Week 3 project capstone

Instructions

Week 3 Project

In a Microsoft Word document of 2-3 pages formatted in APA style, you will describe the final proposal for your capstone project using the format below. Please note that the title and reference pages should not be included in the total page count of your paper.

Introduction

The introduction establishes the scope, context, and significance of the research being conducted by summarizing current understanding and background information (literature) about the topic, stating the purpose of the work in the form of the research problem and research question(s), explaining briefly the methodological approach used to examine the research problem, and highlights the potential outcomes your study may reveal.

Problem Statement

A problem statement is the description of a currently existing issue which needs to be addressed with evidence-based interventions. The statement of the problem is the focal point of the research. Be sure to back up the noted issue/problem with evidence. Must include citations of evidence.

Research Questions

To help you formulate your research question or questions the following website may be useful: https://researchrundowns.com/intro/writing-research-questions/

One or two research questions for your capstone project are suggested. Based on the constraint of project length of 10 weeks you may not have time to address a multitude of questions. One research question may be sufficient for your project and will make your life a lot easier.

Methodology

The methodology section of a research paper answers two main questions: How were the data collected or generated? You must include when and how you will collect the pre-intervention data, what the intervention(s) is and when/how the intervention(s) will be implemented then how and when you will perform your post-intervention data measurement. Lastly, how the data will be analyzed. A friendly reminder that unless your project has gone through the IRB process you will not be allowed to collect data on more than 3 people. For data collection, you will choose 3 people from your aggregate.

Timetable

Develop a timetable considering the following questions:

  • When will your research start and finish?
  • Are there particular stages to the research – e.g. piloting, then main research? Screening interviews, then a main study? If there are stages, what are they?
  • What objectives have you set for this investigation? Are they addressed in the timeline?
  • Is the timetable realistic?
  • Is it influenced by external constraints or deadlines?
  • How will you provide regular updates and progress reports and to whom will you provide them? How will you demonstrate progress?

On a separate references page, cite all sources using APA format.

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Culture in Nursing DQ 13 student reply Wendy Trujillo

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

  

Protection is an essential requirement of human life, particularly in health, due to the association of spirits in diseases. It’s thought that spirituality in most religious origins fosters the link together with the supreme being that delivers comfort and well-being. Religious perception of means to keep wellness, guard against illness and regain regular wellbeing after illness is vital during patient treatment, in which healthcare professionals have to comprehend the religious requirements of an individual as well as the family of theirs to be able to offer a world which supports religious elements. Every religion has the unique spiritual belief of its on the root cause of the illness and maintaining health which is extremely regarded, and nurses must be conscious of various religious beliefs about the sources of the illness between various cultures or religions (Andrews, and also Boyle, 2015).

Muslims have religious beliefs about the sources of the illness, like the job of sinning against Allah, that is designed to result in suffering or illness by a person. It’s thought which chronic diseases and mental illnesses which could be quickly identified would be the product of a sin when a private neglects the presence of Allah, who’s a supreme being as well as does what’s not permitted in the Scriptures, like stealing or perhaps killing someone else, can easily create illnesses which demand prayers and repentance for Allah to forgive (Irajpour et al.2019). This’s akin to everything you feel spiritually among Buddhists that have confidence in sin and do evil against the Buddha as the key reason for religious diseases which present themselves as actual physical cause and illnesses suffering. To kill yet another man among Asian Buddhists isn’t good and will result in bad effects in the type of the disease.

Muslims exercise prayers as a way of looking for Allah’s forgiveness against sin caused diseases while Buddhist deep breathing because of karma, and that is the law of effect and cause. Karma, that has negative health effects when a person takes the lifetime of somebody else, is regarded as a punishment of the Supreme Being due to the sins which a man currently being has committed. The Buddhist perception which someone who takes what’s not meant for them or perhaps what hasn’t been provided to them can hold evil spirits which cause illnesses like psychological disorders which lead them with the limitation of growth as well as can’t be purified by wanting Buddha for direction. Buddhist religious teachings highlight the requirement which disciples refrain from stealing or perhaps taking what hasn’t been presented to the unsalted to stop evil spirits from carrying problems, and when a private is suffering from illness, they’re made to ask for guidance and be conscious of the actions of theirs which might have caused evil spirits (Kalra et al., 2018). On the flip side, Muslim religious opinions connect stealing the preferred items a person has missed as an additional cause of illness or even seeing someone else fly without revealing it brings about illnesses which range from mental conditions and physical illnesses which can’t be addressed by return and submission to the rightful owner what continues to be taken. Testimony is considered by muslims to be a part of the evil spirits which trigger the condition, while Buddhists don’t think about a witness to evil actions being the primary root cause of the illness (Irajpour et al.2019).

Muslims perspective resting or even the usage of harmful speech as being a trigger for suffering and disease, since Allah is able to monitor human actions and let a person to go through from illness as punishment for lying and working with damaging language as desiring evil to others. Precisely the same reason for illness is found in Buddhist religious perspectives just where he is lying could cause damage in the type of diseases. It’s thought that dangerous discourse against others triggers illness as well as negative health effects among Asian Buddhists. To get this done, one has to be attentive throughout the term and also find the path of the Buddha through Buddhist deep breathing as well as enlightenment (Kalra et al., 2018).

Muslim spirituality associates illness with specific actions which are contrary to the methods of Allah and also the Koran, especially engagement in the consumption and sexual contact of drugs or maybe alcoholic drinks which can result in illnesses such as for instance the punishment of Allah. The Buddhist, on the opposite hand, thinks sexual misconduct and drug use being damaging to regular psychological capabilities, because it triggers the cloudiness of the brain stopping a person from meditating correctly, leading to illness. It’s thought that sexual misconduct and intoxication among Buddhists usually are not immediately associated with the illness, though it’s thought that psychological changes resulting from the condition is triggered by practices (Kalra et al., 2018).

Understanding or perhaps religious causes of the illness by healthcare providers helps with good individual evaluation and also the improvement of treatment plans which satisfy the spiritual needs of theirs, as problems considered brought on by ill minds by individuals might not be properly addressed once the affected person refuses treatments that are available in the hope that religious needs or even continued repentance might be efficient. Individuals receive culturally skilled proper care from the nurses that regard them, since they could know their choices and views about what must be incorporated in the individual ‘s treatment program. Nurses know how in order to be hypersensitive to the patient’s religious beliefs and also to talk about the experiences of theirs regarding them must combine the religious direction which restores overall health with the remedies provided (Andrews, and also Boyle, 2015).

Health issues, like psychological ailments which restrict the effects and cognitive functions of an individual’s mood, can be handled by religious counseling whereby individuals consider religious practices, which includes meditation and prayer, efficient to promote psychological stability since they’re able to link with humor that is good and deal with the conditions of theirs. Psychological conflicts which arise during chronic diseases are able to be solved by spiritual assistance in the existence of a priest’s preferred member of the family at specific religions whereby nursing staff will help individuals discover meaning in life through religious encouragement and support to cope with chronic illnesses. A nurse is able to offer the religious requirements of individuals by building a solid interpersonal connection with all the individual as well as sharing last religious encounters of themselves or maybe family to allow an individual to voice the spiritual needs of theirs and also take part in meditation or prayers (Andrews, and also Boyle, 2015).

Reference

Andrews, J, Boyle and, M.M.. S. (2015). Cross-cultural nursing principles (7th ed.

Irajpour, Arzani, M., Moghimian, A., H. (2019). The interprofessional dimensions of spiritual proper care for persistent patients: A qualitative analysis. Nursing as well as Obstetrics Studies, eight (1),34. doi:10.4103/nms.nms_83_17

Kalra, S., Priya, G., Grewal, E., Aye, T., Waraich, B., SweLatt, T.,,.. Kalra, B. (2018). Lições para o profissional de saúde do budismo. Indian Journal of Metabolism and Endocrinology, 22(6), 812. doi:10.4103/ijem.ijem_286_17

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Population

https://www.healthycommunities.org/resources/toolkit/files/step5-select-priority

Using the community Health Assessment Toolkit and step 5: Prioritize community health issues 

1: which criteria listed have assisted you in determining what is priority due to your analysis of your community. APA Format 400-450 words

  • Severity of the problem – my priority based on the list.

My Community: 25-50 years Old Female

Site of project:  homeless shelter

Topic: Difference between Hypo and Hyperglycemia

Note that all assignments and discussion posts in this course are permitted to use first person, such as “I, we, me, us”, etc., due to the nature of the assignments

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Week 4 Discussion 2 Physiology and Pathophysiology

Describe the pathophysiology, clinical manifestations, evaluation, and treatment of polycystic ovary syndrome (PCOS).

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BHE 310 Module 3 Discussion Post 3

Do you feel it is unethical for health educators to engage in unhealthy behaviors?  In other words, do we have to practice what we preach?  Is it unethical for health educators to eat cheeseburgers, smoke cigarettes, drink alcohol, and live a sedentary lifestyle? 

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Reply 1 Disc 5 415

, The politics and policy of disaster response and public health emergency preparedness I was able to see how the disaster health policies discussed within Congress and members of government affect the facilities in which we work. Depending on which facility I am working in for the week, there is a governing body that requires the facilities to have an emergency preparedness plan. Depending on the body that governs, the individual facility must have a plan that meets the minimum requirements set-up.

At 1415 today, my facility held its quarterly fire drill on second shift. While the staff was not aware this would occur, I had already been notified by the maintenance director who is in charge of hosting the disaster drills once on each shift quarterly. At the sound of the fire alarm going off, an announcement is made notifying staff that there is a code red and the area is also identified via fire panels and verbalized over the speaker system. The fire panels light up red where there is a fire or in this case where the alarm was pulled. This is something staff is taught during their training with the facility upon hire and they practice during drills such as these. Staff members are expected to participate regardless of the department ensuring that all residents within the facility are taken to a safe location, the hallways are cleared, and everyone is accounted for. One individual from each unit is tasked with taking a fire extinguisher to the area announced to help with putting out the fire. After the fire is noted as clear. A head count is done, the in-service is signed off and staff are given pointers where improvement is needed. Each unit discuss best practices and all questions and concerns are addressed.

Fire drills only prepare for one type of disaster but based on the facilities location there are other drills that are practiced in an effort to prepare for a disaster such hurricanes or tornadoes. Disaster preparedness is a continuous and integrated process resulting from a wide range of activities and resources rather than from a distinct activity by itself. It requires the contributions of many different areas ranging from training and logistics, to health care to institutional development (Barton, 2009). The idea behind the training exercise is to create a teaching moment that serves as preparation in the event there is an actual disaster.

Health policy does impact nursing practice in this arena greatly. Disaster health policies affect all those impacted by a disaster, including health and human service responders, hospital-based receivers, suppliers, and community members (Mason, Gardner, Outlaw, & O’Grady, 2016). The acute care facility I work in is governed by the Agency for Health Care Administration (AHCA). AHCA gives a 7-page outline for preparation of a comprehensive emergency management plan (CEMP) that each facility is required to have upon submission for review and approval by county emergency management agencies, (AHCA, 1994). Nurses have to actively participate and get involved with policy making because it affects the disaster plan requirements in the areas that we work in and the communities we serve. 

Reply 2 

Health policies are meant to guide nurses and healthcare workers in performing their duties as per the rules and regulations of the responsible agencies involved in the management of nurses. The role of nurses in any hospital setting is to care for patients by applying their knowledge and skills to ensure that patients receive the best available care (Sekse, Hunskår, and Ellingsen, 2018). Being frontline workers, nurses are essential in coordinating the activities within the hospitals and carrying out other roles such as education of patients. However, for nurses to perfume their duties, they need to have an environment that can help them carry out their duties and, at the same time, protect them from any harm and danger that may arise from caring for patients. The hospital environment needs to be supportive of nurses in such a way that the health policies need to take into consideration the interests of nurses so that their grievances and needs are addressed to ensure a smooth flow of work within the hospital. Nurses are professionals with the knowledge and skills that can help in improving the care delivery system through policy formulation and implementation at their workplaces. Nurses have a duty to ensure the safety of patients, improve the quality of care, and assess the effectiveness of the healthcare delivery system. With these responsibilities, nurses are seen as agents of change within the healthcare setting.  

The healthcare policies have an impact on the way nurses carry out their activities within the hospital because these policies set the standards that every nurse is expected to adhere to. A problem may arise when policies are set without consulting nurses, and the policies end up backfiring.  Therefore it is important that before any policy is made and introduced, nurses have to be involved, and they should take part in the development of those policies. Moreover, nursing policies can affect the way nurses carry out their duties by dictating the number of resources that get allocated to nurses. Resources allocation is an important factor that can affect nurses because they need equipment to help in caring for patients.  Poor resource allocation can influence the nursing practice by limiting the number of materials that nurses may need to care for patients. Such resources and materials may include medicine, gloves, surgical masks, personal protective gear, among others.

Additionally, health policies affect the ability of a nurse to make decisions within the healthcare setup. Some policies may prevent nurses from making decisions about patient care, which ends up affecting the quality of care nurses may provide to patients.  Nurses can also influence the policies by engaging in studies and research work that can help in improving the whole aspect of care through the introduction of better policies (Ellenbecker and Edward, 2016). I have witnessed nurses doing studies to help improve the health policies that exist within the current system of care. There have been collaborations among nurses as they intend to influence the health policies that may hinder them from offering quality care to patients within their work environment. 

Health policies also help in improving nurses’ competence and commitment while giving out care (Karami, Farokhzadian, and Foroughameri, 2017). Giving care to patients demands that nurses make use of their knowledge and skills to ensure good patients outcomes. The health policies dictate the standards expected of nurses while attending to patients because any negligence on the part of the nurse can lead to serious and sometimes fatal consequences on the patients. Therefore health policies help nurses to be competent while caring for patients. Additionally, health policies help the nurses in preventing malpractices that may affect the quality of care patients receive. While at the hospital, nurses are required to have advocacy for patients as well as their professional duties. Through advocacy, nurses help in improving the quality of care.  

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

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JOURNAL/ARTICLE REVIEW

 

Instructions

  1. Find, read and analyze one article on the measurement of group cohesion and one article on group evaluation
  2. Navigate to the threaded discussion and respond to the following:
    1. Post a 1-2 page summary of the cohesion measure, and how you will utilize this measure in your group.
    2. Post a 1-2 page summary of the group evaluation article and how you will utilize this information to evaluate your group.
  3. Your initial post is due by the end of the workshop.
  4. Read and respond to at least two of your classmates’ postings, as well as all follow-up instructor questions directed to you, by day 1 of Workshop 4 .
  5. Your postings should also:
    1. Be well developed by providing clear answers with evidence of critical thinking.
    2. Add greater depth to the discussion by introducing new ideas.
    3. Provide clarification to classmates’ questions and provide insight into the discussion.

Click here to access the discussion topic.

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Reply to this discussion- NUR512 Ruth

Module 5 Discussion

Working in a pediatric emergency department means that I have faced and undergone plenty of ethical dilemmas in a shift and throughout my career. What makes the specialty of pediatrics so susceptible to ethical dilemmas is the fact that in pediatrics you are taking care of a vulnerable population, children. This means that you will encounter situations where there is something that needs to be done for the benefit of the patient but at the end of the day the patient isn’t consenting or agreeing, it’s the parent or the caregiver. Now, you run into a situation where even though you know the patient will benefit from a certain medical decision, the caregiver will be the deciding factor. What happens when the parent or caregiver decide that they will refuse certain care? You as a provider must determine if the benefits of keeping that caregivers wishes, outweighs the benefits of that child receiving care. This is the type of situation that I recently experienced at my job.

 I had a 2 week old female patient that came to the emergency department with her mother and father status post a closed head injury from a 2 feet fall from a bed. The patient was full term, had no complications at birth and did not receive the hepatitis B vaccine or vitamin K due to parent refusal. The parents stated she had no loss of consciousness or episodes of vomiting but they brought her to the emergency room because the child had a “bump” on the left side of her head that was soft and getting bigger after 3 hours of the injury occurring. The doctor explained to the parents that she wanted to collect blood work for coagulation studies and a type and screen as well as a CT scan to rule out any bleed or skull fracture. The doctor reiterated that it was of upmost importance because the child was at risk for internal bleeding due to her not getting her vitamin K at birth which helps with clotting. The parents refused to have any studies done being as they felt their daughter looked stable. The doctor and myself after attempting to reiterate the importance of the studies, had to collaborate with the social worker as well as the operation’s administrator of the hospital to determine if the doctor could override the parent’s refusal being as her physician judgment felt that the child was at high risk of an internal bleed or skull fracture. Fortunately, with communication and collaboration with the social worker, the parents finally consented to the pertinent studies. The child did in fact have a brain bleed and skull fracture and was admitted to the hospital.

Nurses need to recognize the potential ethical repercussions of their actions in order to effectively resolve problems and address patient needs (Milliken, 2018). Hamric (2014) states that compromise is the proper approach when it comes to ethical decision making. Compromise is appropriate to preserve the relationship between provider and caregiver and it allows each party to maintain their high moral position. In the case of this child, the providers were able to give effective care and the caregivers were thankful to have obliged to following the medical team’s suggestion for diagnostic testing.

References

Hamric, A. B., Hanson, C., Tracy, M., & O’Grady, E. (2014). Advanced nursing practice : an       integrative approach. Philadelphia: W.B. Saunders Co.

Milliken, A. (2018, January 31). Ethical Awareness: What It Is and Why It Matters. Retrieved     from             https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/O (Links to an external site.) JIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

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Healthcare Coverage Gap

 

Assignment:

Healthcare Coverage Gap

The  ACA was meant to provide quality health care coverage for all yet a  coverage gap for some populations especially in states that oppose  Medicaid expansion. Based on what you have learned so far in this  course, create a PowerPoint presentation that addresses the coverage gap  problem, who is impacted by the coverage gap, the role the ACA plays in  the coverage gap, why the coverage gap should be closed, and solutions/  recommendations for closing the gap. Address the following in your  PowerPoint: 

  • Select  one state opposed to Medicaid expansion and describe why. Then,  consider your own state. What are the benefits and drawbacks to Medicaid  expansion in your state?
  • Define what the coverage gap is (problem/issue)
  • Discuss how the coverage gap impact low income healthcare consumers population.
  • What role does the ACA have in widening or closing the coverage gap?
  • Why is it important to close the gap (implications for positive social change)?
  • What  are some solutions to closing the coverage gap and how can healthcare  equity help close the gap? Include recommendations and/or solutions.

Your PowerPoint presentation should include/address:

  • Title Slide (1 slide)
  • Objectives Slide (1 slide)
  • Medicaid expansion (1-2 slides)
  • Coverage gap – define/problem/issue (1-2 slides)
  • Coverage gap impact on low income healthcare consumers (2-3 slides)
  • Role ACA has in widening or closing the coverage gap (1-2 slides)
  • Close the gap (1-2 slides)
  • Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
  • Reference slide (1-2 slides).

Assignment Expectations

Length: 9-14 slides (in addition to the title slide and reference slides) 

Structure:  Include a title slide and reference slide in APA format.  These do not  count towards the minimum slide count for this assignment.  Your  presentation must include an objectives slide.  Be sure to fully explain  all slides in the Speaker Notes.

References:  Use the appropriate APA style in-text citations and references for all  resources utilized to answer the questions. A minimum of three (3)  scholarly sources are required for this assignment. 

Format: Save your assignment as a Microsoft PowerPoint document (.pptx) or a PDF document (.pdf). 

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Responses: 2 discussion questions

APA format. MUST BE  1 SEPERATE RESPONSE TO EACH QUESTION. 1 paragraph per response. Use only scholar authors only. References needed

Discussion 1:

According to Spath (2018), FOCUS PDCA is a frequently used quality improvement model used to improve processes. This change model has two phases. The first phase, FOCUS, consists of finding a process needing improvement, organizing a team, clarifying the current process and areas needing change, understanding why improvement is needed, and selecting actions to adjust the process (Spath, 2018). The second phase, PDCA, includes planning through investigation, identification, and brainstorming ways to improve the measure, do or incorporate the process improvement on one unit, check the process to make sure changes are improving the measure, and acting to maintain improvements (Spath, 2018).  This model provides the structure through analysis, planning, outcomes, and feedback.

          FOCUS PDCA is a change model that can be used to decrease falls. Falls during toileting is one safety concern that needs improvement. The quality team, along with other care team members, were organized to clarify current practices and policies and noted care team members are not staying within arms-reach of patients that trigger high fall risk. It is imperative to keep an open line of communication between the team and frontline staff (Godlock, Christiansen, & Feider, 2016).  Understanding the policy deviations and brainstorm to select appropriate interventions to decrease falls during toileting. Interventions that need to be changed requires education to all care team members about the falls policy and how important it is to stay within arms-reach of patients that trigger high fall risk. Education also needs to be provided to CNA’s on certain medications that would make patients higher risk like blood pressure-lowering medications, and diuretics. These interventions will be rolled out to one unit to determine the efficacy of changes. These interventions need to be reviewed for improvement and modified if necessary. Once improvement has been met, it is crucial to maintain these improvements. Maintaining improvements can be accomplished through monthly quality improvement meetings.

Discussion 2:

I selected the quality improvement model of FOCUS-PDCA. This model is split up into two separate phases the FOCUS phase and the PDCA phase. F is for finding a problem that need improvement. Falls can be a detrimental occurrence than can affect patients and staff that is involved. Nursing times stated that as many as 20% of hospitalized patients experience a fall at some point during their stay (Grant, 2013).  Even though falls are not always preventable they can be decreased with proper staff and patient education. If one fall can be prevented by a changed policy that can be one less patient that avoids an extended hospitalization or additional injury. O if for organizing a team. The team I have selected for the improvement project is my nurse manager and mentor as well as some floor nurses from both shifts and our patient care techs. C is to clarify the current policy and changes that need to be made. Our current policy is a yellow falling star sign that can sometimes be confusing to patients and family members. U is for understanding the causes of variation. Variations from standard fall precautions could be patient confusion or patient noncompliance. Another variation could be that staff coming in to assist your patient may not be aware they are on fall precautions if the proper prevention measures are not in place. S is for selecting the actions needed to improve the process. There needs to be something more in depth for each patient not just something generic. In the next phase, P is for plan to change the process. In a study by Lipsett patients falls were decreased by color coded mobility cards being placed in each patient room depending on how they required assistance (Lipsett, 2019). This would be much easier to see and associate with then just a generic fall risk or no fall risk. D is to do the change on a small scale. We will pilot the fall risk mobility cards on our unit. We have a mix of post op, post-partum, and medical surgical patients. C for checking the data to determine its effectiveness. We will compare the falls for the next months after the implementation with the fall rate prior to implementation. Lastly is A to act to maintain the gains.  Randomly compliance should be monitored to make sure that falls risk mobility cards are being used. With this model we will put plans into place and follow up to make sure the best plan possible is put into place.

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