final goals

 

  • How have you evolved as a nurse throughout the course of your studies?  Were there any unexpected gains?  Did you achieve all that you hoped you would when you began the program?
  • What challenges did you overcome during your studies? How did you rise above them?
  • Will your professional role with your colleagues, formal or informal, change now that you have furthered your education and gained new insights into the profession? Explain.

1 page at least 1 reference nothing older than 2015

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Grief during the holiday

 What is grief? • 

Myths and misconceptions of grief • 

How to Cope during the holiday season?

1 page include 1 at least 1 reference 

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Activity

 

James Lee is a 76-year-old man who fell 4 days ago. He was admitted to the hospital and underwent an open reduction and internal fixation (ORIF) of the right hip. Today is his second postoperative day. He is still bed bound and is unable to roll or pull himself up in bed.

He weighs 210 lb.   Height 74 in    B/P 128/85 mm/hg    HR 80/min   RR 18/min   Sat 97% RA  Temp 98.7 F

Past medical history: Smoker quit 10 years ago.

He has little appetite and says he has been depressed since his wife died last year. While performing your assessment of Mr. Lee, you notice that a large dressing covers the right hip incision. You loosen the dressing and see the staples are intact at the incision site and there is minimal amount of serosanguineous drainage on the bandage. As you turn him in bed, you see a 9cm by 5cm reddened area on his coccyx and a 2cm by 3cm purple bruise-like area on his left heel.

What kind of wounds does Mr. Lee has?

How will you care for each of his wounds?

What factors contributed to each of the wounds and how will you promote healing?

Write two nursing diagnosis and 2 smart goals for this patient.

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research critique paper

Research Critique Paper

The purpose of this assignment is to demonstrate your ability to evaluate one quantitative or qualitative nursing research article of interest from any refereed nursing journal. Writing a critical review of a journal article can help to improve your writing and analytical skills. By assessing the work of others, you develop skills as a critical reader and become familiar with the types of evaluation criteria necessary to translating the evidence to practice. 

Instructions: 

  1. Write a 1-2 pages assignment. 
  2. Choose a primary nursing research article of interest from a refereed nursing journal. Attach a copy of the article.
  3. Begin your critique by identifying the: 
    • article’s title
    • author(s)
    • date of publication
    • name of the journal or other publication in which it appeared
    • Where and when was the article published? 
    • In your introduction, you should also briefly describe the purpose and nature of the study and, if applicable, its theoretical framework. 
    • If the paper was not published in a peer-reviewed journal, consider the credibility of the publication in which it appeared. 
  4. If you are reviewing a research study, organize the body of your critique according to the paper’s structure. Start with a brief description and analysis of the strengths and weaknesses of the research design and methodology. For example: 
    1. How does the method reflect other studies of the same topic? (sample, data collection, setting). 
    2. What makes this method feasible? 
    3. How realistic is it? How does the method address questions of validity? 
    4. How does the researcher overcome the limitations of the method? 
    5. Are there large limitations or minor ones? 
    6. How will these limitations affect your ability to use this data to answer your research question? 
  5. Describe the results by answering:
    1. How were the results interpreted? 
    2. How were they related to the original problem (author’s view of evidence rather than objective findings)? 
    3. Look at DISCUSSION. Were the author(s) able to answer the question (test the hypothesis) raised? 
    4. Did the research provide new factual information, a new understanding of a phenomenon in the field, a new research technique? 
    5. How was the significance of the work described? 
    6. Did the reported observations/interpretations support or refute observations or interpretations made by other researchers? 
  6. Describe the significance of the research by answering:
    1. Did the research make a significant contribution to human knowledge? 
    2. Did the research produce any practical applications? 
    3. What are the nursing implications of this research? 
    4. How do you evaluate the significance of the research? 
  7. Utilize at least 5 cited sources to substantiate your findings or critique. 
    • Follow APA style rules.
  8. Visit the following website for suggested guidelines:

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electronic health records

Summarize electronic health records and its impact on the medical industry. 

Identify the strengths and weaknesses of implementing electronic health records in EHR in an adult facility and children’s hospital. 

Formulate at least one question to prompt a discussion around an area of weakness you would like your classmate to address.

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Workflow Models and the Systems Development Life Cycle

Assignment: Workflow Model Analysis (2–3 pages)

  • Briefly describe the case study you selected.
  • Explain the systems development life cycle present in the case.
  • Describe the workflow model that was used. Explain whether this workflow model is a good fit and why.
  • Explain how the clinical decision support system impacted workflow in the case.
  • Assess the role of the nurse informaticist in the case study and how the role could be beneficial to internal and external customers. (Customers external to health care organizations include patients, patients’ families and visitors, referring physicians, doctors’ offices, blood donors, and third-party payers. Internal customers include nurses, staff physicians and other professionals, students, trainees, employees, departments, and committees.)
  • Recommend an alternative workflow model that could be used in this scenario. Explain how it improves patient safety and/or outcomes. 
  • Support your recommendation by synthesizing and integrating at least two outside resources and two of the provided Resources. 

 Tilley, S. (2020). Systems analysis and design (12th ed.). Boston, MA: Cengage.
Chapter 1, “Introduction to Systems Analysis and Design”
Chapter 2, “Analyzing the Business Case” (pp. 45–70)

Eisenstein, E. L., & Butler, K. A. (2015). Health informatics-enabled workflow redesign and evaluation. Studies in Health Technology and Informatics, 208, 131–136. doi:10.3233/978-1-61499-488-6-131

Thompson, C., Kell, C., Shetty, R., & Banerjee, D. (2016). Clinical workflow redesign leveraging informatics improves patient outcomes. Heart & Lung: The Journal of Acute and Critical Care, 45(4), 380–381. doi:10.1016/j.hrtlng.2016.05.025

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Discussion w9 650

  

Instructions for Discussion Replies to 6 DQS

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One Peer reviewed/scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 7th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 4 years

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Treating Childhood Abuse

 PLEASE FOLLOW THE instruction

2 references

zero plagiarism

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Learning Objectives

Students will:
  • Recommend strategies for assessing for abuse
  • Analyze influences of media and social media on mental health
  • Evaluate the need for mandatory reporting of abuse

To Prepare for this Discussion:

  • Read the Learning Resources concerning treating childhood abuse.
  • Read the Child Abuse Case Study in the Learning Resources.

 POST

  • What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.
  • How might exposure to the media and/or social media affect the patient?
  • What type of mandatory reporting (if any) is required in this case? Why?

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NURS 5051/NURS 6051: Transforming Nursing and Healthcare Through Technology

  

COLLAPSE

 IT IS A REPLY TO THIS DISCCUSSION(ONE PAGE ,THREE REFERENCES , PLEASE 

In nearly ten years of nursing, I have seen a great deal of positive changes with informatics and patient care, as well as technological fails by my organization. One aspect of Nursing Informatics (NI) that makes it a complex specialty is that it attempts to manage knowledge across a span of disciplines. Positive interprofessional collaboration creates better patient outcomes and improves patient care and safety (McGonigle & Mastrian, 2017). Meaningful interprofessional interaction can be achieved with a specific method.  One of the vital skills associated with being a Nurse Informaticist (NI) is that of project management (Sipes, 2016). Two years ago, I was able to see that skill utilized. My organization hired a team of Nurse Informaticists and data specialists to determine a method that would be appropriate hospital-wide for the communication between clinical and managerial staff and improve patient care. The Nursing Informaticists chose and implemented the HUDDLE (Healthcare, Utilizing, Deliberate, Discussion, Linking, Events) method (McGonigle et al., 2017), which every department was required to adopt at the beginning of both day and night shifts. Full-sized dry-erase boards were installed in each department, and a grid was made that was divided into sections for the HUDDLE acronym, including sections for equipment, and data pertinent to specific departments. For the first couple of weeks, a team of informaticists led the “Huddles,” ensuring that both Charge RNs and staff RNs understood the way to go over the white board together.

At first, it felt as though we were being treated like kindergarteners with a new teacher, because we were having to go through the Huddle Board exactly as the Informaticist directed, no deviating. Admittedly, I wondered how someone that was not constantly involved in clinical care seemed to think that by us following her example of Huddle, we could improve our entire organization. I think if the NI had started our instruction with the disclaimer that while what we were doing seemed rudimentary and repetitive, she could prove it was vastly effective with specific evidence from hospitals across the U.S who had adopted the same method. Knowing why we were being taught a new method for communication would have made a more positive impact. Thankfully, as time went on, we began to see some departmental progress because of the Huddle Board. Any issues we encountered that could not be rectified by our Manager and/or Director was “escalated” to upper hospital management that same week. We received new equipment when we needed it, we determined we needed some new department protocols, and we were able to recognize our co-workers for jobs well done in emergent situations.

As we are more dependent on EHRs as an organization, I firmly believe that advances in nursing informatics will be directly linked to improved patient care across departments, more efficient data collection and analysis, and increased nurse productivity. These accomplishments can reduce costs and help decrease medical errors (Norwich University, 2019).

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Child Health Case

Assignment (3–4 pages, not including title and reference pages):

Assignment: Adult Assessment Tools or Diagnostic Tests:
Include the following: 5-year-old homeschooled Asian female of normal weight with obese parents (Child Health Case)

The Assignment

Assignment (3–4 pages, not including title and reference pages-APA formatting):

Assignment 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.

o  What is its purpose?

o  How is it conducted?

o  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 2: Child Health Case: 5-year-old homeschooled Asian female of normal weight with obese parents
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.

Assignment (3–4 pages, not including title and reference pages):

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