nursing informatics

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Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

Planning and requirements definition

Analysis

Design of the new system

Implementation

Post-implementation support

Use APA format and include a title page and reference page.

Use the Safe Assign Drafts to check your match percentage before submitting your work.

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identify resources for preventing bullying and assisting children who have been bullied.

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Instructions: Bullying prevention is a growing research field that investigates the complexities and consequences of bullying.  There is also a complex relationship between bullying and suicide.

Visit http://www.stopbullying.gov/resources/index.html and identify resources for preventing bullying and assisting children who have been bullied.

Requirements:

– Formatted and cited in current APA 7

– The discussion must address the topic

– Rationale must be provided

– Use at least 600 words (no included 1st page or references in the 600 words)

– Use 3 academic sources. Not older than 5 years

– Not Websites are allowed.

– Plagiarism is NOT allowed

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Kaplan Predictor Version 1

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1. The nurse cares for a client diagnosed with superficial partial thickness burn. The nurse should assign the client to a room with which client?

A. A client diagnosed with Cushing’s Syndrome.

B. A client Diagnosed with cellulitis of the left leg.

C. A Client diagnosed with acute peritonsillar abscess.

D. A client diagnosed with acute pelvic inflammatory disease.

2. The nurse observes client care on a geriatric unit. The nurse should intervene in which situation?

a. A student nurse assist the client out of bed toward the clients strong side.

b. A student nurse assist the client to sit on the side of the bed by lifting the client’s

shoulders and swinging the client’s legs over the edge of the bed.

c. A student nurse assists the client to stand from a sitting position by grasping the

client’s elbows.

d. Two student nurses use a draw sheet to turn a client in the bed.

3. The nurse evaluates the results of the client’s purified protein derivative (PPD) 2 ½ days after the injection. The nurse noted the induration is 4 mm. which action by the nurse is most appropriate?

a. Inform the client the results are negative

b. Obtain the names of the client’s closest contacts.

c. Determine the HIV status of the client.

d. Wait and additional 24 hours to read the results.

4. The nurse cores for the client with a history of schizophrenia. The nurse expects to note which speech pattern?

a. Repetition of the words used by the nurse.

b. Rapid, coherent conversation about unrelated topics.

c. Immediately answering questions appropriately.

d. Slow, purposeful answers to the nurses questions.

5. The nurse cares for a 6-month-old infant. The parents report that the infant had severe diarrhea for twelve hours. The nurse anticipates which finding?

a. Normal skin elasticity.

b. Depresses anterior fontanel.

c. Pale yellow urine.

d. Absent bowel sounds.

6. The nurse cares for a client receiving hydrocodone every 6 hours prn for pain. The client reports pain at 1600. The nurse notes that the hydrocodone was last administered at

 

1200, and the nurse proceeds to administer hydromorphone at 1615. After discovering the error, how should the nurse record the occurrence?

a. <Wrong pain tablet given early. Client will be monitored closely. Asleep now.=

b. <Hydromorphone given instead of hydrocodone. Nursing supervisor aware of error.=

c. Hydrocodone tablet ordered every 6 hours; pain medication given after 4 hours.

Health care provider notified.=

d. <Hydromorphone given at 1615; health care provider notified. B/P 122/80, RR 16.=

7. The male client asks the nurse, <Why am I experiencing erectile dysfunction (ED)?= The nurse reviews the client’s medications. The nurse recognizes that which classification increases the risk for ED?

a. Non-steroidal anti-inflammatory drugs.

b. Antihypertensive medications.

c. Anticoagulant medications.

d. Histamine H2 inhibitors.

8. The nurse in the hospital cafeteria overhears two nursing assistive personnel (NAP) discuss the client’s condition. What is the PRIORITY action for the nurse to take?

a. Change the topic of the conversation.

b. Report the employees to their nurse manager.

c. Inform the employees about patient confidentiality and the client’s right to privacy.

d. Meet with the employees at the end of the shift and tell them not to discuss clients in a public place.

9. The nurse cares for a client diagnosed with dehydration. The plan of care indicates the client is to drink two ounces of fluid every hour. The nurse determines the goal is met if which is recorded on the intake and output (I&O) sheet for an eight-hour shift?

a. 360 ml

b. 160 ml

c. 480 ml

d. 240 ml 1 oz=30 ml; 60 oz*8= 480 ml

10. The nurse and LPN/LVN care for clients on a medical-surgical unit. The RN should delegate which activity to the LPN/LVN?

a. Follow up on the client’s report of chest and back itching two hours after starting a patient controlled analgesia pump.

b. Provide instruction for the client receiving the first nicotine patch.

c. Inform the health care provider of the client’s history of peptic ulcer disease prior to administration of streptokinase.

d. Take the blood pressure and heart rate before administration of enalapril.

 

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Week 6 Discussion

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This week provides an opportunity as you end the course to put all your reading and thinking about quality and safety together.  You have read IOM reports from the last 20 years and have reviewed a variety of nursing and health care quality and safety initiatives.  Describe the current state of informatics, quality, and safety in health care today. What is working?  What is not working?  What needs to be changed/added to promote best care?  What is necessary to improve the health of the United States population?  Do you believe that the necessary changes can be achieved?

What have you learned about the role of nurses in quality and safety improvement in your place of employment?  What do you think is the role of nurses in the national efforts to improve the patient experience?  Do the national documents reflect the responsibilities of nurses in this effort?

Review the Nurse Practice Act and the Code of Ethics for Nurses (websites are posted in the course calendar).  What are the responsibilities of nurses as encompassed in these documents?

Finally, discuss what you can do as an individual nurse and a member of the nursing profession to improve the quality and safety of patient care.

Readings:
Chapters 3, 4, and 16 in the textbook (3rd edition)
Chapters 16 and 17 in textbook (2nd edition)

Systems thinking:
https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No3-Sept-2013/Quality-and-Safety-Education-for-Nurses.html

Oldland E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses’
responsibilities for quality healthcare: Exploration of content validity. Collegian, 27, 150-163.
https://doi.org/10.1016/j.colegn.2019.07.007

Aiken, L. H., Sloane, D. M., Barnes, H., Jarrin, O. F., & McHugh, M. D. (2018). Nurses’ and
patients’ appraisals show patient safety in hospitals remains a concern. Health Affairs, 37(11).
https://doi.org/10.1377/Hlthaff.2018.0711

An Overview of the National Quality Strategy: Where Do Nurses Fit?
https://ojin.nursingworld.org/table-of-contents/volume-18-2013/number-3-september-2013/national-
quality-strategy/

Minnesota Nurse Practice Act available at: https://mn.gov/boards/nursing/laws-and-rules/nurse-
practice-act/

ANA Code of Ethics for Nurses available at: https://www.nursingworld.org/coe-view-only

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Review your state’s mandated reporter statute.

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Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting.

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Nursing NRS 440 Topic 4 Assignment Advocacy Through Legislation

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Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template, attached, to complete this assignment.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

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Module 2: Externship Site Presentation

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 Powerpoint Presentation

Your presentation should include: 

  • 5 slides
  • One slide must cover a description of the potential place of employment
  • One slide must include a description of why you would like to work at this site
  • One slide must describe the work environment of the potential employment site
  • One slide is up to the student to fill with the information they find interesting and important
  • The last slide will be a list of sources of this information
  • Contain at least 3 pictures
  • At least one URL link

Home

https://www.usajobs.gov/job/700695300

https://www.va.gov/bay-pines-health-care/

 

Some Rubric

Some Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeSlide #1

3 ptsFull Marks
Student has covered a description of the potential place of employment in a thoughtful and clear manner.

1.8 ptsHalf marks
Student has started a description of the potential place of employment in some degree.

0 ptsNo Marks
Student has NOT covered a description of the potential place of employment.

3 pts

This criterion is linked to a Learning OutcomeSlide #2

3 ptsFull Marks
Student has covered a description of why you would like to work at this site

1.8 ptsHalf marks
Student has started description of why you would like to work at this site in some degree.

0 ptsNo Marks
Student has NOT covered description of why you would like to work at this site.

3 pts

This criterion is linked to a Learning OutcomeSlide #3

3 ptsFull Marks
Student has described the work environment of the potential employment site.

1.8 ptsHalf marks
Student has started describing the work environment of the potential employment site to some degree.

0 ptsNo Marks
Student has NOT covered description of why you would like to work at this site.

3 pts

This criterion is linked to a Learning OutcomeSlide #4

3 ptsFull Marks
Student has filled slide 4 with information they find interesting and important.

1.8 ptsHalf marks
Student has started filling slide 4 with information they find interesting and important.

0 ptsNo Marks
Student does NOT have a slide 4 with information they find interesting and important.

3 pts

This criterion is linked to a Learning OutcomeSlide #5

3 ptsFull Marks
Student’s last slide will be a list of sources on this information

0 ptsNo Marks
Student does not have a last slide with a list of sources on this information

3 pts

This criterion is linked to a Learning OutcomePhotos

3 ptsFull Marks
PowerPoint has 3 or more images.

1.8 ptsHalf marks
PowerPoint has some images but less than 3.

0 ptsNo Marks
PowerPoint has no images.

3 pts

This criterion is linked to a Learning OutcomeLink

2 ptsFull Marks
Powerpoint has a least one link

0 ptsNo Marks
Powerpoint does not have any links.

2 pts

Total Points: 20

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Compare and examine the consequences of an unethical behaviors in a nursing Master’s program

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Reply to at least two other student posts about   “Compare and examine the consequences of an unethical behaviors in a nursing Master’s program and in the nursing practice by providing one example for each “.

you should use a reflection of their response. 2 references for each Reply.   Please include scholarly reference.

Word limit 200 words .

Post # 1 :

Ethics are integral to nursing education programs and nursing practice. All nurses and prospective nurses should adhere to the highest ethical behavior standards. Ethical practices in nursing education ensure that students acquire quality education that equips them with the necessary skills for competent nursing practice by adhering to the set rules and regulations and accreditation standards (Taghadosi, Valiee & Aghajani, 2021). Ethical behavior in nursing practice ensures that nurses navigate complex moral dilemmas, provide safe and effective care, and uphold patients’ interests. Ethical practice also maintains the nursing profession’s integrity, promoting trust between practitioners and patients. Therefore, nursing Master’s program students and nurses should uphold ethical behavior and practices.

Unethical behaviors in nursing Master’s programs and nursing practice take different forms. However, they are similar because they undermine patient care. An example of unethical behavior in a nursing Master’s program includes fabricating research data where students make up or falsify research project data (Kang & Hwang, 2020). Students create fake research data, alter existing data, or modify results. Fabricating research data is an unethical practice that undermines the nursing program’s credibility and the research process’s integrity. The practice has dire consequences on the students because it makes them fail the research project and leads to expulsion. It also dents the nursing profession’s reputation and integrity. Fabricated data and subsequent recommendations also undermine the provision of safe care when published or used in evidence-based practice that relies on research evidence to advance patient care.

An example of unethical behavior in nursing practice includes discriminating against patients based on protected characteristics like race, ethnicity, religion, and cultural beliefs, among others. Nurses demonstrate discriminative behavior by denying such people healthcare services, being disrespectful towards them, providing poor services, or making negative and derogatory remarks about the affected patients (Rafii, Ghezeljeh & Nasrollah, 2019). Discrimination has adverse consequences on nurse practitioners because it exposes them to disciplinary actions, loss of practice license, penalties, and lawsuits. It also undermines the provision of safe patient care. In addition, it exposes patients to physical and psychological torture and hinders access to care. Patients also lose trust in the healthcare system, further hindering access to quality care.

The discussion shows that unethical behavior adversely affects nurses and students and undermines the provision of safe patient care. Therefore, nursing Master’s program students and nurse practitioners should uphold ethical conduct to uphold the profession’s integrity and reputation and advance patient care.
References
Kang, E., & Hwang, H. J. (2020). The consequences of data fabrication and falsification among researchers. Journal of Research and Publication Ethics, 1(2), 7-10.

Rafii, F., Ghezeljeh, T. N., & Nasrollah, S. (2019). Discriminative nursing care: A grounded theory study. Journal of Family Medicine and Primary Care, 8(7), 2289.

Taghadosi, M., Valiee, S., & Aghajani, M. (2021). Nursing faculty’s point of view regarding noncompliance with ethics in academic environments: a qualitative study. BMC nursing, 20, 1-10.

Post # 2 :

Unethical behaviors in a nursing Master’s program and in nursing practice can have severe consequences for individuals and the healthcare system. It is important to understand and examine these consequences to prevent them from occurring and promote ethical behavior in the nursing profession.

In a Master’s program for nursing, there are several types of unethical behavior, including cheating on tests or copying assignments. An instance of unethical behavior in a nursing Master’s program is falsifying clinical hours. Nursing students should fulfill specific clinical hours as part of their learning and development. Falsifying clinical hours is an unethical behavior that involves lying about the number of hours completed, which can have serious consequences (Pittman & Barker, 2020). Nursing students who falsify their clinical hours may lack the skills and knowledge to provide safe and competent care to patients. This can lead to patient harm, lawsuits, and the nursing student’s licensure loss. Additionally, falsifying clinical hours undermines the integrity of the nursing profession and can erode trust between healthcare providers and patients (Pittman & Barker, 2020).

Unethical behavior in nursing practice can have significant implications as well. Discrimination is one instance of unethical behavior in nursing practice that can be detrimental. Discrimination refers to providing patients with unequal or biased treatment based on race, ethnicity, gender, sexual orientation, or other factors (Narayan, 2019). Discrimination disregards the ethical standards for nursing and can lead to harm, erosion of trust, and legal ramifications for the nurse. Discrimination can take many forms, such as denying certain treatments or procedures to patients based on their identity, making derogatory comments or jokes about patients, or refusing to work with colleagues based on their identity. Discrimination is unethical and undermines nurses’ duty to provide safe and compassionate patient care (Blanchet Garneau et al., 2018). Discrimination can lead to patient harm, lawsuits, and nurse licensure loss. Additionally, discrimination can create a toxic work environment and damage the reputation of the nursing profession.

Both nursing Master’s programs and nursing practice can encounter severe consequences from unethical behaviors that may impact both the person and the healthcare profession in general. Nursing students and nurses need to understand the essentials of ethical behavior and the outcomes of unethical behavior. Ethics education and training should be incorporated into nursing education and ongoing professional development. Healthcare organizations should also have policies and procedures to address unethical behavior and promote ethical behavior in the workplace (Choe et al., 2020). By promoting ethical behavior, the nursing profession can maintain its integrity and provide safe and competent care to patients.

References

Blanchet Garneau, A., Browne, A. J., & Varcoe, C. (2018). Drawing on antiracist approaches toward a critical antidiscriminatory pedagogy for nursing. Nursing Inquiry, 25(1), e12211.  https://doi.org/10.1111/nin.12211

Choe, K., Kim, S., Lee, C., & Kim, S. (2020). Effect of ethics seminar on moral sensitivity and ethical behavior of clinical nurses. International Journal of Environmental Research and Public Health, 18(1), 241. https://doi.org/10.3390/ijerph18010241

Narayan, M. C. (2019). CE: Addressing implicit bias in nursing: A review. AJN The American Journal of Nursing, 119(7), 36-43. DOI: 10.1097/01.NAJ.0000569340.27659.5a

Pittman, O. A., & Barker, E. (2020). Academic dishonesty: What impact does it have and what can faculty do?. Journal of the American Association of Nurse Practitioners, 32(9), 598-601. DOI: 10.1097/JXX.0000000000000477

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Chapter 4

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As you begin writing/rewriting Chapter 4, you will be sharing a shortened version of the sections of the manuscript to gain peer-to-peer feedback. Using the “DPI Project Manuscript Template” from the DC Network, address each area with at least five concise sentences or one paragraph for each section. Spelling and grammar will be reviewed and graded. Note: When you write the chapters, adhere to the Final Manuscript Formatting requirements.

Results – Write a summary of Chapter 4.

  1. The Results section provides a concise summary of the outcome of the clinical question(s) in the project. Briefly restate the clinical question, the data analysis performed, and the statistical results of the analysis. Describe how you will summarize the data.
  2. How will you separate factual information in the data from your observations?

Provide a graphic or table of the results

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nurse 535 discussion question

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Revisit your personal philosophy of teaching. What learning strategies (discussed in chapter 7) that are influenced by your personal philosophy of teaching might you integrate into the curricula? Discuss how the learning strategies you described align with your personal philosophy of teaching.

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