Discuss the difference between an Exploratory Analysis and Confirmatory.

Discuss the Difference Between an Exploratory Analysis and a Confirmatory

·         250-word minimum

·         At least 1 outside scholarly reference is required besides the course textbook .

·         Must answer the discussion question and address the topic in the reply

         post.

Must respond to 1 other discussion question. Reply must be a minimum of 100 w

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nurse practitioner

 Discuss any “take-away” thoughts from the articles.
• How do you plan to make a positive impact on the care of LGBT patients when you become a NP?
• What attitudes/behaviors/communication/understanding is important for the NP to have?
• What specific screenings / interventions will you incorporate into practice when providing care to a LGBT patient? 

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nurse practitioner

 Discuss any “take-away” thoughts from the articles.
• How do you plan to make a positive impact on the care of LGBT patients when you become a NP?
• What attitudes/behaviors/communication/understanding is important for the NP to have?
• What specific screenings / interventions will you incorporate into practice when providing care to a LGBT patient? 

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Reply inf 7

Patient care decisions should be supported by timely clinical information, reflecting the best evidence possible (Institute of Medicine 2013). Present and future professional nurses must be able to use informatics and technology to facilitate critical decision-making for optimal patient outcomes (Massachusetts Department of Higher Education Nursing Initiative 2016). Nursing clinical informatics competencies involve the collection and use of patient data for analysis and dissemination. Nursing informatics with computer science was established to create innovative ways to provide quality care to our patients. Evidence based practice is a cornerstone to making NI better for the future. Without EBP there would be no such thing. 

What I see for the future is that technology would be expanding at a faster rate. There would be less hands on and more robotics. What I mean by this is that robots would be administering meds at the bedside, documenting task, and even doing patient consults. I believe that this would be in the near future to come because it would cut the need for nursing staff in half and it would be cost effective for the company. The only thing that would be the downfall to this is that robots do not pose interpersonal skills so patient questions would go unanswered and in would block the communication to building a rapport. We have already advanced to telemedicine which in some cases can be beneficial to the patient being seen by the physician. 

Another thing that would probably be good for the up and coming future would be if we could use the pyxis like we use Alexa and Siri. If we could give them voice commands where it could dispense patient medications that are due just by giving the first and last name of the patient would cut down on the time spent pulling meds. Instead of your taking 30mins to 1 hour pulling meds could just take about 15 to 20 mins. Modern technology is advancing so much that some of us cannot not keep up with the new demands of the workplace. In nursing we are always learning new things and we must continue to learn as we advance in our careers in order to be successful. New media offer new possibilities in teaching and learning. However, the appropriation of new knowledge and skills in dealing with technology, especially for older adults, is a critical challenge. This needs to be considered against the background of the digital divide. Which describes, among other things, the lack of information on the ability of older adults to use technology among those who have access to ICTs and new media in healthcare. In conclusion informatics will be changing for the better.

Reference 

Institute of Medicine. (2013). Core measurement needs for better care, better health, and lower costs: Counting what counts, workshop summary. Washington, DC: National Academies Press. doi:10.17226/18333 

Massachusetts Department of Higher Education Nursing Initiative. (2016). Massachusetts nursing of the future nursing core competencies. Retrieved from https://www.mass.edu/nahi/documents/NOFRNCompetencies_updated_March2016.pdf (Links to an external site.) 

Reply 2

The origin of health informatics began in the 1950s when computers were introduced into healthcare. Computers allowed new technology to expand the fields of medicine and nursing education (Nelson, 2014, p. 596). Today, health informatics takes the information technology that exists and applies it to systems in place already, creating a more innovative vision for healthcare. This can be accomplished by reviewing the current trends, as well as offering tools for predicting the future. Health professionals and informatics specialists can then prepare their leadership roles in planning effective future healthcare information systems (Nelson, 2014, p. 612).  

Our textbook further explains these changes by dividing the scope of change into three levels. The first level of change makes the process in use more efficient without changing the process or goal. An example of this would be for health care to completely move from paper documentation to an electronic way of inputting patient information. As I have discussed in other posts, this can be achieved by providing organizations that rely on pen and ink with the resources they need to provide all their cases electronic devices for accessing the plan of care for patients and medication administration records. Having patients check in to doctor’s offices with an iPad versus a clipboard and paper is another way the first level of change can occur. Second level changes involve changing how a specific outcome is achieved (Nelson, 2014, p. 614). An example of this today is the rise of telehealth medicine. Allowing patients more access to therapies and physicians through the phone offers more accessibility to those quarantining or social-distancing due to COVID-19. Telehealth medicine allows clinics the opportunity to limit the number of clients that are in a room to minimize risks for other patients and healthcare workers. Another example would be the initiation of apps for accessing health information and scheduling appointments. Phone applications can be downloaded and used at the discretion of patients 24/7 rather than patients calling the doctor for test results, medication refills, appointment scheduling, and taking printouts of visit summaries. The third level of change alters the process and refocuses the goal at the societal and institutional level (Nelson, 2014, p. 614). Phones have had the ability to track location since cell towers were installed. This past summer, location tracking has taken on a new role in the life of coronavirus. Digital contact tracing has become popular with governments of various countries to identify infected individuals and tracing people they have been in contact with. The process uses Bluetooth technology that logs when devices are near another device associated with an infected user for a prolonged period (Frith & Saker, 2020). Changing how phone tracking is used to benefit the community and allowing health agencies to monitor those who should be social-distancing due to a positive COVID-19 virus. The use of technology in this way  shows how a third level change can reflect the changes happening in our society. However, some oppose digital contact tracing because of HIPAA and surveillance concerns. My hope for the future of informatics is to successfully find the balance between technology and patient-centered care. Taking into consideration what nurses need to do their jobs most efficiently, improving patient care to be most accessible, and seamlessly integrate technology into the community to improve health in our neighborhoods is my vision of the future of health informatics.  

References 

Frith, J., & Saker, M. (2020). It Is All About Location: Smartphones and Tracking the Spread of COVID-19. Sage Journalshttps://doi.org/10.1177/2056305120948257 (Links to an external site.) 

Nelson, R., & Staggers, N. (2014). Health Informatics: An Interprofessional Approach (2nd ed.). Mosby. 

Edited by Wood, Carmen on Oct 7 at 12:46pm

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

250 words for each reply

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Reply 1 TOF N 7

Vision

My future nursing vision is to have “an environment that fosters lifelong learning, nursing involvement in decision-making, optimal utilization of professional skills and knowledge, and health informatics to improve patient outcomes via the supportive legal and ethical framework.”

Vision’s fit with IOM Recommendations

            IOM made four critical recommendations regarding the future of nursing. The first recommendation is to allow nurses to operate at their optimal potential (Diaz, 2020). My vision statement emphasizes the need for a supportive legal and ethical framework to support optimal professional skills and knowledge utilization. It is essential to note that legal and ethical frameworks encourage accountability in nursing. However, the policies should not limit the scope of nursing. As policymakers enforce safety and quality measures, it is necessary to promote autonomy in nursing practice.

            Second, my vision emphasizes the need for lifelong learning. Nursing is a complex profession characterized by rapid changes. Lifelong learning encourages the development of problem-solving and critical-thinking skills essential in addressing emotional patient concerns. It allows nurses to be up-to-date with new procedures, techniques, and policies. IOM’s second recommendation is to support nurses to receive higher training and education for career development. The only way to achieve this goal is by supporting learning efforts among nurses. Therefore, my mission endorses this recommendation.

            Another way my vision supports IOM recommendation is by envisioning an environment that encourages nurses’ involvement in decision-making processes. Taking part in decision-making is part of ensuring nurses participate in leadership functions and overcome the health system’s inferiority notion. IOM emphasized the involvement of nurses in decision-making and assuming leadership (Diaz, 2020). However, achieving this goal requires developing a culture that fosters all health personnel’s inclusivity in providing expert opinions.

            Finally, the last component of my vision statement underscores the use of health informatics in nursing. According to Darvish et al. (2014), health informatics facilitates the coordination of nursing care. It increases the ability to track workflow, communication, and staffing to identify improvement areas. Nursing informatics relies on efficient data collection, analysis, and interpretation to empower informed decision-making and policy formulation. IOM recommends the need to improve data collection and information infrastructure.

Vision Promotion Plan

 A strategic vision’s success depends heavily on promotional activities to ensure everyone understands the expected long-term goals. One of the ways I can promote the above idea is through advocacy. Initiating a sustainable change in healthcare requires the involvement of all key stakeholders. However, people can only support what they understand. Therefore, through lobbying efforts, various stakeholders can gain insight into the recommendations and their role in attaining them. This way, people will be motivated to take part in transforming the sector. Besides, involving government officials is necessary because they allocate resources for various healthcare functions.

            Another way to promote the vision is by drafting precise and achievable goals to provide a clear guideline for accomplishing the strategic plan. Having a conversation with different contributors is the best way to transform a vision or idea into results. These goals should outline the responsibilities of various stakeholders. Given the universality of nursing practice, it is imperative to use multiple media platforms to communicate the vision’s critical message. The goal is to create a shared vision and gain public support by stressing the nursing profession’s importance in achieving health equity and justice.

References

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education. Global Journal of Health Science6(6). https://doi.org/10.5539/gjhs.v6n6p11 (Links to an external site.) 

Diaz, Y. (2020). Analysis of the Institute of Medicine (IOM) Report: The Future of Nursing.

Edited by Diaz, Yerandy on Oct 7 at 12:52amVision of Nursing.docx

REPLY2

Nursing is an ever-growing field that is evolving with the need for registered nurses expected to increase in the future. According to Joseph and Fowler (2016), the complex and changing environment needs to be met with a new and changed mindset among the nurse leaders. However, it is crucial that nurses be involved in the best clinical practice that ensures quality improvement in healthcare globally by raising their profile and status. The current changing needs mean that nurse leaders have a significant role to play in the future. The emergence of advanced technology and new innovative types of services indicates that nurses can play a leading role from community to home-based care, holistic and patient-centred care, with the increased focus on prevention and control and making better use of the advanced technology. Therefore, providing good quality and safe patient treatment by promoting nursing leadership should be at the fore-front of the nursing discipline.

The future of nursing explores how nurses’ leadership responsibilities, roles, training, and education should change and cope significantly with the increased demand for patient wellness (Institute of Medicine, 2015). This demand is created by healthcare reform to meet increasingly complex patient needs in the healthcare system. Its reform has made it in the United States accessible and affordable to everyone as seen by the increase in the number of patients in hospitals. However, with this growth in necessity, nursing is facing the challenge of delivering patient quality treatment. My vision is to quickly adapt to the new world of advanced technology in the nursing leadership that I can use to offer reliable and quality attention to the patients.

As a nurse, I am the primary care provider, and therefore, I have the vision and power to provide a consistently safe environment for the patients. Achieving this vision will require the establishment of evidence-based clinical practice which will enhance the reliability of nursing care. Moreover, fulfilling the vision of leadership for nurses will ensure that they will not feel undervalued in the hospital, which will then facilitate quality care being delivered to patients. According to Hart (2015), nurses often feel like their voices are not heard in the inter-professional team and that their complex roles in caring for patients are not appreciated. This means that nurses should have power in leadership which will act as an incentive when delivering quality healthcare.

The Institute of Medicine (IOM) recommended that nurses should have leadership roles in healthcare as per their recently released report. My vision for the future of nursing is for nurses to have power in leadership roles which will enable them to provide safe and quality patient-centred care. Thus, this vision fits with the recommendations in the IOM report, where nurses should have leadership roles in the healthcare sector. This report states that nurses should be supported in their leadership roles regardless of where they work so that they can be the true leaders that they are.

There are two action steps that I plan to take to promote this vision. The first step is to ensure nurses network with big players. This means that nurses will push to be in the higher leadership boards such as the public health and government boards, which will ensure that their voices and intricate work are recognized. The next step is to stand out nurse leaders in leading for change, seamless progression, and advancing health.

References

Hart, C. (2015). The elephant in the room: Nursing and nursing power on an interprofessional team. The Journal of Continuing Education in Nursing, 46 (8) 349-355.

Institute of Medicine (2015). IOM releases progress report on the Future of Nursing 2020 goals.https://www.nurse.com/blog/2015/12/10/iom-releases-progress-report-on-future-of-nursing-2020-goals (Links to an external site.)

Joseph, M. L., & Fowler, D. (2016). Innovating traditional nursing administration challenges. JONA: The Journal of Nursing Administration, 46(3), 120-121.

Assignment 7 Discussion. Transition to Professional Nursing.docx

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

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Assignment 7

 

1. Harold is seen in the office. He has a history of congestive heart failure and is concerned that he is gaining a lot of weight. You determine that he weighs 185 lb. When he asks you how much weight he has gained since his last checkup the previous month, you check the chart and find that he weighed 79 kg. What will you tell him?

2. Sally brings her 3-month-old baby to the clinic because of a fever and possible ear infection. You find that the infant weighs 13 lb, 4 oz. The physician writes an order for you to give a dose of antibiotics based on the infant’s weight in kilograms. Before you give the medication, you must convert the child’s weight to kilograms. How will you do this, and what is her weight in kilograms?

3.  Please discuss the importance of measurement systems as it relates to the management of the patient. Should it be a required course for all healthcare providers of for physicians and nurses only. Please explain why. 

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week 8 assignment

 Use the Walden library database to search for a qualitative research article from a peer-reviewed journal on a topic of your interest. Before you read the full article and begin your annotation, locate the methodology section in the article to be sure that the article describes a qualitative study. Confirm that one of the types of qualitative research designs or approaches, such as narrative, ethnographic, grounded theory, case study, or phenomenology, was used in the study. Annotate one qualitative research article from a peer-reviewed journal on a topic of your interest. Provide the reference list entry for this article in APA Style followed by a three-paragraph annotation that includes: A summary An analysis An application as illustrated in this example Format your annotation in Times New Roman, 12-point font, double-spaced. A separate References list page is not needed for this assignment. 

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Nursing Concepts Of Teaching & Learning Discussion W3

TASK

Post your initial response to the topic below.

Topic 

Technology and Teaching

Identify technology you would include within a patient education scenario.

a. Provide information related to setting, patient, and topic

b. Discuss your rationale for choosing a technology tool

c. Explain your lesson and how you would evaluate learning.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

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Sambeh

 

In this assignment, you will review the interactive Upper Respiratory Case Study patient scenario and analyze the data to determine the health status of the patient. You will need a minimum of two evidence-based practice articles to include clinical practice guidelines, as well as the course textbook.

All papers must conform to the most recent APA standards.

RUBRIC:

 

Clinical Case Study Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Clinical Case Study Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsContent of Clinical Case StudyThe writer demonstrates a well-articulated understanding of the case study subject matter in a clear, complex, and informative manner. The case study content and theories are well developed and linked to the course content, assignment requirements, and practical experience. The case study includes relevant material that fulfills all objectives of the assignment.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

all instruction requirements noted

30 pointsThe writer demonstrates an understanding of the subject matter, and the components of the case study are accurately represented with evidence-based practice, ethics, theory, and/or role content. Course materials and scholarly resources are present to support required concepts. The paper includes relevant material that fulfills all objectives of the case study.

Cites two references.

Most instruction requirements are noted.

26 pointsThe writer demonstrates a moderate understanding of the subject matter. as evidenced by components of the case study and use of evidence-based practice, theory, or role-development. Course content is present but missing depth and or development.

Cites one reference.

23 pointsAbsent application to evidence-based practice, theory, or role development.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Significant content of case study is vague, inaccurately portrayed, or missing.

No references cited.

Submits assignment late.

20 points30Analysis and Synthesis of Case Study Content and Meaning with Content Related to Preventative GuidelinesThrough critical analysis, the submitted case study provides an accurate, clear, concise, and complete summary of the scenario.

Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints

Includes all major and minor relevant risk factors based on standard preventative guidelines for age and gender and treatment/follow-up plans.

all instruction requirements noted.

30 pointsCase study is complete, providing evidence of further synthesis of course content via scholarly resources.

Information is synthesized to help fulfill the case study requirements. The content supports at least one viewpoint.

Submission provides clarification of the assignment by correctly answering all posed questions within the instructions.

Includes all major risk factors and most minor relevant risk factors based on standard preventative guidelines for age and gender (i.e.’ to two minor risk factors are missing and/or one incorrect treatment plan).

Most instruction requirements are noted.

26 pointsLacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. Case study content may be confusing or unclear, and the summary may be incomplete.

Risk factors are partially complete (i.e., missing one to two major risk factors or three to four minor risk factors, or two incorrect treatment plans).

Missing some instruction requirements.

23 pointsSubmission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Multiple risk factors missing (e.g., three major risk or five to six minor risk factors or three incorrect treatment plans, or four or more major risk factors or seven or more minor risk factors or four or more incorrect treatment plans).

Scholarly reference(s) are incorrect or inappropriate for the topic case.

Missing several instruction requirements.

Submits assignment late.

20 points30Application of Knowledge To Clinical Aspect of Patient EncounterThe summary of the case study provides validated information via scholarly resources that offer a multidisciplinary approach to the scenario provided.

The student’s application in practice is accurate and plausible, and additional scholarly resources supporting the application are provided.

all questions posed within the assignment are answered correctly in a well-developed manner, applying knowledge with citations for validation.

Includes all relevant subjective and objective data; diagnostic testing; routine care to be provided; patient education; anticipatory guidance; review of previous diagnostics; and follow-up of acute concern and chronic health issues, etc.—based on assignment instructions.

all instruction requirements noted.

30 pointsA summary of the study, findings, and knowledge gained from the assignment is presented.

Student indicates how the information will be used within their professional practice.

all questions posed by the study are answered correctly.

Includes most of the routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing two minor details or one major detail).

Most instruction requirements are noted.

26 pointsComponents of the case study are summarized with minimal application to evidence-based practice, theory, or role development, thus presenting a more superficial analysis of content between the assignment and the broader course content. Synthesis of course content is present but missing depth and or development.

Student’s explanation of how the information will be used within their professional practice is vague or incomplete.

One of the questions posed is not answered and/or one of the questions is answered incorrectly.

Includes some of the routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing three minor details or two major details).

Cited one reference.

Missing some instruction requirements.

23 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Content of case study is inaccurately portrayed or missing.

Student’s explanation of how the information will be used within their professional practice is not feasible or appropriate, or student fails to explain how the information will be used within their personal practice.

Omits routine content (subjective and objective data; diagnostic testing; routine care to be provided; education; anticipatory guidance; review of previous diagnostics; and follow-up) (is missing four to five minor details or three major details or six or more minor details or four or more major details.

Two or more questions are not answered and/or are answered incorrectly.

No references cited.

Missing several instruction requirements.

Submits post late.

20 points30OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise, with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed, with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used.

No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors, or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

2 points5Total Points100 

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The Status of Global HIV Efforts

Topic

In your initial post:

  1. Support or refute the following statement: “The world’s work on HIV has largely been a failure.” Include in your discussion:
    1. What has happened to incidence over time?
    2. What has happened to prevalence over time?
    3. How successful or not have efforts been at prevention in different settings?
    4. How successful have efforts been at putting people and keeping them on treatment?

Directions

In response to each topic or prompt provided by the instructor please do the following:

  1. Provide a thoughtful and complete initial response that is a minimum of two to three paragraphs
  2. APA format 
  3. No plagiarism

Textbook : Global Health 101

4th Edition

Author: Richard Skolnik

Publisher: Jones and Bartlett Learning

Year: 2019

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