Discussion Reply. One reply each 150 words, Similarities less 10%

Discussion 7

Madai

Current Roles of Advanced Practice Nurses

Advanced  practice nurses are specialized to perform different roles. “Nurse  Practitioners (NP) are specialized to order, perform and interpret  diagnostic tests in primary care” (Neto, Rewa, Leonello & Oliveira,  2018, p.720). Besides, NP prescribes medications, provide treatment of  injuries and oversee the overall patient health. Certified Nurse Midwife  (CN) is in charge of reproductive and gynecological health in the  provision of primary care. Clinical Nurse Specialist (CNS) collaborates  with other nursing staff in providing primary care, analyzing patient  data and outcomes, and performing nursing practices research. Lastly,  “Certified Registered Nurse Anesthetists collaborates with other medical  specialists to administer anesthesia and oversee the patient recovery”  (Heale, 2016, p.311).Therefore, APNs roles focus mostly on provision of  primary care.

Effective Tactics for APNs Strategic Positioning Regarding Pay Equality

Advanced  Practitioner Nurses can use several strategies to position themselves  regarding pay equality. First, collect the relevant data on FNPs pay in  other countries or states. The data collected should be analyzed based  on the date of hire, gender, job location, working hours per week,  overtime pay, and bonuses then used as a bargaining tool for pay  equality with the employer. Secondly, APNs can file legal suites against  the employer to remedy equality pay. APNs should first examine the pay  practices and policies then a file legal suit against the employer  (Gardner, Duffield, Doubrovsky & Adams, 2016). Lastly, agree with  the employer through labor unions to have measurable performance metrics  to serve as points of reference when increasing salaries. 

Reasons Nurse Practitioners Should Push for Comparable Worth, Same Service, and Same Pay

Advanced  practice nurses should push for comparable worth, same service, and  same pay because already there is a shortage of physicians and APNs  coordinate all primary care serves in most hospitals located in the  rural and suburban areas. Secondly, the kind of training given to  advanced practice nurses are sufficient to provide primary care hence  they deserve equal treatment (Heale, 2016). Lastly, the licensing body  for APNs, physicians and other clinical officers is different hence they  should push for comparable worth, same service, and same pay because  they are completely in independent professional bodies.

References

Gardner,  G., Duffield, C., Doubrovsky, A., & Adams, M. (2016). Identifying  advanced practice: A national survey of a nursing workforce. International Journal of Nursing Studies, 55, 60-70.

Heale, R. (2016). Advanced Practice Nursing from a Global Perspective. Canadian Perspectives on Advanced Practice Nursing, 311.

Neto,  M., Rewa, T., Leonello, V. M., & Oliveira, M. A. D. C. (2018).  Advanced practice nursing: a possibility for Primary Health Care?. Revista brasileira de enfermagem, 71, 716-721.

Elizabeth Gonzalez                 Week 9 Discussion Elizabeth Gonzalez  Collapse 

Nurses  as primary care and health promoters providers have a crucial part in  the sophisticated health train, that is the reason as Nurse  Practitioners we are able to apply strategies, along with techniques for  equal pay. The Equal Pay Act calls for that males and females get equal  pay for equal work in the exact same establishment. It’s not crucial  that the jobs are the same, though they should be substantially the  exact same. It’s the job written content rather than the job titles that  decide if the tasks are substantially the same. Companies can’t spend  unequal wages to women and men that perform tasks that need identical  ability, responsibility and effort and are done under comparable working  conditions inside the identical establishment.

As  a method it’s essential in an effort to remove discriminations that  could exist, to compensate for all the consequences of last  discrimination, as well to motivate the participation of all nurses to  generate methods for them being of common use in favor of the whole  state nursing organization..

The  Nurse Practitioner income is an extremely debatable topic also it’s  been reviewed in ways that are many, since they are saying the salary of  theirs isn’t consistent with the job they actually do (Donelan et, al,  2013). I believe that as future NP we should advocate that the job of  ours is correctly given plus it is done based on the services we offer  on the public. The latest scientific studies show NP is a really crucial  website link in the process of medicine as well as for that reason we  must be remunerated appropriately to the service we offer, that’s  saying, an equal pay (Pickard, 2014)

References

Donelan,  K., DesRoches, C. M., Dittus, R. S., and Buerhaus, P. (2013).  Perspectives of doctors as well as nurse practitioners on primary care  practice. Brand new England Journal of Medicine, 368(20), 1898 1906.

Pickard,  T. (2014). Calculating the worth of yours: understanding value and  productivity. Journal of the sophisticated specialist of oncology, 5(2),  128.

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Need response to below discussion

APA format3 pages 3 references Can you use one of  the references from the discussion Please have done by Saturday November 2, 2019 @ 7pm EST

 

Main Discussion.  Examination is the most standard method for assessing a student’s learning. Online examinations are developed two ways. First, it can be created in a Microsoft Word document and uploaded to the course or secondly, the test questions can be generated within a learning management system (LMS) using the provided means (Bristol, 2011). The challenge in writing multiple choice questions is creating a reasonable measure of the learner’s knowledge while not providing clues within a question as opposed to its content. The use of deception as the way to increase difficulty should be avoided. One thing about multiple-choice questions is that the answer is present for the learners to decipher. (Dickinson, 2019). The lesson plan that I used to create multiple choice questions covers the different colors that are used to identify IV catheter gauges and the contents of an IV start pack.  I have never created multiple choice questions for a test or used the technology needed to do so. It was difficult at first to create queries that covered the objectives at the same time and not to include the answer to the question within the question. I also had to make a conscious effort not the put the correct answer to the questions in the C or D position. Another challenge was finding a website that I was comfortable with using and one that I could easily navigate to create my multiple-choice test. Survey monkey is a free online survey that has the capability for quizzes. The survey tool is used frequently on my job to poll employees on current issues.

Link to quiz.

https://www.surveymonkey.com/r/ZGV6J88

References

Bristol, T. J., & Zerwekh, J. (2011). Essentials of e-learning for nurse educators. Philadelphia, PA: F. A. Davis Company.

Dickinson, M. (2019). The thing about multiple-choice tests. Learning Solution Magazine. Retrieved from http://www.learningsolutionsmag.com/articles/861/the-thing-about-multiple-choice-tests

Survey Monkey. (n.d). Retrieved October 29, 2019, from http://www.surveymonkey.com

Name:

Michelle Frierson

Screencast Title:

Intravenous needle catheter selection and IV therapy guidelines

Environment:

(on-site, online, or hybrid)

This lesson is intended for the hybrid environment. Student nurses and novice nurses will watch this screencast before engaging in on-site intravenous (IV) needle selection for IV starts

Screencast Goal:

This screencast will increase the awareness on the importance of IV catheter size selection depending on the intended use and/or patient population and IV therapy guidelines.

Description of Screencast lesson:

This screen cast is directed toward nursing students and novice nurses. The different sizes of IV catheters based on color and the supplies needed will be reviewed. The participants will participate by watching a short video immediately after screencast on IV catheters and therapy guidelines, answer 10 questions at the end of the lesson, print certificate of completion and bring certificate to skill lab for competency checkoff.

Learning Objectives

At the end of this lesson students and nurses will be able to

  • Identify the different sizes of IV catheters based on color
  • Verbalize uses for different catheter sizes
  • Identify supplies needed for IV starts
  • Document appropriately
  • Demonstrate at least 80% competency on post test on IV catheter sizes, usage, and therapy guidelines
  • Demonstrate an IV start in an on-site skills lab

,

Quiz

1. Match the gauge IV catheter with the appropriate color

          _____24-gauge                         pink

          _____22-gauge                         yellow

          _____20-gauge                         blue

          _____18-Gauge                        green

     2. What two gauges of IV catheters are commonly used during           

    for rapid fluid administration?

  1. 24 gauge and 22 gauge
  2. 18 gauge and 20 gauge
  3. 20 gauge and 24 gauge
  4. 22 gauge and 20 gauge

           3. Select the appropriate list of supplies found in an IV start Kit.

               A. extension set, tape, and 20-gauge catheter

               B. Sterile dressing, tape, tourniquet, gauze pad, extension set, and

                    chlorhexidine swab

               C. extension set, chlorhexidine swab, tape, and gauze pad

               D. tourniquet, sterile dressing, and extension set

Identify at Least One in Each Area

Pre-Licensure QSEN Competencies

Integrated Processes

Clinical Relationships

1. Patient-centered care  

2. Teamwork and collaboration  

3. Evidence-based practice (EBP)

4. Quality Improvement (QI)

5. Safety

6. Informatics 

1. Nursing process

2. Caring

3. Communication and documentation

4. Teaching/ Learning

1. Varied sources of data

2. Similar options

3. Prioritization

4. Teaching

5. Notes: ­­­­­­­­­­­­ ______________

Rationale:

Rationale:

Rationale:

It is important to understand the evidence behind the appropriate size selection of IV catheters to decrease the number of IV infiltrations.

When initiating an IV therapy nursing staff must asses the patient appropriately, the intended use of the IV, select the appropriate size of the IV catheter, and document appropriately.

Nursing staff must prioritize  care to include assessing the IV site or sites for redness and/or swelling

Script

Actions on Screen

Audio/Narrative

Power Point: Title Screen

Introduction of the Lesson on IV catheter selection and therapy guidelines

Power Point: Question

Why is it important to select the appropriate size IV catheter?

  • Give rationale

Power Point: Learning Objectives

State learning objectives

Power Point: Different IV Catheter Sizes

Show pictures of the different catheters

Power Point: Starting an IV

Power Point: Documenting

Identify supplies needed to start an IV

What to document after starting an IV

Power Point: Final thoughts on IV catheter selection and IV supplies

Explain the main point of the lesson

Power Point: Points to Remember

  • Have students to watch the video on starting an IV
  • Remind students to print certificate of completion and sign up for skill lab checkoff

Evaluate and Revise

If I were to recreate my Screencast, I would: 

First, I would make sure that the slides correspond with the lesson as it is discussed. I would include a slide for the 14-gauge catheter, 16- gauge catheter, and the supplies inside the IV start kit. The slide for the IV catheters would include the front of the packaging along with the backside of the packaging. The time of the screencast would not exceed five minutes.

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for MADAM-PROFESSOR

  

Your response to the prompts below should be approximately 250 words in length and clearly address the prompt. This means it must be a thoughtful response within a paragraph format. Your responses should observe the conventions of standard American English grammar and syntax. You may wish to include specific quotes from the text to substantiate your responses. Should you quote or paraphrase the text within your posting, be sure to include citations using APA format.

“What role does the UN play in global health? What role does the Joint United Nations Programme on HIV/AIDS (UNAIDS) play in addressing global health issues?

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discussion 3

After reviewing The Invisible Patients documentary, define/describe in detail an ethical dilemma that was experienced by the NP. Please note, there are several ethical issues, so there should be diversity in the responses.  Explain how you would have handled the situation.

  • How is the NP in the documentary a Disruptive Innovator?
  • Discuss if there is a relationship between your personal beliefs and values and this ethical dilemma/barrier.
  • Describe at least one mechanism to overcome the barrier discussed.
  • Examine the potential cost and benefits to this barrier.

Remember there is no right or wrong answer for this ethical question. Suggested reference Look at the Nuremburg Code (US Department of Health & Human Services, 2005; Washington, 2012) as it was the major start of ethics in research and that can carry over to nursing practice.

US Department of Health & Human Services. (2005). The Nuremberg code.

 Retrieved from http://www.hhs.gov/ohrp/archive/nurcode.html

Attached is the pdf transcript of the invisible patient video.

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Catherine Owens

 Political issues for Nursing

I would say that a safe and healthy work environment would have to be the one I am interested in. The World Health Organization defines a healthy environment as a place of “physical, mental, and social well-being” supporting optimal health and safety (2019). Safe environment isn’t just keeping us physically safe but the mental aspect is so important.  We need to be confident and report something that we feel is unsafe or unethical whether it is for us nurses or if it is pertaining to a patient. If we report, we can’t be afraid of retribution. The management team needs to be supportive and make a real effort to better assist the nurses. If there is a patient who is making the nurses feel uncomfortable, the nurses need to bring it up so the patient is aware and so that it does not happen again. More than likely if it makes us uncomfortable or even scared it is affecting other patients if they happen to see it.

Reference

ANA. (2019). Healthy Work Environment. Retrieved from https://www.nursingworld.org/practice-policy/work-environment

Respond to the discussion above.

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week 1.1 NR 532

 Can you talk about a time that you made an error and had to talk with your leadership team?  How did your vulnerability get embraced? 

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Implications of external influences

300 words on Identify and evaluate external influences that are positively and negatively affecting workforce needs in health care delivery. Also, consider PESTLE factors.

 PESTEL is an acronym that stand for Political, Economic, Social, Technological, Environmental and Legal factors. However, throughout the years people have expanded the framework with factors such as Demographics, Intercultural, Ethical and Ecological resulting in variants such as STEEPLED, DESTEP and SLEPIT. 

one reference.

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Quality Improvement Proposal

 

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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.

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week 10

 

Reading Reflection

Please submit minimum of 250 word statement with references regarding this week chapter reading, explain what are some of the important aspects of this week’s reading, provide examples when possible. Thanks. Jorge 

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week 10

 

Reading Reflection

Please submit minimum of 250 word statement with references regarding this week chapter reading, explain what are some of the important aspects of this week’s reading, provide examples when possible. 

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