Capstone project-wk 3 (combining 1-3)

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Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.

For this Assignment

  • Describe      the quality improvement process and the Quality model that will be used as      a basis for the practice problem. Include a description of a quality      improvement tool(s) that you will use in your quality improvement plan.      See Spath, (2018) chapter 6 for examples.
  • Explain      why the specific process was selected and document your explanation with      references.

For the Week 3 Assignment, you will combine your Week 1, 2 and 3 assignments and submit a 3-4-page paper that addresses the following: 

.

  • Practice      Problem (Completed in Week 1)=

In hospice, one of the goals is to have skilled nurse visits at least 3 days prior to death and at least 3-6 days prior to death. If we track ESAS it is supposed to help indicate who we can expect to pass away based on changes reported and then be able to increase nursing visits-however to be effective the data has to be accurate. Are we asking the patient or caregivers the 10 symptoms or just guessing based on our assessment

my wk one is totally different because I had to change topicsm so information will need to be added to this section. 

Please include information from discussions and everything below. In the literature review, you don’t have to worry about the bottom 5 that are not relatated to the ESAS but my help and can use it.

I answered the questions above a little and will attach the graphs that should be included

  • State       the practice problem in measurable terms.
  • State       the data that suggests a practice problem exists
  • Include       a purpose statement.
  • Analysis      of the Existing Evidence (Completed in Week 2)
    • Summarize       the findings from the evidence analysis that support your practice       problem. Include minimum of at least 5 evidence-based practice sources       that support your practice problem. Identify research, clinical       guidelines, expert opinions, and other relevant information. You must       include two-three research studies in your analysis. Using your own words       synthesize the evidence that supports your identified practice problem.       There should be no quotes or personal opinions included in this section.
  • Quality      Improvement Process (Completed this Week) (Approximately 2-3      paragraphs)
    • Describe       the quality improvement process and the quality model that will be used       as a basis for the practice problem. This is not your entire quality       improvement plan, only a description of the quality improvement process       and the quality model you chose. You will develop your specific quality       improvement plan in week 4. Include a description of a quality       improvement tool(s) that you will use in your quality improvement plan.       See Spath, (2018) chapter 6 for examples.
    • Explain       why the specific process was selected and document your explanation with       references.
    • Conclusion

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W#12 Health Promotion replies

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Reply separately to two of your classmates posts (See attached classmates posts, post#1 and post#2). 

INSTRUCTIONS:

Based on their replies, discuss how health disparities in women could affect their care (for example, geographic location, race, finances, literacy, etc.). Use the UpToDate database as one of your required references, and a second scholarly reference of your choice; remember you should have at least two references for each peer post. 

Note: DO NOT CRITIQUE THEIR POSTS, just add informative content regarding to their topic that is validated via citations. DO NOT BASE ALL YOUR REPLY ON STATISTICS.

– Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 250 words per peer reply.

Background: I live in Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

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Discussion Exercise: Chapter 7

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Students will judgmentally amount the reading from Chapter assign on your textbook. This assignment is prearranged to help you to learning in all disciplines because it helps student’s process information rather than simply receive it. You need to read the PowerPoint Presentation assigned for week 4 and develop replicating your appreciative and competence apply the readings to your ethics knowledge. Introduction – Provide a brief synopsis of the meaning (no a description) of each chapter and articles you read in your own words that will apply to the case study presented. Discussion Challenge – Health care in the 21st century is governed by a confusing array of rules, regulations, laws and ethical standards. Issues that involve confidentiality, informed consent and patient relationships can appear out of nowhere, even when health care workers have the best of intentions. Student Challenge- Describe, mention and define the five ethical issues that health care managers of today and explain your point of view relate with the ethical implication. Designate and discussion how this five issues where affected by the Covid-19 pandemic? 

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Recommending a Evidence Based Practice Change

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You are to create an 8- to 9-slide PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the evaluation table (1 slide)
    • An explanation about what you learned from completing the levels of evidence table (1 slide)
    • An explanation about what you learned from completing the outcomes synthesis table (1 slide)

Here are some helpful hints for your Powerpoint projects due this week.

1. Do not make the slides too wordy. Use Bullet points

2. Use Speaker Notes if needed for additional information

3. Select your slide design carefully and make sure information fits on the slide and does not overhang

4. Avoid white font unless on dark background

5. Do not forget a Title slide with the same information as a Title page

6. Be creative

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Dq2

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Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.

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project week2 health promotion

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Culturally Competent Nursing

In a Microsoft Word document of 4-5 pages formatted in APA style, you will describe an interview of a person from a cultural background that is different from your own.

Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials.

In your paper, include the following:

  • A complete cultural assessment using the 12 domains from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach.
  • A description of implications for health practices.

On a separate page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

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Is animal testing ethical?

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My stance: yes, animal testing is ethical, the theory of ethics to support this is act utilitarianism.

Instructions: write a paper about animal testing in APA style with sources and citations. Must have introduction, both sides of the argument (pros and cons) with evidence. 3 body paragraphs. The last body paragraph must include my point of view and use that theory of ethics to support it. Must also include a conclusion. No more than 4 pages and use at least 4 sources APA format.

Please also follow the rubric attached bellow 

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495w4reply

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Reply1

Maria:

Just as we need other infrastructure such as roadways, power grids, water supply or other fundamental services necessary for our society to function well, we need to have a network of public health “infrastructure” to form the base of our public health services.   Franklin Delano Roosevelt stated:  “The success or failure of any government in the final analysis must be measured by the well-being of its citizens. Nothing can be more important to a state than its public health; the state’s paramount concern should be the health of its people”.  

In the United States, governments at all levels (federal, state, and local) have a specific responsibility to strive to create the conditions in which people can be as healthy as possible.   

                                                 Professor K

Reply2

Just like we need an efficient transport infrastructure to facilitate a seamless movement within and outside a given place, efficient health infrastructure is what ensures the nation is healthy. According to Healthy People 2020, the goal of having an efficient Public health infrastructure is ensuring that the federal, state, tribal, territorial, and local health agencies have the necessary infrastructure to provide essential public health services efficiently. With a sufficient public health infrastructure, communities, states, and the nation at large will have the ability to prevent disease, promote health, and prepare for and respond to both acute- emergency threats and chronic- ongoing challenges to health. According to Healthy People 2020, an excellent public health infrastructure depends on a wide range of processes such as immunizations, infectious disease monitoring, quality drinking water, injury prevention, up-to-date information systems, and public health organizations with the ability to assess and respond to community needs.

Looking at the U.S public health infrastructure and some of the key characteristics that would define a robust infrastructure, I do not think our infrastructure is solid enough. Our health care system has been described by a wide range of literature as the most expensive in the world but has a poor quality and safety record compared to other developed nations (Squires & Anderson, 2015). Secondly, looking at the major disease burden affecting the healthcare system, I would say that our infrastructure has been focused more on profit maximization. Most of these conditions are preventable. I cannot understand why an important medication such as insulin for over 30 million diabetic Americans is still a patented product and sold by a few companies. In an article by Belluz, the inventors of insulin thought it was unethical to patent a life saving drug and sold it to university of Toronto for $ 1. However, if the investors were alive today, they would be shocked to death to realize that the price of insulin has been on an upward trajectory and some patients have to forego their injection because of the price.  We are living in nation where some people due to their social-economic status have to choose between seeking preventive care and their daily bread. This is not a characteristic of a solid infrastructure. Additionally, Rosenthal (2018), highlights how our healthcare is a huge business by noting that hospitals for long have been taking advantage of patients and the poor in the community.

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Culture in nursing DQ 12 student reply Maria Amelia

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The following post is from another student to wish i have to reply adding some extra information. less than 20 % similarity 

 

  1. When speaking of diversity in nursing and the health care field overall, we refer to the differences that will exist between the individuals that make up a work group, although many times the interests are common, there will be differences in terms of age, sex , race, ethnicity, sexual orientation, religion, skills, experience; the work group usually has differences and similarities among its members (Andrews et al, 2019). This diversity is important because it facilitates decision making due to the different points of view provided by each individuals, as well as the distinct approaches and perspectives will allow for easier problem solving, decision making, greater efficiency, and organization. For work, the results obtained for the patients are better. Many times when seeking medical attention, patients look for people who are similar to them in terms of their ethnic background, culture, language, as they feel more understood and more comfortable.

 The more diverse society becomes, the workforce must also be diverse so that people feel cared for, fulfilling all the expectations from clients. It is stated that in the last thirty years nursing has been undergoing changes and transformations influenced by the aging of the population (baby boomers), by the approval of the health care law (ACA) where health insurance is provided to people who were previously uninsured and finally the preparation in the training of health professionals such as nurses who are better prepared to provide quality care to each patient (Ford, 2019).

 To increase diversity and achieve coordination between the cultural composition and the workforce that serves the population, researchers are studying the influence of corporate culture and organizational climate on increasing diversity and are examining two main approaches to successfully increase diversity, currently fearing diversity management and organizational inclusion (Andrews et al, 2019). This year is declared by the WHO as the year of nursing. It is proposed that diversity is associated with better care for the community which is focused on patient satisfaction, better experience in counseling, patient education and that the doctor, nurse, patient communication is optimal.

  1. The cultural self-evaluation of organizations, institutions, and health care agencies is a process where a series of strategies can be taken in the different health units to evaluate a complete or particular organizational culture of the sea. In this case, the first thing to analyze is demographic and descriptive data, where cultural diversity is an important link for patients, nurses, doctors and other health personnel, with the aim of promoting multiculturalism, the evaluation of cultural strengths is another strategy, looking for programs and activities where Support multiculturalism, and keeping in mind positive comments from customers and staff about the culture (Ford, 2019). Evaluate the resources of the community such as ethnicity, religious groups, political and economic support, observing weaknesses and limitations to work on them to achieve continuous growth. It is of great prominence to identify the leaders who evaluate and communicate in cultural self-assessment, one should evaluate the languages ​​they speak with the aim of having translators if needed. In case it is necessary to make changes, members or stakeholders should be involved, after this implementation of possible changes to be made, if necessary, it is important to evaluate the effectiveness as well as monitor the results, it can be positive to create diversity initiatives and performance measures.
  2. For me diversity means differences, variety, abundance of different things, in this case cultural diversity is nothing more than the coexistence or interaction between different cultures (Ford, 2019). These distinct backgrounds generally provide its people with their perspectives, culture, beliefs, values, and worldview. As diversity in the workforce increases. the quality of medical care tends to improve. Currently the diversity in nurses and health professionals is exponentially rising. With this variety, the health field must protect workers from discrimination due to gender, race, age, or political party; it should work towards integrating more minority populations to receive health care resources. It is argued that this concept of diversity is closely related to interculturality and multiculturalism (Andrews et al, 2019).

 It is important to know that cultural diversity starts from the family itself, with parents first teaching certain cultural elements to their children, so the culture of the children is different from that of the parents because it feeds on the culture of two people, taking elements of each one, merging into a new culture (Ford, 2019).

  1. In the nursing profession there are various barriers to diversity since it brings many backgrounds, cultures, and beliefs together. The language barrier it’s one of these, many people love this profession and due to language problems they cannot realize their dreams. Another barrier is the cost of education, especially for students with low economic levels. Ignorance towards the profession is also an issue brought by diversity along with the absence of adequate IT tools, lack of knowledge about the entire nursing process, ensuring the people on the field have a vocation towards nursing since it’s a highly sacrificing career and not everyone is fit to perform nursing jobs. Nurses are exposed to contracting diseases and the terrible work hours limit people to choose this profession, opting for others where they will feel more comfortable (Andrews et al, 2019).

References

Andrews, M. M., Boyle, J. S., & Collins, J. (2019). Transcultural Concepts in Nursing Care. Philadelphia, PA, PA: Lippincott Williams & Wilkins.

Ford, S. (2019, October 2). Exclusive: High level of racial discrimination faced by nurses revealed . Retrieved from Nursing Times: http://www.nursingtimes.net

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Nursing Leadership and management DQ # 12 student reply Vanessa Camano

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  The following post is from another student to wish i have to reply adding some extra information. less than 20 % similarity    

 

 Chapter 14  

1. I believe nurses must join a professional association. Since it presents them with a better and more unified opinion in which they can agree with their demands. They are encouraged to compete for anything they believe in.  Furthermore, they are given a chance to advance their learning. It is necessary for career improvement. Just as business organizations were extended in colonial times, nursing organizations are essential to achieving the necessities of nurses.  

2. The idea of Obamacare was to provide citizens with easy to pay insurance, so everyone would have access to medical care. This action, however, has some pros and cons associated with it. One of them will be that it guaranteed that numerous of the U.S citizens have coverage. Insurance is particularly vital when trying to obtain medical attention. Furthermore, several screenings are completed at an affordable cost. It advanced healthcare in the U.S to more economical and reliable. The cons involve penalization if an individual is not approved, raised premiums, and difficulties in engaging in this plan.  

3. My image of the nursing future will be to give a satisfactory atmosphere for working. This includes good pay and an enabling environment. It is essential to perceive that several hospitals are normally lacking staff, generating tension on the nurses. This begins to cause fatigue among healthcare individuals. I will commit to this by fulfilling plans that will allow the situation. also, work persistently to influence the people and the environment confidently.  

4. Based on the interview, it is apparent that nursing was clearer and lightly complex 20 years ago. Their obligations and duties were minor than those that we possess now. Nurses are expected to be extra prepared and perform more difficult solicitations.  

5. National Students Nursing Association  

• Guide collectively and teach students planning to obtain initial licensure as registered nurses, as well as those registered in baccalaureate achievement programs.  

• Communicate the norms and values of the nursing job.

 • Support the improvement of the abilities that students must be engaged and liable segments of the nursing job.  • Advocate for great quality, liable, economical, and available health care.  

• Promote and engage in progress in nursing study.

 • Advance nursing students that are qualified to guide the nursing profession tomorrow.  

 Membership eligibility for NSNA

 • A payment of 30$ dollars through the year plus taxes.  

• A reduction of 5$ is provided for new members.  

• It is required to be nursing students   Standards of practice for the NSNA

 • The title National Student Nurses’ Association, Inc. (NSNA)® can be only used by official NSNA school and state components with the following phrasing: (Insert the name of school or state association) is an official part of the National Student Nurses’ Association, Inc.® No other phrasing is proper without NSNA’s® approval. The NSNA® logo must not be utilized by anyone, including members of a school or state chapters.

 6. Most of the people believe that nurses assist physicians. According to opinions, nurses are individuals who operate in the hospital and assist with tasks such as delivering off the syringe or monitoring on the patients, making sure they are stable. For example, nurses guarantee the environment is working placidly. Without their support, it will be almost impossible for doctors to perform individually. Also, they manage medications, keep an eye on the patients, and engage in fundamental operations.

  • Yes, they were realistic.  

a. They under-estimated the duties the nurse possesses.

  b. No, they didn’t recognize several things nurses do.  

• Yes. young individuals’ responses were important and not well known. Now, regarding gender, females were further delicate when responding to the issues. Most of the resolutions they presented revealed a little quantity of experience in the range of tasks nurses have.  

c. From the outcomes, it is apparent that society undervalues nurses. Nursing as a job is not appreciated as it should be. Compared to doctors, there is a discrepancy also when it happens to young children deciding their career.  

d. I think the community impacts their concept most of the time. Individuals have built a figure about nurses, and this is carried on to generations.

  7. The future nurses will be appreciated and respected. Their jobs will be considered. They will be an inspiration to anyone, since being a nurse is not that easy.  

a. His or her priority will be to provide quality care for the patients and their families, also to improve healthcare system.

 b. Yes. Time passes and technology will keep improving, that is when the nursing profession will evolve to become well respected and people will approve of it.              

   References            

     Institute of Medicine (2011). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington (DC): National Academies Press (US); 2011. 1, Key Messages of the Report. Retreived from: https://www.ncbi.nlm.nih.gov/books/NBK209881/          

   Trinkoff AM, Geiger-Brown JM, Caruso (2008). et al. Personal Safety for Nurses. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 39. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2661/

DISCUSSION WEEK 12

VANESSA CAMANO

PROF. ANGEL CANO 

FLORIDA NATIONAL UNIVERSITY

Chapter 14

1.   I believe nurses must join a professional association. Since it presents them with a better and more unified opinion in which they can agree with their demands. They are encouraged to compete for anything they believe in.  Furthermore, they are given a chance to advance their learning. It is necessary for career improvement. Just as business organizations were extended in colonial times, nursing organizations are essential to achieving the necessities of nurses. 

2.   The idea of Obamacare was to provide citizens with easy to pay insurance, so everyone would have access to medical care. This action, however, has some pros and cons associated with it. One of them will be that it guaranteed that numerous of the U.S citizens have coverage. Insurance is particularly vital when trying to obtain medical attention. Furthermore, several screenings are completed at an affordable cost. It advanced healthcare in the U.S to more economical and reliable. The cons involve penalization if an individual is not approved, raised premiums, and difficulties in engaging in this plan. 

3.   My image of the nursing future will be to give a satisfactory atmosphere for working. This includes good pay and an enabling environment. It is essential to perceive that several hospitals are normally lacking staff, generating tension on the nurses. This begins to cause fatigue among healthcare individuals. I will commit to this by fulfilling plans that will allow the situation. also, work persistently to influence the people and the environment confidently. 

4.   Based on the interview, it is apparent that nursing was clearer and lightly complex 20 years ago. Their obligations and duties were minor than those that we possess now. Nurses are expected to be extra prepared and perform more difficult solicitations.

5.   National Students Nursing Association

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Guide collectively and teach students planning to obtain initial licensure as registered nurses, as well as those registered in baccalaureate achievement programs.

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Communicate the norms and values of the nursing job.

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Support the improvement of the abilities that students must be engaged and liable segments of the nursing job.

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Advocate for great quality, liable, economical, and available health care.

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Promote and engage in progress in nursing study.

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Advance nursing students that are qualified to guide the nursing profession tomorrow.

Membership eligibility for NSNA

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; A payment of 30$ dollars through the year plus taxes. 

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; A reduction of 5$ is provided for new members. 

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; It is required to be nursing students 

Standards of practice for the NSNA

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; The title National Student Nurses’ Association, Inc. (NSNA)® can be only used by official NSNA school and state components with the following phrasing: (Insert the name of school or state association) is an official part of the National Student Nurses’ Association, Inc.® No other phrasing is proper without NSNA’s® approval. The NSNA® logo must not be utilized by anyone, including members of a school or state chapters.

6.   Most of the people believe that nurses assist physicians. According to opinions, nurses are individuals who operate in the hospital and assist with tasks such as delivering off the syringe or monitoring on the patients, making sure they are stable. For example, nurses guarantee the environment is working placidly. Without their support, it will be almost impossible for doctors to perform individually. Also, they manage medications, keep an eye on the patients, and engage in fundamental operations. 

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Yes, they were realistic. 

a.   They under-estimated the duties the nurse possesses. 

b.   No, they didn’t recognize several things nurses do. 

•&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ;&νβσπ; Yes. young individuals’ responses were important and not well known. Now, regarding gender, females were further delicate when responding to the issues. Most of the resolutions they presented revealed a little quantity of experience in the range of tasks nurses have. 

c.   From the outcomes, it is apparent that society undervalues nurses. Nursing as a job is not appreciated as it should be. Compared to doctors, there is a discrepancy also when it happens to young children deciding their career. 

d.   I think the community impacts their concept most of the time. Individuals have built a figure about nurses, and this is carried on to generations. 

7.   The future nurses will be appreciated and respected. Their jobs will be considered. They will be an inspiration to anyone, since being a nurse is not that easy.

a.   His or her priority will be to provide quality care for the patients and their families, also to improve healthcare system.

b.   Yes. Time passes and technology will keep improving, that is when the nursing profession will evolve to become well respected and people will approve of it.

References

 Institute of Medicine (2011). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington (DC): National Academies Press (US); 2011. 1, Key Messages of the Report. Retreived from: https://www.ncbi.nlm.nih.gov/books/NBK209881/

 Trinkoff AM, Geiger-Brown JM, Caruso (2008). et al. Personal Safety for Nurses. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 39. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2661/

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