Health care paper about my career Registered Nurse
Dorothea Orem theory case study
Critical thinking activities
1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?
2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.
3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.
Nursing (Due 20 hours)
1) Minimum 3 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
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
Submit 1 document per part
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 3 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
__________________________________________________________________________________
Nurse Educator Interview Paper
Following the assignment guidelines below, you will submit a written reflection paper on your nurse educator interview (See file 1).
1. Who does the interviewee teach?
2. What does your interviewee teach and where?
3. Trends and changes in nursing education as experienced by the person you interviewed.
4. A reflection that compares your interview data to class readings and the literature that you reviewed prior to conducting the interview (pay special attention to trends, themes, concepts, and changes in nursing education)
5. What you learned as a result of this assignment
6. A conclusion discussing your personal thoughts, opinions, views, and insights related to the specific area of nursing education of your interviewee
lit review
Your paper needs to follow the following criteria:
- Choose a problem faced by clients in your practice area that you think is important and would like to learn more about.
- Use your knowledge of PICO to develop a well-build narrow clinical question. For example: In adult patients with total hip replacements (P), how effective is pain medication (I) compared to aerobic stretching (C) in controlling post-operative pain (O)? (the development of the PICO question should not be including in the paper).
- Write a five (5) page literature review paper on the standing knowledge of the chosen question.
- Include a minimum of five (5) journal articles, at least three (3) from nursing journals. However, make sure that the (5) journals are the one’s analyzed and synthesized in the results and discussion sections.
- The body of the paper should be made of the following titled sections: Title (introduction), Methods, Results, Discussion, and Conclusion.
- Provide a specific and concise tentative title for your literature review paper (You may use the results or at least the variables in the title).
- Abstract is not required
- Include a 1-page introduction of your topic (background information), the focus/aim of your review. The introduction should include a statement of the problem, briefly explain the significance of your topic study, and act to introduce the reader to your definitions and background. Must include your main statement (i.e. the purpose of this review is…{PICO Question}).
- The method section should include sources, databases, keywords, inclusion/exclusion criteria, and other information that establish credibility to your paper.
- The results should summarize the findings of studies that have been conducted on your topic. For each study you should briefly explain its purpose, procedure for data collection and major findings. This is the section where you will discuss the strengths and weaknesses of studies.
- The discussion should be like a conclusion portion of an essay paper. It serves as a summary of the body of your literature review and should highlight the most important findings. Your analysis should help you to draw conclusions. In this section you would discussion any consensus or disagreement on the topic. It can also include any strengths and weaknesses in general of the research area. If you believe there is more to research, you may include that here.
- Finally, you will need to conclude your paper. At this point you have put substantial effort into your paper. Close this chapter with a summary of the paper, major findings and any major recommendation for the profession.
- In general, your paper should show a sense of direction and contain a definite central idea supported with evidence. The writing should be logical, and the ideas should be linked together in a logical sequence. The ideas need to be put together clearly to the writer and to the reader.
- Papers will be graded by rubric. Please take time to review the rubric so that you are aware of the expectations for the review paper.
- Format references and citations using APA guidelines.
THIS IS FOR A BSN NURSING CLASS. PLEASE FOLLOW THE ABOVE INSTRUCTIONS
Evidence based practice module3
Discussion: Searching Databases
When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.
The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.
In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.
To Prepare:
- Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
- Review the Resources for guidance and develop a PICO(T) question of interest to you for further study.
By Day 3 of Week 4 USE THE TOPIC MEDICATION ERRORS
Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)
Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)
Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N
Note: You will access this article from the Walden Library databases.
Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79
Note: You will access this article from the Walden Library databases.
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58
Note: You will access this article from the Walden Library databases.
Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e
Note: You will access this article from the Walden Library databases.
THIS IS AN EXAMPLE
A Clinical Question
The best way to form clinical question is in the form of PICO(T) (Ask: Write a focused clinical question, 2020). I have done such a thing and have found that the question formulation and changes to it were not as challenging as finding research related to the question.
The Question:
(P) In the hospital or clinical acute care setting, (I) is a 2 person double-check of insulin, (C) compared to a single person double-check of 5 rights, (O) more effective in the improvement of (01) insulin medication errors, (02) nurse satisfaction during a (T) 30-day term of observation?
Databases Used
The Walden University database was used to search databases for nursing. Of those available Science Direct, CINAHL, and Cochrane, and PubMed were used. Background questions were first asked to get a sense of what has been studied in this area. It was important to understand when and why this practice first started to determine the relevance of data acquired and to determine how recently we needed to search. Then, foreground questions began to form until finally the PICO(T) question.
During the background question period, the terms ‘double-check’ became the preferred terminology for the practice I wished to study. So using this ‘double-check’ in the PubMed database, 244 articles were found but not all pertained to my topic. Changing the text to be included only in the title or abstract, the same result achieved. Adding ‘medication errors’ reduced the yield to 21 results. At this level, the evidence is available on the basic topic of using the double-check to prevent all medication errors and relates often to high-risk medications. However, I want to know about the labor-intensive practice of using a 2 nurse double-check for subcutaneous injection of insulin. Adding a level of inquiry which includes insulin, this yielded 2 studies. One from 1983, and one from 2009. Neither of which addresses the current question other than provides background for why the practice may exist in the first place. Changing terms to highlight ‘insulin double-check” yielded two results, both relevant, and one is the most current and referred to peer-reviewed study on this topic.
Affecting Rigor and Effectiveness
To improve the effectiveness and rigor of a database search one much identify proper and strong keywords in the question or relating to the question. Use filters to find peer-reviewed data first. Use filters for the type of study if possible, including systematic studies, and work your way down the pyramid for strength of research available. If the question is somewhat original, there may not be much evidence. This is the case here. Other filters and Boolean operator’s include dates of publication, with the last 5 years preferred as ‘current’, using ‘and’ and ‘or’ and ‘not’ to include or exclude words in the title, abstract, text, or any part of the article or work.
References
Ask: Write a focused clinical question. (2020). Retrieved from Northern Arizona University: https://libraryguides.nau.edu/c.php?g=665927&p=4682772
Berdot, S., & Sabatier, B. (2018). Medication errors may be reduced by double-checking method. Evidence Based Nursing, 18(21), 67. doi:10.1136/eb-2018-102901
Chua, G., Lee, K., Peralta, G., & Heng Chi Lim, J. (2019). Medication Safety: A Need to Relook at Double-Checking Medicines? Asia-Pacific Journal of Oncology Medicine, 6(3), 246-252. doi:10.4103/apjon.apjon_2_19
Modic, B., Alber, N., Bena, J., Yager, C., Cary, T., Zhiyuan, S., . . . Kissinger, B. (2016). Does an Insulin Double-Checking Procedure Improve Patient Safety? JONA: The Journal of Nursing Administration, 46(3), 154-160. doi:10.1097/NNA.0000000000000314
Sentinel event alert: High-alert medications and patient safety. (1999, November). The Joint Commission: https://www.jointcommission.org/-/media/deprecated-unorganized/imported-assets/tjc/system-folders/topics-library/sea_11pdf.pdf?db=web&hash=CA29CB641C8749521733A05716852A1F
Westbrook, J., Ling, L., Raban, M., Woods, A., Koyama, A., Baysari, M., . . . White, L. (2020, August). Associations between double-checking and medication administration errors: a direct observational study of pediatric inpatients. BMJ Quality and Safety. doi:10.1136/bmjqs-2020-011473
disaster preparedness steps
- Identify a disaster scenario, outline the disaster preparedness steps that should be used, and relate them to the nursing process.
Reflective journal-self appraisal 6
EPSLO 6:. Engage in the spirit of inquiry to propose solutions that support nursing excellence.
In your Journal summarize personal and professional achievements and accomplishments that you have completed throughout the baccalaureate nursing program at EC that refer to EPSLO 6: Engage in the spirit of inquiry to propose solutions that support nursing excellence.
Attach a minimum of at least two examples of your work that supports EPSLO 6 noted above. Save your Journal entry as your Self-Appraisal for each module in your word document. The professor will request that you submit your journal entries for informal feedback at the end of each module. A Title page of this assignment with a summary of accomplishments (no more than 2 pages in length) is required with attached files as supportive evidence for each EPSLO. A minimum of one or two examples is required to support each EPSLO.
Policy Analysis Paper- Food and drug regulation (Due 48 hours)
1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
2)¨******APA norms
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 per part not older than 5 years (No blogs or web pages- Only official webs: FDA, CDC…)
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
__________________________________________________________________________________
Topic: Food and drug regulation
Purpose :
To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy.
You must strictly follow the following scheme. You must use titles and subtitles.
Introduction (Maximum 1 pages):
1. Generally define & describe the policy issue to be addressed.
2. Identify the purpose of analysis, the targeted level of policy (i.e., clinical practice, health care systems, or public/social health) & significance of topic.
3. Identify questions the policy analysis is intended to address.
Background:
1. Provide details of the issue or problem, including its nature/scope,
relevant literature & history, & the context within which the issue
exists.
2. Describe existing policy addressing the issue, if any.
3. Discuss strengths & shortcomings in existing policy.
4. Identify & describe key stakeholders (individuals & groups) that
are or will be affected by the policy & why
Analysis
1. Identify alternative policies to achieve objectives.
2. Establish/identify criteria that will be used for selection of “best” policy.
3. Evaluate each alternative & its potential impact relative to the healthcare & patient outcomes.
4. Assess the trade-offs between alternatives.
Recommendations
1. Based on the analysis, identify the “best” alternative to address the current issue & policy situation.
2. Provide rationale for selection.
3. Describe possible strategies to implement selected alternative.
4. Identify barriers to implementation of selected alternative.
5. Describe methods to evaluate policy implementation.
Discussion (1 page)
1. Discuss analysis & recommendations relative to the original questions identified, & the level of policy it is intended to address (i.e., clinical practice, health care systems, or public).
2. Identify limitations of analysis.
3. Discuss implications for practice, education, research, & policymaking.
Conclusion ( minimum 1/2 page)
1. Summarize findings & recommendations of analysis
2. Identify questions to be addressed in future studies or policy analyses
Maternal Nursing & Women Health Practice.
Please respond to these questions appropriately citing your references if necessary.
#1) Identify 2020 National Health Goals related to home care during pregnancy or childhood that nurses can help the nation achieve.
#2) Describe what family centered care is.
#3) Identify common areas or concerns of cultural diversity and apply these to nursing practice.
#4) Formulate 2 nursing diagnoses related to family health and what would be some interventions. How would you evaluate your interventions?
APA format.
Macronutrient Intake
This assignment builds on your first assignment. We are going to investigate the food you ate in greater detail focusing on nutrition labeling and the macro-nutrients you have learned about in the last few weeks. For this assignment, you will complete the attached worksheet using your food record and your Food Details Report from Assignment 1
Download the worksheet to your computer. Answer the questions using your food record and Food Details Report from Assignment 1
Please see attachment for all food records and the assignment worksheet.