evidence-based practice. Jones & Bartlett Publishers.

Harvey, G., & Kitson, A. (2015). Implementing evidence-based practice in healthcare: a facilitation guide. Routledge.

References:

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)
  • Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)
  • Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)

Rubric:

Part 6: Disseminating Results

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project:

·   Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
·   Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.–

Levels of Achievement:  Excellent 81 (81%) – 90 (90%)    Good 72 (72%) – 80 (80%)    Fair 63 (63%) – 71 (71%)    Poor 0 (0%) – 62 (62%)

Written Expression and Formatting—Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

Written Expression and Formatting—English Writing Standards:

Correct grammar, mechanics, and proper punctuation.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

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    WK9AssignJonesIbrahimSppx.pptx

health care organization

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Details:

Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS451V.R.SingaporeAirlinesCaseStudy_Student_02-04-13.docx

Biographical data

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Due Date: Dec 01, 2017 23:59:59       Max Points: 150

Details:

In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.

Complete the assignment as outlined on the worksheet, including:

  1. Biographical data
  2. Past health history
  3. Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
  4. Review of systems
  5. All components of the health history
  6. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
  7. Rationale for the choice of each nursing diagnosis.
  8. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.

APA format is 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.