All posts by : chebby

Oxford Ch 10 Judaism, how this aligns with Haught’s in Prophetic Religions; how Jewish spirituality described here aligns/diverges from Spiritual Care & Feminist Spirituality in one page and half 

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

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Week 1 Discussion Question: Chapter 4: Life Transitions and Story

Learning Objectives 1, 7

Ageism is a concept introduced decades ago and is defined as “the prejudices and stereotypes that are applied to older people sheerly on the basis of their age…” (Butler, Lewis, & Sutherland, 1991).    

Part one: What are some common misconceptions you have heard or believed about older adults? Please elaborate in under one page.   

 Please reply to the following student post adding some extra in=formation relate to this post

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short answer. 

 To best understand the concepts of ethics, define the following terms:        

Utilitarianism, Egoism, Relativism, and Absolutism and  write a hypothetical situation where each of the defined terms above is utilized.  

Utilitarianism is a theory that focuses on the overall happiness of many. It encourages nurses to adopt actions that promote positive outcomes in healthcare (Baragona, 2016). Therefore nurses work towards minimizing the actions that prejudice the interest of the patients. A nurse working at an emergency setup will give care to a patient who has high chances of survival based on the severity of the injury.

Ethical egoism postulates that people act in furtherance of their self-interest about morality. Therefore, a nurse will push to get a study leave even if the department faces a shortage because they focus on achieving a certain goal based on their self-interest (Meyers, 2018). Relativist ideology argues that healthcare providers should offer passionate care to those professing morals and beliefs contrary to their own (Baragona, 2016). For instance, a nurse should take care of a female who has secured illegal abortion and is bleeding profusely despite believing that abortion is morally wrong.

Absolutism theorists postulate that God-given laws are the absolute truth. Nurses prescribing to this line of thought use the immutable truth to decide (Baragona, 2016). In the discussions regarding euthanasia, they do not agree to undertake procedures leading to a patient’s death because the holy scriptures prohibit them.

References

Baragona, S. G. (2016). Christian nonprofit CEOs: Ethical idealism, relativism, and motivation.

Meyers, C. (2018). The professional ethics toolkit. John Wiley & Sons.

ALL READ: The Evolution of TIGER article is found here and in the course resources. 

Shaw, T., Sensmeier, J., & Anderson, C. (2017). The evolution of TIGER. CIN: Computers, Informatics, Nursing, 35(6),278-280. doi: 10.1097/CIN.0000000000000369

TIGER Initiative  (Minimum of 250 words and three references)

Access the HIMSS TIGER Initiative website using this link     

http://www.himss.org/professionaldevelopment/tiger-initiative?%2Ftiger%2F (Links to an external site.)=

Read the information provided on the website page to gain a base knowledge of what TIGER is all about.  View the video supplied on this webpage.

Discuss the following:

1) History of TIGER

2) International Informatics Competency Synthesis Project

3) TIGER Definitions

4) Reflect on this portion of the initiative and what you found interesting and of value to nursing informatics.

The following post is from another student to wish I have to reply adding some extra information related to the post

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short answer

Investigate normal changes of aging related to the heart. 

Part One: Prepare an educational pamphlet describing these changes.

Changes in the heart and the blood vessels typically occur with changes in age. These changes occur due to modifiable factors which, when not treated, can cause heart disease. The human heart has several structural components that help pump blood to several body parts without being interrupted. Blood flow is moved throughout the arteries to the capillaries and back to the heart. Capillaries are the sites where blood gives out oxygen to the body tissues (Obas and Vasan, 2018).

In the aging population, specific changes occur in the body. Some heart systems, such as the pacemakers, lose their cells, making the heart have a slightly slow pumping blood rate. The heart’s size might increase, especially in the left ventricles, because the heart vesicles thicken up; hence, the chambers holding blood can no longer have more blood. The ECG of the aged tends to be more different than the youth (Eskov et al., 2019). The atrial rhythms are more common in the aged than the youth; hence this can cause a rise in heart disease. More so, most aged people might experience having specific pigment lipofuscin because the valves that offer control of blood flow direction thicken up and become stiffer.

The blood vessel receptors that monitor the blood pressure, the baron receptors, become less sensitive; thus, this illustrates why most of the aged have orthostatic hypotension. The capillary walls thicken up slightly; hence, this shows that there will be a reduced nutrient and waste exchange. Additionally, the main artery that carries blood from the heart becomes thicker, less flexible, and can also reduce its flexibility (Obas and Vasan, 2018). This also suggests that other body organs such as the red blood cells that transport oxygen and the white body cells concerned with providing protective measures to the aged might decrease function as they tend to be synthesized at a slow rate.

References

Eskov, V. V., Filatova, O. E., Bashkanova, Y. V., Filatova, D. Y., & Ilyashenko, L. K. (2019). Age-related changes in heart rate variability among residents of The Russian North. Ekologiya cheloveka (Human Ecology), (2), 21-26. Retrieved from: https://hum-ecol.ru/1728-0869/article/view/16589

Obas, V., & Vasan, R. S. (2018). The aging heart. Clinical Science, 132(13), 1367-1382. Retrieved from: https://portlandpress.com/clinsci/article-abstract/132/13/1367/71946

Reply to this discussion post (site sources if applicable)

The first step to continue to integrate evidence-based practice onto my unit is to Identify a problem and figure out the best way to solve it. Many evidence-based practices start at the bedside. A nurse notices a problem and starts thinking of a way to fix it. Once the problem is identified then the next step would be to assemble some of the nurses to help gather information to a solution to the problem. Once the information is gathered with evidence-based information finding a way to implement the interventions would then be the next step.

Starting a unit council is another way to continue to integrating evidence-based practice onto the unit. If there was no educator or clinical coordinator on the unit a nit council would be there to identify unit based issues and find the literature to support any solutions. Starting a journal club on the unit is another way to continue to integrate evidence-based practice on the unit. Finding journal articles that address issues and to receive CEU for continuing education, will help disseminate knowledge onto the unit. A journal club is an effective approach to tackle issues on the the unit and allows nurses to keep up to date with recently published literature. Also making sure to involve new grads into any projects will make sure that evidence-based practice is followed early on and also new grads have just graduated from school so they will have been taught all the new evidence-based practice information and can share that knowledge with others.

Conversation in Negotiations 

Difficult conversations are a form of negotiation. Research scholarly articles on negotiating difficult conversations and discuss strategies for listening techniques. Be sure to address the following questions:

• What do you think is the most effective listening technique? Why?
• How could you demonstrate listening for feelings? Explain how this helps lead to resolution.
• What could you do to show you are listening for content? Explain why this is helpful.

Please use those articles for the answers, select what match the best. 

1    Twenty-Five  Years of Group Decision and Negotiation: A Bibliometric Overview     by Sigifredo  Laengle, Nikunja  Mohan Modak, Jose  M Merigo, Gustavo  Zurita    Format: ArticlePublication year: 2018 | Peer-reviewed Journal: 

• Group Decision and Negotiation : Published in cooperation with the Institute for Operations Research and the Management Sciences and its Section on Group Decision and Negotiation v27 n4 (201808): 505-542

Twenty-five years ago, in 1992, a journal named Group Decision and Negotiation was established in association with the Institute for Operations Research and the Management Sciences with the vision of promoting theoretical and empirical research, real-world  applications and case studies on group decision and negotiation processes. To celebrate its 25 years of continuous and outstanding contributions, this study aims to develop a bibliometric analysis of the publications of the journal between 1992 and 2016. The  Web of Science Core Collection database is used to identify the leading trends of the journal in terms of impacts, topics, authors, universities and countries. Moreover, it utilizes the visualization of similarities viewer software to analyze the bibliographic  couplings, co-citations, citations, co-authorships and co-occurrences of keywords.

Twenty-five years ago, in 1992, a journal named Group Decision and Negotiation was established in association with the Institute for  Operations Research and the Management Sciences with the vision of promoting theoretical and empirical research, real-world applications and case studies on group decision and negotiation processes. To celebrate its 25 years of continuous and outstanding contributions,  this study aims to develop a bibliometric analysis of the publications of the journal between 1992 and 2016. The Web of Science Core Collection database is used to identify the leading trends of the journal in terms of impacts, topics, authors, universities  and countries. Moreover, it utilizes the visualization of similarities viewer software to analyze the bibliographic couplings, co-citations, citations, co-authorships and co-occurrences of keywords. Read  Less     
  Laengle, Sigifredo, Nikunja Mohan Modak, Jose M. Merigo, and Gustavo Zurita. 2018. “Twenty-Five  Years of Group Decision and Negotiation: A Bibliometric Overview.” Group  Decision and Negotiation : Published in Cooperation with the Institute for Operations Research and the Management Sciences and Its Section on Group Decision and Negotiation 27(4):505–42.
  
  2    The  role of patient narratives in healthcare innovation: supporting translation and meaning making     by Anne  Reff Pedersen    Format: ArticlePublication year: 2016 | Peer-reviewed Journal: 

• Journal of Health Organization and Management v30 n2 (20160411): 244-257

– The purpose of this paper is to investigate the process and impact of patient involvement in locally defined improvement projects in two hospital clinics. The paper particularly aims to examine how patient narratives, in the form of diaries and radio montage,  help to create new insights into patient experience for healthcare professionals, and support professionals’ enrolment and mobilisation in innovation projects. – Two case studies were undertaken. These drew upon qualitative interviews with staff and participant  observation during innovation workshops. Patient diaries and a recorded montage of patient voices were also collected. – The findings illuminate translation processes in healthcare innovation and the emergence of meaning making process for staff through the  active use of patient narratives. The paper highlights the critical role of meaning making as an enabler of patient-centred change processes in healthcare via: local clinic mangers defining problems and ideas; collecting and sharing patient narratives in innovation  workshops; and healthcare professionals’ interpretation of patient narratives supporting new insights into patient experience. – This study demonstrates how healthcare professionals’ meaning making can be supported by articulating, constructing, listening  and interpreting patient narratives. The two cases demonstrate how patient narratives serve as reflective devices for healthcare professionals. – This study presents a novel demonstration of the importance of patient narratives for translating healthcare innovation  in a clinical practice setting.

– The purpose of this paper is to investigate the process and impact of patient involvement in locally defined improvement projects in two hospital clinics. The paper particularly aims to ex… Read  More  
  
  Pedersen,  Anne Reff. 2016. “The Role of Patient Narratives in Healthcare Innovation: Supporting Translation and Meaning Making.” Journal  of Health Organization and Management 30(2):244–57.
  
  3     Building  an Inclusive Climate for Intercultural Dialogue: A Participant-Generated Framework     by Benjamin  J Broome, Ian  Derk, Robert  J Razzante, Elena  Steiner, Jameien  Taylor, Aaron  Zamora    Format: ArticlePublication year: 2019 | Peer-reviewed Journal: 

• Negotiation and Conflict Management Research v12 n3 (August 2019): 234-255

This study investigates the question of how to build an inclusive environment for intercultural dialogue. Using the university campus as a context for our research, we conducted a facilitated idea generation workshop in which participants identified a set of  dialogic competencies, followed by individual interviews in which we explored participants’ perceptions of the relationships among these competencies. Interviews were conducted utilizing a software-assisted, idea-structuring methodology referred to as Interpretive  Structural Modeling (ISM). Based on our results, we constructed a framework that depicts the overall flow of influence among the set of dialogic competencies identified by the participants. While findings confirm the importance placed in current literature  on factors such as listening and empathy, they provide a more sophisticated and nuanced perspective on how to accomplish one of the oft-stated goals of intercultural dialogue, which is to help participants examine their unconscious biases, prejudices, and  privileges.

This study investigates the question of how to build an inclusive environment for intercultural dialogue. Using the university campus as a context for our research, we conducted a facilitate… Read  More   
  
    Broome, Benjamin  J. et al. 2019. “Building an Inclusive Climate for Intercultural Dialogue: A Participant-Generated Framework.” Negotiation  and Conflict Management Research 12(3):234–55.
  
  
  
  

please follow the instructions

Evidence Base Practice Quality Improvement Paper and e-Poster 

Topic: This paper is therefore focused on the provision of a literature review on the issue of patient falls in medical-surgical nursing units. The focused on performing the literature review will be based on fall rate incidences at the Medical-surgical units and the causes of high incidences of falls.

Part 1:This is a formal 10-12-page paper on your EBP practice improvement project. This assignment requires the use of evidence-based references. Proper APA format and citation is expected for this assignment.

Part 2:the paper is to be presented and summarized via a scientific e-poster covering the topic of interest chosen for the practice improvement paper.