Category: Nursing

Mr. Dunn is an 80-year-old male who is 2 days post op for a left hip fracture. He has a history of
diabetes and hypertension. This morning during your assessment his temperature had spiked to
102F and his surgical would has purulent drainage

Based on the article uploaded create a powerpoint presentation. the instructions are all in the other pdf as well. 

Examining the use of
non-steroidal anti-inflammatory drugs (NSAIDs) compared to narcotics to relieve pain.
This
assignment will help you in developing your Bare Bones Research Proposal
further.  You will use the evidence that you began identifying in your
Problem Identification and PICOT Assignment and build on it in this
assignment.  In this paper, you are providing evidence/statistics that
support that your topic is a problem in clinical practice, establishing the
significance of the problem to nursing, and reviewing and synthesizing current
literature about your topic.  Use the following headings to develop APA
headings for your paper.   Include the following information in each
section.  
Introduction: Begin with a broad introduction to the topic that grabs the
reader’s attention. Typically present broad statistical background on the
issue. Nearly every sentence should be referenced. 
Problem Statement:  Begin defining the problem
here—include more detailed statistics—specifically about the population you
plan to examine. What is the importance to the public?  Nearly every
sentence should be referenced. 
Significance of the study to nursing: (as obtained from the
literature). This must be referenced, not your opinion.  The significance
section should provide information as to why it is important to fill in any
gaps in knowledge or why it is important to improve patient outcomes.
Describe
and summarize who will be able to use the knowledge your study provides and, if
applicable, how the results of your study might help make practice decisions,
improve policy, or change practice as a whole.
Literature review and synthesis: Review relevant literature
and write a literature synthesis on your identified problem with at least seven recent,
scholarly, research-based, and diverse articles (at least three of which come
from nursing journals). These articles should be scholarly or research based in
nature.  Do not use web pages, newspapers, or non-refereed journals. 
Do not use any .com references. You will describe the variables of your study
here.  This section should be heavily referenced.  Try to synthesize
your findings.  Do not just summarize each of the articles
individually.  You will identify your variables in this section.  For
example:
Does
the utilization of music therapy in addition to oral pain medications impact
pain levels as compared to  oral pain medications alone in orthopedic post
surgical patients on post-operative day one?
Your
dependent variable is post-operative pain levels and your independent variable
is music therapy.  You would synthesize current literature on music
therapy and post operative pain (or even pain and the management of pain in
general).  
·        
Purpose: Identify the purpose of the study. You will write this as: The
purpose of the study is to….  Typical phrasing examples
include:
o   
The purpose of the study
is to examine the effectiveness of X intervention on Y. X would be the
independent variable and Y would be the outcome or dependent variable.
o   
The purpose of the study
is to identify whether a correlation exists between X and Y.
o   
The purpose of the study
is to determine whether X has an influence on Y.
o   
The purpose of the study
is to explore factors that (influence, describe, correlate, etc.) Y variable.
The
purpose statement also includes the target population. 
Hypothesis
or Research Question/PICOT Question: Select which one is most
appropriate for your design and congruent with your purpose. You will choose
either a hypothesis or a research question, not both.  These will be a
restatement of your purpose as either a hypothesis or a question.
After
receiving feedback on this assignment, you will be able to incorporate the
sections of this paper into your final Bare Bones Proposal assignment. 
See the attached grading rubric below. 

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan.
asssesment 1 was based on: 
Delayed Response to Deteriorating Patient Condition in Healthcare: A patient’s condition can change rapidly, and timely interventions are often crucial to prevent further deterioration or even save a life. For nursing students, understanding the implications of delayed responses to such changes is vital. Here’s why:
o PatientSafetyandOutcomes:Themostimmediateconcernwithdelayed responses is the potential harm to the patient. Rapid interventions can prevent complications, reduce the severity of outcomes, and in some cases, be the difference between life and death.
o WindowofIntervention:Manymedicalconditionshaveacriticalwindowduring which interventions are most effective. Delays in recognizing and responding can narrow or close this window, limiting treatment options and reducing the likelihood of positive outcomes.
o IncreasedComplexityofCare:Apatientwhohasdeterioratedfurtherduetoa delayed response often requires more complex and aggressive treatments than if the issue had been addressed promptly. This can involve higher-risk procedures, more medications, and longer recovery times.
o EmotionalandPsychologicalImpactonPatientsandFamilies:Witnessinga loved one deteriorate without prompt intervention can be traumatic for families. It can lead to feelings of helplessness, frustration, and mistrust towards the healthcare system.
o ProfessionalImplications:Delaysinrespondingtodeterioratingpatientscan have significant repercussions for healthcare professionals. These might include disciplinary actions, loss of licensure, legal consequences, and damage to one’s professional reputation.
o EconomicCosts:Delayscanleadtoextendedhospitalstays,additional treatments, and potential lawsuits, all of which result in increased costs for healthcare systems and patients.
o TeamDynamicsandMorale:Repeatedincidentsofdelayedresponsescan strain team dynamics. It can lead to blame, guilt, and tensions among team members, impacting the overall functioning and morale of the unit. 
INSTRUCTIONS:
It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, for an initiative that concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.
Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories focusing on a specific patient safety issue. Each resource listing should include the following:
An APA-formatted citation of the resource with a working link.
A description of the information, skills, or tools provided by the resource.
A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative pertaining to a specific patient safety issue.
A description of how nurses can use this resource and when its use may be appropriate.
Remember that you must make your site “public” so that your faculty can access it. Check out the Google Sites resources for more information.
Here is an example entry:
Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29.
This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.
Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements focusing on a specific patient safety issue.
Analyze the value of resources to reduce patient safety risk related to a specific patient safety issue.
Present reasons and relevant situations for use of resource tool kit by its target audience.
Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.
Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.

Create a detailed narrative script for your video presentation, approximately 4–5 pages in length. Include a reference list at the end of the script. Narritive should highlight the fundamental principles of care coordination. Include community resources, ethical issues, and policy issues that affect the coordination of care
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your video. Include your source citations on a references page appended to your narrative script. Explore the resources about effective presentations as you prepare your assessment.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Care Coordination Presentation to Colleagues 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.
Outline effective strategies for collaborating with patients and their families to achieve desired health outcomes.
Provide, for example, drug-specific educational interventions, cultural competence strategies.
Include evidence that you have to support your selected strategies.
Identify the aspects of change management that directly affect elements of the patient experience essential to the provision of high-quality, patient-centered care.
Explain the rationale for coordinated care plans based on ethical decision making.
Consider the reasonable implications and consequences of an ethical approach to care and any underlying assumptions that may influence decision making.
Identify the potential impact of specific health care policy provisions on outcomes and patient experiences.
What are the logical implications and consequences of relevant policy provisions?
What evidence do you have to support your conclusions?
Raise awareness of the nurse’s vital role in the coordination and continuum of care in a video-recorded presentation.
Fine tune the presentation to your audience.
Stay focused on key issues of import with respect to the effects of resources, ethics, and policy on the provision of high-quality, patient-centered care.
Adhere to presentation best practices.

Based on your textbook reading, discuss the process of Advanced Practice Nurse (APN) business planning from a system approach.
Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper is to be 2-3 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style

1. The article – Jae, Y. Y., Jin, H. K., Jin, S. K., Hyun, L. K., & Jung, S. K. (2019)
Nurses and healthcare organizations are both responsible for staying current with new research and Evidence-Based Practice findings.
Individual nurses are expected to engage in ongoing professional development and education to keep up to date with the latest advancements in their field. Nurses should regularly review relevant literature, including research articles, clinical practice guidelines, and systematic reviews, to stay updated on the latest evidence and best practices. This includes regularly reviewing new research, attending relevant conferences or seminars, participating in continuing education programs, and actively seeking out opportunities to expand their knowledge base.
On the other hand, organizations have a responsibility to support nurses in their efforts to stay informed. This support may come in the form of providing access to resources such as academic journals, databases, and online libraries, as well as offering opportunities for professional development and continuing education. Organizations should offer training and educational programs focused on EBP principles and research methodology to support nurses in their efforts to stay informed. Moreover, fostering a culture that values evidence-based practice and encourages lifelong learning can further facilitate nurses’ efforts to remain informed. Encouraging peer support networks and mentorship programs within the organization can provide opportunities for nurses to discuss and learn from each other’s experiences with implementing EBP.
To conclude, a collaborative approach between nurses and organizations is essential to ensure that nurses are equipped with the knowledge and skills needed to provide high-quality, evidence-based care to their patients.
2. The responsibility of staying current with new research and evidence-based practice findings in nursing primarily falls on the agency/organization. Individual nurses have a responsibility to maintain and enhance their competence throughout their careers by engaging with recent research and EBP. However, it is not possible if organizations cannot provide the necessary resources, such as access to research databases and journals, which are often costly for individuals. Regular workshops and seminars ensure systematic updates to nurses’ knowledge (Titler, 2008).
Additionally, considering the heavy workloads nurses face, organizations should designate time for evidence-based practice activities within work schedules. Although over 64 percent of the nurses had a favorable attitude toward EBP, they acknowledged that their busy schedules prevent them from staying current with new research (Majid et al., 2011). Without substantial organizational support, expecting individual nurses to stay current with new research is unrealistic. Therefore, the agency/organization must ensure nurses have the resources and time needed to integrate the latest evidence-based practices into clinical care effectively.

Screening – with Brief Intervention and Referral to Treatment (SBIRT): Presentation #2
Develop a PowerPoint presentation that includes the following criteria:
Slide 1: Title Page.
Slide 2: SBIRT overview – Describe the history of SBIRT, the SBIRT process and how it is used in clinical practice settings using US research articles.
Slide 3: Case Presentation – Do not include patient identifying information but include demographics i.e. age, gender, race/ethnicity, chief complaint, social history, family psychiatric history, psychiatric history, and risk factors.
Slide 4: Screening Tool used – Describe the screening tool, validity (sensitivity and specificity), scoring information, and citation. Your patient’s score and the interpretation of the patient’s score are required.
Slide 5: Brief Intervention – How was the Motivational Interviewing process applied and shared your client’s score and need for behavioral changes.
Slide 6: Referral for Treatment – Describe the referral for follow-up treatment plan. Include the name, address and telephone number of the local large organization. Be specific with the department where necessary.
Slide 7: Evaluation of the process – Share the patient’s outcome and your evaluation of the SBIRT process.
Slide 8: References –5 references. 7th Edition APA format. Include Screening Tool authors.
Submission Instructions:
The slides are to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
The narration is to be fluid with clear enunciation and the volume of speech is appropriate, with no pauses or distracting fillers.
The PowerPoint presentation should be formatted per current APA guidelines and 8-10 slides in length, including the title and references slides. Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. For presentation clarification, students may include the presenter’s notes.
Record the project with whatever software works best for you, upload it to Studio, and submit the project using Canvas Studio.
Upload your PowerPoint without the narration for this assignment.
Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday in Module 4.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Assessment Details
Read the following case study:
You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old Asian man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.  
Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.  
You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she had many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.  
Determine a holistic plan of care for this ICU patient described in the case using the nursing process. Be sure to include the entire patient, not just his respiratory status. 
Define each step of the nursing process and align each step to critical thinking and clinical decision-making processes.  
Format your plan of care as a Word document report, aligning the nursing process steps to the critical thinking and clinical decision-making processes in a table, and include it in your final report. Your report will be delivered to your nursing supervisor for review. 
Submit your assignment.
Assignment adapted from Leading and Managing in Nursing (Ch. 21), by Patricia S. Yoder-Wise, 2015, St Louis, MI: Elsevier. Copyright 2015 by Elsevier. Adapted with permission.

Course Competencies
Analyze the components of political action in nursing.
Explain the process of policy-making in healthcare delivery.
Apply the principles of economics as they relate to nursing and healthcare.
Appraise economical aspects that influence healthcare delivery systems.
Analyze legal components related to nursing practice.
Determine strategies that minimize legal risks in nursing practice related to negligence and malpractice.
Transferable Skill
Communication – Displaying capability in writing, reading, and oral communication; understanding of non‐verbal language.
Instructions
In your initial post,
Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.
Describe how you achieved the transferable skill, Communication, including at least one example of new knowledge gained related to the transferable skill.
Describe how this new knowledge will impact your nursing practice.
In your response, post to at least two peers,
Review how your peers achieved each course competency.
Identify new knowledge others gained you had not considered.
Describe how this new knowledge identified by your peer could impact your nursing practice.
400 word main post 
100 word reply to each classmate and make it sound nice and not mean 
put each post on seprate docmuntes 
reply 100 words to classmate jose 
Analyze the components of political action in nursing.
-I achieved this course competency through reading the assigned chapters as well as completing the discussion post about political activity.
-I achieved the transferable skill of illustrating nursing involvement in politics by learning about the different political issues that are involved in nursing along with their importance.
-This will impact my nursing practice because politics in nursing will effect my career and all of the policies that are put into place, or not put into place, will have an effect on my role. I believe it is very important to be well versed in nursing politics because you really have an impact and a voice and should speak it on behalf of you and your patients (Salmond, & Echevarria 2017).
Explain the process of policy-making in healthcare delivery.
-I achieved this course competency through reading the assigned chapters and completing an assignment in which we were tasked to create a policy briefing document. This assignment really helped me to understand everything that goes into a policy brief and how long of a process it really is.
-I achieved the transferable skill of being able to read and understand the public documents regarding policies that are accepted or denied.
-This will impact my nursing practice because it is important to be able to read and understand the policy making cycle in order to who the policies are being reviewed and passed by.
Apply the principles of economics as they relate to nursing and healthcare.
-I achieved this course competency through attending the recorded lecture, reading the chapters, and completing the financial forecasting memo assignment. This assignment asked us to review a financial document and forecast the costs that may be involved.
-I achieved the transferable skill of understanding the financials that go into hospital and the many factors that are involved. This is something that nurses may not necessarily think about, but it really does impact them because a lot of cost cutting measures can involve different parts of the nursing process.
-This will impact my nursing practice because it is important to be versed on the financials, or at least the high-level financials, of the facility in which you work. This may not have a huge impact on your role directly right away but in the long run it can have impacts on pay, supplies that are used, and other day to day things.
Appraise economical aspects that influence healthcare delivery systems.
-I achieved this course competency through reading the assigned chapters, attending the live class and taking the quiz that was associated.
-I achieved the transferable skill of how to make processes in the hospital cost effective. There are many different measures that can be taken for cost efficiency included not wasting unnecessary supplies, 
References
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing, 36(1), 12.
reply 100 words to classmate brooklyn
Analyze the components of political action in nursing:
I have learned about various ways in which nurses can engage in politics. These include joining organizations like the ANA and supporting them. I recently came across several effective ways nurses can engage in politics. One option is to join professional organizations such as the American Nurses Association (ANA), which provides a platform for nurses to voice their opinions and advocate for policies that benefit the nursing profession and healthcare. Another approach involves supporting political leaders who align with the values and priorities of the nursing community and actively participating in campaigns and initiatives that promote healthcare-related policies. Additionally, leveraging social media and online platforms can be a powerful tool to encourage fellow nurses to vote for specific leaders and rally support for important causes in nursing. By harnessing the collective voice of nurses, these actions can have a meaningful impact on healthcare policy and advocacy efforts by political leaders, as well as using online platforms to encourage other nurses to vote for specific leaders and support them.Explain the process of policy-making in healthcare delivery:
In module four, I studied California’s nurse-to-patient legislation and gained a deeper understanding of the complex policymaking process. I learned that advancing a bill involves various stakeholders, such as representatives and sponsors, working to navigate it through the legislative process. This knowledge will be valuable for my future advocacy for nursing-related political action.
Apply the principles of economics as they relate to nursing and healthcare:
Economic discussions rarely focus on nursing or healthcare disciplines. As a result of this course, I have gained a deeper understanding of how these professions affect the economy. Developing a financial plan and budget for a healthcare organization requires a solid understanding of these principles.
.Appraise economic aspects that influence healthcare delivery systems:
I successfully achieved this competency during modules 5 and 6. I gained new knowledge, particularly in understanding the concepts of supply and demand in healthcare services. Delving into how these economic principles influence resource allocation, pricing, and healthcare access provided valuable insights into nursing and healthcare delivery economics.
Analyze legal components related to nursing practice:
Studying organizational influence has significantly enhanced my comprehension of how systemic economic factors affect the provision of healthcare services. Exploring areas such as healthcare financing, cost intricacies, resource allocation, market dynamics, technological advancements, regulatory frameworks, economic influences, population health considerations, global health factors, and public health investments has provided me with a holistic understanding of the interconnected nature of these vital aspects in the healthcare sector. This knowledge has been invaluable in developing strategies to minimize.
legal risks in nursing practice related to negligence and malpractice:
During one of the last modules, I focused on strategies to minimize legal risks in nursing practice. One crucial point I learned was the significance of following protocols to prevent malpractice allegations. Exploring best care practices underscored the importance of adhering to established procedures and guidelines to ensure patient safety and limit legal liability.
Transferrable Skill
I gained this competency by participating in assignments and discussions throughout this course. One crucial aspect I learned about is how effective communication is vital in minimizing legal risks in nursing. This understanding will shape my future nursing practice by enabling me to effectively communicate with colleagues, healthcare providers, patients, and their families.
New Knowledge
My last bachelor’s degree was in health information management, but it was nothing compared to this class. I felt as if we had dived so deep in such a short amount of time.