All posts by : chebby

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The unit I previously worked in was changing from scheduled to open visitation; each week the staff held meetings on the proposed change. Staff who were scheduled as off came into the meetings as this was an important quality improvement project; there was no evidenced based practice outside mentor but the facility mentioned here in this journal article did have an outside evidence based practice nurse from a local university; some staff were embracing open visitation while others were not causing unit conflict; to compound matters the facility was changing corporate ownership.

Staff had concerns re job security and other staff resigned in the middle of the project; stakeholders were approached such as physicians and unit secretaries re how would they feel regarding open visitation for a family member and all bought in; the EBP expert provided research and nurses attended a journal club every 2 weeks; nurses were briefed in journal club on the best evidence for open visitation; unit secretaries kept track of the proposed and evolving change noting if open visitation was not conducted, the reason for it was documented; at shift change open visitation was not conducted due to patient confidentiality but family or significant others were allowed to remain in patient rooms with the door closed;

What facilitated the change was the biweekly journal club meetings which also became a support group due to the stressful corporate ownership change; managers met with all nurse privately and bolstered and supported each nurses role in the change; staff who came in on their days off were reimbursed by the CEO; this was similar to the policy change at the previous unit I worked on. Staff were reimbursed for tome spent in meetings on their days off.
 

The ICU unit brochure was completely redesigned reflecting the open visitation; evidence was indicating that open visitation improves communication; it enhances self satisfaction, facilitates better patient understanding, and it advances the patient-family-significant other centered care.
 

This particular unit reviewed the evidence as did my previous unit, but without an EBP specialist. An open visitation policy was succefuly initiated and it took about 10 months; staff conflict was resolved when all bought in on the evidence, and quality improvements documented by stakeholders such as unit secretaries.
 

Use of the evidence based practice initiative greatly assisted the ICU unit of 10 beds to initiate and carry forward the new adult open visitation policy in the ICU. 

L. Kean & K.A.Miller (2020). Implementation of open visitation in an a adult intensive care unit; An evidence-based practice quality improvement project. CriticalCare Nurse, 40(2) pp 1-5.

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

 What is your vision for the future of informatics in nursing practice?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 

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..

 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. 

APA format

3 resources  at least in the recent 5 years

1 page

Developing a Care Plan—Continued

In a Microsoft Word document of 4-5 pages formatted in APA style, you will submit your final comprehensive care plan for the aggregate based on the health risks faced by the aggregate, incorporating feedback from your instructor on your Week 5 paper and your continued work.

In your paper, address the following:

• Propose two (2) priority-nursing diagnoses based on the major health risks identified during the risk assessment for the aggregate .
  • Include strategies to address the nursing diagnoses and identified risks of aggregate.
  • Support your strategies with at least two journal articles.
• Develop a disaster management plan with the following components:
  • List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.).
  • Strategies for handling at least two disasters from the list.
  • Recommendations for a disaster supplies kit.

On a separate references page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

• Use this APA Citation Helper as a convenient reference for properly citing resources.
• This handout will provide you the details of formatting your essay using APA style.
• You may create your essay in this APA-formatted template.

 

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

To Prepare:

• Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
• Consider who benefits the most when policy is developed and in the context of policy implementation.

 Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the voters views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. 

Use resources within the past 5 years. (at least 3 refences). 

Only 1 page APA format

This is a Collaborative Learning Community (CLC) assignment.

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

TOPIC SELECTED: Nutrition and Weight Status

Address the following:

Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?

Create a 3 slide PowerPoint presentation for your topic. Include speaker notes and citations for each slide.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

 

In natural law ethics, nature and the natural processes of life are good while going against nature and natural human inclinations is bad.

According to Aristotle and his great Catholic commentator, Thomas Aquinas, there are four very basic natural human inclinations which are the good desires to (1) stay alive; (2) produce and care for a child; (3) learn the truth; (4) live amicably with others.  In terms of morality, natural law says that our duties go along with these four natural inclinations.

In the late 1980s, a Long Island couple married and tried to have children but couldn’t so Maureen and Steven Kass turned to in vitro fertilization.  For something like 9 years they kept trying but none of the fertilized eggs from Steven and Maureen ever came to the successful birth of a child.  Finally, in their early 40s and still childless, Maureen and Steven decided to divorce.  But then they faced a problem: What to do with the fertilized eggs still frozen in storage.  Steven wanted the fertilized but frozen eggs destroyed as the contract they had signed said.  Maureen wanted them saved for possible future implantation because she still wanted children and these frozen fertilized eggs were her only chance.

For this week’s discussion, answer ONLY TWO of the following three questions.  Please answer the first question and then either one of the other following two:

[1] Do some research into the case of Maureen Kass vs. Steven Kass and answer the following (if you use a quote on the case, you must reference it and limit it to no more than 40 words and no more than one quote):  What was and what was not natural or in keeping with our natural inclinations in this case of Maureen and Steven Kass and what difference does that make in terms of the moral questions at issue here?  Who should have won this case and why based on natural law or natural inclinations?  Are frozen fertilized eggs the property of anyone and if so whose and if not why not?  How would the implantation of a fertilized egg in the womb change its status as property or person or what?

[2] Explain to a friend or someone you know the basics of natural law ethics as related to the four central natural inclinations of human beings.  Tell the person how natural law ethics via John Locke also influenced the claims and wording of the U.S.’s Declaration of Independence (as noted in the eText) and ask them to explain their feelings about natural law ethics and how they influence this Declaration.  What did they say?  And then tell the person also that the most common criticism of natural law ethics in philosophy is that what IS should not be confused with what OUGHT TO BE.  Ask them what does this mean and do they agree or disagree?  Why?  And what do you yourself think?

[3] Discuss the Heinz Dilemma (LINK (Links to an external site.)) with two different people (one male and one female) and, before discussing the feminist ethics of care, ask each of them separately how they’d resolve it.  Share their ideas with the class.  And, whatever the results, indicate also what you think about Gilligan’s ethics of care as a feminist moral theory (see the list on page 174 of the eText of traits generally associated with a male as compared to a female ethical perspective).

TASK

Post your initial response to the topic below.

Topic 

Technology and Teaching

Identify technology you would include within a patient education scenario.

a. Provide information related to setting, patient, and topic

b. Discuss your rationale for choosing a technology tool

c. Explain your lesson and how you would evaluate learning.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

  

Read chapters 24 of the class textbook and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.

 

1. Describe the role of the community health nurse in providing quality end-life-care for seriously ill persons and their families.

2. Identify and discuss the diverse settings for end-of-life care and the role of the nurse in each setting.

APA style (intext citations and references)

Plagiarism FREE

 A minimum of 3 evidence-based references no older than 5 years must be used 

800 words