All posts by : chebby

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

By Day 3 of Week 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

  Once you have selected a PICOT question discuss your strategies for conducting a systematic search/review of the literature in order to answer your question.  Explain how you will critically appraise the literature you have selected to determine the best evidence for this assignment. 

(go to the EBP appraisal list in Melnyck’s book and the link here is also helpful: https://libguides.daemen.edu/EBP/appraise)

Expectations Excellent PICOT look at this site: https://acimedical.wordpress.com/2012/07/26/complications-with-negative-pressure-wound-therapy-abstract-and-introduction/

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Initial Post:

· Length: A minimum of 250 words, not including references

· Citations: At least one high-level scholarly reference in APA format from within the last 5 years 

My PICOT Question

For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).

 If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global      health agenda and select one global health issue to focus on for this      Assignment.
• Select at least one additional country to compare to      the U.S. for this Assignment.
• Reflect on how the global health issue you selected is      approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix      provided in the Resources.

The Assignment: (2- to 3-page Global Health Comparison Matrix; 

1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that      have been adapted for the global health issue you selected from the WHO      global health agenda. Compare these policies to the additional country you      selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may      impact the global health issue you selected. Be specific and provide      examples.
• Using the WHO’s Organization’s global health agenda as      well as the results of your own research, analyze how each country’s      government addresses cost, quality, and access to the global health issue      selected.
• Explain how the health policy you selected might impact      the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact      the role of the nurse in each country.
• Explain how global health issues impact local      healthcare organizations and policies in both countries. Be specific and      provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 2-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of      a global perspective or lens into your local practice and role as a nurse   leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective      or lens into your local practice as a nurse leader represents and      contributes to social change. Be specific and provide examples

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

· Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)

Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415.

Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1). doi:10.1136/bmjgh-2017-000603.

Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81.

World Health Organization (WHO). (n.d.). Global health agenda. Retrieved September 20, 2018, from http://www.who.int/about/vision/global_health_agenda/en/

Work #1:

Compare and evaluate in 500 words or more qualitative v quantitative risk assessment.  

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.   Stand alone quotes will not count toward the 3 required quotes.Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  

Work #2:

1) Please explain why bond prices are subject to changes in interest rates.   

2) Describe the characteristics of a bond and provide an example of a firm or government entity that has recently issued (sold) these securities.

 Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient care. 

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

You will write a 12–15-page research-based paper in current APA format that focuses on leadership and change theory. A clinical scenario will be provided. From that scenario, The Institute for Healthcare Improvement’s (IHI) system, variations, theories and human behavior framework will be used. You will discuss the system, potential variations (such as human behavior and EI), 2 leadership theories and 1 applicable change theory. Potential leadership skills/traits/theories must be discussed to help improve the clinical problem.

I need a process recording done for some with a diagnosed psychiatric condition such as depression or bipolar disorder, must follow the rubric and guidelines, must include the interactions and questions you asked.

A serotonin reuptake inhibitor, such as Fluoxetine, may be prescribed for this patient because she has a disturbed sleep pattern, fatigue, and difficulty concentrating. These three symptoms could correlate with an altered mood. Prozac works by blocking the reabsorption of the serotonin neurotransmitter and causing an increase of the amount of serotonin in the brain. It is believed to increase the client’s mood, improve sleeping patterns, and enhance the thought process. This medication is commonly used to treat major depressive disorders (Henry et al., 2016).

Some important teachings to give the client when administering the first dose are to avoid caffeine, monitor daily weights because weight loss is a common adverse effect in the early stages of therapy, monitor for the signs and symptoms of serotonin syndrome such as increased body temperature, fast heart rate, frequent loose stools, sweating, tremors, and/or anxiety, watch for bleeding or bruising if the medication is given with a blood thinner, and advise the client that fatigue or dizziness can occur (Henry et al., 2016). Serotonin syndrome can occur when there’s an excessive amount of serotonin in the body and can cause changes in mental status and heart function. If the patient observes any of the symptoms listed above, she should notify the physician and nurse immediately

Some changes I expect to see with the client after 2 months of treatment are increased appetite, reduced fatigue, return to a normal sleep pattern, improved concentration and thought process, reduced thoughts of guilt, improved mood, and the patient appears to be content with her appearance, mood, and thoughts. If the client is not displaying the expected outcomes, the physician may prescribe an SNRI such as Venlafaxine, an atypical antidepressant such as Bupropion, or a monoamine oxidase inhibitor such as Phenelzine.

Search the internet for the top 5 or 10 ethical issues in your chosen profession.  List and discuss each issues.  You must have one resource cited for this assignment.

Once you have completed and saved your document (be sure to give it a unique name), click on the button below to browse and upload it. Then click “Add Submission.” Be sure to include your name in your document.

All submissions should be formatted in a 12 point Times New Roman font.