All posts by : chebby

1. Search the internet and learn about the cases of nurses Julie Thao and Kimberly Hiatt.
2. List and discuss lessons that you and all healthcare professionals can learn from these two cases.
3. Describe how the principle of beneficence and the virtue of benevolence could be applied to these cases. Do you think the hospital adminstrators handled the situations legally and ethically?
4. In addition to benevolence, which other virtues exhibited by their colleagues might have helped Thao and Hiatt?
5. Discuss personal virtues that might be helpful to second victims themselves to navigate the grieving process.

use reference and scholarly nursing article. 

 It relates to the problem of all chronic diseases in general. Explain to your patients what chronic disease means, what the different ones are, the risk factors, and ways to prevent them from getting one or more. There are national statistics on the problem of chronic disease you can share. 

 THIS ASSIGNMENT IS NOT ABOUT ONE CHRONIC DISEASE! 

Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

• Discuss two (2) common risk factors for polypharmacy. Give rationale for each identified risk factor.
• Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

3 posts are required (1 initial and 2 replies to two different students) using at least 2 evidenced-based, peer-reviewed references no older than 5 years.

What are the common barriers to evidence translation in addressing this problem?

     Diabetes is a significant burden in the United States and affects over 34 million people (CDC, 2020). As we continue to learn about this chronic and progressive illness, we have identified the lack of improvement in the management of the disease and the opportunities to close the knowledge gap in nursing practice. Studies have found many reasons contributing to the ability to translate evidence into successful solutions to this problem.  Two key limiters in evidence translation are the patient’s ability for self-management and nursing, and clinician, lack of diabetes knowledge (Alotaibi et al., 2017). Nurses require knowledge to teach diabetic patients and their families about their treatment plan and the risks of poor glucose management. However, many nurses are only skilled at the simple tasks of monitoring glucose levels and point of care treatments. They are often lacking knowledge regarding the underpinning of diabetes in relation to physiology and complication risks (Alotaibi et al., 2017).  Reasons for this include lack of instruction, inconsistent academic preparation, lack of resources in their work environment, and inadequate involvement in providing care to diabetic patients.

What strategies might you adopt to be aware of new evidence?

     In order to address diabetes education and knowledge in the organization, we would evaluate the accuracy of the problem (Tucker, 2017). First, there is the need to understand if there is a gap in our nursing practice of diabetics. This may include evaluating the theoretical understanding of diabetes and the pathophysiology, as well as managing blood glucose levels and reducing complication risks for patients. Various surveys of nurses could be performed to assess the perceived and actual knowledge in these areas. There would also be the need to perform rigorous literature reviews to access new evidence related to diabetes prevalence and treatment options.

     There would also be the need to gain insight as to the education currently provided to diabetic patients in our organization and what changes are necessary for improvement. We would need to include our nurses in this assessment as they bring experience, opinions, and clinical judgement that can contribute to our adoption of new evidence (Tucker, 2017).  

     An evaluation of the organizational culture would be necessary to ensure buy-in by other clinicians if changes are to be implemented. Utilizing interprofessional collaboration to set the foundation for new evidence-based practice can help to motivate the teams to improve patient outcomes while also influencing nurses to be more engaged in their new knowledge in caring for diabetic patients (Tacia et al., 2015).  Ensuring leadership engagement, sharing of values for EBP, and support and resources for frontline nurses will improve adoption of EBP into our practice (Dang & Dearholt, 2018; Tucker, 2016).

How will you determine which evidence to implement?

     Using a framework, such as the PARIHS, will allow us to evaluate the barriers to translating new evidence into our practice by evaluating which evidence is best as well as evaluating the organizational capacity and quality for implementation and change (White et al., 2016).  Evaluating my organizations readiness for change will help to develop the framework for the project and to determine not only if we can successfully change a practice but then to sustain such changes.  

     Next, we will work with key stakeholders and diabetic experts to determine what evidence is necessary to implement. We will use a methodical approach to researching, evaluating, and determining which evidence will improve our nurses’ knowledge of diabetes and which evidence will improve our organizations’ care of diabetic patients. We have learned about clinical practice guidelines (CPGs) as a source of EBP in the care of diabetics (White et al., 2016). 

     We will derive the plan through a systematic approach and allow for input into each step and process.  This will include a questionnaire early in the planning steps to evaluate knowledge and define our practice question.  The next steps will include the review of evidence and determination what is the best evidence to support diabetes education to frontline nurses. There will also be evaluation of the diabetes CPGs. Implementation of learning will be inclusive of online instruction, unit huddles, and diabetes conferences.  After implementation of the education, we will focus on how the nurses translate their new knowledge into practice. We will ensure that technology with our EHR assists the staff in achieving this work without increasing workload and stress.

How will you ensure continuation or sustainability of the change?

     Organizations that support QI, EBP, and research must ensure that they are inclusive of their nurses in such practices. There is the need for leaders, clinicians, and staff to understand the reason for these practices and to live the vision of EBP in their practice (Dang & Dearholt, 2018). In our organization, we have supported nurses while also setting the expectations for EBP by implementing into our strategic imperatives, our Nursing specific goals, and by including frontline nurses in all decisions for change. Our commitment to patient outcomes will ensure that this practice change is well-aligned with our organizational goals.

     Specific communication plans regarding the improvement plan for diabetic education will be provided to all nurses. It will provide the goals for the change, explain the vision for improvement, and explain target audiences that will be included in the project (Dang & Dearholt, 2018).  Staff involvement will be requested, and focus groups will help to share learned information. The education timeline will be clearly defined, and all roles and responsibilities will be shared. The team will have access to resources and there will be interprofessional support with physician partners in this change (Tacia et al., 2015).  We will utilize mentors and informal leaders to help support the teams through positivity and advocacy for their fellow team members (Dang & Dearholt, 2018). Lastly, we will develop a tool for evaluation of our improvement and establish metrics for improvement.  

Please make a comment for this discussion board with at least 2 paragraphs and 2 sources no later than 5 years

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

M4: Lesson 14 – Discussion

1. Create an original posting with a minimum of 250-300 words.
2. Back up your arguments with reliable evidence

Clinical Practice Guidelines

Instructions:

1. Search and locate one systematic review or practice guideline in your topic of interest (Include the citation).
2. Evaluate the following:
   1. The systematic review or practice guideline relies primarily on studies conducted in the last five years.
   2. The review provides support for the importance of the study
   3. The authors have use primary, rather than secondary sources.
   4. Studies are critically examined and reported objectively
   5. The systematic review or practice guideline is organized so that a logical unfolding of Ideas is apparent that supports the need for the review
   6. The systematic review or practice guideline ends with a summary of the most important knowledge.

I need a 4-5 page paper on the movie Wall-E. 

this thesis below needs to be used

Throughout the main storyline of WALL-E, symbols or representations of a vast dystopian society are shown, which is a leading theme and reoccurring image.

1) Minimum 9  full pages (Follow the 3 x 3 rule: minimum three paragraphs per page)

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6 references not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Hypertension:

1. Abstract (Introduction)  (A brief overview of the background of the topic are provided) (1/2 page)

2. Create a case study using the system is presented and discussed about a patient with Hypertension

3. Describe Pathophysiology of the System of  Hypertension  according to the case

4. Describe the clinical Manifestations  of according to the case

5. What are the diagnostic Studies/ Laboratories for  Hypertension . Explain them

6. Clinical Management/ Treatment Modalities for  Hypertension 

7. Evaluation of Treatments 

8. Patient Education and Safety (QSEN) 

9. Make a questionare for Class discussion (6 questions)

Is social support correlated with HIV infection rates in Sub-Saharan Africa?
If nurses participate in leadership organizations, are they more likely to advocate for state-level policy changes?
Exposure to pet therapy decreases the perception of pain in patients who are terminally ill with cancer.
Is limited English proficiency a barrier to the adoption of the new information technology system by Newbury Clinic personnel?

For each item above, consider the following:

• Is it a research question or hypothesis? Why do you think so?
• Which elements of a theoretical foundation for research are evident in the research question/hypothesis?
• Would the research question/hypothesis be reasonable and appropriate for dissertation research or a similar program of research? If not, what modifications would you suggest?
• Is it written clearly and effectively for the purposes of research? Why or why not?
• If a nurse scientist were to address this research question/hypothesis, how would it further nursing’s body of knowledge and promote positive social change?

Examination of a variety of research questions and hypotheses can help you think creatively and analytically about your phenomenon of interest and the program of research you wish to pursue. In this Discussion, you develop research questions or hypotheses that you may be able to use to study your phenomenon of interest. You also provide feedback to your colleagues to help them strengthen their own research questions or hypotheses.

To prepare

• Review the Learning Resources, including the information that Dr. Hathaway’s presents in the media program, “Research Questions and Hypotheses.”
• Review the framework or theory that you identified in the Week 6 Discussion as having the most potential for use in your theoretical foundation for research. Using this framework or theory, think of potential research questions or hypotheses that you may use to study your phenomenon.
• In addition, try other strategies that may help you develop useful research questions or hypotheses. For example:
  • Reexamine the literature related to your phenomenon of interest.
  • Review the questions and comments you noted as you analyzed concepts and conceptual relationships in previous weeks of this course.
  • Reflect on your firsthand observations of this phenomenon.

By Day 3

Post one or more research questions or hypotheses. Provide your rationale for selecting each question/hypothesis, explaining why it may be beneficial for studying your phenomenon of interest.

This is an assignment about the most contagious diseases and his pharmacological management, you may select 4-5 among them and elaborate a 3 pages Assignment, APA, 5 references.