Nursing discussion

 

select a challenging nursing care issue (examples include falls,  medication errors, pressure ulcers, and other clinical issues that can  be improved by evidence in nursing). Do not select a medical issue (disease, medical treatment). Do not select a workforce issue (staffing, call-offs, nurse to patient ratios). Explain the following for the selected clinical issue.

  • State the issue.
  • Explain the process you would use to search CINAHL for evidence. Include your search terms.

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question

1 postsRe: Topic 1 DQ 2

The geopolitical area contains community boundaries, environmental elements, plant life, weather, public transport, wildlife, facilities and homes. The community may be enveloped by mountains or wilderness. Natural disasters and injuries may arise and fluctuate with geographic areas. A geographic information system can be useful for healthcare specialists when identifying geographic or population boundaries. According to Green (2018), Geographic Information System (GIS) “helps to determine where there are disparities, health behaviors, or health deficits in an environment related to the geography of the area.” A phenomenological place is a mental place rather than a geographical place. This place concentrates on history, culture, economics, education, spiritual beliefs, values and common characteristics (GCU, 2018). These ideas establish a perspective in which the participants of the community feel as though they fit in. The community elements are the bases when identifying the community assessment.

According to Green (2018), “Public health nursing focuses on groups, populations, or the health of an entire geographical sector.” Therefore, whole public health utilizes the knowledge to push interventions to enhance stated health disparities. Public health demands are constantly changing and are what make the advancement of programs to enhance public health.

The community assessment involves studying the protection and wellbeing of a community to comprehend the connections among the people, environment, and resources. The nurse uses various methods of assessment of the environment and population before starting programs. The nurse prepares nursing diagnoses for the community created on the results and challenges decided from the community assessment. Public health nursing is motivated by the demands of the population for the prevention of disease and the development of the communities’ health.

The community health nurse must perform a series of actions to identify subjective and objective data and evaluate the information. After understanding the information, the nurse must recognize the demands and create a plan, an intervention and evaluate the data collected.

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need initial discussion post for below discussion

APA format 2 pages 3 reference 1 from Walden University Library Due 10/1/19 8pm EST

Discussion: Clinical Labs and Instructional Videos

Consider the following scenario:

You have been teaching a clinical lab for a few months. During each session, you have noticed that learners spend more time participating in the introductory part of the lesson and less time involved in problem-based, hands-on activities. After consulting current literature on teaching best-practices, you learn that many instructors require learners to watch introductory videos before participating in clinical labs. These videos ‘set the stage’ for the lesson while also demonstrating the skills in which students will engage during their lab. You know that you will still need to review material at the start of the lab but are excited about the advantages that this video could bring. As such, you begin to search the Internet for a video that will introduce your clinical lab.

To prepare

  • Review this week’s Learning Resources. Reflect on the strategies and methods nurse educators use to elicit critical thinking and problem-based learning in clinical lab environments.
  • Consider a psychomotor or skills-based technique that an individual might learn in a clinical lab. (Note: Clinical labs are not just for nursing students. Nursing staff and patients might also engage in this environment.)
  • With these ideas in mind, search the Internet for a short video demonstration of a clinical lab. (Suggested search key words are clinical nursing skills videos). Once selected, carefully review the video, provide the link to the video, and identify the learning objectives and intended audience of learners. If these are not explicitly stated, use the content of the video to determine the objectives and intended audience.
  • Consider how you might use this video demonstration to better prepare learners for an upcoming clinical lab.
  • Use the Lesson Plan Template document as a guide to critique, create a lab-based lesson that could accompany the video demonstration that you have selected. 

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questions

 

Qualitative Research Article Critique

For this assignment you will choose a qualitative research article, I  recommend you find something that is interesting to you. The article  should be published within the last five years, if you find a good  article older than five years I can review it and you may potentially  use the article. Please follow the rubric to critique the article.  Please look at the longer description on the rubric. Your critique of  qualitative research will be different than a quantitative research  critique, you will be looking for different things. You will be  identifying key elements of qualitative research as well as appraising  the trustworthiness of the study. Your critique should be 3-5 pages in  length. Please use APA format. Please cite your resources, I will be  using your citation to look up your articles so you will not need to  submit a copy of the article to me. 

 

Qualitative Research Article Critique

   Qualitative Research Article Critique
   Criteria Ratings        Pts              This criterion is linked to a Learning Outcome  Critiques method,phenomenon of interest and purpose What  qualitative method is used? What is the justification of using the  qualitative method? What is the phenomenon of interest, is it clearly  identified?  What is the purpose of the study and it’s significance to nursing?
 

   
    1.0 pts
 
       This criterion is linked to a Learning Outcome  Critiques, sampling, data collection, and data analysis Is the method  to collect data compatible with the purpose of the research? Is it  adequate? Is the study completed according to the methods described? Is the sample appropriate? Is the participants and setting described  adequately? Is the data collection focused on the human experience?  Are data collection strategies described? Is data sufficient, was data saturation achieved and described? What strategies were used to analysis the data, was the researcher true  to the data? Is there a logical connection between the data and the  analysis?
 

   
    1.0 pts
 
       This criterion is linked to a Learning Outcome  Critiques research ethical considerations IRB approval?  Were participants fully informed, was informed consent obtained? Were  participants autonomy and confidentiality protected? Were there any  other ethical issues to be considered?
 

   
    0.5 pts
 
       This criterion is linked to a Learning Outcome  Critiques study findings, conclusions and trustworthiness Are findings  described in context? Are you able to apprehend the essence of the  experience from the study? Are findings true to data? Was there existing  literature on the topic? If so is the study placed in context to  current literature? Is the significance of the study to nursing  addressed? Are there recommendations for future studies?  Address credibility, auditability, and transferability
 

   
    2.0 pts
 
       This criterion is linked to a Learning Outcome  Format, grammar, and quality • Organizes paper such that reader can follow student’s argument. • Uses articles (evidence) to support your critique.  • Research articles published within the last five years. • Appropriate APA format.
 

   
    0.5 pts
 
     Total Points:                            5.0               

    
 

 

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Patient Outcomes

 

Purpose

This week’s graded discussion topic relates to the following Course Outcome (CO).

  • CO 5: Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)

Discussion

Review the story at the link below before posting to the discussion:

Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)

After you have finished, consider how you would respond to the following situation:

Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.

  1. As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.
  2. Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.

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WK 9 Assignment

Engaging in formative and outcome evaluation assists health care administrators in determining what modifications, if any, are necessary to contribute to the effectiveness and success of health programs. Within the inherent dynamics of providing health care services to changing populations and within the changing health care landscape, formative and outcome evaluation represent essential tools in the health care administrator toolkit. Results that contribute to understanding why certain programs may or may not work successfully for a given audience or population help health care administrators apply theory to practice. This application of theory to practice allows health care administrators to ensure that the health care programs and services offered by their agencies or organizations remain consistent with the needs of the audience or community served, as well as contributing to the competitive advantage within the health care marketplace.

For this Assignment, you will use insights you have gained in the previous weeks regarding formative and outcome evaluation to continue to create your marketing plan by selecting and justifying the implementation and evaluation processes best suited for your campaign.

The Assignment (2–3 pages)

  1. Provide a brief explanation of how you might implement your marketing plan. 
  2. Be sure to include the timeline, time frame, and any tools needed to implement your marketing plan.
  3. Explain two potential barriers that might affect the implementation process and one way in which you might address one barrier. 
  4. Be specific and use examples to illustrate your points.

***PLEASE SEE ATTACHED DOCUMENT FOR MY MARKETING STRATEGY PLAN***

Weekly Resources 

Hillestad, S. G., & Berkowitz, E. N. (2012). Health care market strategy: From planning to action (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter      6, “The Strategy Action Match” (pp. 157–196)
  • Chapter      10, “Conclusion” (pp. 293–306)

Parker, J. C., & Thorson, E. (Eds.). (2009). Health communication in the new media landscape. New York, NY: Springer.

  • Chapter      16, “New Media: A Third Force in Healthcare” (pp. 417–432)

Kennedy, A., Rogers, A. Chew-Graham, C., Blakeman, T., Bowen, R., Gardner, C., … Protheroe, J. (2014). Implementation of a self-management support approach (WISE) across a health system: A process evaluation explaining what did and did not work for organisations, clinicians, and patients. Implementation Science, 9(1), 1–28. Note: Retrieved from Walden Library databases.

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Discussion Wk 6 (03)

 

Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.

To Prepare:

  • Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
  • Begin searching for a peer-reviewed article that pertains to your practice area and interests you.

By Day 3 of Week 6

Post the following:

Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not

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Case Study

1.  Pick one of the grand nursing theories from chapters 7-9 (except Henderson or Peplau)

2.          Obtain an original work of the theorist (i.e., primary source).  You may not be able to so get a source that exemplifies the theory. Do not use your textbook. Provide the reference in your post.

3.          Read the following case study and think about how your theorist would interpret the assessment information provided and intervene. All of this should be consistent with the grand nursing theory you choose.

Address the following items.

1. State which theory you are using In your initial post. Try to be the theorist and see the case from the theory.  For example if you were Roy  you will write about maintaining infection control for the baby in the NICU since her theory is on adaptation to the environm 

3. Write a nursing diagnosis (see PP in lecture)

4.  Write one intervention for the diagnosis that could be applied to the family in the case study. You may choose either the mother, the infant, or the family as your focus.  THE 

INTERVENTION MUST BE CONGRUENT WITH THE THEORY. 

200-270 words

PLEASE DO NOT CHOOSE A CULTURE THEORY. 

Here are some suggestions for concepts to discuss within your theory – depression, post partum. guilt, stress,  family,  premature,transitions, adaptation. 

Case Study

Mrs. Bedlam gave birth to a premature boy baby 3 weeks ago. The baby is still in the NICU at the major medical center 45 miles away. Mrs. Bedlam has only been able to visit once a week when her husband has a day off and can watch their other children, all girls, ages 1, 3, 4, and 6.

The Bedlam family moved from Saudi Arabia 2 years ago. Prior to this pregnancy, Mrs. Bedlam was taking Prozac for depression. She states she feels so guilty because she can’t come to see the baby more often and can’t breast feed him as her culture demands.

Baby Boy Bedlam has necrotizing entercolitis and at least one intracranial bleed. He now weighs 1800 grams. His ventilator is set to deliver 85% oxygen.

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Module 01 Discussion – Care Wish List

Interview an older family member and find out their wishes for care in their later years. At a minimum consider the following:

  • Do they want to live with a loved one or stay in their home?       
  • Maybe they would consider an Assisted Living Facility (ALF)?
  • What are their wishes for end-of-life care?
  • Are there any special cultural issues that need to be addressed?
  • Do they have an advanced directive for health care?      
  • Do they have a personal will?
  • Will you be available to care for this person, if needed?      
  • Do they have a pet that will need to be cared for, too

Please do not use actual names, but you can use the relative identity of aunt, uncle, grandfather, mother, etc

Please enjoy this time to talk to your family member and share any special comments or discussions you had.

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RN CAPSTONE

 

Directions

Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).

  • For this assignment, consider the concept of interprofessional teamwork and patient outcomes.
  • Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)
  • Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)
  • iCARE components are:

C ompassion

A dvocacy

R esilience

E vidence-Based Practice (EBP)

  • How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?
  • Select one scholarly nursing article from CINAHL as a resource for your paper. Additional scholarly sources can be used but are optional.
  • Use APA format throughout, particularly in citations and on the References page.
  • Please paraphrase throughout. One short quote is permitted.
  • The prepared paper template is RECOMMENDED for this assignment.

Download the assignment template here: iCare Assignment Template (Links to an external site.)

A short tutorial with tips for completing this assignment may be viewed here: iCARE Paper (Links to an external site.)

Elements of iCARE paper

  • Title page
  • Below are the headings to be used for this assignment.
  • Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.

Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.

  • Compassion
  • Advocacy
  • Resilience
  • Evidence-Based Practice
  • Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.
  • References page: List any references used in APA format.

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