RUA: Transitions Paper  (Summuraize this article as an essay  2 full pages not including title page and reference page)  (I upload  below the article and the student paper to follow as an example)

The title of the essay is “Safety”

“Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Article upload to write about” 

APA format:

https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/in_text_citations_the_basics.html

Only use this website or library to find the article to support the essay:

CINAHL with Full Text

ProQuest Nursing

Access Medicine

Cochrane Library

PubMed

Criteria

1) Include the following sections. 

A. Introduction – 20 points/13% 

• Clearly establishes the purpose of the paper 

• Includes key points to be covered 

• Captures the reader’s interest 

B. Body of Paper – 60 points/40% 

• Complete, well-developed discussion of key points 

• Supports the purpose or main idea of the paper 

• Logical development of ideas with clear and accurate information 

• Ideas and statements are supported by three or more examples from personal and/or professional experiences 

• Provides own perspectives on the topic that is reflective, insightful, and original 

C. Conclusion – 30 points/20% • Clear and concise 

• Summarizes key points discussed in the paper 

• Leaves a strong impression, message, or idea on the reader 

D. Writing Style – 15 point/10% e. Correct use of standard English grammar, paragraph, and sentence structure 

F. No spelling or typographical errors 

G. Organized around required components 

H. Information flows in a logical sequence that is easy for the reader to follow 

I. APA Format, and References – 25 points/17% 

• There is a correct and appropriate use of margins, spacing, font, and headers 

• Document setup includes title and reference pages in correct APA format NR103 Transition to the Nursing Profession Transitions Paper Guidelines NR103_Transitions_Paper_Guidelines 2 

• Citation of sources included in the body of the paper uses the correct APA format for direct and indirect quotes 

• All elements of each reference are included in the correct order 

• All information taken from the source, even if summarized, is cited and listed on the Reference page 

• All sources used are nursing journals published within the last five years For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library

1-There are many areas in nursing where evidence-based practice has improved care processes and patient outcomes including the bundles of checklist to prevent pneumonia related to mechanical ventilation and central line-associated blood stream infection or CLABSI.

To prevent healthcare-associated infection such as the ventilator-associated pneumonia (VAP) for patient who had been intubated for more than 48 hours, the VAP bundles of care are often used. Recommended bundle of interventions for the prevention of VAP includes elevation of the head of the bed at a 30° to 45° angle to prevent aspiration of gastric content, reducing the duration of mechanical ventilation by daily sedation interruption (DSI) and daily spontaneous breathing trials (SBT), peptic ulcer disease (PUD) prophylaxis, and deep-vein thrombosis (DVT) prophylaxis. Moreover, performing oral care every two hours and as needed, maintaining ET tube cuff pressure above 20 cm H20, and managing ventilator circuits and changing only when visibly soiled showed improvements in VAP in critically ill patients.

Another area where evidence-based practice has improved patient outcome is through the use of bundles or interventions to prevent or decreased central line-associated blood stream infections. Those recommended bundle of interventions for the prevention of CLABSI includes proper hand hygiene, skin preparation using chlorhexidine solution greater than 0.5%, adhering to aseptic technique and use of sterile gloves, regular assessment and inspection of site, and daily evaluation whether the use of central line is still necessary.

According to the ANA (2018), when patient received the optimal intervention bundle, the expected time for any ventilator-associated pneumonia to occur takes almost 3.5 times longer that those who did not. At the hospital I work for, when we chart our lines/drains/airways one of the question we are asked is if the patient still meets the criteria for continuing the line. When no longer necessary, it prompts immediate consideration for removal. The bundles/checklist does not only act as a learning tool but also serves as a guideline. By knowing the bundles of interventions we can better care for our patients and avoid unnecessary and preventable infections.

References:

Stevens, K.  (2013, May 31). “The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas”  OJIN: The Online Journal of Issues in Nursing  Vol. 18, No. 2, Manuscript 4. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

American Nurse Today. (2018). Preventing ventilator-associated pneumonia: A nursing-intervention bundle. Retrieved from https://www.americannursetoday.com/preventing-ventilator-associated-pneumonia-a-nursing-intervention-bundle/

Perin, D. C., Erdmann, A. L., Higashi, G. D., & Sasso, G. T. (2016). Evidence-based measures to prevent central line-associated bloodstream infections: a systematic review. Revista latino-americana de enfermagem, 24, e2787. doi:10.1590/1518-8345.1233.2787

2-In wound care it seems like new products are becoming available everyday and current products are continually evolving to improve patient outcomes. Thankfully, the clinic that I work in is smaller and there are only three nurses on staff, so our continuous education is typically done as a group. We usually meet with the product representative face to face and receive instant feedback regarding any questions and concerns we may have about the product. When information needs to be disseminated throughout the facility and to all nursing staff, the education happens is various forms. Least common is face to face in servicing as it is often difficult to get multiple staff members in the same location at the same time (due to staffing shortages). The most utilized form of education is online via an electronic learning forum (E-Learning) staff members can access the “assignments” 24 hours a day 7 days a week from most computers within the facility. Assignments are assigned with a due date and typically have a test following the educational portion in which the staff members must pass to receive credit and meet the educational requirement.

3-The implementation phase of any change can be difficult. In the nursing profession, evidence-based practices have been observed as the best and safest practices as there is proof in the research. However, there will always be those who question, or doubt said proof because some people are afraid of change, even if the change benefits them or others. To implement change, I would begin by addressing the following key factors: why, what, and how. First, the why- what is the issue that lead to the change. Next, the what- the research, the facts, the failures and successes that became the change. Lastly, the how- the demonstration or explanation of the change. Depending on the change and the aspects of our practice that would be affected determines the length of time the implementation phase would take. In my experience (when allowable) taking time to incorporate change over a period has proven least likely to create resistance from others.

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Unit II PowerPoint Presentation

• Weight: 10% of course grade
• Grading Rubric
• Due: Tuesday, 11/20/2018 11:59 PM (CST)

Instructions

A new student has joined our class and is struggling a bit with the ICD-10-CM conventions. You have been asked by your instructor to create a PowerPoint presentation that will help the new student gain confidence.

Create a minimum of an eight-slide presentation explaining the official instructional notation in the ICD-10-CM conventions (such as NEC/NOS, brackets, code first, code also). Additionally, make sure to explain why these details are important and are being used in the ICD-10-CM so that the new student can gain a deeper understanding.

You must use at least your textbook as an outside source. All sources used must be cited and referenced according to APA standards.

Disease Project Description

This paper will give you a comprehensive look at a worksite illness, injury, or disease.  You are to select a topic of interest and write at least 5 pages on this illness, injury or disease.  Please check your book, internet or even your worksite for ideas on this topic.  Submit the paper as a MSWord document. 

The title page must include your name, assignment name, course, and date. 

In order to receive maximum credit, five full pages of text are required (not including the title page and reference section). Also, a minimum of three (3) professional/scholarly sources are required. Please remember to cite your work (in-text and reference). 

I need help with the following question from the book above. 

Ø  Write a critique of the spiritual formation text, 4–6 pages in length.

Ø  Structure

§  Give a general summary of the book’s contents.

§  Assess the book’s strengths and weaknesses.

§  For what type of audience and purpose is the book best suited?

§  How might the book be improved?