Discuss in detail one patient that you observed. Include teaching, delegation, integration of National Patient Safety Goal (NPSG) and how QSEN was utilized when planning care.

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Description

JFK/Muhlenberg Harold B. and Dorothy A Snyder School of Nursing

 

OBSERVATIONAL
EXPERIENCE:  Critical Care

 

OBJECTIVES:

 

  1. Observe and participate in a one-day clinical
    observation experience in Critical Care.
  2. Using APA format, submit a typed paper addressing the
    following questions:

 

    1. Discuss the role of the nurse in the Critical Care.
    2. Discuss in detail one patient that you observed.
      Include teaching, delegation, integration of National Patient Safety Goal
      (NPSG) and how QSEN was utilized when planning care.
    3. Describe collaboration/communication with the health
      care team when planning care including patient and family. Include
      utilization of the IPASS.
    4. What components of the nursing process are utilized
      during care?
    5. Evaluate the experience.  Be specific regarding the strengths
      and/or areas for improvement that you observed.

 

Please submit your paper to your
clinical instructor by Monday 9am following the clinical experience.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Critical
Care Assignment Rubric

Scoring
Criteria

Satisfactory
(2)

Unsatisfactory
(1)

Total

Discuss
the role of the nurse in critical care.

Fully
and clearly discusses the role of the nurse in the critical care. Provides a
minimum of 5 examples of the role.

Does
not discuss the role of the nurse in critical care. Provides
minimum examples (< 5) of the role of the nurse in Critical Care.

 

Discuss
in detail one patient that you observed

 

 

Fully
and clearly discusses one patient that you observed. Including all
interactions with the nurse including prioritization of care, teaching and
delegation of work, integration of NPSG and QSEN.

Does
not describe fully one patient situation in critical care including
prioritization of care, delegation and teaching, integration of NPSG and
QSEN.

 

Discuss
collaboration/communication with health care team patient and family. Include
utilization of the IPASS.

Fully
and clearly discusses collaboration/communication with health care team,
patient and family including utilization of the IPASS.

Does
not fully discuss collaboration/

Communication
with the health care team including patient and family. Does not address
utilization of the IPASS.

 

Discusses
components of the nursing process utilized when planning care.

Fully
and clearly discusses the components of the nursing process utilized when
planning care.

Does
not fully discuss components of the nursing process utilized when planning
care. Components of the nursing process are missing.

 

Evaluate
the experience. Be specific regarding the strengths and or areas for
improvement that you observed

Fully
Evaluate the experience. Be specific regarding the strengths and or areas for
improvement that you observed.

Does
not reflect and/or evaluate the experience.

 

Submits
paper addressing all questions using APA format.

Fully
answers all questions. Uses APA format. Nor grammar or spelling errors.

Does
not fully answer questions. Does not use APA format. Grammar and spelling
errors.

 

Total
Points_______   Satisfactory
(12 points) Unsatisfactory < 12 resubmit paper.

Unsatisfactory (6 or
< 6):  Please redo your paper and
resubmit to your clinical instructor.

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Illnesses and their treatments can affect food intake and nutrient needs, leading to malnutrition.

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Assignment Overview: 

Illnesses and their treatments can affect food intake and nutrient needs, leading to malnutrition. In turn,
poor nutrition can reduce the effectiveness of medical treatment. The nutrition care process includes
four interrelated steps: nutrition assessment, nutrition diagnosis, nutrition intervention, and nutrition
monitoring and evaluation.

There are several case studies embedded below to help you review the different components of a
nutrition assessment. Follow the instructions for each part of this assignment. 

Assignment Objectives: 

• To identify factors that affect nutritional health (a.k.a nutritional implications). 

• To apply methods for determining energy requirements and estimate energy requirements for a given
individual using several equations derived from research. 

• To describe the types of diets in a typical clinical settings in determining the appropriate nutrition
provision for a patient. 

• Learn when to refer to the Dietitian.

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Congestive heart failure which is a chronic illness and according to the Current heart failure report(2012) the Medicare Advisory Commission stated that 30 day re-admissions accounts for 15 billion of Medicare cost

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Description

Congestive heart failure which is a chronic illness and according to
the  Current heart failure report(2012)
the Medicare Advisory Commission stated that 30 day re-admissions accounts for
15 billion of Medicare cost .The staggering cost of Congestive Heart Failure
linked with pay for performance , has been quite costly to organizations due to
governmental regulations regarding readmission frequencies within thirty days
of discharge. Chronic Disease Management programs are one of the measures in
place to assist hospital and third party insurers to assist with congestive
heart failure re-admissions. Evidence-based information that are peered
reviewed by specialist in the field of heart and lung are gathering information
to review which best model could decrease hospitalization and re-admission
within thirty days of hospital discharge. A systematic approach will be used in
this manuscript to provide evidence to date that utilizes a multidisciplinary
approach in identifying if this approach is effective in reducing hospital
readmission thus reducing cost. The audience that has great interest in this
evidenced based information will have an impact on decisions that affect and
impact .Benefit magazine (2012) to stay ahead of the curve to treat today’s
participant/patients and working to keep tomorrow group healthy ,we will need a
framework that can be rapidly adapted. (p.4)

 

 

Keywords: Cost, Chronic Disease, Congestive
Heart Failure

 

 

 

References

Fida, N., & Piña, I. L.
(2012). Trends in heart failure hospitalizations. Current Heart Failure
Reports, 9(4), 346–353. https://doi.org/10.1007/s11897-012-0117-5

McNutt, L. (2012). Gathering
and Using Data for Value-Based Health Care Initiatives: How Data Can and Should
Define Strategies. Benefits Magazine, 49(6), 30. Retrieved from
https://search-ebscohost-com.libauth.purdueglobal.edu/login.aspx?direct=true&db=f5h&AN=75498275&site=eds-live

 

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Provide a description and analysis of the observational research article using the following bullet points/prompts.

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Description

NURS 7024 – Spring 2020

Observational Research Analysis
Form

 

Student
Name:                                                                                                Date:

 

Provide a description and analysis of the
observational research article using the following bullet points/prompts.

CATEGORY

STUDENT
COMMENTS

FULL CITATION

(APA Format)

 

RESEARCH DESIGN

Include as appropriate:

·        
Cross-sectional

·        
Longitudinal

·        
Prospective

·        
Retrospective

 

INTRODUCTION

Briefly summarize: (with page #)

·        
Problem

·        
Purpose

·        
Question
(if articulated)

·        
Hypothesis
(if articulated)

 

METHODS

Briefly summarize: (with page #)

·        
Inclusion
criteria

·        
Exclusion
criteria

·        
Ethical
oversight

·        
Measurement
tools for primary outcome

 

RESULTS (DATA)

Briefly summarize the most
important findings: (with
page #)

·        
Study
N

·        
Data
that answer the purpose, problem, question or hypothesis

 

DISCUSSION

Briefly identify 1 important
point (with
page #) made by the authors (if
articulated) in relation to each of the following:

·        
Their
current study results

·        
Comparison
with prior research studies

·        
Future
research needs

·        
Limitations
of this study

·        
Strengths
of this study

·        
Conclusions

 

PERSONAL APPLICATION

What action will you take to
use the evidence from this study to improve your clinical practice? Use first
person here (I will…).

 

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Purpose accurately identified, including research question and hypothesis as appropriate.

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NURS 7024 – Spring 2020

Observational Research Analysis Grading
Rubric

 

Student
Name: ____________________________     Date:
____________   Total Points =  _________

Criteria/ Possible Points

Content Objectives

Comments

Points Received

 

 

Full
Citation –

5
points

 

 

 

Complete
and accurate.

APA
format correct.

 

 

 

 

Research
Design –

5
points

 

 

Correctly
and completely identified.

 

 

 

 

 

Introduction
–

10
points

 

Problem
summary clear and accurate.

Purpose
accurately identified, including research question and hypothesis as
appropriate.

Page
numbers correctly identified and subheadings used.

 

 

 

 

Methods
–

10
points

 

Inclusion/exclusion
correct and differentiated appropriately.

Ethical
oversight correctly identified and described.

Measurement
tools clearly and accurately identified.

Page
numbers correctly identified and subheadings used.

 

 

 

 

Results
–

5
points

 

Study
N correctly identified.

Data
(findings) reported completely and appropriately based on purpose, question
or hypothesis.

Evident
use of critical thinking.

Page
numbers correctly identified and subheadings used.

 

 

 

 

 

 

 

Discussion
–

10
points

 

Clear
identification of important points made by authors regarding current study
results, comparison to prior research, recommendations for future research,
study limitations, study strengths, conclusions. 

Page
numbers correctly identified and subheadings used.

 

 

 

 

Personal
Application –

5
points

 

 

Evident
use of critical thinking for application to own clinical practice.

 

 

 

 

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Evaluation: includes collecting evaluation data and analysis of effectiveness of the plan; achievement of outcomes

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Description

Grading Rubrics for Population
Action Plans

Total Points
= 55 for all plans

Component
criteria targeted to type of plan (50 points of total 55)

Comments may
be placed in appropriate cell.

Education Program

Criteria

 

Rating

 

 

Score

 

Quality
of writing

(used for all Plans)

Unacceptable

 

Competent

 

Proficient

 

Maximum

5 points possible 

Spelling

Grammar

APA correct: must follow 6th
ed. APA.

 

Many mistakes in spelling,
grammar, citation, referencing, page formatting, numbers, tables

Fewer than 2
mistakes per page for grammar & spelling &  APA format

No mistakes in
grammar, spelling, or sentence structure.

 Correct in-text citation; correct reference
page; correct page formatting; correct use of numbers and tables

3 points possible;

Points earned:

Plan Appropriate and Scaled to Master
level work with Scholarly Tone

 

Population is not appropriate and the
plan is not within the scope of a Master’s thesis.

Population is partially appropriate.

Adjust scope of plan to be appropriate
for a Master’s thesis.

Appropriate for identified population.

Scope of plan is appropriate for a
Master’s thesis.

2 points possible; points earned

Writing
Components

(targeted to plan type)

For Education Program

Missing

 

 

 

 

 

Inadequately Addressed

 

 

 

 

Addressed Well.

 

Maximum

50 points possible all components

Purpose: clear statement of importance and relevance for nursing  

Purpose not clearly stated.

No sources cited.

Clearly states the importance and
relevance for nursing education.

Appropriate sources cited.

Very clearly and concisely states the
importance and relevance for nursing education. Appropriate sources cited.

 

 

2 points possible;

Points earned:

 

Statement of Problem with supporting evidence.

 

 

 

5 points possible;

Points earned:

Objectives: Includes a minimum of 5 behavioral, measurable objectives

<3 objectives.

Not written in behavioral &
measurable terms.

3-4 objectives.
Partially written in behavioral & measurable terms.

.

 

Minimum of 5
objectives written behaviorally & measurably.

 

8 points possible;

Points earned:

 

Population Action Plan: detailed plan which includes timeline, participants,
location, materials developed for incorporation into delivery of plan, method
& tools to assess plan outcomes, etc.

Weak plan. Many aspects and details of
plan missing.

 

No sources cited.

Plan clearly & concisely states timeline,
participants, location, materials developed for incorporation into delivery
of plan, method & tools to assess plan outcomes.

Not all aspects of plan

 

 

Cites sources per APA.

Detailed plan very clearly & very
concisely states timeline, participants, location, materials developed
for incorporation into delivery of plan, method & tools to assess plan
outcomes &/or other aspects specific to plan.

Cites sources per APA.

17 points possible;

Points earned:

 

Evaluation: includes collecting evaluation data and analysis of  effectiveness of the plan; achievement of
outcomes

Weak discussion of evaluation plan.
Evaluation methods/tools not included.

 

No discussion of how data will be
evaluated to effectiveness of plan.

 

No discussion of achievement of
outcomes.

Discusses how the population plan will
be evaluated. Specific evaluation methods/tools partially discussed.
Evaluation tool/method may not be included.

 

Partial discussion of how data will be
evaluated to determine effectiveness of plan.

 

Clearly states if outcomes were
achieved.

Very clearly & specifically discusses
how the population plan will be evaluated. Includes evaluation methods/tools
to be used to evaluate plan. Thoroughly discusses how the data will be
analyzed to determine effectiveness of plan.

 

Very clearly states if outcomes were
achieved.

10 points possible;

Points earned:

 

Identifies possible limitations or areas of plan that may require
modification and suggests possible alterations that can be made.

Few or no recommendations made for
change in plan.

Recognizes changes that might be needed
in plan.

Very clearly & succinctly
discusses limitations and possible recommendations for change.

8 points possible;

Points earned:

 

 

Additional Comments:          

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Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

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Description

Write a paper of 500‐750 words (not
including the title page and reference page) paper for your proposed
evidence‐based practice project solution. Address the following criteria:

  1. Proposed Solution: (a) Describe the proposed solution
    (or intervention) for the problem and the way(s) in which it is consistent
    with current evidence. Heavily reference and provide substantial evidence
    for your solution or intervention. (b) Consider if the intervention may be
    unrealistic in your setting, too costly, or there is a lack of appropriate
    training available to deliver the intervention. If the intervention is
    unrealistic, you may need to go back and make changes to your PICOT before
    continuing.
  2. Organization Culture: Explain the way(s) in which the
    proposed solution is consistent with the organization or community culture
    and resources.
  3. Expected Outcomes: Explain the expected outcomes of the
    project. The outcomes should flow from the PICOT.
  4. Method to Achieve Outcomes: Develop an outline of how
    the outcomes will be achieved. List any specific barriers that will need
    to be assessed and eliminated. Make sure to mention any assumptions or
    limitations which may need to be addressed.
  5. Outcome Impact: Describe the impact the outcomes will
    have on one or all of the following indicators: quality care improvement,
    patient‐centered quality care, efficiency of processes, environmental
    changes, and/or professional expertise.

Prepare this assignment according to
the APA guidelines found in the APA Style Guide, located in the Student Success
Center. An abstract is not required.

This assignment uses a rubric.
Please review the rubric prior to beginning the assignment to become familiar
with the expectations for successful completion.

My topic and PICOT
question

 Among
hospitalized adult patients with indwelling catheter (P) how does the
implementation of CAUTI prevention bundle (I) when compared with no specific measures
(C) reduces CAUTI (O) during the hospitalization period (T)?

Proposed solution _CAUTI prevention bundle
implementation

(If you are copy pasting anything from any books please
mention that book /journal reference in the bracket)please make sure to add
citation to the paper. As my professor show me some places with no citation
when I did some papers with your team in the past weeks. Also the content was
not up to the mark. Please maintain the minimum criteria to keep the word limit
1000 words.Last week my assignment supposed to 750-1000 words,i received the answer with 610 words without reference.

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Students will demonstrate understanding of the APRN guidance and coaching competency through this paper.

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Description

Course Assignments:

Guidance and Coaching Paper

Students will demonstrate understanding of the APRN guidance and coaching competency through this paper. Through this assignment, the student will examine theoretical, legal, ethical, and professional aspects that impact the guidance and coaching role of the APRN. The student will identify and describe a theory (or combination of theories) that reflects their personal beliefs about the guidance and coaching process in relation to APRN patient care. The student will evaluate the current health care system and consider its influence on the APRN’s ability to adequately perform the guidance and coaching process with their patients. Based on the student’s analysis, they will make recommendations for systematic changes in the healthcare system which could improve the delivery, access, and outcomes of healthcare relating to the guidance and coaching function of the APRN. 

The paper should be 5-6 pages in length and conform to APA guidelines (title page, headers, reference pages required) . A minimum of four (4) scholarly references will be used to support the student’s ideas. 

Meets course objectives 1, 2, 3, 6, 7

Course Objectives:

Upon completion of the course, the students will be able to:

⦁ Compare and contrast professional role theories and/or conceptual models relevant to nursing.  

⦁ Differentiate various advanced roles in nursing (nurse practitioner, clinical nurse specialist, nurse anesthetist, nurse educator, nurse researcher, nurse manager, and certified nurse-midwife).

⦁ Examine and evaluate the impact of regulations, credentialing, and licensure requirements on advanced practice nursing. 

⦁ Analyze the licensing and certification requirements for advanced practice nursing roles.

⦁ Identify strategies for effective communication and collaboration with the interdisciplinary team of the health care system.

⦁ Evaluate changes that are occurring within the health care system and make appropriate recommendations for changes to improve the delivery, access, and outcomes of healthcare.

⦁ Examine the legal, ethical, and professional aspects 

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Students will demonstrate understanding of the APRN guidance and coaching competency through this paper.

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Description

Course Assignments:

Guidance and Coaching Paper

Students will demonstrate understanding of the APRN guidance and coaching competency through this paper. Through this assignment, the student will examine theoretical, legal, ethical, and professional aspects that impact the guidance and coaching role of the APRN. The student will identify and describe a theory (or combination of theories) that reflects their personal beliefs about the guidance and coaching process in relation to APRN patient care. The student will evaluate the current health care system and consider its influence on the APRN’s ability to adequately perform the guidance and coaching process with their patients. Based on the student’s analysis, they will make recommendations for systematic changes in the healthcare system which could improve the delivery, access, and outcomes of healthcare relating to the guidance and coaching function of the APRN. 

The paper should be 5-6 pages in length and conform to APA guidelines (title page, headers, reference pages required) . A minimum of four (4) scholarly references will be used to support the student’s ideas. 

Meets course objectives 1, 2, 3, 6, 7

Course Objectives:

Upon completion of the course, the students will be able to:

⦁ Compare and contrast professional role theories and/or conceptual models relevant to nursing.  

⦁ Differentiate various advanced roles in nursing (nurse practitioner, clinical nurse specialist, nurse anesthetist, nurse educator, nurse researcher, nurse manager, and certified nurse-midwife).

⦁ Examine and evaluate the impact of regulations, credentialing, and licensure requirements on advanced practice nursing. 

⦁ Analyze the licensing and certification requirements for advanced practice nursing roles.

⦁ Identify strategies for effective communication and collaboration with the interdisciplinary team of the health care system.

⦁ Evaluate changes that are occurring within the health care system and make appropriate recommendations for changes to improve the delivery, access, and outcomes of healthcare.

⦁ Examine the legal, ethical, and professional aspects 

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Telehealth has gone mainstream with huge savings being forecasted. Direct­ to ­consumer Telehealth models must comply with state and federal agencies

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Description

Project Guidelines:

Write a 7-9 page paper using APA 5th or 6th ed.
citation style for your references. Double spaced, Times New Roman 12-point
font, 1″ left and right margins.

Limitations to Telehealth

Telehealth has gone mainstream with huge savings being
forecasted. Direct­ to ­consumer Telehealth models must comply with state and
federal agencies while ensuring easy and intuitive ways for patients to engage
in their own health. Issues at the
forefront of compliance and patient engagement include: Over prescribing,
Patient Health Record access, Follow ­up care, and E­-visit documentation
(Quashie, 2014).

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