Tag Archive for: nursing

nontraditional experiences

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
Interview a community health and public health provider regarding that person’s role and experiences within the community.
Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
Summary of community assessment: (a) funding sources and (b) partnerships.
Summary of interview with community health/public health provider.
Identification of an issue that is lacking or an opportunity for health promotion.
A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
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 format ting 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.

hypertension

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

         Nursing informatics

The cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. New or additional peer reviewed references should be cited in both cross posts.

Discussion cross posts should elaborate upon the ideas of others or content found in the readings/keynotes by adding details, examples, a different viewpoint, or other relevant information. The cross posts should provide original insights or responses which integrates multiple views. (Just saying ditto, I agree, or restating the original post is not considered elaboration.) There should be evaluation and feedback which assesses the accuracy, reasonableness, or quality of idea, and provides constructive feedback to classmates.

 

Be sure to use at least one reference. APA formatting, References should be timely, published within the previous 5 years.

Listed below is the discussion post you must respond to in 250-350 words max:

Background and Significance

Nursing informatics is a critical skill set that is incorporated in the nursing profession.

Information technology is being used to help the healthcare profession improve the standards of nursing. The improvements are allocated within the use of a software known as, “Cerner” that helps to ensure patient centered care is delivered. This also allows nurses to be more efficient and provide a detailed analysis of documentation. To be proficient it is vital to have this knowledge such as “ basic computer skills, information literacy and information management which are essential components of current nursing practice” (Foster, M., & Sethares,2017). Having an insight and competency in this expertise before starting a career as a new nurse is beneficial. Colleges are finding this to be essential and are incorporating it into the curriculum throughout nursing schools. In turn this will help to familiarize yourself with the software involved in patient documentations. However, there are still going to be challenges involved in informatics.

Benefits of EHR in the Healthcare Field

The electronic health record (EHR) has many benefits for patients and nurses. For patients, it allows them to have access to their own personal health record. This will allow patients to  electronically view their health records and lab results. Additionally, this will help with future doctor appointments because the EHR will have all their patient history stored.  For nurses “ the EHR allows for multiple members of the health care team to access, update, and share critical information to be used at the point of care without time delay” (Neumeier, 2016). This allows for flexibility for example, if a patient gets ill in another state while traveling they can still gain access to their information and show it to the physician.

Opportunities in Healthcare

There are various positions in informatics for healthcare professionals.  For example, “ the career has many opportunities such as clinical transformation, leadership, entrepreneurship, consultant, researcher, and educator” (Harmon, C. S., & Parker, C. D, 2017). I like all the different variations available because if you do not like a certain area then you may try another. One certainty is job employment  because technology is continuously growing and expanding. Most hospitals if not all have switched to electronic based records.

Challenges Faced

As in most careers there will be challenges to face. I personally think that one issue is that technology is always changing and advancing. With that said in informatics you will need to keep up to date with the software and training required. Another aspect is “nurses have many options to consider when contemplating formal education in informatics . Therefore, a nurse’s decision in selecting a formal education program can be challenging. ” However, having options to choose from can be a good situation to be in.

^PLEASE REMEMBER THIS IS AN RESPONSE TO THE DISCUSSION ABOVE^

Quadruple Aim

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

  • Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
  • Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. 
  • Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. 

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. 
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

examine health care data

The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment.

Scenario

You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders.

Assignment

Create a 10-15 slide PowerPoint presenting the data to the stakeholders. Address the following in your PowerPoint:

  1. What conclusions can be drawn for each quality measure over the 5-year period?
  2. What trends do you see for each quality measure over the 5-year period?
  3. When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?
  4. Based on your examination of the data, which of the quality measures should you prioritize and why?
  5. Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
  6. Explain how you would monitor the metric and use collected data for improvement.

Include a title slide, references slide, and comprehensive speaker notes.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

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 not required to submit this assignment to LopesWrite.

This benchmark assignment assesses the following programmatic competency:

MSN Emphasis in Leadership in Health Care Systems

6.6 Develop and monitor continuous quality improvement metrics and measures to improve care processes, outcomes, and the patient experience.

developed chilling.

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
Max Points: 20.0
This is the case study 1 :

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.

Objective Data

  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg

Laboratory Results

  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus

Critical Thinking Questions

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
  4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

health information

Review HIPAA, protected health information 0025004002019BB

*******************

Subject Area

Coursework

No.of pages/Wordcount

1 page

Urgency 3 to 4 hours

Citation Style APA Style

Assignment Details

Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice.

Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality.

technology

Watch these clips from the Ellen show. Notice how a simple change in words, or language creates some very interesting quandaries. Please watch the videos and answer the following questions:

  1. As we strive for more and more technology, what makes these clips funny?
  2. What element in language makes the communication ineffective?
  3. What elements of the reading from this week could you apply to explain the communication you have seen in the clips?
  • CLIP One

    Search Auto Correct Not So Correct, The Ellen Show
  • CLIP Two
    Search These Thumbsies Are Pretty Clumsy, The Ellen Show
  • CLIP Three
    Search These Clumsy Thumbsy: On Erection, The Ellen Show

 

  • CLIP Four
    Search Clumsy Thumbsy: Has Your Package Aroused?, The Ellen Show

Planning

Planning is the key to successful completion of this course and your overall program of study. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course mentor. You will need to establish a plan for successful completion of (1) deliverables associated with weekly course objectives, (2), required practice immersion hours, and (3) deliverables associated with your capstone project.

Access the “Individual Success Plan” resource in the Topic Materials. Read the information in the resource, including student expectations and instructions for completing the ISP document.

Use the “Individual Success Plan” to develop a personal plan for completing your practice hours and how topic objectives will be met. Include the number of hours you plan to set aside to meet your goals.

A combination of 100 supervised clinical hours in community health and leadership areas will be obtained through the application of the objectives listed in the Guidelines for Undergraduate Field Experiences manual.

Practicum immersion experiences are required in a community health setting. Community‐based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream.

According to HealthyPeople.gov, educational and community‐based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include schools, worksites, health care facilities, and communities. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence‐based project in the NRS‐490 course.

If you are a registered nurse in Washington, your practicum experience must include a minimum of 50 hours in a community health setting.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students should also integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

Consider the challenges you expect to encounter as you continue the practice hour and competency requirements throughout this course. How might you overcome these challenges?

You can renegotiate these deliverables with your faculty and mentor throughout this course and update your ISP accordingly.

Once your ISP has been developed and accepted by your course faculty, you will have your course mentor sign it at the beginning of, and upon completion of, each assignment that incorporates practice immersion hours. You will track all course practice immersion hours in the ISP.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

beer brands

Review the SPSS output file which reports the results of the related samples t-test to compare the number of U.S. states where each brand was sold in 2008 with the number of U.S. states where those same brands were sold in 2012. For each brand, there is one value for the number of states in 2008 and another value for the number of states in 2012, making this a repeated measure.

 

Answer the following questions based on your observations of the SPSS output file:

 

  1. What was the mean number of U.S. states in which all of the beer brands were sold in in 2008?
  2. What was the mean number of U.S. states in which all of the beer brands were sold in in 2012?
  3. Was there a significant difference in the number of states in which these beer brands were sold in 2008 versus 2012? Report the results of the t-test as follows: t(df value) = ___, and p-value.