DQ2WK4 ans Kerri Rosavich

 

Outline the concept of professional accountability as it pertains to nursing. Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice.  

Professional nursing accountability is when a nurse takes responsibility for their   actions, judgments, and omissions when caring for patients .      Professional accountability  is also having the responsibility of remaining competent and up to date in all nursing and health care practices   (Green, S 2018).   Nurses should also have  integrity  that is always maintained ,  through their  actions, practices, and attitudes which  they  display to their patients  and interdisciplinary team.   

A nurse can demonstrate professional accountability in clinical expertise  for example by  ensuring that  they are always  properly giving blood products to a patient.  Using their clinical expertise, they know they need to have an order, consent, two licensed professionals to verify the blood products and the patient before administration, and to stay with the patient for the first fifteen minutes of the transfusion. Doing this is  advocating for  the patient to get the correct products safely and  requires a  certain professional attendanc e.   

In the nursing process, a nurse can demonstrate professional accountability  by using safe practices.  S uch  as  educating the patient of signs and symptoms of a transfusion reaction, to notify staff if they have any questions and concerns during the transfusion  immediately and  reporting  and intervening if there is a reaction.  

P rofessional accountability can be shown in the evidence-based practices (EBP).  A nurse being educated and up to date on educations such as EBP and using it to help improve action and promote better patient outcomes.      

References  

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DQ2WK4 ans Walter

 

Accountability is defined as the concept of being responsible for one’s actions. This means being accountable for our work practice, environment and patient safety. The American Nursing Association’s (ANA) code of Ethics defines professional accountability as being “answerable to oneself and others for one’s actions.” In 2016 the Gallup poll rated Nursing as one of the most trusted profession in the United States for 15 consecutive years. It is of vital importance that we maintain this level of trust with each patient encounter. As nurses our patient’s healthcare depend on the decisions and actions we make. Sometimes our actions make a difference between life and death. As nurses we face daily time challenges as well as work demands. We often have to deal with staff shortages and the acuity of our patients. Even with all these road blocks, it is our responsibility to maintain certain ethical standards in order to obtain better outcomes. The ANA code of Ethics for Nurses was developed as a guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. It was created to help nurses “navigate ethical and value conflicts, and life and death decisions, many of which are common to everyday practice” (Ethics and Human Rights, 2018). It states that, “the nurse is responsible and accountable for nursing practice and determines the appropriate delegation tasks consistent with the nurse’s obligation to provide optimum patent care” (Code of Ethics for Nurses with Interpretive Statements, 2010)

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Literature Review

 Details:

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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DQ2WK4 ans Danielle David

  

The dictionary defines accountability as : the quality or state of being accountableespecially: an obligation or willingness to accept responsibility or to account for one’s actions (Merriam-webster.com, 2019)

Nurses have a responsibility to their patients to be accountable. One of the tools to help and guide nurses are the Nurses Code of Professional Conduct. The nurses Code of Professional conduct or Code of ethics,” is a compilation of ethical rules designed to guide the nurse in making the correct decision in difficult patient-care situations. The Code contains nine provisions, each dealing with a different area of patient care. Nurses must adhere to the Code throughout all interactions with patients, colleagues and other health-care providers.” (Work.chron.com, 2019)

Under Provision 4 int the Code of Ethics it states, “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes actions consistent with the obligation to promote health and to provide optimal care.” (ANA, 2019)

In caring for a patient, a nurse can demonstrate professional accountability by only rendering care he/she is competent to do. An example of this would be a nurse with no tele experience or training hired to work on a med surge floor being floated or pulled to work on telemetry unit. If that nurse accepted the assignment without having passed a tele competency he/she would be working outside their scope of practice and would be breaking the code of conduct. they would not be showing accountability in their actions to the patients or their practice and could put the patient and nursing license in jeopardy. They could also be charged with misconduct. A Nurse who refused said assignment and bumped up the issue to a supervisor would be holding themselves accountable for the safety of the patients and the integrity of their license.  

The reason we use clinical expertise along with EBP to make decisions is because we as health care providers cannot know everything. Even if we have years of clinical experience and expertise. In that sense it is important to bring clinical expertise together with EBP to bring forward the best care for our patients and by incorporating both we are being fully accountable to our practice and for our patients.

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Advanced Nursing Inquiry and Evidence Based Practice

Discuss the use of Evidence-based Guidelines in Practice by Patient Provider, Healthcare Agency 

.         APA format and In cite text citation

·         250-word minimum

·         At least 1 reference (the course textbook must be a reference)

·         Must address topic

        

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3 assessments nursing

1 powerpoint  slides ( this assessment builds up on previous assessment so i will provide previous paper for guidance)

1 paper 3 pages not including cover page or reference pages( this assessment builds up on previous assessment so i will provide previous paper for guidance)

1 paper that needs revision I will send you the comments and the paper on what needs to be fixed. 

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PH Communications & Advocacy

 hi dear,

  is there anyway you both can narrate your pieces and I can mash it into the presentation preferably before this evening. The (CoalitionTestimonyPresentation2) power point add to Group presentation that I have attached both power points.

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There is a sample of PowerPoint.

Coalition Testimony Group Presentation

Coalitions often prepare testimony for public hearings in order to ensure their key messages are voiced and presented to policymakers. Each member organization/stakeholder has a slightly different perspective they bring, but all the messages are intended to influence the policy making body to adopt a specific policy.

Each coalition group will develop a presentation of coordinated public testimony to convince policy makers to adopt a policy. Review the policy solution for the public health problem your coalition selected and included in the coalition proposal. Utilize this specific legislative policy (e.g. SB 768) as the focus to develop testimony for each coalition student member. Each coalition student member will prepare and present a maximum of three minutes of testimony on the selected legislative policy for mock presentation to policy makers. (This is about 450 words, based on the normal speaking voice). Coordinate with your coalition student members to ensure key messages the coalition has agreed upon are covered. 

Each coalition group will present one PowerPoint that will supplement the testimony of each coalition student member and will include: Key aspects of the coalition proposal; a list of corresponding coalition stakeholder student members.

Review the testimony requirements below and the accompanying rubric in Blackboard week 3- Group Coalition Assignment Platform.

Each coalition stakeholder student member’s public testimony will:

1. Identify you and the organization you represent within the coalition and/or your standing on the issue (resident, stakeholder, expert, etc.)

2. State your position as “for” or “against” the proposed bill; identify the bill by name and number if appropriate (e.g. S.B. 768)

3. Provide the “Ask”: Tell the policy makers what you want them to do (vote yes or no on the bill)

4. Provide back- up documentation for your “ask.” This can include personal experience or facts and statistics

· One scholarly reference is required to be cited in such a way that your listeners can find the information on their own. At least, include the author and the year in the statement.  Testimony Examples:

· Poor sample: Tobacco taxes can reduce smoking.

· Good Sample: In 2011, Chaloupka and colleagues demonstrated the effectiveness of a tobacco tax as a method to reduce smoking consumption. OR

· “Dr. Frank Chaloupka, well- known for his economic studies related to public health issues, demonstrated the effectiveness of a tobacco tax as a method to reduce smoking consumption in a 2011 report in the journal Tobacco Control.” 

5. Thank the committee for the opportunity to speak. This can be done at the beginning or end of your testimony

6. The coalition stakeholders/student members should coordinate testimony so that the important aspects to the health problem (as covered in the coalition proposal) are addressed by the members, well covered, but importantly, each conveys different messages. Minimize redundancy.

It is very important to review the resources provided to you below (Kansas University Toolbox; sample real-world testimonies; and the Coalition PPT assignment overview) for this assignment as they will direct you to better understand how to create/design testimony. 

http://ctb.ku.edu/en/table-of-contents/advocacy/direct-action/legislative-advocacy/main

· Additional Sample Testimonies:

o Calaveras County Board of Supervisors Meeting (Banning/Regulating Cannabis Cultivation Ordinance): Item begins at 37 minutes, then testimonies begin at 2:20 minutes

o Dana Point City Council Meeting (No Smoking in Public Places Ordinance): Item 19 – begins at 1:13 minutes

o C-Span Video Capital Hill Committee Meeting Regarding Flavored Tobacco Products and E-Cigarettes: Begins and then at 20 minutes testimonies begin

Thanks,

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PH Communications & Advocacy

 

hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 2 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

 Discussion one, 

  The Clean Air Act is a federal law that was created over 40 years ago in the United States. It helps to control air pollution nationally and protect citizens from air pollution that may be hazardous to their health. Globally it is one of the most comprehensive laws focusing on air quality. Currently congress is working to block the EPA’s efforts from protecting the health of the public and delaying their work in blocking life-threatening air pollution. I was able to submit a letter to senators via the APHA website in opposition of congress hindering the EPA’s abilities to enforce the Clean Air Act.The stakeholders in this issue are literally anyone in the United States who is breathing. While some individuals, such as those in higher pollution areas, are going to be more affected than those in rural areas, everyone is affected by the issue. By creating this page for citizens to speak up, a platform is being opened as well for those who may want to take further action than submitting a letter. Coalitions could be form in opposition of the actions congress is taking that are risking the health and lives of millions of individuals.

Discussion Two,

I selected the American Public Health Association. The APHA is an organization that is dedicated to improve the health and wellbeing of the public. They publish a journal and a newspaper to share the newest information in the public health world. Oftentimes this news includes current campaigns and legislative actions to urge readers to write and ask policymakers to vote and act of certain policies. Current polices that the APHA is hoping members voice their opinions are the opposition of Trump’s administration proposal on the current public health crisis, the Protect the Clean Air Act, support of paid sick leave, and many more. When a member clicks on one of the policies to voice their opinion, they are able to read more information on the topic, read a standard message to congresspersons, and then compose their own message to congress.

One method that the APHA utilizes to communicate the best possible message to congress members is by allowing members to send a tailored message (with the option to personalize the message) that states specifically what the APHA is backing on the policies. For instance the message for the Protect the Clean Air Act has a clear message that states that the APHA wants congress members to reject any measures that would not allow the EPA to protect the public from air pollution, then after the unchangeable message members are able to either personalize or send a standard message that supports or gives more research/opinion behind why congress should not hinder the EPA protecting the public from air pollution.

Thanks,

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Environmental Issues

Environmental Issues

Instructions: Check the assignments below and post your answers or ‘editorial’ in this forum.  

 Select an article from the mass media (newspaper) that deals with an “environmental” health issue. 

Analyze and critique the article by answering the following questions: 

1-What are the characteristics of the community involved?

2-What appears to be the sources of the problem?

3-What evidence is provided in the article to substantiate the cause?

4-Does the news coverage describe health effects?

5-What population is at risk?

6–Does the coverage provide adequate information for consumers to understand the problem and seek any needed assistance?

7-How would you improve this article for better public awareness?

  bold each 5 questions and  answer.

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The Patient Experience

  

Evaluate the role and importance of the patient experience.

Scenario:

The Public Information Officer for Chaparral Regional Hospital has contacted you requesting information for the employee newsletter. In particular, she would like you to write a short article with an accompanying infographic detailing the role and importance of the patient experience when working towards quality improvement.

Instructions

The article should address the role and importance of the patient experience in healthcare when working towards quality improvement. Both the article and the infographic should include appropriate information and graphics.

The goal of the article is to provide the reader with valuable information and enlighten them about the subject. Therefore, your article should be more persuasive than academic. In the article, you will address the role of the patient experience in healthcare and its importance. APA standards would still apply.

APA formatting for the article, and proper grammar, punctuation, and form are required.

You will highlight the major ideas from your article in the infographic. An infographic is a visual representation of ideas, and you are free to be as creative as you want when creating your infographic.

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