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Home>Homework Answsers>Nursing homework helpnursingBSNList three examples of plagiarism and discuss how plagiarizing as a student affects the integrity of a baccalaureate degree, the public perception of the nursing profession, and evidence-based practice. Describe two things you will do to ensure academic integrity in your work.Please read below for more information.IntroductionAcademicnursing researchis crucial to providing quality nursing care because it gives the foundation forevidence-based practice (EBP)that is often the catalyst for changes that impact patient outcomes. Learning to navigate databases to acquire sound evidence is the foundation for writing academic prose that illustrates the learner’s grasp of concepts. It is equally essential for RN-BSN students to learn to format academic writing properly, as well as understand how to avoid plagiarism and its repercussions. In addition, learning how to write without plagiarizing upholds the principle of trustworthiness that is a central element to the professionalism of nursing. Understanding academic research,literature review, scholarly writing, academic integrity, and academic dishonesty are the framework for a baccalaureate education, which also contribute to the professionalism of nursing. Additionally, learning to research relevant nursing topics forms critical-thinking skills necessary to provide excellent patient care.Case StudyJulia, a 52-year-old nurse, returned to school for the first time in 30 years to get her bachelor’s degree at the prompting of her employer. Unfamiliar with writing papers, she had difficulty settling into the academic world. With the help of the university librarian and an online academic writing tutorial, she finished her first three online courses. Because she did not know how to find applicable articles or how to format her papers properly, she barely passed her first course. After completing the third course, the school contacted her to discuss one of her papers. After investigation, the university determined that Julia’s paper was largely plagiarized. An incident report was filed, placing Julia on academic probation. Devastated, Julia admitted that she was not certain what plagiarism truly was, but she certainly had no intention of doing anything dishonest. Julia said that many of her colleagues have spoken about getting papers and advice online and did not see the harm in it or consider it cheating. After thorough counsel from the faculty, Julia learned that the repercussions of such behavior go far past failing courses. She began to understand that plagiarism has a stark impact on the nursing profession and that dishonesty in academia can lead to dishonesty as a professional nurse. Such behavior jeopardizes patient care and can threaten the nursing license that she worked so hard to earn. Julia committed herself to learning how to avoid plagiarism and finding guidance on constructing strong academic papers for the rest of her baccalaureate education to help her uphold and model the principles key to the nursing profession.Academic WritingAcademic writing is the analysis of material and the ability to express understanding in an eloquent and informative way while properly acknowledging sources (Hunker, Gazza, & Shellenbarger, 2014). Nonacademic writing does not use scholarly sources to substantiate claims made within the writing and is written at a more informal level that is easy for any reader to understand. Basics of academic writing, such as style, formatting, spelling, grammar, punctuation, and vocabulary, are often considered common knowledge. These concepts are also worth reviewing if they have faded from memory. In order to feel more prepared to tackle writing assignments with confidence, students often state the need for frequent review of such topics, particularly in the area of applying style and formatting according to the APA Style Manual (O’Brien, Marken, & Bennett Petrey, 2016). In fact, O’Brien, Marken, and Bennett Petrey (2016) discovered that the incorporation of mini studies on basics of writing throughout the length of a course led to improved writing and improved overall student perception related to writing assignments. This echoes the significance of exposure to the fundamentals ofscholarly writingto set up students for success early in the academic process.A well-written, scholarly paper requires more than basic structure; it also needs an educated description of the topic that reflects the student’s critical thinking and comprehension (Borglin, 2012). Such comprehension is a stepping stone to formulating an evidence-based argument to support clinical reasoning in nursing practice and advocate for changes. Another key to this process is the students’ ability to evaluate relevant articles to support and substantiate the claims within their writing. Locating relevant articles is not sufficient; students must also be able to examine and fully understand the articles’ purpose and how it supports their writing (Hunker et. al., 2014). Blended together, these components contribute to the development of scholarly writing that is expected of students attaining a baccalaureate degree.Tools for SuccessThe proper use of onlinedatabasesis crucial to obtaining relevant data that can be used to support the students’ work. Grand Canyon University (GCU) has an online library system that allows for ease of access to such databases, including CINAHL and Ovid. The GCU Student Success Center contains a wealth of knowledge, providing detailed step-by-step processes instructing students on how to conduct effective database searches. Locating credible articles is crucial to substantiating claims made within pieces of academic writing. Information literacy can be defined as the learner’s ability to search for, access, and evaluatepeer-reviewed articles(Brettle & Raynor, 2013). Peer-reviewed articles are research studies that have been evaluated by experts in the field prior to publication.Becoming information literate is a crucial skill for students to master early on to lay a framework for success throughout the baccalaureate program. Throughout the program, students will be challenged to expand their knowledge and expertise by investigating new research and demonstrating their understanding of key concepts through scholarly academic writing and elaboration of ideas in discussion forums. When the basics, such as information literacy, are learned early, the process of academic writing becomes seamless and achievable. Not only is this helpful throughout the program, but it also contributes to the nurse’s ability to understand EBP and its impact on patient care. By learning how to evaluate articles for relevance and credibility, baccalaureate students will have the opportunity to understand EBP changes they see in their daily work during and after their baccalaureate experience.Searching DatabasesAll nursing databases can be found in the “Find Journal Articles” and “Find Databases by Subject” section of the library under “Nursing & Health Sciences.” CINAHL Complete, PubMed, OVID Nursing Essentials, Cochrane Library, Nursing and Allied Health Collection, and ProQuest Nursing & Allied Health Source are recommended nursing databases; of these databases, CINAHL is the most widely recommended. The strategy when conducting research is to first identify the main concepts or keywords in the topic. Enter each concept in a separate search box. Then, add synonyms where possible to retrieve more search results. There are three Boolean operators that are used when searching in most library databases: AND, OR, and NOT. AND is used between each search box to connect different concepts. When using AND in a search, it will return results that use all keywords. OR is used to add synonyms, or similar keywords, to the search. Using OR in a search will return results that use at least one of the keywords provided. NOT is used to exclude keywords. Using NOT in a search will exclude the keyword provided from the results. When searching databases, using the truncation symbol (*), commonly referred to as an asterisk, can also be helpful in narrowing down search results. Truncation is used to include all possible endings on the end of the root word. For example, complian* will return results with the keywords compliance and compliant. Nurs* will return results that use the keywords nurse, nursing, nurses.Scholarly writing requires students to support their research with current evidence published in reputable sources. When searching a database, students should click on the box limiting the search to only peer-reviewed journals. Students can limit search results to specific ranges of publication years as well. Typically, it is best practice to use articles that are no more than 5 years old; however students should check with their instructors to learn of any course specific requirements in terms of acceptable publication years.Common Research Topic ExamplesTopic: Hand hygiene compliance to reduce the rate of infection1st Search Field: hand wash*2nd Search Field: AND compliant*3rd Search Field: AND infectionAnother way to search for this topic could include the following terms and operators:1st Search Field: hand hygiene2nd Search Field: AND adherence3rd Search Field: AND infectionTopic: Preventing diabetes through patient education1st Search Field: diabet*2nd Search Field: AND prevent* OR reduc*3rd Search Field: AND educat*Topic: Nurse shift reports to increase patient safety1st Search Field: nurs*2nd Search Field: AND shift report* OR handoff OR hand off OR bedside report*3rd Search Field: AND safe*Review of the AbstractAfter searching, the student can begin looking through the results to select which articles are most relevant to their topic of interest. Reading the subject line of each article is not enough to understand whether the article has the type of material the student may need. This is when reviewing the abstract comes in handy. The abstract gives a brief overview regarding the article’s content and design. In this way, students can get a basic understanding of whether this article is a good fit to support their topic.Figure 1.1Abstract ExampleWriting and EditingOnce the appropriate articles are found, they must be read and reviewed for topics and facts that can be used to support the paper’s main points. Finding just the right words to express ideas on a given topic can be difficult, particularly when unsure about how to best explain challenging concepts, properly cite sources, or correctly format the information according to APA style (O’Brien, Marken, & Bennett Petrey 2016). The greatest guidance possible for a student is to use every resource offered to help make the writing process easier. GCU’s Writing Center offers resources for students preparing to write an academic paper, including a step-by-step overview of writing academic papers, and example papers for reference. Learning to write scholarly papers enables students to demonstrate their understanding of concepts while growing in their ability to communicate effectively. Students concerned about the amount of writing required in a baccalaureate program can rest assured that most students acclimate to the challenge and are eventually able to write excellent academic prose.Frequently reviewing and editing content helps students ensure that they are developing readable content that conveys the information as intended. Tools such as Microsoft Word’s grammar and spell check can help students to catch typos and grammatical errors; however, repeatedly reading and reviewing the content will ensure errors are located and fixed before submission. Reviewing the content also ensures that topics and paragraphs flow and transition from one to the next. Peer review is also an excellent way of fine-tuning completed work and eliciting ideas that can make for a more well-developed paper. The expertise of knowledgeable peers can give students a new perspective on the topic, broadening their understanding and helping to add depth to their prose (Doncliff, 2016).Example of a Well Written ParagraphThe evidence regarding the effectiveness of clinical education models for undergraduate nursing programs is notably limited due to a lack of high quality studies and a lack of important student learning outcome measures. This systematic review found limited evidence that the clinical facilitator model is preferable to the preceptor model based on students’ preference and learning outcomes. It is evident that CEU model provided greater engagement and an enhanced learning environment compared with a standard facilitation model. However, this finding should be applied with caution due to the quality of the included studies. There is clearly a need for well-planned high quality studies to examine the effectiveness of different clinical placement models to provide best evidence-based practice in nursing education. (Jayasekara et al., 2018)FormattingFormatting documents according to the APA manual is crucial for students. APA is a writing style developed as a best practice for academic papers and is commonly required for use when writing papers in collegiate programs (Purdue Online Writing Lab, n.d.). Students should use the GCU library resources and GCU’s APA Style Guide, located on the Student Success Center. The APA manual includes information on how to format elements of a paper, such as headings, spacing, and indentations, as well as how to correctlyreference, cite, and paraphrase sources of information. Omittingcitationsand poorlyparaphrasingsources happens frequently and often leads to unintentionalplagiarism. Plagiarism is a growing concern in education and has high incident rates in nursing education (Smedley, Crawford, & Cloete, 2015). Though colleges are using plagiarism prevention platforms, such as Turnitin, to check students’ work for plagiarized material, plagiarism remains a significant issue.Academic HonestyThe issue ofintegrityis central to the world of nursing. Nurses are looked to as esteemed members of health care and society. Nurses are trusted to provide holistic and professional care to members of the community who are at their most vulnerable. In fact, according to an annual Gallup survey (2016) that looks at public trust in professionals, nurses have been ranked Number 1 as the most trusted profession for 15 years in a row (Norman, 2016). Integrity and honesty are crucial elements in upholding that reputation (Glasper, 2016). These defining characteristics are built during the education process. With that in mind, it becomes clear thatacademic integrityis the pathway to professional integrity as a nurse (Glasper, 2016).It is essential to understand and recognizeacademic dishonestybecause academic behaviors lay the framework for upholdingprofessionalismas a bedside nurse. Lack of integrity and dishonesty has been shown to lead to poor decision making at the bedside, which leads to poor patient outcomes and decreased patient satisfaction (Morgan & Hart, 2013). In fact, studies have found a direct correlation between not upholding academic integrity and dismissing professional policy in the workplace (LaDuke, 2013). This link cannot be overlooked, as it directly correlates to attributes required and expected of professional nurses. Additionally, it supports the thought thatethicalbehaviors are learned early on and affect behavior at the bedside, directly impacting patient care and outcomes (Coffey, Zitzelsberger, & Anyinam, 2014). For instance, if students see no fault in committing plagiarism throughout their educational journey, they may see no fault in falsely documenting assessment data or details of a patient interaction. The repercussions of omitting sensitive assessment data within the patient chart could lead to a complication going unnoticed that could ultimately lead to harmful complications for the patient.Going back to the case study at the beginning of the chapter, it had been many years since Julia was in school. She was working full time as a bedside nurse and going to school, all of which added stress and pressure to her personal and professional life. This could also be a determining factor for why plagiarism occurred. Typically, in cases of plagiarism, the student is extraordinarily remorseful and fully committed to rectifying the situation. Despite these alarming statistics and inquiries, providing resources to students to help avoid this dilemma becomes the correct focus.Patient with Acute Kidney InjuryAt the end of the shift, a nurse was working to complete patient charts, including one patient’s hourly urine output. The nursing assistant emptied the patient’s Foley catheter but did not record the number or tell the nurse what she projected the urine output to be. The nurse is tired after a long shift, so she decides to make up a number so she can finish charting and get home. She lies and documents the total urine output for the shift as 500cc. The physician making rounds notes the output and sees no issue. When the nurse returned to work the following night, the patient is being placed on hemodialysis. The nurse from the previous shift told her the patient’s urine output was critically low, only 5–8cc per hour all day, and the patient’s blood urea nitrogen (BUN) and creatinine levels continued to rise despite best efforts to aggressively rehydrate him.The situation could have had a much different outcome if the nurse had taken it upon herself to document the appropriate assessment findings accurately instead of lying. Though seemingly rare, such circumstances may occur more often than realized. These outcomes lead to a lack of trust from the public and diminished perception of the nurses’ professionalism.PlagiarismPlagiarism is the use of another’s words or ideas without clear identification of the source (Price, 2014). Plagiarism can occur intentionally and unintentionally. Intentional plagiarism involves a person who knowingly copied the work of another individual and purposefully omitted credit to the original author to take credit for the ideas. Unintentional plagiarism usually involves ignorance and poor writing, paraphrasing, and referencing skills (de Souza, 2016). In general, cheating is seen as common among college students, and many do not see it as wrong (LaDuke, 2013).Studies have shown that plagiarism, particularly among nursing students, is a growing concern and has a host of repercussions that do not solely affect the education process. Nursing is a profession based on ethics, integrity, and trust; committing plagiarism is a direct insult to such an esteemed profession. Plagiarism can affect student performance and impact EBP created to affect change in patient care (LaDuke, 2013). Such behaviors are contrary to the Code of Ethics for Nurses, which summarizes the importance of maintaining and modeling exemplary behaviors such as honesty and integrity.Table 1.1Plagiarism ExampleSourceHeinich, R., Molenda, M., Russell, J. D., & Smaldino, S. E. (1999).Instructional media and technologies for learning.Upper Saddle River, NJ: Prentice-Hall.Original Source MaterialConstructivism is a movement that extends beyond the beliefs of the cognitivist. It considers the engagement of student in meaningful experiences as the essence of learning. The shift is from passive transfer of information to active problem solving. Constructivists emphasize that learners create their own interpretations of the world of information.Plagiarized VersionConstructivists do not hold views entirely opposed to those of the cognitivists. The position of constructivists extends beyond the beliefs of the cognitivist.ReferenceHeinich, R., Molenda, M., Russell, J. D., & Smaldino, S. E. (1999).Instructional media and technologies for learning.Upper Saddle River, NJ: Prentice-Hall.Correct VersionConstructivists do not hold views entirely opposed to those of the cognitivists. The position of constructivists “extends beyond the beliefs of the cognitivist” (Heinich, Molenda, Russell, & Smaldino, 1999, p. 17).ReferenceHeinich, R., Molenda, M., Russell, J. D., & Smaldino, S. E. (1999).Instructional media and technologies for learning.Upper Saddle River, NJ: Prentice-Hall.Note. Adapted from “How to Recognize Plagiarism” by Indiana University Bloomington, School of Education, 2014. Copyright 2014 by the Indiana University Bloomington, School of Education.Why Do Nursing Students Plagiarize?Studies have found that plagiarism among nursing students is usually the result of their unfamiliarity with writing and the pressure they feel to get work completed while balancing a full plate of responsibilities (Morgan & Hart, 2013). Research has discovered that up to “94% of nursing students have seen another student cheat,” (LaDuke, 2013, p. 402). Other studies have indicated a connection to online programs and the lack of face-to-face interaction as a direct factor in upholding academic integrity (Morgan & Hart, 2013). Also, the amount of work expected within the nursing program is staggering; one study indicated that, “in nursing, there is a higher proportion of essay material required for students to produce than in other types of healthcare courses,” (de Souza, 2016, p. 19). Most RN-BSN students continue to work full time, attend classes, and balance a full family/home life, which can lead to an elevated level of anxiety that could then lead to unethical academic behavior (Hidle, 2014). These elements all contribute to the rise of unethical student behaviors in nursing education.ParaphrasingOne of the most significant contributors to plagiarism is the ineffective use of references and paraphrasing (Hunker, et al., 2014).Merriam Websterdefines paraphrasing as, “a restatement of a text, passage, or work giving the meaning in another form” (Paraphrase, n.d.). Paraphrasing is putting something found within a source into one’s own words versus directly quoting the work. While the use of paraphrasing may seem straightforward, it has become apparent that its misuse can be a big contributor to plagiarism (Rogerson & McCarthy, 2017).Paraphrasing is a useful skill and can beautifully convey the writer’s understanding of a topic; however, changing a few words or using synonyms and expecting the result to be considered paraphrasing is insufficient. Proper paraphrasing involves synthesizing the given material and being able to reiterate in a way that exemplifies its meaning as well as giving credit to the original author with proper citation.Summarizationis similar, requiring proper credit to the original work’s author but may reflect a more basic overview of the material (Eberle, 2013).Table 1.2Poor vs. Correct ParaphrasingOriginal Quote“New tracks aside, the challenge is at the bare minimum to bring light and air into this underground purgatory and, beyond that, to create for millions of people a new space worthy of New York, a civic hub in the spirit of the great demolished one, more attuned to the city’s aspirations and democratic ideals” (Kimmelman, 2012, para. 10).Poor ParaphraseBesides replacing the railroad tracks, the toughest part is to at least bring air and light to Penn Station. Millions of people in New York are deserving of a new civic hub, constructed in the same essence of the one that was leveled so many years ago. Moving forward with such a development ties in with the city’s enthusiasm for beauty and architectureEffective ParaphraseOne of the biggest issues facing Penn Station’s revitalization is developing a brighter, airier space. It is an abysmal “underground purgatory,” (Kimmelman, 2012, para. 10) and with so many New Yorkers and tourists traveling in and out of its doors every day, it should be reconstructed to better reflect the endeavors and passions of the city.Note. Adapted from “An Example of an Effective Paraphrase” and “An Example of a Poor Paraphrase” by EasyBib. Copyright EasyBib.Students should also take caution when searching the Internet for tools or websites that may help develop paraphrasing material. The explosion of technological advancements and ease of access to these types of programs has made the opportunity for cheating or plagiarizing more appealing to students (Rogerson & McCarthy, 2017). Often these types of sources lead to plagiarizing and high similarity scores when papers are submitted to plagiarism prevention software such as Turnitin (Price, 2014). The best practice is for students to comprehend fully what scholarly writing involves and work to master the skill of writing scholarly papers, including accurately paraphrasing and avoiding plagiarism of material (Hunker et al., 2014). Avoiding plagiarism begins with understanding what it is, the consequences of the offense, and how it impacts the nursing profession.Online Learning PlatformsAstechnologycontinues to advance and shape the future, it is evident that education will be affected along with it.Online learninghas become commonplace, and its development continues to grow exponentially as the demand for flexible higher education choices continues to flourish. With that in mind, students must be mindful of the risks that online education delivers. Access to a large variety of sources through the Internet makes plagiarism and unethical academic practices easier than ever before. While acts of intentional plagiarism are less frequent, it is not uncommon for students to attain work from each other and even opt to purchase papers from sources providing such services. While the thought is reprehensible to some, the prospect of passing courses and getting through what may be considered an obligatory degree may prompt these behaviors. These acts are not only dishonest, but also a direct reflection of personal morality and the overall integrity of the nursing profession (Ganske, 2010).Plagiarism Prevention SoftwareAs universities acclimate to the growing trends seen in education, there has been an influx of the use of plagiarism prevention software, such as Turnitin. These programs aim to reduce the incidences of plagiarism by comparing material submitted to existing works to catch gross negligence before students submit their assignments. While these types of programs are helpful to avoid large errors, they are not to be used in place of individual edits and review. These platforms are notorious for their inability to identify basic synonym replacements, as well as an inability to determine the use of an online paraphrasing tool within the work, both of which can constitute plagiarism (Rogerson & McCarthy, 2017). Students should understand that there are limitations to technology and review their work and have it peer reviewed for clarity and errors that can be edited before final submission.Nurses are members of a profession in which being an expert is essential to providing thorough care (Glasper, 2016). Plagiarism and/or inappropriate use of paraphrasing may indicate a lack of understanding of the material, suggesting that the student may not fully grasp the concepts presented (Eberle, 2013). This, in turn, could lead to a population of nurses who may have achieved a baccalaureate degree without fully appreciating or applying the knowledge they worked so hard to attain. Also, the inability to thoroughly evaluate and understand presented concepts may lead to an inability to appreciate latest EBP and its implications for nursing practice.EBP: Implications for Nursing PracticeEBP uses the latest evidence to drive change to patient care policies and procedures to optimize patient outcomes (Brower & Nemec, 2017). A proper understanding of EBP and its influence is critical for nurses to make decisions that fully impact patient care; therefore, it is evident that scholarly writing influences the nursing profession.EBP is the driving force behind many practice revisions and updates in nursing (Stevens, 2013). From the time nursing students begin their education, the concept of EBP and its vital necessity in nursing practice is reiterated time and again. EBP drives nurses to increase their critical-thinking skills, observing and processing information as they practice and brainstorming ideas to make improvements. EBP takes nurses from being task-oriented to being educated problem solvers who use the scientific process to make relevant changes that impact their patients’ care and outcomes (Brower & Nemec, 2017). A report from the Institute of Medicine (IOM) (Olsen, Aisner, & McGinnis, 2009) stated that, “by 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information and will reflect the best available evidence,” (p. 9). Following the IOM recommendations, most facilities base their patient care protocols on EBP to render optimal patient care outcomes. EBP is essential to nursing practice and is at the forefront of improving patient care.Quality Improvements and Patient OutcomesEBP is the foundation on which quality improvements are made, thus directly impacting patient outcomes. Experienced nurses can see these changes regularly occurring in their daily practice. EBP has the power not only to increase positive patient outcomes, but it also gives nurses a voice and the ability to help create sustainable changes in nursing. The ability to understand EBP’s importance and how its integration impacts nursing is an element of critical thinking that can be attained by learning to construct scholarly papers and being able to glean and apply knowledge presented throughout the baccalaureate program. The correlation and impact of these elements and what they mean for nursing cannot be overlooked. These skills are the foundation for fully appreciating knowledge gained in higher education (Stevens, 2013).Application of Evidence in Nursing PracticeAfter evaluating evidence, it became apparent that making small changes for ventilated patients decreased their overall rates of acquiring pneumonia. A ventilator acquired pneumonia (VAP) prevention protocol was created and implemented that included small practice changes such as maintaining the patient’s head of the bed at 30 degrees at all times, administering a chlorhexidine mouthwash twice a day, and administering a peptic ulcer prophylactic medication daily. These implementations led to a remarkable decrease in the occurrence of VAP, thus markedly improving patients’ overall outcomes (DeJuilio, Rivera, & Huml, 2012).LeadershipLeadership is a defining factor in nursing. Nurses assume the responsibilities of a leader in day-to-day practice regardless of formal role. Nurses lead by delegating tasks to other members of the health care team, as well as managing their patients overall care throughout a given shift. Effective leadership is rooted in ethical behavior; therefore, the element of academic integrity is a stepping stone to becoming an effective nurse leader. Hallmarks of nursing, including honesty, integrity, morality, and professionalism, are all traits of leaders as well. Nurses also have the continued opportunity for growth and career advancement into formal leadership roles such as nurse managers and supervisors. It is essential that nurses consider their ethical behavior and use it as a framework for their developing career as a nurse (Morgan & Hart, 2013). Doing so contributes to personal growth as well as the development of professionalism in nursing.Reflective SummaryScholarly writing is not just another hurdle to get through during the education process. Scholarly writing plays a significant role in the learning process and the overall comprehension of knowledge and has a direct effect on the nursing profession. The development of necessary skills, including formatting, are necessary to become a more proficient writer and effective communicator. Essential in this process is the understanding of plagiarism and cheating and its direct impact on the professional integrity of the nursing profession. Given the proper guidance and tools, students can overcome these academic challenges and become effective writers who succeed in advancing their professional goals.Key TermsAcademic Dishonesty:The use of unauthorized assistance to complete assignments or deceive faculty and colleagues to pass a course or complete a program of study.Academic Integrity: The upholding of moral and ethical values, such as honesty and integrity, when completing assigned academic work.Citation:Method of attribution writers use to identify the source of information being used in their own work.Database:A large collection of data organized especially for rapid search and retrieval.Ethical:Concepts and beliefs regarding right, good, law-abiding, honest, and respectable behaviors; regarding moral values.Evidence-Based Practice (EBP):The integration of clinical expertise, the most up-to-date research, and patient’s preferences to formulate and implement best practices for patient care.Integrity:The quality of being honest and having strong moral principles; moral uprightness.Literature Review:Evaluative report of scholarly articles that support the primary subject of the work being written.Nursing Research:A detailed systematic study of a problem in the field of nursing. Nursing research is practice- or discipline-oriented and is essential for the continued development of the scientific base of professional nursing practice.Online Learning:Formalized teaching method using technological platforms to deliver content to students.Paraphrasing:To express content written by another writer using different words, especially to achieve greater clarity.Peer-Reviewed Articles:Research studies that have been evaluated by experts in the field prior to publication.Plagiarism:The practice of taking someone else’s work or ideas and passing them off as one’s own.Professionalism:The competence, skills, and exhibited behavior of a set of trained workers (e.g., nurses, doctors, engineers).References:Crediting scholarly sources within written work and within the reference section or bibliography of a scholarly paper.Scholarly Writing:The process of writing based on careful thought, research, and applying learned concepts.Summarize:To give a brief statement of the main points of something.Technology:Methods, systems, and devices that are the result of scientific knowledge being used for practical purposes.ReferencesPurdue Online Writing Lab. (n.d.). APA Style Workshop. Retrieved from: https://owl.english.purdue.edu/owl/resource/664/1/Borglin, G. (2012). Promoting critical thinking and academic writing skills in nurse education.Nurse Education Today, 32(5), 611-613. doi:10.1016/j.nedt.2011.06.009Brettle, A., & Raynor, M. (2013). Developing information literacy skills in pre-registration nurses: An experimental study of teaching methods.Nurse Education Today, 33(2), 103-109. doi:10.1016/j.nedt.2011.12.003Brower, E. J., & Nemec, R. (2017). Origins of evidence-based practice and what it means for nurses.International Journal of Childbirth Education, 32(2), 14-18.Coffey, S., Zitzelsberger, H., & Anyinam, C. (2014). Academic integrity leads on to ethical practice.Nursing Standard, 29(4), 68.de Souza, J. (2016). The plagiarism problem—reflections on plagiarism and nursing students.HLG Nursing Bulletin, 36(1), 18-23.DeJuilio, P. A., Rivera, S. J., & Huml, J. P. (2012). A successful VAP prevention program.RT: The Journal for Respiratory Care Practitioners, 25(6), 26-29.Doncliff, B. (2016). The peer-review process in scholarly writing.Whitireia Nursing & Health Journal, 23, 55-60.Eberle, M. (2013). Paraphrasing, plagiarism, and misrepresentation in scientific writing.Transactions of the Kansas Academy of Science 116(3-4), 157-167. doi:10.1660/062.116.0310Ganske, K.M. (2010) Moral distress in academia.OJIN: The Online Journal of Issues in Nursing, 15(3). doi: 10.3912/OJIN.Vol15No03Man06Glasper, A. (2016). Does cheating by students undermine the integrity of the nursing profession?British Journal of Nursing, 25(16), 932-933.Hidle, U. (2014). The lived experience of associate degree nursing students intending to pursue the RN-BSN.International Journal of Nursing Education, 6(1), 249-253. doi:10.5958/j.0974-9357.6.1.051Hunker, D. F., Gazza, E. A., & Shellenbarger, T. (2014). Evidence-based knowledge, skills, and attitudes for scholarly writing development across all levels of nursing education.Journal of Professional Nursing, 30(4), 341-346. doi:10.1016/j.profnurs.2013.11.003Jayasekara, R., Smith, C., Hall, C., Rankin, E., Smith, M., Visvanathan, V., & Friebe, T. (2018). Review: The effectiveness of clinical education models for undergraduate nursing programs: A systematic review.Nurse Educationin Practice, 29, 116-126. doi:10.1016/j.nepr.2017.12.006Kimmelman, M. (2012). Restore a gateway to dignity.The New York Times. Retrieved from http://www.nytimes.com/2012/02/12/arts/design/a-proposal-for-penn-station-and-madison-square-garden.html.LaDuke, R. D. (2013). Academic dishonesty today, unethical practices tomorrow?Journal of Professional Nursing, 29(6), 402-406. doi:10.1016/j.profnurs.2012.10.009Morgan, L. & Hart, L. (2013). Promoting academic integrity in an online RN-BSN program.Nursing Education Perspectives, 34(4), 240-243. doi: 10.5480/1536-5026-34.4.240Norman, J. (2016). Americans rate healthcare providers high on honesty, ethics. Retrieved from: http://news.gallup.com/poll/200057/americans-rate-healthcare-providers-high-honesty-ethics.aspxO’Brien, S. P., Marken, D., & Bennett Petrey, K. (2016). Student perceptions of scholarly writing.The Open Journal of Occupational Therapy, 4(3). doi: http://dx.doi.org/10.15453/2168-6408.1253Olsen, L., Aisner, D., & McGinnis, M. (Eds.). (2009). The learning healthcare system: Institute of Medicine roundtable on evidence-based medicine—Workshop summary. Washington DC: National Academies Press.Paraphrase. (n.d.). InMerriam-Webster’s online dictionary(11th ed.). Retrieved from https://www.merriam-webster.com/dictionary/paraphrasePrice, B. (2014). Avoiding plagiarism: guidance for nursing students.Nursing Standard, 28(26), 45-51.Rogerson, A., & McCarthy, G. (2017). Using Internet based paraphrasing tools: Original work, patch writing or facilitated plagiarism?International Journal for Educational Integrity, 13(1), 1-15. doi:10.1007/s40979-016-0013-ySmedley, A., Crawford, T., & Cloete, L. (2015). An intervention aimed at reducing plagiarism in undergraduate nursing students.Nurse Education in Practice, 15(3), 168-173.Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas.OJIN: Online Journal of Issues in Nursing, 18(2). doi:10.3912/OJIN.Vol18No02Man045 years ago27.08.20205Report issueAnswer(1)Audrey Niles Phd4.3(20)(Not rated)ChatPurchase the answer to view itDISCUSSQUESTIONACADEMICINTEGRITY.doc5 years agoplagiarism checkPurchase $5Bids(96)Discount AssignProf Double RPremiumwriter respectProf James KelvinBridget YoungAmanda SmithPapersGuruNightingaleTutor Cyrus KenEARNESTWRITERRosie SeptemberProfRubbsbrilliant answersMichelle Geekrunge-kutta acerKelly JacobsProf. Eliud PetersonDexterMastersYourstarother Questions(10)essayHistory test week 6week 10 acc 571I need help with this!!Assignment 1: Capturing Customers with the Right Message for the Right Product at the Right Place with the Right Price at the Right TimeAssignment 4Pad 520 Week 7 assignment 3BSHS 325 Week 5 Individual Macro Systems PaperMGT 311 Week 4 Learning Team ReflectionAssignment

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Serum1

Home>Homework Answsers>Nursing homework helpdiscussion postAn 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:The role genetics plays in the disease.Why the patient is presenting with the specific symptoms described.The physiologic response to the stimulus presented in the scenario and why you think this response occurred.The cells that are involved in this process.How another characteristic (e.g., gender, genetics) would change your response.Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.5 years ago02.09.202010Report issueAnswer(0)Bids(101)Dr. Sophie BlakeBRIGHT MIND PROFProf Double RPremiumGreat-WritersDr. Ellen SmartHELPER WRITERQuality AssignmentsProf James KelvinDr. Michelle_KMMiss_AqsaProf Bila ShakaFortifiedAmanda SmithCotton CandyNightingaleTutor Cyrus KenEmily ClareYourstarEARNESTWRITERShow All Bidsother Questions(10)Define the basic elements of the theory of communication and the communicationFOR APLUS WRITER ONLY!!!!!! APLUS WRITER ONLY!!!!!!!!!!helpMKT 501 Module 3 SLPNurs 6541 week 7 quizModule 2 French QuestionsRead the two articles and write responses for each articles by specifying what your opions and views are, and adding additional points to the articles by reading the references of the articles listed below for each.aviation laweconStudy

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Evidence-Based Practice in CDS and Quality Improvement

Home>Homework Answsers>Nursing homework helpurgentThe AssignmentPart 1: Literature Review MatrixSubmit your completed Literature Review Matrix that contains the four research articles you researched and reviewed.Part 2: Clinical Decision Support (CDS) RecommendationDevelop a 10- to 12-slide PowerPoint presentation in which you present your research and data to support your clinical decision support (CDS) recommendation for quality improvement.Based on your research, address the following in your presentation:Synthesize your findings from your four articles, focusing on applicable models and/or theories relevant to CDS, quality improvement in your workplace, and on applicable evidence-based practice in nursing.Recommend CDS or information to consider in clinical decision making and explain your rationale for the recommendation. Be specific.Justify your recommendation. Be specific and provide examples.Recommend how you would address possible limitations or challenges, including:Explain how you would avoid alert fatigue.Explain under what conditions you would allow an override to an alert.Explain how you would monitor compliance.Identify factors that might contribute to continuous overrides.Justify conditions under which an override may be necessary.Provide references in APA style at the end of your presentation—the reference slide or slides do not count toward your assignment total.************************THE ARTICLES ARE ALREADY ATTACHED TO THE MATRIXMatrix2.xlsPowerpoint.ppt5 years ago15.09.202027Report issueAnswer(1)ProCastrol014.8(112)4.8(21)ChatPurchase the answer to view itNOT RATEDAnalysisFNL.xlsOVERRIDE1.pptm5 years agoplagiarism checkPurchase $27Bids(103)MARTHA92_PHDTopanswersDr.Marie_MicheleMichelle GoodManDiscount AssignGrace GradesDiscount AnsDiscount AnsAshliey WriterDr. Ellen SmartYourStudyGuruDr. Michelle_KMProf Bila ShakaDr. Amanda_KMMiss_AqsaAmanda SmithDr. BeneveNightingaleTutor Cyrus KenQuickly answerother Questions(10)5ASAPHow does this work? I need help writing an explication of a poem.Englsih SummaryMH-04XBCOM 275 Week 4 Assignment Article RebuttalPOS 110 Assignment Bureaucracy and YouHSM 230 Week 2 Code of Ethics AnalysisBUS 610 Week 5 Understanding and Coping with Changewrite two pages dable space about two company. it sounds easy.Assignment 3

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561 Community Paper A and B part.

Home>Homework Answsers>Nursing homework helpgood qualityApa StyleReferences( follow paper instruction)Free plagiarism561PaperweekpartAandB.docx5 years ago23.09.202040Report issueAnswer(1)Quality Assignments4.9(2k+)4.9(258)ChatPurchase the answer to view itNOT RATEDObesityPreventioninadolescents1.docxAccordingtothepreviousNASWreport1.docx5 years agoplagiarism checkPurchase $40Bids(118)Dr CloverMARTHA92_PHDDoctor.NamiraDiscount AssignMUSYOKIONES A+RihAN_MendozaGrace GradesAshliey WriterYourStudyGuruProf Double RHELPER WRITERProf James KelvinQuality AssignmentsEmily ClareProf Bila ShakaMiss_AqsaPremiumAmanda SmithCotton CandyOriginal Gradeother Questions(10)Corporate FinanceProf. MacqueenBA 430 Case Study 8.1 Sour Grape Ice CreamWeek 3 Discussion 1 MGT 505CompletedPrecision Machines Part 1Larceny/Murder PaperECO 561 Week 1 DQ 2WRITINGHelp with assignment in aleks website.

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2Replies

Home>Homework Answsers>Nursing homework helpAPAurgentFirstComparison of Virginia, Maryland and District of Columbia APRN RegulationsThe region of Virginia in which I live is locally known as “the DMV” (the abbreviation for District/Maryland/Virginia). It is common for many practitioners to live in one jurisdiction and practice in another. For this reason, I chose to compare the three jurisdictions.According to the American Association of Nurse Practitioners, an APRN’s practice is restricted in Virginia. However, in the District and Maryland, APRNs may practice to their full scope of education and experience. Two differences I noted were in regulating agencies and in prescriptive authority. In Virginia, APRNs are regulated jointly by the Board of Nursing and the Board of Medicine. In contrast, in the District and Maryland, the respective Boards of Nursing are the only regulatory agencies.Regarding prescriptive authority, in Virginia, in order for a nurse practitioner (other than a nurse anesthetist or midwife) to have autonomy in practice, one must have practiced in a restricted capacity for at least five years (9000 hours). Also, nurse practitioners may only prescribe Schedule II – V medications in partnership with a physician. In the District, APRNs have full prescriptive authority (DC Health), and in Maryland, full prescriptive authority includes prescribing medical marijuana (Maryland Board of Nursing).Loversidge (2019), in addressing the regulation of Advanced Practice Registered Nurses (APRNs), proffered that it “has been inconsistent because…states [have] the right to establish laws governing professions and occupations” (p. 65). As a note of interest regarding practicingRNs, the District does not participate in the Nursing Licensure Compact either, and an RN that wants to practice in DC must obtain a separate DC-specific license. In a region as geographically close as the DMV, especially during health-related crises, collaboration among the three regions Boards of Nursing could allow for scope expansion of a Virginia-licensed APRN. In the meantime, it is essential for APRNs crossing borders into other jurisdictions to familiarize themselves with the regulations of each in order to adhere to both prescriptive authority and other regulations.ReferencesAmerican Association of Nurse Practitioners. Retrieved September 28, 2020, fromhttps://www.aanp.org/advocacy/state/state-practice-environmentDC Health, Nursing Regulations, Nurse Practitioners. Retrieved September 28, 2020, fromhttps://dchealth.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/Chapter%2059%20Nurse-Practitioners.pdfLoversidge, J.M. (2019). Government response: regulation. In J. A.Milstead, & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 57-86). Burlington, MA: Jones & Bartlett LearningMaryland Board of Nursing Scope and Standards of Practice. Retrieved September 28, 2020, fromhttp://www.dsd.state.md.us/comar/comarhtml/10/10.27.07.03.htmVirginia Department of Health Professions Board of Nursing. Retrieved September 28, 2020, fromhttps://www.dhp.virginia.gov/media/dhpweb/docs/nursing/leg/NursePractitioners.pdfSecondAPRN Board of Nursing Regulations in Texas and Florida.Most states in the U.S of America have similar and different regulations to govern APRN in their practice acts because of the complexity of the health care system. According to Milstead & Short (2019), “Regulation means to control over something by rule or restriction, and health professions regulation is needed as a mechanism to protect the interest of the public safety (p. 60). Each states Board of Nursing in the U.S put in place regulations to protect the public of interest because of the potential risk for harm so that APRN can be held accountable and responsible of any rules that are outline in the practice acts. In Texas, to renew APRN license, applicant must completed an APRN educational program, attest to having a minimum of 400 hours of current practice within the preceding biennium, and attest to being in compliance of continuing competency and APRN with prescriptive authority (Office of the Secretary of States, n.d). In Texas, APRN with full valid prescription authorization number can obtain authority to order or prescribe control substance in Schedule II, III through V. Prescription for controlled substance in Scheduled III through V including refill of the prescription shall not exceed 90 days’ supply, beyond the initial 90 days the refill prescription cannot be authorized, and prescription of the controlled substance in Schedule III through V for child less than two years of age can not be authorize prior to consultation with delegating physician and notation of consultation in the patient’s chart (Office of the Secretary of States, n.d). This regulation enables the APRN to follow the guidelines when prescribing certain categories of control substance.In Florida, to renew APRN license, the applicant must prescribe up to 30 hours of continuing education biennially as a condition for renewal of a license or certificate, must complete at least 3 hours of continuing education on the safe and effective prescription of controlled substances, and complete a 2-hour continuing education course on human trafficking. In Florida, APRN has been granted legal authority to prescribed drugs listed as controlled substance subject to approval by their supervising Practioner, will need mid-level Practioner DEA registration, APRN cannot prescribe more than 7-day supply of Schedule II control substance except the APRN is a psychiatric nurse who only can prescribe 7-day supply of Schedule II controlled substance that is mental health drugs, and ARNPs who are not psychiatric nurses cannot prescribe psychiatric mental health controlled substances for children younger than 18 years of age (Akerman LLP – Health Law Rx, 2016).Regulations for Advance Practice Registered Nurse (APRNs): Legal Authority to      PracticeAmerican Health care delivery system is face with so many complex issues which requires adequate access to health care for positive health outcome. There is a barrier to health delivery because of shortage of health care providers in the U.S and these are affecting millions of Americans to seek health care at their convenient time. Every year, foreign immigrants, people living in rural areas, lower-middle class citizen find it difficult to access health care due to race, color, ethnicity, nationality, sexual orientation or socioeconomic status. Granting APRN full legal authority to practice without limitation can help resolve the issue of the barriers facing health care delivery system in the U.S. Some states allow APRNs to practice independent without physician supervision to lessen the high demands of their health care delivery system while other states are still deliberately on the issue. In 2017, 15 states report that NPs are regulated solely by a BON and have independent scope of practice and prescriptive authority without physician supervision, delegation, consultation, or collaboration… (Milstead & Short, 2019 p.63). If an APRN with full legal right to practice moved to another states with limitation, the APRN must abide to the regulations of the new states when it comes to renewal of license and prescription of some categories of control substance. For example, Texas regulation requires APRN to obtain authority to prescribe control substance in Schedule II, III through V, the APRN with legal right to practice independently must abide to the rules of Texas with no exception to the law because the APRN is within the jurisdiction of the new states.ReferencesAkerman LLP – Health Law Rx. (2016). Deciphering Florida’s New Laws on ARNP and PA Controlled Substance Prescribing. Retrieve from: https://www.jdsupra.com/legalnews/deciphering-florida-s-new-laws-on-arnp-25553.Milstead, J & Short, N. (2019). Health Policy and Politics: A Nurse’s Guide. Government Response: Regulation. p. 60, 63, 6th edition. Burlington. MA. Jones & Bartlett Learning.Office of Secretary of States. (n.d). Texas Administrative Code. Retrieve from:https://texreg.sos.state.tx.us/public/readta1c$ext.ViewTAC?tac_view=3&ti=22&pt=115 years ago30.09.20207Report issueAnswer(1)MUSYOKIONES A+5.0(21k+)5.0(4k+)ChatPurchase the answer to view itNOT RATEDREPLy.docresponse.pdf5 years agoplagiarism checkPurchase $7Bids(81)Prof Double RMUSYOKIONES A+Ashliey WriterGreat-WritersTutor Cyrus KenMiss_AqsaPremiumProfRubbsAmanda SmithEARNESTWRITERwizard kimYourstarbrilliant answersrunge-kutta acerWIZARD_KIMprof bradleyProf. Eliud PetersonAmerican TutorDexterMastersTutor_Supremoother Questions(10)Aggregate QueriesPHI103 Week 1 DiscussionImplications for Social Change and the Significance of the Study, and Ethics of Social Change2 pagesnot HWWWW this is for ToniskyNagel’s argument that hostility or aggression should be directed at its true object means that which of the following…Introduction to Security and Risk ManagementFINANCIAL MANAGEMENT #6Rizwan – privateFor account tutor only

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nursing multidimensional care2

Home>Homework Answsers>Nursing homework helpentModule 02 Discussion – Multidimensional Care of the Cancer PatientCancer is one of the leading causes of death in both men and women. Caring for the cancer patient and family requires a multidimensional approach.What does it mean to provide a multidimensional approach? What are some examples of how the care team can meet the patient and the family’s needs? Who are the members of the care team and how are they involved in providing multidimensional care?5 years ago13.10.202010Report issueAnswer(1)Tutor Cyrus Ken4.9(5k+)4.9(1k+)ChatPurchase the answer to view itTurnitinReport.pdfMultidimensionalCareofTheCancerPatient…..docx5 years agoplagiarism checkPurchase $10Bids(90)Prof Double RDiscount AssignMUSYOKIONES A+Teacher A+ WorkDiscount AnsMiss_AqsaTutor Cyrus KenEmily ClareProfRubbsAmanda SmithEARNESTWRITERNightingalewizard kimYourstarSplendid TutorMaria the tutorbrilliant answersDr shamille ClaraTutor_SupremoAmerican Tutorother Questions(10)American studies.GOVTilab using visio week 4EthicsUMUC Haircuts Case StudyConsumer BehaviorhomeworkEXCEL ASSIGNMENTHuman Resource ManagementFINC 620 wk6

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Individual Success Plan (ISP)

Home>Homework Answsers>Nursing homework helpurgentasapPlanning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion ofThe required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.Completion of work associated with program competencies.Work associated with completion of the student’s capstone project change proposal.Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions.Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.You are not required to submit this assignment to LopesWrite.25.docx4 years ago21.01.20214Report issueAnswer(1)Dr. Beneve4.9(5k+)4.9(629)ChatPurchase the answer to view itApplication-basedLearningCourseAssignments.docxApplicationBasedLearningFINAL.docx4 years agoplagiarism checkPurchase $5Bids(74)TopanswersquerubohDiscount AssignDr. Adeline ZoeMichelle GoodManDiscount AnsRihAN_MendozaProf Bila ShakaEva GreenAmanda SmithDr. Michelle_KMDr. BeneveAmerican TutorGuruWriter24Prof. KaylinlopezMichelle GeekLisa-Randallbrilliant answersMiss AlabamaElprofessoriother Questions(10)Aqualisa Quartz: Simply a Better ShowerDiscussionThe Discussion Board (DB) is part of the core of online learning. Classroom discussion in an online environment requires the active participation of students and the instructor to create robust interaction and dialogue. Every student is expected to createneed 10 pages research paperFor NjoshNanotechnologyShould unions be guaranteed a seat on an organization’s board of directors? Why or why not?WORLD RELIGIONS – REL 212 World ReligionsDiscussion Question 228 biology questions

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leadership

Home>Homework Answsers>Nursing homework helpConflict, Workplace Violence, and NegotiationDefine conflict and describe the benefits and risks of too much/too little conflict in an organizationWhat are the commons sources of conflict in an organization?What types of conflict might a nurse see In a healthcare organization?What are the stages occurring in conflict resolution?What are the anticipated conflict resolution outcomes?Name and define with an example of the 6 common resolution strategiesWhat are common causes of organizational conflict, as in a healthcare org.?What are three strategies in conflict resolution that you have tried or can anticipate in your first nursing job?Define bullying and incivility within the nursing profession (Lateral violence—also workplace violence)What is negotiation as it relates to concerns in healthcare?Name negotiating strategies that lead to conflict resolutionWhat are some destructive tactics that can damage a successful negotiation session?Name three alternatives to negotiation…how do they work?Describe the importance of consensus as a conclusion to conflict managementChapter 24—Performance AppraisalDescribe the performance appraisal process, naming important factors to considerDescribe the factors influencing an effective appraisal—why are these important?Describe salient strategies for a successful performance appraisal—why is implicit bias such an important criterion to master?Define the terms associated with errors made in performance appraisalsDescribe different types of performance appraisals—which would you prefer and why?Describe the features of a successful performance appraisal sessionDefine and describe the management by objectives approach to performance appraisalsHow does peer review work for performance appraisals? What are the potential downfalls?Define strategies for being a successful coach to othersChap 25—Problem Employees: Rule Breakers, Marginal Employees and the Chemically or Psychologically ImpairedWhat are the “do’s and don’t’s” of Rules in an organization?Define, compare and contrast “Constructive Discipline” and “Destructive Discipline”Name the criteria that must be present to make disciple fair and a growthful experienceDefine strategies that create an atmosphere of self-discipline, the best approach to well- functioning organizationsName the four common steps in Progressive DisciplineDescribe a successful disciplinary conference for an employeeDescribe the main elements in a termination/separation meetingDefine the formal grievance process? When is this most often used?Define the rights and responsibilities of those involved in the grievance process (be sure to use your ATI reference)Define and compare the disciplinary process for unionized employeesChemical impairment—define and provide a profile of a chemically impaired nurseWhat are the recommended ways to confront and support a chemically impaired employee?What are the reentry guidelines for a previously chemically impaired nurse to return to practice?Chapter21.pptxChapter24.pptxChapter25.pptx4 years ago07.02.202150Report issueAnswer(1)Creative Geek4.9(407)5.0(11)ChatPurchase the answer to view itNOT RATEDNursingquestions.docx4 years agoplagiarism checkPurchase $60Bids(99)Tutor Cyrus KenDr. Michelle_KMabdul_rehman_Quickly answergrA+de plusNightingaleEmily ClareQuality AssignmentsWIZARD_KIMLouisa95Amanda SmithDr. ElahiDoctor.Namirawizard kimMUSYOKIONES A+brilliant answersBrainy BrianCreative GeekDiscount AssignPapersGuruother Questions(10)Essay: Leadership Connection631wk5assign1Research Data Analysis 1Urgent, urgclass3wk2d1PERSONAL MANTRA PAPERResearch paperTechnologyEssay assignment for SociologyProduct Life Cycle

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week 1 responses 6512

Home>Homework Answsers>Nursing homework helpnowyesFatmata Diaby26-year-old Lebanese femaleCOLLAPSEHistory Taking and Risk AssessmentDeveloping an appropriate rapport is necessary when evaluating patient’s health needs as well as their risk assessment for the development of various debilitating conditions. An effective patient-practitioner rapport has been linked to improved patient health-care outcomes. A health care professional should have the intellectual capacity to internalize their patient’s feelings and emotional concerns aiming at maintaining the appropriate respect for their individual patients. In the case scenario provided, the patient is a 26-year-old Lebanese female living in a graduate-student housing requiring a health risk assessment. The initial step that should be taken by the health care professional is to introduce themselves to the patient to eliminate any possible ambiguity about their current care giver. The next step is to commence a rapport while making sure to maintain sociocultural sensitivity for extraction of precise and optimal details that will promote the formulation of an appropriate treatment plan for the patient. Use of open-ended questions is integral when obtaining a thorough history as it avoids omission and clinician-based bias (Tanwani, 2016). Empathy is exercised during practice as it allows the patient to feel understood and facilitates promotion of an effective patient-clinician rapport. Listening is a communication skill commonly overlooked but has a crucial role when attempting to narrow in on a diagnosis following an elaborate history of presenting illness.Health Risk Assessment Instrument of ChoiceThe patient is a 26-year-old student living in the graduate-student housing. She is currently of child bearing age and is prone to contracting sexually transmitted diseases. This evokes the need for a Sexually transmitted disease (STD) risk assessment which involves diseases such as Human immunodeficiency virus infections among other STDs. Obtaining a sexual history from patients can at times seem challenging but should be carried out thoroughly with empathy and a non-judgmental attitude. Patient-practitioner confidentiality should also be assured for comfort and ease of assessment (Barrow, Ahmed, Bolan & Workowski, 2020). Women of child bearing age that are engaged in sexual intercourse should be frequently screened for STDs via history taking and physical examination. Moreover, culture and socioeconomic status play a major role in STD acquisition predisposition as various individuals have different practices as well as beliefs.Targeted QuestionsSpecific sexual history questions should be asked in reference to the patient’s health assessment. The frequency and modes of sexual pleasure should be documented alongside the number of sexual partners involved with the patient. Multiple sexual partners are highly associated with a higher risk of STD acquisition. In addition, multiple sexual practices can greatly increase the risk of developing a sexually transmitted disease. History of previous STDs is expected to be inquired as patients with a positive history of disease are at a higher risk of recurrence owing to their sexual practices. Physiologic alterations in the patient’s genitalia such as abnormal bleeding, pain and foul discharge should be inquired about as they are common signs and symptoms associated with STDs (Barrow et al., 2020). Methods of contraception that are undertaken, if any, by the patient should be documented for assessment of patient education and self-care involvement. Other social parameters are also included in the STD risk assessment tool such as whether or not the patient has exchanged money for sexual intercourse. Drug use including cigarette smoking, chronic alcohol use and other forms of intravenous drug use are greatly linked to STD acquisition hence require probing as part of the assessment tool in routine care (Jenkins et al., 2019).ReferencesBarrow, R. Y., Ahmed, F., Bolan, G. A., & Workowski, K. A. (2020). Recommendations for providing quality sexually transmitted diseases clinical services, 2020.MMWR. Recommendations and Reports,68(5), 1-20. doi:10.15585/mmwr.rr6805a1Jenkins, W. D., Vohra, S., Grundy, S., & Choat, L. (2019). Incentivized screening to reduce sexually transmitted infection risk and prevalence.Sexually Transmitted Diseases,46(10), 654-656. doi:10.1097/olq.0000000000001049Tanwani, R. (2016). Communication skills in clinical practice.The Skills of History Taking (for Medical Students and Practitioners), 196-196. doi:10.5005/jp/books/12827_18Adebukola AladesanmiRE: Discussion – Week 1COLLAPSEHealth assessment is an important exercise that assists clinicians to identify people at risk of certain health problems such as chronic diseases, abuse, alcoholism, and other unfavorable health outcomes. Techniques used in health assessment to gather a comprehensive health history of an individual differ from population to population depending on factors such as age. In this health assessment, my case scenario is a 26-year-old female from Lebanon.I would start an interview by creating a conducive environment that is friendly and welcoming for the client. For example, I would warmly welcome them to the office and ask them to feel comfortable. To promote comfort, I would sit on the same level as the client as opposed to being separated by a desk. Given that the client is a young adult, having a desk between might be intimidating while on the other hand, sitting together with her will make the patient less anxious. This enhances trust and the ability to build rapport (Kim & White, 2018). The second technique I will apply is using a person-centered or culturally appropriate approach, for instance, asking the client which language she is comfortable with. Given that the patient is Lebanese, she may not fully understand English and might require an interpreter. Similarly, I would assure them of the privacy and confidentiality of any information they share.Building rapport is important for establishing a therapeutic relationship with the client. I would apply communication techniques such as interpersonal relations, empathy, respect, and active listening when interviewing the patient. These techniques will help in building trust as the patient knows that the therapist is not only listening, but also understands their experiences and feelings through empathy. I will also employ open-ended questions especially at the beginning of the interview to allow the patient to provide as much information as possible, which can be used to evaluate any possible health concerns.The client is a young female adult and at this age, she is exposed to various health issues such as potential abuse from her partner, gender discrimination, racial discrimination, as well as peer pressure. Moreover, the client leaves in graduate housing indicating a background of low socioeconomic status. Low-socioeconomic status is associated with poor health outcomes because of lack of adequate income to provide necessities, proper/healthy diet, clean environment, and safe neighborhood. As such, the client is exposed to several risk factors including an unhealthy lifestyle, the possibility of developing chronic diseases, smoking, effects of crime, and abuse (Nagasu & Yamamoto, 2020). Additionally, given that the client belongs to a minority group, they may not be having a job or working menial jobs and extra shifts to make ends meet, or working and studying, which poses the risk of psychological health issues due to distress and burnout (Kulsoom & Afsar, 2015).For risk assessment, I would use the CRAFFT questionnaire, which assesses potential involvement in alcohol and substance abuse. The assessment tool has 6 targeted questions each examining a component of the CRAFT (Car, Relax, Alone, Forget, Family/Friends, and Trouble). The rationale for examining alcohol abuse is because the client lives in a residential place for students. In this case, there is a high probability of peer pressure and involvement in alcohol and substance abuse because of the environment where most people engage in such habits. I would also use the YouthCHAT screening tool to assess any mental health issues and risky behavior manifesting in the patient (Goodyear-Smith, et al., 2017). Given the age and cultural background, the client is exposed to several issues that might cause anxiety, depression, or any other mental health issue. For example, lack of employment, difficulties adjusting to the environment, experience from the home country, and balancing education and work among others.Targeted QuestionsWhat language are you comfortable with?What challenges have you encountered with accessing health services?Do you have any other family members in this country?What is your understanding of abuse, have you experienced it?Are you involved in any routine physical activity? What is your daily diet like?ReferencesGoodyear-Smith, F., Martel, R., Darragh, M., Warren, J., Thabrew, H., & Clark, T. (2017). Screening for risky behavior and mental health in young                     people: the YouthCHAT program.Public Health Rev, 38, 20. https://doi.org/10.1186/s40985-017-0068-1.Kim, B.,  & White, K. (2018).  How can health professionals enhance interpersonal communication with adolescents and young adults to improve health care outcome?: a systemic literature review.International Journal of Adolescence and Youth, 23(2), 198-218. Doi:10.1080/02673843.2017.1330696.Kulsoom, B., & Afsar, N. (2015).  Stress, anxiety, and depression among medical students in a multiethnic setting.Neuropsychiatr Dis Treat, 11, 1713-22. Doi: 10.2147/NDT.S83577.Nagasu, M., & Yamamoto, I. (2020). Impact of socioeconomic-and lifestyle-related risk factors on poor mental health conditions:  A Nationwidelongitudinal 5-wave panel study in Japan.PlosOne.  https://doi.org/10.1371/journal.pone.0240240.respond to each discussion with 3 sources4 years ago05.03.202110Report issueAnswer(1)PROVEN STERLING5.0(10k+)5.0(214)ChatPurchase the answer to view itIfeomarepliesanswer..docx4 years agoplagiarism checkPurchase $10Bids(108)PROVEN STERLINGEmily ClareDr Michelle MayanicohwilliamYoung NyanyaDiscount AssignWIZARD_KIMTutor Cyrus KenTeacher A+ WorkProf Double RPremiumMichelle GoodManMaria the tutorTopanswersTutor RisperDiscount AnsProf tutorAmanda Smithwizard kimEmily Michaelother Questions(10)Management planning presentationBSHS 438 WEEK 2 LIVING ENVIRONMENT WORKSHEETFinal red19humDeveloping project planlaw paperBUSN 460 Senior Project Week 3 and 4 CANGO Assignment_Analysis_AnswerhistoryBusiness ProposalSociology

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week 3 Assign 1 6521

Home>Homework Answsers>Nursing homework helpnowyesmcgraw hill connectAssignment 1: Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and ChildrenWhen seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.Photo Credit: Getty Images/Hero ImagesFor this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.To PrepareReview this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2).Note:Please see the “Course Announcements” section of the classroom for your assignments from your Instructor.Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.Consider how you could encourage parents or caregivers to be proactive toward the child’s health.The AssignmentAssignment(3–4 pages, not including title and reference pages):Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:Include the following:A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.What is its purpose?How is it conducted?What information does it gather?Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.Assignment Option 2: Child Health Case:Include the following:An explanation of the health issues and risks that are relevant to the child you were assigned.Describe additional information you would need in order to further assess his or her weight-related health.Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.Learning ResourcesRequired Readings(click to expand/reduce)Note:To access this week’s required library resources, please click on the link to the Course Readings List, found in theCourse Materialssection of your Syllabus.Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).Seidel’s guide to physical examination: An interprofessional approach(9th ed.). St. Louis, MO: Elsevier Mosby.Chapter 3, “Examination Techniques and Equipment”This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.Chapter 8, “Growth and Nutrition”In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.Chapter 5, “Recording Information”  (Previously read in Week 1)This chapter provides rationale and methods for maintaining clear and accurate records. The text also explores the legal aspects of patient records.Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Student checklist: Health history guide. InSeidel’s guide to physical examination(9th ed.). St. Louis, MO: Elsevier Mosby.Credit Line:  Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.Centers for Disease Control and Prevention. (2018). Childhood overweight and obesity. Retrieved from http://www.cdc.gov/obesity/childhoodThis website provides information about overweight and obese children. Additionally, the website provides basic facts about obesity and strategies to counteracting obesity.Chaudhry, M. A. I., & Nisar, A. (2017). Escalating health care cost due to unnecessary diagnostic testing.Mehran University Research Journal of Engineering and Technology, (3), 569.This study explores the escalating healthcare cost due the unnecessary use of diagnostic testing. Consider the impact of health insurance coverage in each state and how nursing professionals must be cognizant when ordering diagnostics for different individuals.Dains, J. E., Baumann, L. C., & Scheibel, P. (2019).Advanced health assessment and clinical diagnosis in primary care(6th ed.). St. Louis, MO: Elsevier Mosby.Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.Chapter 1, “Clinical Reasoning, Evidence-Based Practice, and Symptom Analysis”This chapter introduces the diagnostic process, which includes performing an analysis of the symptoms and then formulating and testing a hypothesis. The authors discuss how becoming an expert clinician takes time and practice in developing clinical judgment.Gibbs , H., & Chapman-Novakofski, K. (2012). Exploring nutrition literacy: Attention to assessment and the skills clients need.Health, 4(3), 120–124.This study explores nutrition literacy. The authors examine the level of attention paid to health literacy among nutrition professionals and the skills and knowledge needed to understand nutrition education.Martin, B. C., Dalton, W. T., Williams, S. L., Slawson, D. L., Dunn, M. S., & Johns-Wommack, R. (2014). Weight status misperception as related to selected health risk behaviors among middle school students.Journal of School Health, 84(2), 116–123. doi:10.1111/josh.12128Credit Line: Weight status misperception as related to selected health risk behaviors among middle school students by Martin, B. C., Dalton, W. T., Williams, S. L., Slawson, D. L., Dunn, M. S., & Johns-Wommack, R., in Journal of School Health, Vol. 84/Issue 2. Copyright 2014 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.Noble, H., & Smith, J. (2015) Issues of validity and reliability in qualitative research .Evidence Based Nursing, 18(2), pp. 34–35.Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). History subjective data checklist. InMosby’s guide to physical examination(7th ed.). St. Louis, MO: Elsevier Mosby.Credit Line:Mosby’s Guide to Physical Examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2011 by Elsevier. Reprinted by permission of Elsevier via the Copyright Clearance Center.This History Subjective Data Checklist was published as a companion toSeidel’s Guide to Physical Examination(8th ed.) by Ball, J. W., Dains, J. E., & Flynn, J.A. Copyright Elsevier (2015). From https://evolve.elsevier.comSullivan, D. D. (2019).Guide to clinical documentation(3rd ed.). Philadelphia, PA: F. A. Davis.Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Week 1)Chapter 5, “Pediatric Preventative Care Visits” (pp. 91 101)Shadow Health Support and Orientation ResourcesUse the following resources to guide you through your Shadow Health orientation as well as other support resources:Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file]. Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkYDocument:Shadow Health Support and Orientation Resources (PDF)Shadow Health. (n.d.). Shadow Health help desk. Retrieved from https://support.shadowhealth.com/hc/en-usDocument: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)Document: Shadow Health Nursing Documentation Tutorial (Word document)Document: Student Acknowledgement Form (Word document)Note: You will sign and date this form each time you complete your DCE Assignment in Shadow Health to acknowledge your commitment to Walden University’s Code of Conduct.Optional ResourceLeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014).DeGowin’s diagnostic examination(10th ed.). New York, NY: McGraw Hill Medical.Chapter 3, “The Physical Screening Examination”Chapter 17, “Principles of Diagnostic Testing”Chapter 18, “Common Laboratory Tests”Required Media(click to expand/reduce)Taking a Health HistoryHow do nurses gather information and assess a patient’s health? Consider the importance of conducting an in-depth health assessment interview and the strategies you might use as you watch. (16m)Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptAssessment Tool, Diagnostics, Growth, Measurements, and Nutrition in Adults and Children – Week 3(11m)Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptThe AssignmentAssignment(3–4 pages, not including title and reference pages):Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:Rapid strep testing in children:Abolarin, Aladesanmi, Baribor, Blaclk, Claggett, Diaby and FaderaProstate-specific antigen (PSA) test:Holmes, Johnson, Kier, Kung, Lukas, Moos and MoriangoAssignment Option 2: Child Health Case:Murray,Onyekwere, Ramos, Sofowote, Sterchi, Williams and YoungCase:Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother4 sources for this assignment.4 years ago15.03.202110Report issueAnswer(2)Prof Double R5.0(4k+)5.0(1k+)ChatPurchase the answer to view itNOT RATEDCaseStudyAssignmentAssessmentToolsandDiagnosticTestsinAdultsandChildren1.doc4 years agoplagiarism checkPurchase $20MUSYOKIONES A+5.0(21k+)5.0(4k+)ChatPurchase the answer to view itNOT RATEDweek3Assign6521.docwk3.pdf4 years agoplagiarism checkPurchase $15Bids(125)The FocusedEmily ClareProf Double RMUSYOKIONES A+Discount AssignWIZARD_KIMProf. Dr. ReenaPremiumRihAN_MendozaDr. Adeline ZoeMaria the tutorMadam CathyProfRubbsHOMWORK_WRITERQuality AssignmentsDiscount AnsAmanda SmithAmerican Tutorwizard kimprof bradleyother Questions(10)individual projectWeek 8I need Chemistry best helperIdentifying your Case StudyART HIST 2 essay250 words minimum.Discussion QuestionDiscussionPaperCloud Computing

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