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advanced practice nurses in healthcare

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Follow APA guidelines

Less than 15 % similarity

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

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abnormalities can be caused by alcohol

Chapter 7 A 23-year-old woman presents to the OB-GYN office you work at. She was recently surprised to learn that she is pregnant. She estimates that she is about 8 weeks along. She tells you that she regularly drinks on the weekends with her friends. She asks you “Is that a problem? As long as I don’t drink very much, I can still have a drink occasionally while I’m pregnant, right?” a.            How would you answer her questions? b.            What types of abnormalities can be caused by alcohol, and how does genetics influence this?

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 Online Learning Strategies

Online Learning Strategies:  Completing courses in the absence of a physical classroom and frequent face-to-face contact can be challenging, even for those who are comfortable with technology and the online environment. You need to be able to plan and manage your time well, particularly since there is no structured “class time”; communicate clearly and effectively where there is no visual or nonverbal feedback; and use technology effectively.

This Discussion provides you with an opportunity to think about your skills in the above areas, to explore strategies for successful online learning, and exchange strategies with your colleagues.

To prepare:

•Review this Week’s assigned readings from the Walden e-Guide and the document, “Technical Tips for Learning at Walden,” in the Learning Resources. •Review this week’s media program, “Tips for Effective Online Composition and Communication.”

•Think about some strategies you have used, or read about, that may be beneficial for effective planning, time management, communication, and technology use. •Consider how the strategies you have identified can contribute to being a successful online learner.

Post a description of at least one strategy for each of the following areas related to online success: planning, time management, communication, and technology use.

Explain how/why you think use of each strategy will contribute to your success as an online learner.  Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

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TB (TUBERCULOSIS)

TB (TUBERCULOSIS)

Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov)

MUST INCLUDE FOLLOWING:

  1. What is the transmission and pathophysiology of TB?
  2. What are the clinical manifestations?
  3. After considering this scenario, what are the primary identified medical concerns for this patient?
  4. What are the primary psychosocial concerns?
  5. What are the implications of the treatment regimen, as far as likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in treatment of TB, as well as drug resistant TB.
  6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB treatment. What resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between, subsidized as it would be for a community health center, and unsubsidized.
  7. What are the implications of TB for critical care and advanced practice nurses?

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Heart Failure

ITS IMPORTANT TO MEET THE COMPETENCES !!!

Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.

It is important for the nurse leader to have not only a basic understanding of the budget process, but to understand how to work with variances in staffing, patient loads, and supply costs in order to meet the needs of the patients, without compromising the funding process of the clinic.

 

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
    • (IMPORTANT) -Apply evidence-based management strategies and best practices for resourcing health care services.
    • (IMPORTANT) -Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
  • Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
    • (IMPORTANT) -Apply legal and professional standards for resourcing outpatient services.
  • Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
    • (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Assessment Instructions

 

Preparation

Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.

Instructions

Deliverable: Develop one component of an evidence-based resourcing plan.

Scenario:

The hospital leadership team has already allocated the major capital expenditures for the heart failure clinic, such as the facility, legal services, IT, and security services. However, as a member of the nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.

You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Choose  one of the following:

Budget:

  • Apply evidence-based management strategies and best practices for resourcing health care services.
    • Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
    • Start-up expenses.
    • Examine fixed and variable costs.
    • Capital budget items.
      • Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.
    • Contingency fund and parameters.
  • Apply legal and professional standards for resourcing outpatient services.
    • Explain the alignment to best practices and professional standards for cost effective outpatient services.
    • How will uninsured or underinsured patients be managed?
  • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
    • What data resources and tools analyze costs, health insurance, and hospitalization services?
    • How will billing be handled?
    • How will you determine if outpatient management is cost-effective?
    • How does transparency impact the consumer?

Staffing Plan:

  • Apply evidence-based management strategies and best practices for resourcing health care services.
    • Identify the disciplines and skill mix needed for appropriate staffing.
    • Estimate staffing requirements by discipline and staffing ratios (evidence-based).
    • Develop a sample staffing schedule.
    • How will you staff to meet corporate diversity goals or the needs of diverse patients?
    • Explain how delegation, collaboration, negotiation will affect staffing plan.
      • How does a union contract affect the staffing plan or schedule?
        • Examine the Nurse Practice Act for your state.
          • How does the Nurse Practice Act affect your staffing plan?
  • Apply legal and professional standards for resourcing outpatient services.
    • Align your staffing plan to best practices, the Nurse Practice Act for your state, scope of practice, and the Joint Commission standards for outpatients.
  • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
    • How will you know if staffing is cost-effective?
    • How will you know if staffing mix or schedule impacts patient outcomes?

Additional Requirements

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: The plan should be 3–4 pages in content length, double-spaced.
  • Font and font size: Times New Roman, 12 point.
  • Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

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Practicum Journal: Voluntary and Involuntary Commitment

Assignment : Practicum Journal: Voluntary and Involuntary Commitment

PMHNPs may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation? What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.

In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

Learning Objectives

Students will:

  • Evaluate      clients for voluntary commitment
  • Evaluate      clients for involuntary commitment based on state laws
  • Recommend      actions for supporting parents of clients not eligible for involuntary      commitment
  • Recommend      actions for treating clients not eligible for involuntary commitment

To Prepare for this Practicum:

  • Review      the Learning Resources concerning voluntary and involuntary commitment.
  • Read      the Week 7 Scenario in your Learning      Resources.
  • Research      your state’s laws concerning      voluntary and involuntary commitment.

The Assignment (2–3 pages):

  • Based      on the scenario, would you recommend      that the client be voluntarily committed? Why or why not?
  • Based      on the laws in your state, would the      client be eligible for involuntary commitment? Explain why or why not.
  • Did      understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing      the client? Explain.
  • If the      client were not eligible for involuntary commitment, explain what actions you may be able to take to support the      parents for or against voluntary commitment.
  • If the      client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.

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Course outcome assessed/addressed in this Assignment:

Course outcome assessed/addressed in this Assignment:

HI530-1: Apply healthcare terminologies, vocabularies, and ontologies for health information systems.

Instructions

Imagine you are an EHR Business Analyst for large hospital system conducting a root cause analysis of an interoperability issue. Using the knowledge gained from your unit 1 Reading, write-up an analysis that applies the appropriate healthcare terminologies, vocabularies, and ontologies for a health information system used in a hospital setting.

Requirements

  • Write a 3-page analysis that includes the below information:
    • Definitions of appropriate healthcare terminologies, vocabularies, and ontologies
    • Explanation of how each healthcare terminology, vocabulary, and ontology should be utilized
    • Explanation of how future interoperability issues can be avoided

Imagine that you are an EHR Business Analyst for a large hospital system. You are conducting a root cause analysis of an interoperability issue. Think of the various healthcare terminologies, vocabularies, and ontologies that have been used for health information systems over the past 10 years. Which terminologies, vocabularies, and ontologies would be appropriate for a hospital setting? As you picture yourself in the role of an EHR Business Analyst, reflect and answer the questions outlined in your Unit 1 Writing Assignment. E

Submitting Your Work

Put your responses in a Microsoft Word document. Save it in a location and with the proper naming convention: username-CourseName-section-Unit 1_Assignment.doc (section is your course section and 1 is your unit number).

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methods used in collecting the outcome data.

Max Points: 60

Details:

In 500-750 words (not including the title page and reference page), develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

  1. Describe the rationale for the methods used in collecting the outcome data.
  2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
  3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
  4. Describe strategies to take if outcomes do not provide positive results.
  5. Describe implications for practice and future research.

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.

 

Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.

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Hispanic single

Mrs. C is a 45-year-old Hispanic single mother of three children, a girl of thirteen years and two boys of ages nine and six. She has recently divorced her husband. She was diagnosed with colon cancer six months ago and is scheduled to have a bowel resection in three weeks.
Mrs. C. is also responsible for taking care of her disabled sister who also has a boy of ten years of age.
Her mother is hospitalized due to a recent stroke and is an insulin-dependent diabetic. She also has Alzheimer’s disease.
Mrs. C.’s former husband lives in the same community. He provides minimal child support and takes the children every other weekend.
Mrs. C does not have health insurance because she works part-time at a local grocery store.
She tells you she does not know how she will pay for her surgery and is worried about the outcome and the care of her family.

Questions to be answered:

What are the socioeconomic and health system factors influencing this situation?
What stressors are probably affecting this family?
What nursing interventions might you employ to assist this family?
How can community resources be a potential help?

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Article Analysis and Evaluation of Research Ethics 

Article Analysis and Evaluation of Research Ethics

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.

AttachmentsHLT-362V-RS5-ArticleAnalysisEthicalEval-Template.docx

Article Analysis and Evaluation of Research Ethics

No of Criteria: 18 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentage1: Unsatisfactory0.00 %2: Less Than Satisfactory65.00 %3: Satisfactory75.00 %4: Good85.00 %5: Excellent100.00 %Content100.0     Article (Quantitative, APA Citation and Permalink)5.0The article presented does not use quantitative research.N/AN/AN/AThe article presented is based on quantitative research.Article Citation and Permalink5.0Article citation and permalink are omitted.Article citation and permalink are presented. There are significant errors. Page numbers are not indicated to cite information, or the page numbers are incorrect.Article citation and permalink are presented. Article citation is presented in APA format, but there are errors. Page numbers to cite information are missing, or incorrect, in some areas.Article citation and permalink are presented. Article citation is presented in APA format. Page numbers are used in to cite information. There are minor errors.Article citation and permalink are presented. Article citation is accurately presented in APA format. Page numbers are accurate and used in all areas when citing information.Broad Topic Area/Title5.0Broad topic area and title are omitted.Broad topic area and title are referenced but are incomplete.Broad topic area and title are summarized. There are inaccuracies.Broad topic area and title are presented. Hypothesis is generally defined. There are some minor inaccuracies.Broad topic area and title are fully presented and accurate.Problem Statement5.0Problem statement is omitted or incorrect.Problem statement is referenced but is incomplete.Problem statement is partially presented. There are inaccuracies.Problem statement is summarized. There are some minor inaccuracies.Problem statement is accurate and clearly summarized.Purpose Statement5.0Purpose statement is omitted or incorrect.Purpose statement is referenced but is incomplete.Purpose statement is partially presented. There are inaccuracies.Purpose statement is summarized. There are some minor inaccuracies.Purpose statement is accurate and clearly summarized.Research Questions5.0Research questions are omitted or incorrect.Research questions are partially presented.N/AN/AResearch questions are presented and accurate.Define Hypothesis (Or state the correct hypothesis based upon variables used.)5.0Definition of hypothesis is omitted. The definition of the hypothesis is incorrect.Hypothesis is summarized. There are major inaccuracies or omissions.Hypothesis is generally defined. There are some minor inaccuracies.Hypothesis is defined. Hypothesis is generally defined. There are some minor inaccuracies.Hypothesis is accurate and clearly definedIdentify Variables and Type of Data for Variables5.0Variable type and data for variable are omitted.Variable type and data for variable are presented. There are major inaccuracies or omissions.Variable type and data for variable are presented. There are inaccuracies.Variable type and data for variable are presented. Minor detail is needed for accuracy.Variable type and data for variable are presented and accurate.Population of Interest for Study5.0Population of interest for the study is omitted.Population of interest for the study is presented. There are major inaccuracies or omissions.Population of interest for the study is presented. There are inaccuracies.Population of interest for the study is presented. Minor detail is needed for accuracy.Population of interest for the study is presented and accurate.Sample5.0Sample is omitted.Sample is presented. There are major inaccuracies or omissions.Sample is presented. There are inaccuracies.Sample is presented. Minor detail is needed for accuracy. Page citation for sample information is provided.Sample is presented and accurate. Page citation for sample information is provided.Sampling Method5.0Sampling method is omitted.Sampling method is presented. There are major inaccuracies or omissions.Sampling method is presented. There are inaccuracies. Page citation for sample information is omitted.Sampling method is presented. Minor detail is needed for accuracy.Sampling method is presented and accurate.Identify Data Collection5.0How data were collected is not identified.How data were collected is presented but is incorrect.How data were collected is partially presented. There are inaccuracies or omissions.How data were collected is identified. There are minor inaccuraciesHow data were collected is fully identified and accurate.Summary of Data Collection Approach5.0The means of data collection are omitted.The means of data collection are referenced. There are major inaccuracies or omissions.The means of data collection are presented. There are inaccuracies. Page citation for sample information is omitted.The means of data collection are summarized. Minor detail is needed for accuracy. Page citation for sample information is provided.The means of data collection are thoroughly summarized and accurate. Page citation for sample information is provided.Data Analysis5.0Data analysis is omitted.Data analysis is incomplete. Not all types of statistical tests used for the variables are indicated. The types of statistical tests listed are incorrect or unrelated to the variables indicated.Data analysis is summarized. Types of statistical tests used for the variables are indicated. There are inaccuracies or omissions.Data analysis is generally discussed. Types of statistical tests used for the variables are indicated. There minor inaccuracies.Data analysis is discussed. Types of statistical tests used for the variables are all indicated and accurate.Summary Results of Study5.0Summary of the results of the study is omitted or incorrect.The results of the study are partially presented. There are major inaccuracies or omissions. More information is needed.The results of study are summarized. There are some inaccuracies. Some information or rationale is needed for support.The results of study are summarized. Minor detail or information is needed for accuracy or clarity.The results of study are well summarized. The summary is accurate and clearly represents the results of the study.Summary Assumptions and Limitations10.0Identification of assumptions and limitations by the author is omitted. Summary of potential assumptions and limitations not listed by the author is omitted or not relevant to the study.Some assumptions and limitations from the article are identified. Other potential assumptions and limitations not listed by the author are partially presented. Significant information is needed.Most assumptions and limitations from the article are identified. Other potential assumptions and limitations not listed by the author are summarized. There are some inaccuracies. More information or rationale is needed for support.Assumptions and limitations from the article are identified and accurate. Potential assumptions and limitations not listed by the author are summarized. Some information or rationale is needed for support.Assumptions and limitations from the article are identified and accurate. Potential assumptions and limitations not listed by the author are summarized. Strong rationale is provided to support summary.Summary of Ethical Considerations10.0Summary of ethical considerations is omitted.Ethical considerations related to sampling, collecting data, analyzing data, and publishing results are incomplete. There are major inaccuracies or omissions. Significant information and rationale are needed to support summary.Ethical considerations related to sampling, collecting data, analyzing data, and publishing results are presented. There are some inaccuracies. Some information and rationale are needed to support summary.Ethical considerations related to sampling, collecting data, analyzing data, and publishing results are summarized. The ethical considerations summarized are reasonable. Some rationale or evidence are needed to support summary.Ethical considerations related to sampling, collecting data, analyzing data, and publishing results are clearly summarized. The ethical considerations summarized are reasonable. Strong rationale and support are provided.Mechanics of Writing (includes spelling, punctuation, grammar, and language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.The writer is clearly in command of standard, written, academic English.Total Percentage  100

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