All posts by : chebby

Endocrine disorders ( Pediatric) 

Similarity no more than 10 %

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

1. Measures of Central Tendency: Mean, Median, and Mode
2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

choose a nursing theory and research an article that includes a nursing theory and its utilization in nursing practice or nursing research. Write a two paragraph summary of the article highlighting the application of the selected nursing theory to nursing practice and reaserach 

Article should be current, peer reviewed and within a five year span.

-Use APA format for your references and citations

Leadership Profile

     In their research, Gallup scientists found that people have specific areas where they have a greater potential for finding success, so they should focus on improving their strengths rather than their weaknesses (Rath, 2007). The results from my strength finder assessment showed that my top five themes are strategic, input, belief, empathy, and developer. For the most part, I find these results to be accurate. I am strategic in that I have a very logical way of thinking, and can adapt my thoughts to different situations (Rath, 2007). My second strength was the theme of input, and this is accurate in that I am inquisitive and am always seeking new information (Rath, 2007). I find that the belief theme is a very accurate strength because I have strong beliefs that guide my life and give it meaning (Rath, 2007). I also have a great deal of empathy, as many nurses do (Rath, 2007). Lastly, the developer theme fits me because I can always find and see potential in others (Rath, 2007). While I found these results accurate, they were not exactly what I anticipated or would have applied to myself. I hope to take advantage of these new insights into my strengths and build on them to become a strong leader.

Core Values

     Leaders must be grounded in a set of core values that guide their behaviors and leadership style and ensure they have the best interests of their coworkers at heart; otherwise, there is no real and effective leadership (Marshall & Broome, 2017). With that in mind, I need to identify my core values and work on strengthening them. I need to work on becoming more candid. I am often so concerned with others’ feelings that it holds me back from being frank and sharing my opinion. A leader must possess this ability, as leaders often have difficult situations with those under them, and must be candid. However, this must be offset with a certain amount of grace and kindness to ensure one does not come off as being overly harsh or rude. A second core value that I feel I could strengthen would be optimism. I have always been a very optimistic person, but over the years of being a nurse have become less so. Optimism is a value that is essential for a leader. It is essential to be optimistic to encourage those who are under you and keep their spirits high.

Strengths

     In Tom Rath’s book, he explains 34 themes leaders might possess where they are exceptionally talented (2007). The command theme is an area that I need to work on improving (Rath, 2007). An effective leader needs to be able to take command. I can do this, but I am more than happy to sit back and let others take charge. I do not like to impose my ideas on others. If it is warranted, I can take command, but it is my instinct to give others the chance to do so first. While I do not want to be pushy, I do need to work on strengthening my ability to take command. Another theme in which I would like to improve upon is the theme of being deliberative (Rath, 2007). Typically, I make decisions quickly and move on them without overthinking the situation. While this can be good, I do believe that as a leader, I need to work on weighing all the options and being more deliberate in my decisions.

Characteristics

     A nurse leader’s characteristics not only affect those they lead but can also influence patient outcomes as well (Adams et al., 2018). This is just another reason why I must work on improving both my strengths and my weaknesses to become the best leader I can be. A leader must have a high level of self-esteem, or those who follow them will have a more difficult time believing in them. I could most definitely work on improving my self-esteem as a leader. Leadership is not a role I fall into naturally, so it is easy to second guess myself. I need to have more confidence in myself as a leader to ensure that others can place their confidence in me. Another characteristic I could strengthen is my engagement. A leader must be engaged to encourage those under them to want to become engaged. This is an area where I could improve upon, as I am not always the most engaged.

Conclusion

 A leader must determine their strengths and their weaknesses so that they can play to their strengths and work on strengthening their weaknesses. In preparation for becoming a nurse leader, this is necessary for me to do. The strength finder assessment found my strongest themes to be strategic, input, belief, empathy, and developer. This offered me a new insight into my strengths and identified areas for me to grow. Two fundamental core values I would like to strengthen are my candor and optimism. Two strength themes I would like to work on improving are command and deliberative. Two characteristics that I believe would make me a better leader if I strengthened are my self-esteem and engagement. Improving upon these strengths will not only make me a better leader but a better person.  

References

Adams, J., Djukic, M., Gregas, M., & Fyrey, A.-K. (2018). Influence of nurse leader practice characteristics on patient outcomes: Results from a multi-state study. Nursing Economics, 36(6). https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=5&sid=8b99c48f-0f7d-4659-8209-df1a23be25df%40sdc-v-sessmgr03

Marshall, E., & Broome, M. E. (Eds.). (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). Springer Publishing Company.

Rath, T. (2007). Strengthsfinder 2.0 (1st ed.). Gallup Press.

1.  

 A conditions/medication template will be provided here. Conditions will be given for each system. You will identify one drug/medication to treat each condition and give full details for that medication on the template provided.

Conditions:

• Anxiety
• Dementia
• Glaucoma
• Eye irritation

2.  People with high-risk factors for glaucoma should be tested every year or two after age 35. Why should they be tested so often? 

Week 2 Discussion Questions

· From a local perspective, how does the practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

· Identify the local key stakeholders related to the selected practice problem.

· Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem.

In Skagit County, WA, where I live and work, the prevalence of obesity is on the rise. According to the Institute for Health Metrics and Evaluation (2020), in 2012, the prevalence of obesity was 36.48% for women in Skagit county, 34.81% in Washington, and 33.85% in the U.S. For males, in Skagit county, the prevalence was 33.79%, 33.6% for Washington, and 33.85% for the U.S. This means that more than 1/3 of the population in my area is obese. This is not just a health problem felt by the individual, but repercussions are noted within the entire realm of health care.

Obesity itself is an epidemic. But there are many co-morbidities that accompany obesity such as cardiovascular disease, diabetes, kidney disease, cancer, and respiratory illnesses. In obstetrics, obesity often leads to pregnancy-induced hypertension, gestational diabetes, preeclampsia/eclampsia, and thromboembolisms. The risks are higher for cesarean section, failed induction, and other delivery complications such as shoulder dystocia (Cochrane, 2019). These threaten the lives of both mother and baby. Because care for obese patients is more complex, they are at a very high risk of developing pressure ulcers and wound infections (Hahler, 2002). Simple acts of getting out of bed, mobilization, and even changing the bed linens require the help of at least 2 or more nurses. This is not just to protect the nurses from physical injury, but to also avoid adverse events such as patient falls. In a recent study, it was concluded that there must be an increase in nursing staff in order to provide adequate care to the ever-increasing obese patient population (Carrara, et al., 2016). Therefore, the nursing staff is overworked, especially on Med/Surg units where nurse-to-patient ratios are 1:6. In addition, if one of those 6 patients requires 70% of the nurse’s time, patient care for the other 5 will suffer. This will lead to adverse events such as falls, medication errors, and death which can end up costing the hospital large amounts of money in litigation. Morale in the nursing unit will decrease leaving many unhappy nurses who are burnt out. It is important that more nurses be hired to accommodate the growing numbers of obese patients. This will also cost money for the health care organization as the amount of reimbursement will not increase.

The key stakeholders in all this are first and foremost the patient and family. The poor health of yourself or a loved one can cause great stress to all those involved. And it is important that they receive high-quality health care. Those participants in the micro-, meso-, and macrosystems are all stakeholders. This includes nurses and other clinicians who work at the bedside, middle management, upper management and administration, and board of directors of the health care organization. Even further, leaders at the local level, such as politicians, lobbyists, clergy, and public health officials can help create and support local health initiatives in the community (Folta, et al., 2015).

As discussed earlier, obesity has many negative implications in pregnancy. Therefore, it is important, that as providers, we address this problem during the first intake visit and at every subsequent prenatal visit. When the patient meets with the nurse at approximately 8 weeks gestation, they discuss BMI and appropriate weight gain throughout the pregnancy. If the patient is obese, a referral to the nutritionist is ordered along with first-trimester glucose screening and TSH. The nurse also informs the provider to update the problem list to indicate a high-risk pregnancy. Whether or not this is an effective means to control obesity in pregnancy remains to be seen. Most women welcome the referral to nutrition because they want to take an active part in the health of the pregnancy. Also, they usually adopt a more nutritious diet when pregnant. There are still those women who refuse to follow up appropriately or, follow provider recommendations. And because I practice in a rural setting, transportation issues are prominent.

Carrara, F., Zanei, S., Cremasco, M., & Whitaker, I. (2016). Outcomes and Nursing Workload Related to Obese Patients in the Intensive Care Unit. Intensive and Critical Care Nursing 35, pp 45-51.

Cochrane, L., Brumpton, K., Winter, S., Bell, K., Brunham, H., Wadwell, K., & Kitchener, S. (2019). Prevalence and Outcomes of Overweight and Obesity among Pregnant Women in Rural Queensland. Australian Journal of Rural Health, 27, pp 164-169.

Folta, S., Koomas, A., Metayer, N., Fullerton, K., Hubbard, K., Anzman-Frasca, S., Hofer, T., Nelson, M., Newman, M., Sacheck, J., & Economos, C. (2015). Engaging Stakeholders from Volunteer-Leg Out-of-School Time Programs in the Dissemination of Guiding Principles for Healthy Snacking and Physical Activity. Preventing Chronic Disease, 12, pp 1-7.

Hahler, B. (2002). Morbid Obesity: A Nursing Care Challenge. Dermatology Nursing, 14(4), pp 249-256.

Institute for Health Metrics and Evaluation. (2020). US health. http://www.healthdata.org/us-health

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

Although a seemingly basic question, the difference between a dataset and a database has important implications for how data is applied in practice—how it is viewed, extracted, and importantly for the nurse informaticist, how it is exchanged. In this Discussion, you examine this difference.

This Discussion has two components. The first component prompts you to consider different types of datasets or databases within professional practice. 

The second component aligns with the Assignment in this module, where you will interview a professional nurse informaticist. In this component, you post draft questions in the Discussion for feedback from your colleagues.

To Prepare

· Review the Resources and consider the differences between datasets and databases.

· Reflect on the types of data obtained and how they are used in sharing across health information systems.

· Review the Module 2 Assignment.

· Review the requirements of the Assignment and the guidelines for developing interview questions.

· Develop a set of draft questions to post as the second component of your Discussion.

Post a response explaining the differences between datasets and databases. Explain how you might use each type of data in your professional practice. Be specific and provide examples. Then, post the questions you plan to ask your interviewee during your scheduled interview for your module Assignment.

McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.

Chapter 11, “Electronic Health Records and Health Information Exchanges Providing Value and Results for Patients, Providers, and Healthcare Systems” (pp. 248–271)

Chapter 13, “Public Health Data to Support Healthy Communities in Health Assessment Planning” (pp. 296–331)

Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing right, he doesn’t want to play, he just sits on my lap or lays on the couch, and this happens all the time.” Appearance of both mother and child is disheveled. The child’s wheezing can be heard across the room. When asked if her son is better at any certain time of the day the mother responds: “It’s like this all the time and has been for the past year, we just don’t come to the doctor because we don’t have any money.”

Mrs. Cason’s son was diagnosed of asthma.

• Discuss short and long term treatment options for this child, inhaled beta2-adrenergic agonists. Include rationale for your recommendations.
• What is your educational plan for the child?

Two (2) posts are required for week 13 Discussion Board 1 initial and 1 reply. All posts must be supported by peer-reviewed references within 5 years of publication. 

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

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

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Consider what was happening in nursing in the late 1970’s and early 1980’s with the change from diploma programs to an associate degree program. Martha Rogers believed that nursing is a separate and essential discipline and a unique field of study. She worked hard to establish nursing in higher education. Explain the importance of this shift and how it impacted nursing as a profession.