Category: Nursing

Activity 4
Sample Selection and Application You will enter Sentinel City® via the link to begin your virtual experience by taking a bus tour of Sentinel City®. Sentinel City® is a city just like your neighborhood. People live there from culturally diverse backgrounds. They vary in age, gender, and income level. Nurse researchers are unable to study the entire world so they choose “groups” or populations to study that actually mirror the population of interest. Your role is to experience the city and identify the “neighborhood” or sample that would provide the best place to study:
Geriatrics – – NIGHTINGALE SQUARE 27.14% of the residents are 65 and older
South East Asians – – There is no specific information regarding South East Asians in Sentinel City
Poverty – – INDUSTRIAL HEIGHTS 15.65% of residents life below the poverty line
Pediatrics – – LAKEVIEW 30% of the residents are under the age of 18
Complete an analysis of any evidence-based practice intervention that applies to poverty and describe how you would implement this in the Sentinel City® neighborhood. Remember, use resources that are interprofessional, evidence-based and focus on improving health outcomes. Helpful tips:
The researcher will often choose a population that contains the most number of subjects who have the study topic. For instance, to study children choose the area with the most children
Where does a nurse find evidence-based practice recommendations?
Visit the American Nurses Association
Question: What type of health promoting activity is interprofessional?
Think broadly consider nutrition (diet), Activity (exercise), Dental health, etc.
Review these core competencies:
Evidence-Based Practice – Core Competencies: Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice. Sample Selection: Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes. Interprofessional EBP Guidelines: Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care. Interprofessional EBP Guidelines: Collaborate in the collection, documentation, and dissemination of evidence. Explore Research Literature for EBP Guidelines: Acquire an understanding of the process for how nursing and related healthcare quality and safety measures are developed, validated, and endorsed. Application of the PICO Model to Nursing Care: Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes.

Rubric attached.
Conduct an internet search for “U.S. healthcare outcomes ranking,” and peruse the results you find and integrate them in your responses as appropriate.
Complete the Social Determinants of Care Concept Map
Speaker notes clearly explains the links between the SOD and US rankings. Explains why the particular format for the concept map was used

Please read the below adopted from Lippincott and provide a thorough written response:
A mother asks your opinions about parenting and the best way to develop their 10 year old child’s self-esteem. You know that “helicopter parenting” is producing higher rates of general anxiety in children. Children with overly controlling parents have higher levels of depression and report feeling less satisfied with family life. How would you respond to this parent in your own words. Incorporate Erikson’s Stage 4: Industry vs Inferiority into your response and site at least two references to support your response.

Write a 4–6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.
Grading Rubric
Provides a rigorous, scholarly, and perceptive analysis of current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
Integrates well-researched and current evidence about the impact of a selected innovative patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation. Provides clear insight into the potential implications of the technology on patient safety and quality of care.
Provides a scholarly, comprehensive, and well-researched description of organizational factors influencing the selection of a technology in the health care setting.
Justifies the implementation and use of a selected technology in a health care setting. Provides an in-depth and well-researched analysis of the impact of the technology on quality care and patient safety.
Creates a clear, well-organized, and professional annotated bibliography that is free from errors in grammar, punctuation, and spelling.
Follows APA style and formatting guidelines for citations and references with flawless precision and accuracy.

Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.

. Length – 3000 words (+10%) Include charts and diagrams where appropriate e.g. diagram for Anatomy and physiology, and the APIE nursing process.
Case study: Gemma
S – A recent visit for a blood test highlighted that Gemma had a raised HBA1c [average blood sugar level].
B – Gemma is a 54-year-old British-Asian lady and was recently diagnosed with Type 2 Diabetes. She is overweight with a Body mass index [BMI] of 35. Gemma is aware of her unhealthy diet and lack of exercise but is finding it difficult to motivate herself to change her daily routine.
A – Gemma is struggling to control her daily blood sugars. The practice nurse has made a clinical
decision to take a current blood sugar reading using a finger prick test.
R – The practice nurse has discussed Diabetes management with Gemma and given her advice on improving her wellbeing and lifestyle. 

Collaboration cafe original assignment:
Collaboration Café
During your practicum this week, what did you learn about your facilities handoff and medication reconciliation process and the role of the Clinical Nurse Leader in that process?
What can you share with the class in regards to these important Clinical Nurse Leader competencies and how you plan to apply the principles learned to your future practice as a Clinical Nurse Leader.
Take some time to also share with the class how your MSN project is going and any success or challenges experienced during your practicum.
___________________________________________________________
RESPOND TO PEER:
A substantive post will include the following.
Responds to classmates with an extended description instead of merely agreeing
·       Includes substantive content that addresses peer’s thoughts. 
·       Discusses new ideas or asks a question that prompts additional dialogue
·       Adds to the discussion topic in a meaningful and constructive manner
Peer response to
Collaboration Café:
During your practicum this week, what did you learn about your facilities handoff and medication reconciliation process and the role of the Clinical Nurse Leader in that process?
In the emergency department, there are two main instants that medication reconciliation is address during the patients encounter. First time it is addressed in during the triage process, the triage nurse or primary nurse has the responsibility to access and review with the patient what medications they are taking at home and compare it to what is in the facilities medical record. The nurse has the ability to add or delete medications in the system and essentially update the patients’ medical record. Another opportunity to review the medication list with the patient is during their discharge teaching. When they receive their discharge paperwork, a list of their current and past medications is provided for them and any changes that has been made as in whether to continue or stop certain medications is address with the patient. during our hand off report that is if the patient is getting admitted, we only go over the medication they received during their encounter in the emergency department and the admission nurse will then complete their medication reconciliation if needed. However, per our policy it is the medical providers responsibility to ensure patients medication reconciliation is completed during their visits.
What can you share with the class in regard to these important Clinical Nurse Leader competencies and how you plan to apply the principles learned to your future practice as a Clinical Nurse Leader.
As a Clinical Nurse Leader it is essential that you educate your staff, the patients and their families about the importance of medication reconciliation, because of the safety risk associated with it. Our patients and their families most of the time do not have a medical background and it is essential that they understand why they have been prescribed certain medications, being able to identify the side effects and adverse effects of medications prescribed to them, and how to make sure they do not take certain medications in conjunction with one another. When there is a change in their medication regiment, we need to make sure they understand what that change is and how it will affect other medications that they are already taking. We can accomplish this by ensuring medication reconciliation is completed during their discharge teaching. Having acquired this knowledge, I will ensure this skill is utilized in my daily practice as a nurse and nurse leader and will continue to be an advocate for its use to ensure safe and quality care is being practiced in my department.
Take some time to also share with the class how your MSN project is going and any success or challenges experienced during your practicum.
I have had to adjust my implementation time from 6 weeks to 3 weeks due to lack of time available, because I am still working on approval documents for my facility. I have secured a place in our department skills fair coming up in June to conduct an in-service with the staff and start my initial assessments for my project. I have tested my mobile application that would be used for my project and secured a Mindfulness based certified instructor for my in-service in June. I hope to gain my approval for this project by the end of this month and I am working with my preceptor to ensure I can meet my deadlines.

For this assessment, you will create a 2–4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

The thesis statement is ONE sentence that incorporates the criteria of (1) topic, (2) claim, and (3) specifics. Review the information on the different types of thesis statements in the reading materials for Module 4 and share four aspects with your classmates that you learned about writing and developing a thesis sentence for your paper.
Discussion Question Assignment: Writing STRONG ARGUMENTATIVE THESES!!! Write a strong argumentative thesis statement for the topic you chosen. Remember: Thesis statements are only ONE sentence in length, NOT A QUESTION; just stating the topic and stance; any support comes from the introduction which is not part of this assignment. I just want your one sentence theses listed :). Several strong words to consider using to make your stance in an argumentative thesis statement include: “should”, “should be”, “is the key”, “should no longer”, “demands” – these words interjected into your thesis sentence tells the reader where you stand and what to expect from the paper – you don’t have to agree with the statement; the assignment is to see if you can WRITE one :). CHOOSE TOPICS THAT EVOKE EMOTION EITHER FOR OR AGAINST! If you state that “Education is the key to preventing diabetic complications” as a thesis statement; this typically won’t be argued against – Choose topics that will be argued for or against and spark passion in another!
Remember: Review the information on the different types of thesis statements in the reading materials for Module 4 and share four aspects with your classmates that you learned about writing and developing a thesis sentence for your paper. 

Minimum 200 word discussion post answering the questions attached related to the scenario. The 200 words excludes the references. References need to be one from required course materials and 1 from peer reviewed references. no direct quotes allowed in the post. I attached the list of course resources that can be used.