Home Safety Plan Concept Map|2025

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Assignment: Home Safety Plan Concept Map (individual activity)

Instructions – Students should develop a concept map that holistically addresses the following:

o Mr. Amid’s strengths and challenges as an individual, as member of a family, and as a member of a community (Students should use creativity and logic to fill in the gaps in Mr. Amid’s story that are not explicit in the virtual experience.)

o The map should also identify and cluster home safety issues from the perspective of what was observed in the virtual experience and what was missing or unable to be assessed in Mr. Amid’s environment.

o Upload the completed concept map in the dropbox provided.

Note: The drawing tools in MS Word should be sufficient to create a digital concept map; purchase of concept mapping software is not required to complete this assignment.

MODEL 6 NOTES

8/21/2020 5:49:47 AM

A response that validates Mr. Amid’s assessment that he has   never had a problem before, while explaining that you want to prevent   anything bad from happening in the future, is the best option. A   confrontational, judgmental style is not appropriate (such as suggesting that   Mr. Amid will fall and break his other hip, or that you believe he would want   to make changes). Nor it is appropriate to address a concern for the   grandchildren (however kind in intention) by suggesting that the   grandchildren should clean the home, instead of addressing Mr. Amid’s ongoing   health issues.

8/21/2020 5:47:27 AM

Cleaning the home and removing hazards (such as standing water   and repairing items with frayed electrical cords) are necessary changes   before Mr. Amid’s environment will be safe enough for him to return home. Pet   feces and rodents are a sanitation/cleanliness issue, and can also be a   health hazard, as are food and liquids that have been open and out of the   refrigerator. Standing water in tubs, sinks and large buckets can be a health   hazard, as well as a drowning hazard for children. Because frayed cords   present a fire hazard, they will need to be removed or repaired before they   are used again. Although it is important to present Mr. Hassan Amid with   smoking-cessation materials, putting up “No Smoking” signs throughout his   house is not the best option. Although it might be helpful to go shopping and   fill the refrigerator and cupboards with healthy foods, this is not the role   of the PHN.

8/21/2020 5:46:39 AM

Risk for fall Fire Dirty Disorganized

8/21/2020 4:40:28 AM

You should systematically assess the exterior and interior of   Mr. Amid’s home for concerns that may pose a health or safety hazard or risk   for him and his extended family. There are eight locations in Mr. Amid’s   house and yard you must visit. Open the map view of his property by clicking   on the Map button along the left edge of the screen. Click on a point on the   map to move to that location. Each location will have two to four indicators.   For example, you start in the front yard where there are three indicators you   must click on.

8/21/2020 4:39:50 AM

Needs assessment on home for safety issues Risk for fall

8/21/2020 4:37:37 AM

Hello, my name is Hassan Amid. I’m 78 and have lived alone   since my wife passed away over a year ago. I am trying to get by the best I   can, but it is hard without my Amara. This old house has been the gathering   place for our family since we built it in 1950, but at times I wonder if I   can still take care of it. Both of my children and their families live near   enough to visit regularly. I love it when my grandkids and great-grandkids   come over to see me and play with the old toys I have in the house. I have bad   arthritis, diabetes, high blood pressure, and some trouble with my heart. I   do take lots of medications, but I do a pretty good job of keeping them   straight. Last month I tripped on my back deck and broke my hip. They fixed   the hip and then sent me to a transitional care unit where I have been   getting physical and occupational therapy. They tell me I am getting better,   and should be ready to go home soon, but my house is kind of a mess, and one   of the nurses told me she isn’t sure it is safe for me to live there right   now. At least with being here for a month, I’m not smoking any more. I’m   pretty happy about that. They are going to send one of the public health   nurses over to check out my house to see what needs to be fixed so it is safe   for me to live there again. They told me that after the nurse goes through my   house, she will visit me and help me with a plan to fix the house.

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Advocacy Through Legislation|2025

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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 to complete this assignment.

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

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.

AttachmentsNRS-440V-RS4-AdvocacyThroughLegislation.docx

Week 4 assignmet should be interesting for you. It is a form, but please, still follow APA rules for citations and references. PLease the form, it is attached to tasks under week 4. below is a copy of it so you can see what to expect. Think of an idea that needs changed, research the literature and what does the evidence say about this? Next, who can you talk to about it and how can you get funding? See below for the form questions, and yes there is a rubric.

My suggestion, work smart, not hard. The form is provided, so use it! Please remember to put your name on it, and save the doc with your inititals or name (please). As always, if any questions, please ask me!

Problem

In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.

Idea for Addressing Solution

In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.

Research the Issue

Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.

Evidence 1

Literature review here

Evidence 2

 

Stakeholder Support

Discuss the stakeholders who would support the proposed idea and explain why they would be in support.

Stakeholder(s) Supporting 1

Stakeholder(s) Supporting 2

 

Stakeholder Opposition

Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.

Stakeholder(s) Opposed 1

Stakeholder(s) Opposed 2

 

Financial Incentives/Costs

In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.

Legislature: Information Needed and Process for Proposal

Discuss the how to advocate for your proposal using legislation. Include the following: give me names in your state

Provide the name and complete contact information for the legislator.

Describe the steps for how you would present this to your legislator.

Outline the process if your legislator chooses to introduce your idea as a bill to congress.

Christian Principles and Nursing Advocacy

In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.

Advocacy Through Legislation

No of Criteria: 11 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content100.0     Problem, Those Affected, Current Ramifications, and Consequences if Problem Continues15.0A description of the problem, those affected, current ramifications, and consequences if the issue continues is omitted.A partial or vague discussion of the problem, those affected, current ramifications, and consequences if the issue continues is presented. Why the problem would be best addressed through legislation is unclear.A summary of the problem, those affected, current ramifications, and consequences if the issue continues is presented. There are some omissions and inaccuracies. Rationale is needed.A discussion of the problem, those affected, current ramifications, and consequences if the issue continues is presented. Some rationale is needed.A well-develop discussion of the problem, those affected, current ramifications, and consequences if the issue continues is presented. Strong and compelling rationale is provided. Insight into the problem and consequences is demonstrated.Idea for Addressing Solution10.0Idea for addressing the issue and why legislation is the best course for advocacy is omitted.Idea for addressing the issue is vague. Why legislation is the best course for advocacy is unclear. There are major omissions.Idea for addressing the issue is generally outlined. Why legislation is the best course for advocacy is summarized. There are some minor omissions. Rationale is needed.Idea for addressing the issue is outlined. Why legislation is the best course for advocacy is generally explained. Some rationale is needed.A logical and well-developed idea for addressing the issue is outlined. Why legislation is the best course for advocacy is thoroughly explained. Strong and compelling rationale is provided.Research Supporting Solution for Problem15.0Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are omitted.

Some support for the idea and its effectiveness in addressing the problem is presented. Findings presented are not substantiated, or do not provide evidence-based support for the idea.Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are generally presented. More information is needed. There are some inaccuracies.Idea for addressing the issue is outlined. Why legislation is the best course for advocacy is generally explained. Some rationale is needed. Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are presented. There are minor inaccuracies. Some detail is needed.Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are presented and demonstrate strong and compiling support for the idea.Stakeholder Support10.0Stakeholders in support the proposed idea are omitted.At least one stakeholder in support of the proposed idea is presented. The assignment criteria are largely incomplete.Substantive evidence-based findings that support the idea for addressing the problem, including similar legislation in other states, are generally presented. More information is needed. There are some inaccuracies.General stakeholders in support of the proposed idea are presented. It is unclear why they are in support of the idea. More information is needed.Key stakeholders in support of the proposed idea are presented. It is generally clear why they are in support of the idea. Some detail or rationale is needed.All significant stakeholders in support of the proposed idea are presented and a well-supported explanation of why they are in support of the idea are provided.

Stakeholder Opposition10.0Stakeholders in opposition to the proposed idea are omitted.At least one stakeholder in support of the proposed idea is presented. The assignment criteria are largely incomplete.At least one stakeholder in opposition to the proposed idea is presented. The assignment criteria are largely incomplete.General stakeholders in opposition to the proposed idea are presented. Explanation for why they are opposed to the idea and strategies for debating or conversing with opposing stakeholders is vague.Key stakeholders in opposition to the proposed idea are presented. A general explanation for why they are opposed to the idea and strategies for debating or conversing with opposing stakeholders is presented.All significant stakeholders in opposition to the proposed idea are presented. A well-supported explanation for why they are opposed to the idea and strategies for debating or conversing with opposing stakeholders is presented.Financial Incentives and Costs10.0The financial impact for the issue and idea is omitted.The financial impact for the issue and idea is only partially presented. The assignment criteria are largely incomplete.The financial impact for the issue and idea is outlined. More information or support is needed for claims.The financial impact for the issue and idea is summarized. Support for claims is generally supported.The financial impact for the issue and idea is clearly summarized. Strong rationale and support for claims is provided.Legislature Process and Information for Proposal10.0Legislative information needed and process to advocate for proposal are omitted.Legislative information needed and process to advocate for proposal are largely incomplete.

Legislative information needed and process to advocate for proposal are generally outlined.There are some inaccuracies or omissions.The financial impact for the issue and idea is summarized. Support for claims is generally supported.Legislative information needed and process to advocate for proposal are presented. Information or detail is needed in some areas for accuracy or clarity.Legislative information needed and process to advocate for proposal are clearly and logically presented. The legislative process is clearly understood and insight into legislative advocacy is demonstrated.Christian Principles and Nursing Advocacy10.0A discussion of how Christian principles supporting unbiased advocacy for health care legislation is omitted.A discussion of how Christian principles support unbiased advocacy for health care legislation is incomplete. It is unclear how the principles support positive patient outcomes and inclusiveness for all populations.A summary of how Christian principles support unbiased advocacy for health care legislation is presented. Some rationale or information is needed to demonstrate how the principles support positive patient outcomes and inclusiveness for all populations.A discussion of how Christian principles support unbiased advocacy for health care legislation is presented. The discussion generally demonstrates how the principles support positive patient outcomes and inclusiveness for all populations. Some detail or information is needed for clarity.A well-developed discussion of how Christian principles support unbiased advocacy for health care legislation is presented.

The discussion demonstrates an ability to act impartially and in the interest of promoting inclusive patient care without regard to gender, sexual orientation, culture, race, religion, or belief.Research5.0No outside sources were used to support the assignment.Few outside sources were used to support the assignment. Limited research is apparent.Research is adequate. Sources are standard in relevance, quality of outside sources, and/or timeliness.Research is timely and relevant, and addresses all of the issues stated in the assignment criteria.Research is supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria.Mechanics of Writing (includes spelling, punctuation, grammar, and language use)2.0Surface 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.Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct.Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

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WEEK 5 DCE|2025

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Assignment 2: Digital Clinical Experience: Focused Exam: Cough

In this DCE Assignment, you will conduct a focused exam related to cough in your DCE using the simulation tool, Shadow Health. You will determine what history should be collected from the patient, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

 

Photo Credit: Getty Images

To Prepare
  • Review this week’s Learning Resources and consider the insights they provide related to ears, nose, and throat.
  • Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation within the Shadow Health platform. Review the examples also provided.
  • Review the DCE (Shadow Health) Documentation Template for Focused Exam: Cough found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
  • Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
  • Review the Week 5 Focused Exam: Cough Rubric provided in the Assignment submission area for details on completing the Assignment in Shadow Health.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Focused Exam: Cough Assignment:

Complete the following in Shadow Health:

  • Respiratory Concept Lab (Required)
  • Episodic/Focused Note for Focused Exam: Cough
  • HEENT (Recommended but not required)

Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and your Documentation Notes), but you must take all attempts by the Week 5 Day 7 deadline.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.

Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1, 3, 4, and 5)

Bedell, H. E., & Stevenson, S. B. (2013). Eye movement testing in clinical examination. Vision Research 90, 32–37. doi:10.1016/j.visres.2013.02.001. Retrieved from https://www.sciencedirect.com/science/article/pii/S0042698913000217 

Rubin, G. S. (2013). Measuring reading performance. Vision Research, 90, 43–51. doi:10.1016/j.visres.2013.02.015. Retrieved from http://www.sciencedirect.com/science/article/pii/S0042698913000436  

Harmes, K. M., Blackwood, R. A., Burrows, H. L., Cooke, J. M., Harrison, R. V., & Passamani, P. P. (2013). Otitis media: Diagnosis and treatment. American Family Physicians, 88(7), 435–440.

Otolaryngology Houston. (2014). Imaging of maxillary sinusitis (X-ray, CT, and MRI). Retrieved from http://www.ghorayeb.com/ImagingMaxillarySinusitis.html

This website provides medical images of sinusitis, including X-rays, CT scans, and MRIs (magnetic resonance imaging).

Document: Episodic/Focused SOAP Note Exemplar (Word document)
 

Document: Episodic/Focused SOAP Note Template (Word document)

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NR 632 week 1 LA|2025

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Directions

For Week 1, complete the Learning Agreement with self-identified goals to meet COs and initial plans to meet those self-identified goals; review the TIPS document to help you and discuss your goals and plans with your mentor. Your mentor must sign the Learning Agreement for your Week 1 submission.

The agreement should be revised each week to reflect completed goals, additional goals, and changes to the plan dictated by the actual experience or revisions suggested by faculty or the mentor. At the end of the practicum experience, evaluate success with your mentor and obtain the mentor’s signature at the bottom of agreement. Save this form as a Word document and enter required information directly onto it; submit the completed Learning Agreement, signed by your mentor, on the Friday of Week 8. See the Learning Agreement Grading Rubric for grading details.

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Discussion Board prompt 1|2025

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What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.

 

Due date 08/22/2020

2 replies. References and APA

Bottom of Form

Reply 1 Ingrid

Protocols can be defined as an official procedures or system process’ implemented by a facility, institution, or government establishment. Standards of care delivery is defined as a diagnostic and/or treatment process that a health care provider or professional must adhere to base on a certain type of condition, condition, and/or circumstance. Policy is defined as course of action adopted by a business, corporation, hospital, and/or government establishment (Shiel, 2018).

At the practice level, protocols are what healthcare workers must perform as a guide to a management of a clinical situation and is incorporated into systems as a way healthcare professionals to provide the best evidenced-based care to their patients (n.d.). At the state level and federal level, professional expectations are established and provide the consistency to ensure quality of care. Nurses are expected to follow state and federal level regulations to protect the patient. If the standards of care according to state and federal levels are not met, legal implications can occur as the nurse can be found violating the standard of care. The legal implications can lead to malpractice on the health care professional (n.d.).

A perception that patients have regarding health care delivery system is that health care professionals are held to a standard and must be competent to perform their duties. Patients understand their condition with expectations regarding their treatments, if their treatments are not met, Patients know well enough to file complaints or legal action against the health care employee. From a provider perspective, health care professionals must attend proper schooling and complete a license exam. Having that license ensures that you are competent. The license can be revoked if you are unable to perform your duties therefore a health professional must be responsible and accountable for their actions.

 

Reply 2 Kristopher

Protocols are an agreed framework outlining the care that will be provided to patients in a designated area of practice. An example of this is a protocol to evaluate and discontinue unnecessary urinary catheters. This protocol has a set of guidelines that can be followed and carried out without a physicians order.

Standard of care delivery describes the care patients should be offered by health professionals and health services for a specific clinical condition or defined clinical pathway in line with current best evidence. (Clinical Care Standards, n.d.)

Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term. It outlines priorities and the expected roles of different groups; and it builds consensus and informs people. (Health policy, 2013)

Patient wants satisfactory health treatment, providers focus on patient safety, payers are responsible for enabling the process of patient access and policy makers have viewpoint to provide services, plan and manage health care policies.

Among all, patients’ perception needs to be discuss in detail here because insights of providers, payers and policy makers are concerned with them and their treatment. In a patient’s viewpoint, he or she is expecting, competent, compassionate and ethical care.

 

2 Board Discussion.

Due date 08/22/250250

APA, references.

 

Discussion Prompt 1

Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy making.Why it is important for registered nurses to influence the regulatory process? Does the nurses education have influence on their ability to make an impact?

Discussion Prompt 2

Reflect on what you have learned in this course. What were your major takeaways? Surprises? How will you apply what you have learned to your career?

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Nursing homework help|2025

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TASK 1

  1. You put this assignment online for sale and I bought it. You did the topic: The plan for healthy Angeleno Communities. It look like this assignment was submitted by somebody in 2020. ((Submission date: 19-Sep-2020 05:44PM (UTC+0200) Submission ID: 1391243777
    File name: PolicyBriefTemplate1.docx (37.87K)
    Word count: 1228

Character count: 7130

TASK 2

Task 2 is how you organized the information to write the brief for task 2. I have enclosed the task 1 so you can understand what you wrote and use it to do task 2. Which is the one I am disputing.

  1. Write an advocacy action plan summary (suggested length of 100 words or less) of the process you used to create your advocacy plan

2. List a SMART goal for moving your policy brief forward

3. Provide a list of local, state, or federal policymakers’ contact information

Note: (you should search and list the names/firms/agencies etc and real contact information of local, state, or federal state who you submitted the policy brief to (you may assume you submitted the brief or will submit the brief but the names/contacts etc should be real and should come from the Angeleno Community in Los Angeles, if this community really exists, not Canada.

Task 1 seems to be somebody’s work that has been submitted so you should explain before I dispute that also. (Submission date: 19-Sep-2020 05:44PM (UTC+0200) Submission ID: 1391243777
File name: PolicyBriefTemplate1.docx (37.87K)
Word count: 1228

Character count: 7130

  • 3. Write a letter or email and a copy of this email/letter is to be submitted for this assignment to indicate that you sent a letter to the policy makers to make an inquiry about the process for agenda setting
  •  Write an action plan for informing media and stakeholders, including five strategies for informing the media and stakeholders of the importance of your identified policy issue

Note: you need to name the stakeholder/people who have interest in the topic you wrote for TASK 1 and explain the strategies to achieve your advocacy goals.

  • 4. list seven interprofessional team-building techniques (this should be a list)
  • 5. list five interprofessional stakeholders and a description of how each stakeholder will contribute to meeting your SMART goal

(Name them, eg nurse, social workers etc that will help to make the SMART goal listed in #5 works)

•   6. Write the agenda that will be followed when you meet with stakeholders (a team meeting agenda) for your first team meeting

Number the assignment as shown and do it right. English should be right. If you cannot do it, refund the money for both tasks (1 and 2) and delete your account. This is the 3rd time I am getting work done form you and I have to do it all over by myself, causing me to be suspicious because you were using examples from CANADA and I do not know you are writing from Russia. Just do the assignment well and ….

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PICO(T) Evidence Review|2025

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PICOT EVIDENCE REVIEW 2

 

Appendix A

 

PRISMA Diagram

 

( Identification ) ( Additional records identified through other sources (n = 4 ) ) ( Records identified through database searching (n = 7 ) )

 

( Records after duplicates removed (n = 3 ) )

 

( Screening )

( Full-text articles assessed for eligibility (n = 3 ) ) ( Records excluded (n = 3 ) ) ( Records screened (n = 8 ) ) ( Full-text articles excluded, with reasons (n = 5 ) )

 

( Eligibility )

 

( Studies included in qualitative synthesis (n =1 ) )

 

( Studies included in quantitative synthesis (meta-analysis ) (n = 2 ) ) ( Included )

 

Appendix B

 

Evidence Appraisal Table Template

 
Study citation: Halms, M. A. (2013). Nursing handoffs: Ensuring safe passage for patients. American Journal of Critical Care, 22(2), 158-161
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of handoff-related events that were reported in the Pennsylvania healthcare facilities from 2014 to 2015. Systematic review 1,565 handoff-related events In Pennsylvania Acceptance of responsibility for the care of the patient attainable by means of enhancing communication effectiveness

 

 

 

 Enhancement of the safety and quality of handoff that requires the implementation of strategies that can support that initiative

Used Pennsylvania Patient Safety Reporting System (PA-PSRS)

 Out of 1,565 handoff-related event

reports, 99.1% (n = 1,551) were Incidents while the remaining 0.9%

(n = 14) Serious Events

 

  

1

 

Appendix B

 

Evidence Appraisal Table Template
Study citation: Gordon, M & Findley, R., (2011). Educational interventions to improve handover in healthcare: a systematic review. Med Educ.  45(11):1081–1089.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Educational interventions to improve handover in health care Systematic review Sample involved undergraduate and postgraduate nurses

 

 educational interventions and how they relate to published theoretical models

 

 Data extraction and quality appraisal completed independently, and content analysis in the interventions conducted as well as the key themes extracted. 10 studies met inclusion criteria and 9 studies met outcomes with improved attitudes and knowledge skills, and one demonstrated skills transfer to the workplace.

 

  

1

 

 

 

 

Appendix B

 

Evidence Appraisal Table Template
Study citation: Gogan, J. L., Baxter, R. J., Boss, S. R., & Chircu, A. M. (2013). Handoff processes, information quality and patient safety. Business Process Management Journal, 19(1), 70-94.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To study on clinical processes and clinical handoffs so as to determine how the two disciplines could be combined to attain improved patient safety in handoffs. Systematic review Two studies reviewed for information comparison Recommended that there should be a use of SOPs (standard operating procedures), regularly audited clinical pathways, supporting software, and checklist so as to improve the handoffs.

 

 Proper patient handoffs necessitated improved patient safety and quality information sharing and transfer between practitioners. There is a need for the health sector to initiate a trans-disciplinary methodology in research so as to respond to information quality issues that are related to clinical handoff processes, and in turn apply the research evidence to improve patient safety.  

3

 

 

 

 

Appendix B

 

Evidence Appraisal Table Template

 
Study citation: Butcher, L. (2015). The high-stakes handoff. Trustee, 68(3), 8-10,12.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
To use nursing homes patient care platforms to set baseline for improved patient handoffs Integrative review Two studies reviewed for information comparison Improved patient handoffs would be attained if; – developing the right setting for patients being discharged from hospitals

-standardization across the care continuum

-emphasize on longitudinal care planning

-use nurse care navigators to initiate successful of patients from one care setting to another.

 Rethinking nurse staffing roles

Assigning skilled nursing experts to work directly with post-acute care health providers

Redesigning care to gain collaboration in post-acute providers

 Nursing homes have largely helped in meeting patient care needs and sustaining improved patient handoffs

 

  

2

 

 

 

 

 

Study citation: Benham-Hutchins, M. M., & Effken, J. A. (2010). Multi-professional patterns and methods of communication during patient handoffs. International journal of medical informatics, 79(4), 252-267.
Study objective/intervention or exposures compared Design Sample (N) Intervention Outcomes studied (how measured) Results Level
Identification of current methods of passing and sharing patient information between practitioners, determine the dominant methods, and recommend the improvement strategies that could be deployed to enhance the efficiency in handoffs Integrative review Five patient handoffs used The study recommended the improvement methods that would encompass the conversion of all units to the electronic health record, electronic handoff communication modules and asynchronous multi-professional communication logs In patient handoffs, the common methods used were inclusive of verbal communication either via phone or in person, via written paper charts, and use of electronic records.

Verbal communication seemed to be highly preferred than the rest of the methods and it had reduced discrepancies.

 84% of the participants preferred verbal communication during handoffs

82% of emergency department providers and 54% of those in admitting units were satisfied with verbal communication methodology in patient handoffs

 

 

  

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Soap note for patient with Psoriasis|2025

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1) ************Complete the template attached (See File 1) according to the example (See File 2 )   

                     It is mandatory that you respect the information requested in the template

              You should not modify the template. The titles and subtitles will be verified

             

2)¨******APA norms

            Dont write in the first person 

Dont copy and pase the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3) It will be verified by Turnitin and SafeAssign

4) Minimum 5 references not older than 5 years

_______________________________________________________________

Purpose:  create soap note for patient with Psoriasis

Create a clinical case of a patient diagnosed with Psoriasis. Based on the case you created, complete the Template.

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Katharine Kolcaba’s Comfort Theory|2025

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Abstract

The paper gives a systematic assessment of the Katharine Kolcaba’s Comfort theory. The basis of the paper is to understand the theorist, and discuss the main concepts related to it. Above all the aim is to identify the theory’s application to clinical situations in institutional settings and its contribution to nursing research and practice. An overview, and the Comfort theory’s propositions, along with its conceptual definitions will be analyzed and studied. Along with certain research articles, Kolcaba’s Comfort theory’s applications, particularly, technical, coaching and comfort food for the soul will be explored. In addition, this paper provides examples where Nurse Practitioners can use Comfort Theory as a framework to provide holistic care to their patients. It is also noticeable that Katharine Kolcaba’s Comfort theory has been used in several institutions by the administration to develop policies and practices, with the interest of improving patient satisfaction and experience during their encounter within the organization.

 

 

Introduction

Born and educated in Cleveland, Ohio, Katharine Kolcaba, practiced as a nurse on several nursing units for many years. After completing her masters in nursing, and while working on the dementia unit as head nurse, Kolcaba started theorizing about comfort. During her doctoral studies, Kolcaba further developed her comfort theory study and later published a framework for dementia care. Later she added the operationalized comfort as an outcome of care and contextualized comfort in a middle range theory. Subsequently, Kolcaba tested her theory in varied intervention studies, and based on that she polished her theory to include hospital-based outcomes. Katharine Kolcaba has several and extensive publications where she has documented the process of her theory. She also has published a book Comfort Theory and Practice, where she has assembled her series of publications. Kolcaba currently works as a consultant of her own company, The Comfort Line, which advices health-care agencies in application of her Comfort Theory framework if they choose to apply it within their institutions (Smith & Parker, 2015).

 

Overview of the Comfort Theory

Comfort, according to Kolcaba, is an outcome of an intentional, patient/family based and focused quality care (Smith & Parker, 2015). Based on holistic care, Kolcaba developed four contexts in which patients can experience comfort, i.e. physical, psychospiritual, sociocultural and environmental. The three distinct types of comfort that Kolcaba focused were-Relief, Ease, and Transcendence. Relief is a feeling where a specific need that provides comfort is given. Ease is the state of being calm and content. Whereas transcendence relates to a state where patients can rise above their difficulties irrespective of life’s circumstances with the help of caregiver intervention. All the four contexts and the three types of comfort are interrelated and have to be viewed holistically to get favorable outcomes. Health needs are those that the patients cannot meet on their own which sprout from varied stressful conditions. Comfort interventions are all the steps considered to tackle the specific health needs.

 

page2image1575802880 (“Comfort Theory,” n.d.)

 

The practical application of Kolcaba’s Comfort Theory was studied in cardiac patients in two case studies (Krinsky, Murillo, & Johnson, 2014). The comfort needs of cardiac patients were defined based on the four domains of Kolcaba’s Comfort theory and the interventions were outlined accordingly centered on the three comfort types. Quiet time intervention which was introduced to these cardiac patients aligned with the Comfort Theory taxonomy framework. Interventions based on physical, psychospiritual, environmental and socio-cultural domains were implemented in the case studies. Improved outcomes were noted in cardiac patients in terms of ease of pain, enhanced sleep, reduced agitation and anxiety, and enriched emotional support through family involvement.

Another study that was conducted at two dialysis centers to determine the relationships between comfort and fluid retention was based on Kolcaba’s Comfort Theory framework (Estridge, Morris, Kolcaba, & Winkleman, 2018). The study found out some interesting facts based on the theory of comfort. The study turned out to be clinically important as patients who pursued comfort interventions showed a greater trend of engaging in healthy behavior. Another fact pointed out was the different comfort needs based on race, religion, gender and lifestyle varied accordingly. In the study the nurses had to investigate distinctive characteristics and comfort needs to plan nursing care based on the comfort theory framework.

Relevance

Personal Relevance

While working in the dementia unit, Kolcaba started developing her comfort theory in context of patient experience on that unit. It was during her doctoral degree program that she further expanded on her comfort theory framework and its outcomes. She later tested her theory in several interventions as a topic for her dissertation. Kolcaba confesses that it was Emily Dickenson’s poem that made her define her vision for nursing and comfort care theory (“Comfort Theory,” n.d.). The author, even today, utilizes her theory in her regular visits to homeless shelters, different healthcare organizations, and several research studies incorporating her comfort theory.

Relevance to healthcare

Comfort theory has great implications within todays healthcare scenarios. Most patients and family members are in stressful health related situations, comfort theory can be beneficial to such cases when nursing activities are planned in that direction. Nurses in todays world can take guidance from comfort theory to identify their patients and family needs and address them with interventions based within the comfort theory structure. Institutional administrators should value comfort care and implement policies and make strategies that will encourage nurses and other staff to deliver comfort measures to their clients. Kolcaba has developed several scales for documentation that include, verbal rating scale, a numeric diagram, comfort daises for children, a comfort behaviors checklist and many other questioners (Smith & Parker, 2015).

Relevance to research and practice

Kolcaba’s Comfort Theory has been used as a framework in many research studies. Kolcaba herself has participated and guided researchers through many studies that have applied her theory in different setups. Apostolo and Kolcaba’s guided imagery study for decreasing depression, anxiety and stress in psychiatric patients with depression using comfort theory framework, revealed significant improvement in clinical outcomes (Apostolo & Kolcaba, 2009). Taxonomic structure of Comfort developed by Kolcaba was used to design the interventions for the study. This example and many other studies have proved that utilizing Kolcaba’s Comfort theory can help patients have positive impact in their health behaviors and outcomes.

Summary

Strengths

The biggest strength of Kolcaba’s Comfort theory is its ease of use in any nursing setting. The taxonomic structure provided by Kolcaba is clear and easy to understand and thus helpful for nurses to develop their nursing plan of care accordingly. When nurses implement comfort care plans, patient and family satisfaction improves, thereby engaging them in health seeking behaviors. The comfort theory framework developed by Kolcaba is holistic in nature, thus helping improvise overall patient care. Several health institutions and hospitals are actively implementing comfort theory-based care in hope of improving their HCAHPS scores.

 

 

Limitations

Although widely used in hospitals and for research purposes, Kolcaba’s theory has few limitations. Most of the times outcomes are subjective, hence limiting generalizability. Another limitation is the requirement of modification of framework when using in different nursing areas. Comfort theory framework is mostly used in nursing related areas; hence its use is limited to the staff who are educated about it and based on their scope of practice. Kolcaba’s comfort theory is good to be used to define comfort care of patients and families, but it’s difficult to agree whether it can be applicable in all healthcare settings. The topic of comfort is subjective, hence depending on varied patient-nurse ratios it may be difficult and stressful for nurses to implement total comfort-based care.

 

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Week 3 Discussion Advance Practice|2025

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Apply information from the Aquifer Case Study to answer the following discussion questions:

  • Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
  • Describe the physical exam and diagnostic tools to be used for Mr. Rodriguez. Are there any additional you would have liked to be included that were not?
  • Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them.  What was your final diagnosis and how did you make the determination?
  • What plan of care will Mr. Rodriquez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

Do 2 pages

Provide references.

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