All posts by : chebby

Critical thinking activities

1. Your community is at risk for a specific type of natural disaster (e.g., tornado, flood, hurricane, earthquake). Use Nightingale’s principles and observations to develop an emergency plan for one of these events. Outline the items you would include in the plan.

2. Using Nightingale’s concepts of ventilation, light, noise, and cleanliness, analyze the setting in which you are practicing nursing as an employee or student.

3. You are participating in a quality improvement project in your work setting. Share how you would develop ideas to present to the group based on a Nightingale approach

Evidence Translation and Change

Week 7

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

           There are many barriers when it comes to translating evidence into practice. In regards to obesity, the most common barrier to translate evidence-based changes locally, nationally, and globally are the stakeholders. According to Chamberlain College of Nursing, (2020, translating research into practice relies on the clinician knowing who the stakeholders are and getting them involved in the planning stage and in every aspect of the practice change. Some stakeholders may not be conducive to change. In order to adopt and launch a practice change, the change leader has to be able to sell the project to key stakeholders. For a project leader to get others to go along with a practice change, the leader has to be knowledgeable, motivated, and believe in the research he or she is presenting to the stakeholders.

           Additional barriers in translating research evidence into this practice problem would cost, available resources, and timing.  For instance, it is less likely for individuals living in a low socioeconomic community to prioritize a 30 minutes time slot five days a week for exercising activities. Barriers like work schedules, family commitment, and financial obligations may impede these practices. The lack of motivation may also be a factor. Most individuals may not have a membership to the local gym, and rain and cold weather may prevent walking in the local park. The lack of appropriate lighting in the parks may fend off participation in outdoor activities in the fall and winter months. According to Tucker, the individuals, the location, and the practice itself and have a huge role in influencing evidence-based practice (2017). For an evidence-based practice to be adapted effectively it must be realistic in all public health settings.

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

           I would create an interprofessional group to include clinical and research practitioners to discuss new and upcoming research evidence appropriate to the practice problem. Focus groups both locally and nationally as well as globally are great outlets to discover what is working in different areas of healthcare. Small focus group outlets in which to gather people with the same interest to discuss and present new research (Chamberlain College of Nursing 2020). I would sign up for alerts on new research, evidence-based practice interventions, and quality improvement publications on obesity throughout the country and globally. Tucker indicated that research experts are great resources to look into and introduce the latest pieces of evidence (2017). I also believe an expert Ph.D. colleague would be a great mentor to help guide me in this practice problem intervention. Dang and Dearholt indicated that a team approach between DNP and Ph.D. scholars influenced the best clinical outcome.  

How will you determine which evidence to implement?

           First, I would focus on finding evidence to support my practice intervention, base not only on research but evidence that supports the participants’ cultural values and beliefs. I would look at the available evidence and ask myself, whether this is appropriate for my particular demographic. There are many quality improvements in evidence-based research practice in healthcare that can be pilot to other practice problems.  I would look at the data for similarities and tailor it to this particular focus practice problem on a local level. The team would appraise the appropriate data and determine whether it is pertinent to obesity. Most importantly, I would communicate the evidence to all key stakeholders.

How will you ensure the continuation or sustainability of the change?

           To ensure continuity and sustainability of the practice change, I would look at the impact the change has had on individual participants, both locally and nationally. Since the intervention is patient-centered, I think it is appropriate to be familiar with the participant’s values and preferences. Without the support and commitment of the participants, the practice problem intervention will be ineffective. Taylor et al. wrote evidence-based practice is a combination of best evidence, patients choice, and the skillfulness of the practitioner (2016). I believed that persons who have had positive outcomes tend to continue to participate in activities more so than those who have had negative experiences. I would continue to involve participants and families in the planning and implementing phase of the intervention. I would also mandate ongoing training to all interprofessional team members. I would reinforce the ongoing review of the evidence to maintain current research. Clear and respectful communication and teamwork are also important in sustaining and continuing change. Evidence-based intervention is being carried out throughout the globe, I believe by working alongside interdisciplinary teams and familiarizing myself with the evidenced available will give me a global sustainability outlook.

Reference

Chamberlain College of Nursing. (2020). NR-701 Week 7: Translation of Evidence: Overcoming Barriers [Online lesson]. Downers Grove, IL: Adtalem.

Dang, D., & Dearholt, S. (2018) John Hopkins nursing evidence-based practice model and guidelines (3rded.). Sigma Tetu Tau Intentional.

Taylor M.V., Priefer, B.A. & Alt-White, A.C. (2016). Evidence-based practice: Embracing integration. Nursing Outlook 64(6) 575-582. doi.org/10.1016/j.outlook.2016.04.004

Tucker, S. (2017) People, practice, and places: Realities that influence evidence-based practice uptake. Worldviews on Evidence-based Nursing 14 (2) 87-89. Doi10.111/wvn.12216

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

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

• Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

• Determine the legislative intent of the bill you have reviewed.
• Identify the proponents/opponents of the bill.
• Identify the target populations addressed by the bill.
• Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

• Advocate a position for the bill you selected and write testimony in support of your position.
• Describe how you would address the opponent to your position. Be specific and provide examples.

Using these diagnosis Somatoform, sexual disorder, eating disorder, Sleep disorder and personality disorder to formulate 5 psychiatric cases, and treatment approaches with a very brief summary of client visit and demographics. One page.

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

1. Title page
2. Introduction section
3. A comparison of research questions
4. A comparison of sample populations
5. A comparison of the limitations of the study
6. A conclusion section, incorporating recommendations for further research

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.

Part 11

Work with your preceptor to assess the organization for the required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

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

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.

You must post your initial response to the discussion topic before reviewing your classmate’s responses.

Healthcare Informatics

This unit’s discussion will focus on sharing experiences that you have encountered so far in utilizing the EMR system in your pediatric clinical rotation. You should address how the system promotes safety, improves patient outcomes, monitors growth and development and includes pediatric-specific recommended core functionalities in Pediatric Electronic Health Records. Include your appraisal of the system and the Core Functionality in Pediatric Electronic Health Records. Please post your initial response and respond to your classmates for a rich conversation.

You must start a thread before you can read and reply to other threads

Grey’s Anatomy- Season 15 EP 23- What I Did For Love

2-3 pages

Due-11/06/20

APA format

20 points

1. Summary of Meredith’s patient situation

• Main elements of the situation
• Who, what, where, when, why

1. Analysis

• What barriers stood in the way of getting the proper care for Gabby?
• Due to the inability to have insurance, Meredith explains she believes “the system is broken”, do you agree? Why or Why not?
• Do you agree with the choices Meredith made?
• What kind of fraud was committed? 
• What ramifications could Meredith face?

1. Conclusion

• State the situation
• Summarize your stance
• Is there a call to action in future cases?

PLEASE ANSWER THE QUESTIONS BELOW IN APA FORMAT

USE 2 CITATIONS AND 2 REFERENCES MINIMUM

THERE IS NO MINIMUM # OF WORDS FOR THIS ONE BUT PLEASE GIVE A SUBSTANTIAL ANSWER TO EACH QUESTION.

THANK YOU!

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization 

Minimum of 250 words with at least 1 peer review reference in 7th edition apa style.

 Now that you have reviewed both qualitative and quantitative articles, which do you prefer and why?  

Assignment:

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Assignment Expectations:

Length: 10-15 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

M5 Assignment UMBO – 1, 2, 3

M5 Assignment PLG – 1, 6

M5 Assignment CLO – 1, 2, 4