Category: Nursing

1 page journal on what I did today .
Notes:
– worked on the pulmomnary floor, which is my ususal floor 
– went to morning huddle
– I was paired with a tech for todays assignment . Took me back to my roots when I was a tech in the ED
– Did not pass out medications becuase I was not with a RN today
– communicated with the RN on what the patient needed
– Took  vitals
– assisted patients with ambulatiuion 
-Passed out breakfast trays/ lunch trays
-helped changed patients 
-did  head to toe assessment on my assigned patient 
-watched a removal of a chest tube. explain process please
– took blood sugars in the morning and afternnon.
– explain how a tech is important for the floor and how they hellp the RN 

I’m going to attach the template that needs to be used, that was provided from my school and all the work I’ve done for the project thus far. And the instructions 

Week 3 Epidemiology of your Community Discussion
Discuss the epidemiology of your community. Are there specific highs or lows you found interesting? Pick two of the interesting data points about your community and compare it to the state data.
Paragraph One: Discuss your community as a whole, what epidemiological groups make up the community. Identify several data points including ethnicity, vulnerable populations and health issues or anomalies within your community. Compare the data to state and national levels
Paragraph Two: Identify a health issue that you noted during your windshield survey that you find interesting either one with higher than a state or national average or one with lower than state or national average. Discuss the issue and why you think there is a disparity between data points
Paragraph Three: How will you impact the previously identified health issue and what changes would you like to implement in your community. What community resources will you utilize to facilitate the change and which other healthcare professionals will you include in your plan.
Paragraph Four: How will you measure the outcomes of the change on your community? What tools will you use to measure the change and how long do you expect it to see the changes. How will get the data and track changes? Where will you mine your data
Your initial discussion should include 2 references, 1 from the required reading and 1 from an outside REPUTIBLE source
resource 1 is from ch 5 and 26:
Nies, M.A., & McEwen, M. (2019). Community/public health Nursing: promoting the health of populations (8th ed.). Elsevier Health Sciences.

First Paper:
Title: The Impact of Nurse-Led Education on Glycemic Control in Adult Diabetes Patients. Second Paper:
Title: Evaluating the Efficacy of Peer Support Programs for Diabetes Management in Community Settings.
The two articles should also be primary research They should both be investigating the same broad topic area but may have different aims/questions. They can employ the same research techniques/ methods/ procedures of use different ones. You are advised to use a structured search (e.g., PEO, PICO, PICOS, SPIDER etc.); however, you can still demonstrate your competence by using a range of search techniques such as Boolean Operators (to combine keywords); truncation, wild cards. clinical articles. Make sure you use high-quality, peer-reviewed sources.
To ensure currency of evidence, the two main articles you select should have been published in the past five years.
1 Introduction, EG. The essay will discuss the research methods used and ethical issues arising from two primary research papers that were conducted on my chosen topic of….. Two or three sentences max! We want you to direct the reader to it from this section of your essay (see appendix) 2 Literature search, EG.Tell us which database you searched and justify the choice with a piece of literature Then tell us about your search e.g. Tell us that you constructed a search using PEO, PICO or some other because they help structure the search (and give us a reference to support that) Tell us you combined synonyms with the Boolean operator “OR” because Bloggs et al (2020) says its a fab thing to do. Tell us you combined key words with Boolean operator “AND” because….. Tell us about the limits you put on your search (e.g. “last 5 yrs”) and why (using literature). Tell us how many results it left you to select from 3. Cite/ reference the 2 papers you have selected and give us a 2 or 3 sentence overview of each The second was…… 4 Specify which aspect(s) of their research methods you will be focusing on (max of 2 methods) and define those methods using relevant literature.EG. Make sure you know what a research method is: https://www.aesanetwork.org/research-onion-a-systematic-approach-to-designing-research-methodology/ Tell us whether you are going to write about sampling, data collection methods, data analysis techniques etc etc. Tell us exactly which methods were used in each study (surveys, interviews, focus groups etc) Briefly explain them using
research literature e.g. 5 Discuss the pros and cons of the method(s) as used in each paper (i.e. not just from a purely theoretical perspective
6 Discuss any ethical issues in the papers that you identify as worthy of discussion (ie stuff that sits within Beauchamp and Childress’ 4 ethical principles) .EG.All research in the UK requires ethical approval before it can proceed ..however the second ..
7 Brief conclusion. Simply state what you want readers to take away from your work 8 Reference list.EG.Include everything you have cited Yes, even your two main papers Follow APA 7 guidelines 7) Sense check the list, if its all references to clinical articles. Make sure you use high quality, peer reviewed sources. Don’t reference random webpages that have no real quality control.
9.Appendix. You should use screen capture (e.g., Ctrl + Prtscn) to evidence your search and include this image as an appendix to your assignment which you should signpost readers to from the account of your search (see example).

Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.
The first step in any effective project is planning. This assessment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular health care problem. Include physical, psychosocial, and cultural considerations for this health care problem. Identify and list available community resources for a safe and effective continuum of care.
For this assessment, you will develop a 3–4 page preliminary care coordination plan for a
selected health care problem. Include physical, psychosocial, and cultural considerations for this
health care problem. Identify and list available community resources for a safe and effective
continuum of care.
Before you complete the instructions detailed in the courseroom, first select one of the following
health care problems or issues: 
• Homelessness
• Physical considerations: Homelessness can cause physical health problems such
as exposure to the elements, malnutrition, and injuries. 
• Psychosocial considerations: Homelessness can cause emotional distress, social
isolation, and difficulty with daily activities. 
• Cultural considerations: Cultural beliefs and practices may influence an individual’s
willingness to seek help for homelessness. 
• Community resources: Homeless shelters, transitional housing programs, and
outreach programs can provide resources and support for individuals experiencing
homelessness.
• Aging and Elder Care
• 
Physical considerations: Aging can cause physical health problems such as
chronic diseases, mobility limitations, and cognitive decline.
• Psychosocial considerations: Aging can cause emotional distress, social isolation,
and difficulty with daily activities. 
• Cultural considerations: Cultural beliefs and practices may influence an individual’s
willingness to seek help for aging-related issues. 
• Community resources: Senior centers, home health care services, and caregiver
support groups can provide resources and support for older adults and their
caregivers. 
After you have selected one of the problems/issues from the list above, return to the detailed
instructions in the courseroom to complete your assessment  
Develop the Preliminary Care Coordination Plan
Complete the following:
Select one of the health concerns in the Assessment 01 Supplement: Preliminary Care Coordination Plan [PDF] Download Assessment 01 Supplement: Preliminary Care Coordination Plan [PDF]resource as the focus of your care coordination plan. In your plan, please include physical, psychosocial, and cultural needs.
Identify available community resources for a safe and effective continuum of care.
Document Format and Length
Your preliminary plan should be an APA scholarly paper, 3–4 pages in length.
Remember to use active voice, this means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.
In your paper include possible community resources that can be used.
Be sure to review the scoring guide to make sure all criteria are addressed in your paper.
Study the subtle differences between basic, proficient, and distinguished.
Supporting Evidence
Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.
Grading Requirements
The requirements, outlined below, correspond to the grading criteria in the Preliminary Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Analyze your selected health concern and the associated best practices for health improvement.
Cite supporting evidence for best practices.
Consider underlying assumptions and points of uncertainty in your analysis.
Describe specific goals that should be established to address the health care problem.
Identify available community resources for a safe and effective continuum of care.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
Write with a specific purpose with your patient in mind.
Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.

Scenario
The Board of Nursing in your state has decided to utilize a tool developed by the National Council of State Boards of Nursing called the Taxonomy of Error, Root Cause Analysis Practice- Responsibility (TERCAP). Your nurse manager has provided you with a summary of the completed TERCAP report by your Board of Nursing’s Disciplinary Action Committee. She has asked you to review this summary and to develop a proposal of suggestions for continuing education topics on ways to minimize legal risks for your hospital’s practicing nurses. The nurse educators will develop an education series based upon your recommendations.
Instructions
Prepare a proposal based on the summary of the TERCAP with recommendations and suggestions on minimizing legal risks that:
Part One – Review summary of completed TERCAP report below.
A patient, aged 54, admitted for back surgery secondary to compressed vertebrae and intense pain. The difficulty with pain management has caused the patient some depression and insomnia over the last month. During her first post-operative day, the patient fell attempting to go from the bed to the bathroom without assistance. Her injury was serious and involved significant harm requiring two additional days of hospitalization and an addition six weeks of physical therapy.
A review of the case determined that her assigned nurse on night shift was an RN (age 24) with nine months of experience in this unit. This was her third 12 hours shift in a row, and she was 29 weeks pregnant. There were 28 beds occupied with only two RNs and one patient technician, due to one vacancy and a call-in for illness. This community facility has experienced a turnover rate of 12% in the last year (community average of 4.5%), and has a high number of new graduates working on medical surgical units, particularly on the 7 pm- 7 am shift.
A review of the chart showed that the patient had been advised by the out-going nurse, who admitted her to the unit post-operatively, that she needed to ask for assistance with toileting for at least the next 24 hours due to the extensive back surgery and post-anesthesia response and pain medication. The RN coming on shift had received bedside shift report at 7 pm and noted the patient sleeping, so the issue of patient assistance was not repeated. She checked on her again at 8 pm and administered the requested prn medication (morphine) for pain. She was busy with other patients and did not see the patient again until the patient fell at 9:51 pm.
The patient reported that she did not recall having been instructed to ask for assistance, as she was very groggy from the anesthesia. She stated that she had pushed the nurse call button for assistance and “no one came.” There was no clerical support at the nursing station and the three staff members had been very busy with patients, so this statement could not be substantiated.
The risk manager found that the RN had not followed nursing policy for patient assessment 20 minutes after receiving pain medication, and had not done the recommended hourly rounding on the patient to assess for the need for elimination, pain, and patient comfort. The note in the chart indicated only that the patient requested pain medication, but did not provide specific nursing assessment details or comment that the patient had received the same dosage of morphine two hours earlier.
Part Two – Factors and Actions
Discusses the factors that contributed to event and how these factors could be addressed to minimize legal risks.
Situational factors
Nursing factors
Human factors
Organizational factors
Explains whether the nurse was negligent or did her actions reach the level of malpractice and support your reasoning with research.
Determines what options the nursing board had regarding this nurse’s license to practice nursing.
Describes your reasoning for what action would you recommend (warning, probation, revocation of license) if you were on the disciplinary committee of your Board of Nursing.
Explains how the level of nursing behavior relates to your proposed recommendation on licensure.
Part Three – Continuing Education
Summarizes a list of topics to be provided to the education department based on the summary of the TERCAP report.
Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the proposal.

Reflect on your experience with library research, noting the challenges you faced and the strategies you used to overcome them. Consider how this research process has contributed to your growth as a nursing student.
This should be no longer than one page.

offer suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.
Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.

Take ‘Conflict Self-Assessment’ on page 186 of your ‘Leading and Managing’ eBook (box 8.2) and tally your results according to the instructions.
On a Word document, record your answers to the following questions and upload them below. Be specific and thorough in your answers. Provide examples when appropriate and always give credit to your sources.
According to the self-assessment, which ‘conflict handling approach’ best describes you? Do you think this accurately describes you? How does one react to conflict with this style? What are the strengths and weaknesses of this style? 
Which conflict handling style do you think is most effective in resolving conflict? Describe a time where you have seen this approach in action. What was the outcome?
How can you be a more effective communicator – both in normal conversation and during a conflict? What modifications to your current nonverbal and verbal communication pattern can you make to be a more effective communicator?
On a Word document, record your answers and upload them below.
Give credit to your sources using APA 7th edition format; use both in-text citations and a reference page. Please visit the Writing Center if you need assistance.
SELF ASSESSMENT I ALREADY DID AND HAVE ATTACHED 
TO ACCESS BOOK  (COPY &PASTE URL)
https://online.vitalsource.com/reader/books/9780323792080/epubcfi/6/40[%3Bvnd.vst.idref%3Dch008_178-197_b9780323792066000087]!/4/2[c0040]/18/6/10/6/4/4/10/6/1:10[___%2C__]
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The Chronic Health Paper and reviewed the article by Belsky, Moffitt, & Caspi (2013) is due this week.
This paper should clearly and comprehensively discuss a chronic health disease. Select a topic from the list provided by your course faculty.
The paper should be organized into the following sections:
Introduction (Identification of the problem) with a clear presentation of the problem as well as the significance and a scholarly overview of the paper’s content. No heading is used for the Introduction per APA current edition.
Background and Significance of the disease, to include: Definition, description, signs and symptoms. Incidence and prevalence of statistics by state with a comparison to national statistics pertaining to the disease. If after a search of the library and scholarly data bases, you are unable to find statistics for your home state, or other states, consider this a gap in the data and state as much in the body of the paper. For instance, you may state something like, “After an exhausting search of the scholarly data bases, this writer is unable to locate incidence and/or prevalence data for the state of…” This indicates a gap in surveillance that will be included in the “Plan” section of this paper.
Surveillance and Reporting: Current surveillance methods and mandated reporting processes as related to the chronic health condition chosen should be specific.
Epidemiological Analysis: Conduct a descriptive epidemiology analysis of the health condition. Be sure to include all of the 5 W’s: What, Who, Where, When, Why. Use details associated with all of the W’s, such as the “Who” which should include an analysis of the determinants of health. Include costs (both financial and social) associated with the disease or problem.
Screening and Guidelines: Review how the disease is diagnosed and current national standards (guidelines). Pick one screening test (review Week 2 Discussion Board) and review its sensitivity, specificity, predictive value, and cost.
Plan: Integrating evidence, provide a plan of how a nurse practitioner will address this chronic health condition after graduation. Provide three specific interventions that are based on the evidence and include how you will measure outcomes (how will you know that the interventions have utility, are useful?) Note:  Consider primary, secondary, and tertiary interventions as well as the integration of health policy advocacy efforts. All interventions should be based on evidence connected to a resource such as a scholarly piece of research.
Summary/Conclusion: Conclude in a clear manner with a brief overview of the keys points from each section of the paper utilizing integration of resources.
The paper should be formatted and organized into the following sections which focus on the chosen chronic health condition.
Adhere to all paper preparation guidelines (see below).
Preparing the Paper
Page length: 7-10 pages, excluding title page and references.
APA format current edition
Include scholarly in-text references throughout and a reference list.