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  • How to prevent healthcare workplace violence

    How to prevent healthcare workplace violence

    Overview

    A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence where you work. Write a 750–1,000-word article on workplace violence and prevention measures for the hospital employee newsletter. How to prevent healthcare workplace violence.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. How to prevent healthcare workplace violence.

    Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.

    Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.

    Identify the main components of OSHA’s workplace violence prevention guidelines.

    Explain the American Nursing Association’s position on violence in the workplace. How to prevent healthcare workplace violence.

    Explain safety policies and protocols for preventing and responding to violence against health care workers. How to prevent healthcare workplace violence.

    Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.

    Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

    Correctly format citations and references using APA style.

    Assessment Instructions

    Your workplace has experienced some serious problems with workplace violence that occurred between patients and caregivers. A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence. You have been asked to write an article on workplace violence and prevention measures for the hospital employee newsletter. How to prevent healthcare workplace violence.

    Preparation

    Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on workplace violence. You will need at least five articles to use as support for your work on this assessment.

    Directions

    Write a 750–1,000-word article (3–4 pages) on workplace violence and prevention measures for the hospital employee newsletter. Address the following in your article:

    Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings. Consider the types of patients that may be treated within a clinical or hospital setting.

    Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.

    Explain safety policies and protocols for preventing and responding to violence against health care workers. How to prevent healthcare workplace violence. How to prevent healthcare workplace violence.

    Additional Requirements

    Your presentation should meet the following requirements:

    Written communication: Written communication should be free of errors that detract from the overall message.

    References: Cite a minimum of five resources, with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years. How to prevent healthcare workplace violence.

    APA format: Resources and citations should be formatted according to current APA style and formatting.

    Length: 750– 1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment. How to prevent healthcare workplace violence.

    Font and font size: Times New Roman, 12-point.

    How to prevent healthcare workplace violence

  • End-of-life health care decisions essay

    End-of-life health care decisions essay

    Overview

    Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    ORDER A PLAGIARISM-FREE PAPER HERE

    Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.

    Identify the primary policies that define current health care practices in regard to end-of-life health care decisions. End-of-life health care decisions essay.

    Explain the legislation that generated end-of-life health care policies.

    Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.

    Explain the effect of end-of-life regulations and controls on patient outcomes.

    Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.

    Describe the role of the nurse in end-of-life decision making with patients and their families.

    Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions. End-of-life health care decisions essay.

    Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.

    Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

    Correctly format citations and references using APA style. End-of-life health care decisions essay.

    Assessment Instructions

    Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions

    Preparation

    Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.

    Directions

    Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:

    Describe the role of the nurse in end-of-life decision making with patients and their families.

    Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?

    Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions? End-of-life health care decisions essay.

    Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?

    Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.

    Additional Requirements

    Your article should meet the following requirements:

    Written communication: Written communication should be free of errors that detract from the overall message. End-of-life health care decisions essay.

    References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.

    APA format: Resources and citations should be formatted according to current APA style and formatting.

    Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.

    Font and font size: Times New Roman, 12-point. End-of-life health care decisions essay

  • Moral and ethical issues related to triaging patients in an emergency room essay.

    Moral and ethical issues related to triaging patients in an emergency room essay.

    Overview

    Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. Moral and ethical issues related to triaging patients in an emergency room essay..

    Explain the health care policies that can affect emergency care.

    Recommend evidence-based decision-making strategies nurses can use during triage.

    Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.

    Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.

    Explain how health care disparities impact treatment decisions.

    Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.

    Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

    Correctly format citations and references using APA style. Moral and ethical issues related to triaging patients in an emergency room essay.

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    Assessment Instructions

    Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

    One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.

    The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft. Moral and ethical issues related to triaging patients in an emergency room essay..

    Preparation

    Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on best practices in triage nursing. You will need at least three articles to use as support for your work on this assessment.

    Directions

    Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

    Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

    Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.

    Explain how health care disparities impact treatment decisions. Moral and ethical issues related to triaging patients in an emergency room essay.

    Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?

    Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured? Moral and ethical issues related to triaging patients in an emergency room essay.

    Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

    Additional Requirements

    Your presentation should meet the following requirements:

    Written communication: Written communication should be free of errors that detract from the overall message.

    References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years. Moral and ethical issues related to triaging patients in an emergency room essay.

    APA format: Resources and citations should be formatted according to current APA style and formatting.

    Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.

    Font and font size: Times New Roman, 12-point. Moral and ethical issues related to triaging patients in an emergency room essay.

  • Triaging patients in an emergency room essay

    Triaging Patients in an emergency room Essay

    Overview

    Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. ◦Explain the health care policies that can affect emergency care.

    ◦Recommend evidence-based decision-making strategies nurses can use during triage.

    Competency 3: Apply professional nursing ethical standards and principles to the decision-making process. ◦Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.

    ◦Explain how health care disparities impact treatment decisions.

    Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

    ◦Correctly format citations and references using APA style. triaging patients in an emergency room Essay.

     

    Context

    Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.

     

    Questions to Consider

    To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

    How does a triage nurse decide which patient gets seen first?

    How does health disparity affect the triage nurse’s decision making?

    What ethical and moral issues does the triage nurse take into account when making a decision?

    What are triage-level designations? triaging patients in an emergency room Essay.

     

    Suggested Resources

    Library Resources

     

    The following e-books or articles from the Capella University Library are linked directly in this course:

    Tingle, J., & Cribb, A. (Eds.). (2014). Nursing law and ethics (4th ed.). Somerset, NJ: John Wiley & Sons.

    Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses: Theory and practice. Maidenhead, UK: Open University Press. triaging patients in an emergency room Essay.

    Aacharya, R. P., Gastmans, C., & Denier, Y. (2011). Emergency department triage: An ethical analysis. B MC Emergency Medicine, 11(1), 16–29.

    Guidet, B., Hejblum, G., & Joynt, G. (2013). Triage: What can we do to improve our practice? Intensive Care Medicine, 39(11), 2044–2046.

    Kangasniemi, M., & Haho, A. (2012). Human love – The inner essence of nursing ethics according to Estrid Rodhe. A study using the approach of history of ideas. Scandinavian Journal of Caring Sciences, 26(4), 803–810.

    Gastmans, C. (2013). Dignity-enhancing nursing care: A foundational ethical framework. Nursing Ethics, 20(2), 142–149.

    Domagala, S. E., & Vets, J. (2015). Emergency nursing triage: Keeping it safe. Journal of Emergency Nursing, 41(4), 313–316. triaging patients in an emergency room Essay.

     

    Internet Resources

    Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

    American Nurses Association. (2015). Code of ethics for nurses. Retrieved from http://www.nursingworld.org/codeofethics

    American Nurses Association. (n.d.). ANA position statements on ethics and human rights. Retrieved from http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Ethics-Position-Statements

    Vigil, J. M., Alcock, J., Coulombe, P., McPherson, L., Parshall, M., Murata, A., & Brislen, H. (2015). Ethnic disparities in emergency severity index scores among U.S. veteran’s affairs emergency department patients. PLoS One, 10(5). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26024515. triaging patients in an emergency room Essay.

    Assessment Instructions

    Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

    One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.

    The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft. triaging patients in an emergency room Essay.

     

    Preparation

    Directions

    Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

    Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

    Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.

    Explain how health care disparities impact treatment decisions.

    Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?

    Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?

    Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population. triaging patients in an emergency room Essay.

    Additional Requirements

     

    Your presentation should meet the following requirements:

    Written communication: Written communication should be free of errors that detract from the overall message.

    References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.

    APA format: Resources and citations should be formatted according to current APA style and formatting.

    Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.

    Font and font size: Times New Roman, 12-point. triaging patients in an emergency room Essay.

    Moral Dilemmas and Ethical Decisions Scoring Guide

    CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED

    Explain the

    health care

    policies that can

    affect emergency

    care.

    Does not

    explain the

    health care

    policies that can

    affect

    emergency

    care.

    Identifies but

    does not explain

    the health care

    policies that can

    affect

    emergency care.

    Explains the

    health care

    policies that can

    affect emergency

    care.

    Explains the health

    care policies that can

    affect emergency care

    and considers the effect

    on patient experience.

    Recommend

    evidence-based

    decision-making

    strategies nurses

    can use during

    triage.

    Does not

    recommend

    evidence-based

    decision-making

    strategies

    nurses can use

    during triage.

    Identifies but

    does not

    recommend

    evidence-based

    decision-making

    strategies

    nurses can use

    during triage.

    Recommends

    evidence-based

    decision-making

    strategies nurses

    can use during

    triage.

    Recommends

    evidence-based

    decision-making

    strategies nurses can

    use during triage, and

    explains how these

    recommendations will

    result in positive patient

    outcomes.

    Describe the

    moral and ethical

    challenges

    nurses can face

    when following

    hospital policies

    and protocols.

    Does not

    describe the

    moral and

    ethical

    challenges

    nurses can face

    when following

    hospital policies

    and protocols.

    Identifies but

    does not

    describe the

    moral and

    ethical

    challenges

    nurses can face

    when following

    hospital policies

    and protocols.

    Describes the

    moral and ethical

    challenges

    nurses can face

    when following

    hospital policies

    and protocols.

    Describes the moral

    and ethical challenges

    nurses can face when

    following hospital

    policies and protocols,

    and provides current

    and relevant examples.

    Explain how

    health care

    disparities

    impact treatment

    decisions.

    Does not

    explain how

    health care

    disparities can

    impact

    treatment

    decisions.

    Identifies but

    does not explain

    how health care

    disparities can

    impact treatment

    decisions.

    Explains how

    health care

    disparities can

    impact treatment

    decisions.

    Explains how health

    care disparities can

    impact treatment

    decisions and illustrates

    with real-world

    examples.

    Write content

    clearly and

    logically, with

    correct use of

    grammar,

    punctuation, and

    mechanics.

    Does not write

    content clearly,

    logically, or with

    correct use of

    grammar,

    punctuation,

    and mechanics.

    Writes with

    errors in clarity,

    logic, grammar,

    punctuation, or

    mechanics.

    Writes content

    clearly and

    logically, with

    correct use of

    grammar,

    punctuation, and

    mechanics.

    Writes clearly and

    logically, with correct

    use of spelling,

    grammar, punctuation,

    and mechanics, and

    uses relevant evidence

    to support a central

    idea.

    Correctly format

    citations and

    references using

    APA style.

    Does not format

    citations and

    references

    Formats

    citations and

    references with

    errors.

    Correctly formats

    citations and

    references using

    APA style.

    Correctly formats

    citations and references

    using APA style.

    ©1998-2016 HealthWyse LLC 1 of 2

    CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED

    using APA

    style.

    Citations contain

    a few errors.

    Citations are free from

    all errors.

    ©1998-2016 HealthWyse LLC 2 of 2

    triaging patients in an emergency room Essay

  • Unique health concerns of teenagers

    Unique health concerns of teenagers

    Overview

    Create a 6–8-slide PowerPoint presentation for a group of school nurses, which addresses the role of the school nurse in managing the unique health concerns of teenagers while adhering to privacy laws.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Unique health concerns of teenagers.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.

    Explain the laws that relate to adolescent safety and health privacy in a school setting.

    Explain how the privacy laws affect schools, students, and school nurses.

    Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.

    Describe health and wellness issues specific to the adolescent population.

    Recommend evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse.

    Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.

    Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

    Correctly format citations and references using APA style. Unique health concerns of teenagers.

    Assessment Instructions

    You are the parent of two teenagers and an active PTA member at their school. The principal approached you about an upcoming professional gathering for middle- and high-school nurses in your district. She asked you to make a short presentation on school health privacy and how it can affect nurse-student care within the teen population, where personal health issues and privacy concerns often collide. Unique health concerns of teenagers.

    Preparation

    Research and gather information about the issues facing school nurses in your state of licensure, as well as state and federal privacy laws that govern your school health privacy information. You will also need to learn about the legal limitations and responsibilities of the school nurse.

    Directions

    Create a 6–8-slide PowerPoint presentation that examines the privacy issues unique to nurses serving the high-school age population. Address the following:

    Describe the types of health and wellness issues that can affect adolescents in their high-school years. Be sure you think beyond the usual things and really research the types of issues that are affecting young people today.

    Explain how privacy laws can impact the school nurse in regard to patient safety and health outcomes for adolescents. Unique health concerns of teenagers.

    Explain how privacy laws benefit the student, the school, and the school nurse.

    Recommend two specific evidence-based ethical strategies regarding health and wellness privacy communications in a school environment.

    Use the notes section of each slide to expand your points and cite your supporting evidence. Also, include a title slide and a reference slide that lists the resources you used in this assessment. Unique health concerns of teenagers.

    Be creative. Consider your intended audience. Unique health concerns of teenagers.

    Additional Requirements

    Your presentation should meet the following requirements:

    Written communication: Written communication should be free of errors that detract from the overall message. Unique health concerns of teenagers.

    References: Include a reference slide with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.

    APA format: Resources and citations should be formatted according to current APA style and formatting.

    Length: 6–8 slides. Unique health concerns of teenagers.

  • MN577 Advanced Nursing Practice: Discussion Board: Common Causes Of Pelvic Pain

    MN577 Advanced Nursing Practice: Discussion Board: Common Causes Of Pelvic Pain

    Chronic pelvic pain can be defined as intermittent or constant pain in the lower abdomen or pelvis of a woman of at least 6 months in duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy. It is a symptom, not a diagnosis. Chronic pelvic pain presents in primary care as frequently as migraine or low-back pain and may significantly impact a woman’s ability to function. MN577 Advanced Nursing Practice: Discussion Board: Common Causes Of Pelvic Pain.

    Discussion:

    Discuss the common causes of pelvic pain and who, when, and why you would decide to refer the patient for diagnostics and second opinions.

    Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations. MN577 Advanced Nursing Practice: Discussion Board: Common Causes Of Pelvic Pain

  • Uterine fibroids and pelvic pain

    Uterine fibroids and pelvic pain

    Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.

     

    Pelvic pain can be acute or chronic and can be caused by any number of conditions. In primary care, nurse practitioners should be able to outline the basic approach to initial evaluation of and management of these disorders.

    Discussion: 

    There are many causes of pelvic pain. Select one of the causes of pelvic pain and describe the symptoms.
    (Uterine fibroids).

    Why and who would you refer this patient to for consultation? Uterine fibroids and pelvic pain.

    What are the steps to writing a referral and what is the NP’s responsibility for follow up? Uterine fibroids and pelvic pain

  • Reengineering health care essay

    Reengineering health care essay

    Comment1.          Nurse managers and leader’s role in reengineering health care is by being advocates for patients and staff, as well as making sure the hospital’s environment is calm and functioning smoothly. “Advocacy is a process used to facilitate growth in others. Common methods of advocacy are: 1) providing others with information that empowers them to make their own decisions, and 2) acting on behalf of others who do not have the ability or power to advocate for themselves” (Reengineering, 2011). It is important for the nurse managers and leaders to create a hospital facility environment where patients are respected, and are empowered by educating them on their health and condition to enable them to make decisions about their treatment and care. Reengineering health care essay. It is also important for managers/leaders to continually check on their staff’s patient care feedback and any concerns they may have. It is also important for them to listen to their staff and patient. “Leaders must listen to the sounds of change. Leaders must help people work through the grieving process and conflicts experienced during time of change. Because the pace of change in health care is so rapid, leaders must be prepared to deal with the chaos and uncertainty through calm communication” (Reengineering, 2011). Reengineering health care essay.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Comment2.

    Health care requirements need to adapt to changes based on the needs and demands of the community being served. Therefore reengineering is necessary to maintain safety in practice, improve processes and increase efficiency in care delivery while saving costs. A manager plays an important role in advancing and keeping the healthcare system in progress. The nurse manager initiates and coordinates the health care team in delivering high quality patient care services. For these managers or leaders to achieve this goal, several principles have to take place. These include ethical decision making and adhering to professional codes. Reengineering health care essay. “Ethical decision making like any other decision making requires the manager to gather information, identify the problem, generate alternatives or select an alternative to implement and evaluate results. Ethical decision making depends on the identification of the ethical principles that guide the selection and expectations of the outcome” (Grand Canyon University, 2013). Professionally, nurse managers should keep up to date with legal aspects in the health care system in order to protect patients, staff and the interests of the organization. Reengineering health care essay.

    Comment1.

    Health care reengineering is a discipline that helps organizations reorder priorities, provide more cost-effective care, and increase value to customers. Reengineering should be driven what is best for the organization and the needs of the organization. Reengineering is a critical “core competency” and “requisite skill”  for health care organizations if they are to succeed under managed care in the future. Managers and leaders play a vital role in the process of reengineering. The managers role is to ensure “that the mission of the organization, which focuses on providing excellent care for clients, is fulfilled through effective and efficient coordination of resources” (GCU, 2013). Managers display the skills for showing responsibility by guaranteeing that the staff is competent to provide the care of each individualized patient. Managers show their skills by holding staff accountable. Managers have been described as planners, problem solvers, delegators, and staffers (Huber, 2014). GCU, 2013, described the roles of management as planning, organizing, staffing, directing, and controlling. Reengineering health care essay. Leaders are the mentors and inspirations of the organizations. The leaders make the goals and outcomes known for the organization. The leaders are critical to organizations as they ensure that the operations than run from day-to-day are ran smoothly without any bumps in the roads. Managers and leaders have distinct roles with their organization but they both must integrate their roles to provide effective leadership. The managers and leaders work together to develop the “power” needed to accomplish goals, mission, and reengineering within the hospital.

    Comment2.

    A good leader is pivotal to play the role as a re-engineering of health care. A leader can sheer staff, patients, and their families through difficult decision-making processes. As laid out in our lecture notes, a leader can assist in the navigation of ethical decision-making, which impacts legal issues, patient, and staff conflict, change, conflict resolution, and communication. Reengineering health care essay.

    Navigating ethical dilemmas can be incredibly challenging and time-consuming. In my health care system, we have a ethics committee, which is a forum in which we can present ethical patient dilemmas and talk them over in a forum to find the most ethical solution for the patient. Reengineering health care essay. The facility is a Catholic facility so much of our decision making for our patient population is based on our core values as an institution. As a leader in the organization, I encourage the staff to relay on this ethics forum for support when ethical dilemmas arise so that they can take part in the forum and have a role in made conclusions. Reengineering health care essay.

  • PICOT statement – NRS-433V-RS-Research-Critique-Guidelines

    PICOT statement – NRS-433V-RS-Research-Critique-Guidelines

    Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

    PICOT Statement 

    Revise the PICOT statement you wrote in the Topic 1 assignment.

    ORDER A PLAGIARISM-FREE PAPER HERE

    The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). PICOT statement – NRS-433V-RS-Research-Critique-Guidelines.

    Research Critiques

    In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions. PICOT statement – NRS-433V-RS-Research-Critique-Guidelines.

    The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

    Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

    Proposed Evidence-Based Practice Change

    Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

    Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. PICOT statement – NRS-433V-RS-Research-Critique-Guidelines.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. PICOT statement – NRS-433V-RS-Research-Critique-Guidelines

  • Drug Use & Abuse Essay

    Drug Use & Abuse Essay

    1. Choose a substance described in your readings from the first few weeks of the class.

    2. Choose a year or decade in United States history within the past 175 years. (See below for a list of suggested years if you need help to get started, but you can choose other years or decades).

    Cocaine – 1860’s, 1885s, 1906 or 1914

    Amphetamines – 1932 or 1967

    Opium – 1890’s

    Heroin – 1890 or 1920’s

    Hallucinogens – 1960’s

    ORDER A PLAGIARISM-FREE PAPER HERE

    Marijuana – 1920’s, 1937 or 1960’s

    Anabolic steroids – 1960’s, 1970’s

    Alcohol – 1920’s

    Tobacco – 1930’s, 1960’s

    Anti-psychotic drugs – 1955

    Barbiturates – 1960’s, 1070’s

    Benzodiazepines – 1960’s

    Tobacco – 1880’s, 1920’s or 1060’s

    Caffeine – 1860’s

    Answer the following questions about the substance, using your sources:

    3. What were the attitudes towards the substance in that year/decade?

    Compare to today. (cite your source)

    4. How easily available was it then?

    Compare to today. (cite your source)

    5. How widespread was its use then?

    Compare to today. (cite your source)

    6. Did certain ethnic, religious, cultural, racial, age, etc. groups tend to use it more then? Compare to today. (cite your source)

    7. Were there regulations or laws restricting its use? Drug Use & Abuse Essay.

    Compare to today. (cite your source)

    8. In your opinion, what has improved since then? What has not improved? (no citation needed)

    9. What surprised you the most about your findings? (no citation needed). Drug Use & Abuse Essay.

    10. Harm reduction vs. zero tolerance
    :
     Do you think we should strive to totally eliminate abusive drug-taking behavior in the US, or do you think that we should realize that total elimination is unrealistic and try to reduce the harm that drugs do to the user and others? What do you think about harm reduction programs such as needle exchange programs and medication assisted treatments? (no citation needed). Drug Use & Abuse Essay

    (See page 44 in textbook for a description of harm reduction vs. zero tolerance).

     

    Format:

    Use the following headings for your post: (See sample post)

    1.

    Substance 

    2.

    Years or Decade

    3.

    Attitudes

    4.

    Availability

    5.

    Widespread Use

    6.

    Groups affected

    7.

    Regulations/Laws

    8.

    What has improved or not

    9.

    What surprised me

    10.

    Harm Reduction vs. Zero Tolerance

    Sources:

    · Because this is college, you need to use at least TWO
    academic
    sources: from government reports or scholarly/peer-reviewed journal articles. This will give you experience doing academic research. You can use the course textbook or other sources as additional sources, but they will not count as one of the two required sources.  
    Read the handout (below) on scholarly sources. Drug Use & Abuse Essay.

    · Use the NU library to find your sources. If you don’t know how, contact the NU library for help.

    · Use your OWN WORDS (e.g., do not cut and paste from an article).

    · Do NOT use any quotations.  
    Paraphrase
    (use your own words) to report the information.

    ·
    Use in-text citations.
    Write the source of your information at the end of the applicable sentences using APA 6th edition format.  This will give you practice using APA to cite references.

    · List all the references in APA 6th Edition format at the end of your post in a References list.

    NOTE: If you are new to APA, I recommend that you use an online citation builder such as APA Style Central
    http://apastylecentral.apa.org.nuls.idm.oclc.org/
    or the NU library database to automatically format your references correctly. You can also get help from the Writing Center
    https://nu.mywconline.com/
    and the NU library on how to use APA to cite references.

    READ THE DISCUSSION RUBRIC
    BEFORE
    YOU START. COMPARE WHAT YOU WRITE WITH THE RUBRIC. READ THE SAMPLE POST BEFORE YOU START. Drug Use & Abuse Essay.

    IMPORTANT: Do NOT submit your first draft. First, read what you wrote out loud. Check for:

    – Missing words or letters

    – Missing or misplaced periods, apostrophes, commas

    – Incomplete sentences

    – 2 or more sentences strung together that should be made into separate sentences

    – Putting something is past tense that should be in present tense or vice versa

    – Plural words that should be singular or singular words that should be plural

    – Making the verb and subject match (plural or tense)

    AFTER you make these corrections, then post your discussion
    .

    Then post 2 responses to other student posts, at least 5-6 full sentences long. You do not need to include any citations in your responses, but you can if you would like. Drug Use & Abuse Essay.

    ACADEMIC SOURCES

    An important step in writing a term paper or in completing many assignments includes finding information in periodicals. In general, information in
    periodicals
    is more timely, current, and up-to-date, than information in books. When professors and/or librarians speak of the periodical literature, they may use several different terms, such as,
    magazines, serials, or scholarly journals.

    In order to look for the right kind of information in the right places, you first need to understand the assignment. Does your professor want you to look for papers in
    scholarly journals
    , or will recent articles from substantive, general interest or
    popular magazines
    be more appropriate? Once you understand the assignment, you need to know how to distinguish one kind of periodical literature from another. Here are some rough guidelines:

    • A
    serial
    or
    periodical
    is any publication that appears at regular intervals (weekly, monthly, quarterly, and annually) and is intended to continue indefinitely. Magazines, journals, newspapers, yearbooks, proceedings, and indexes are all serials.

    •
    Magazines
    are commercial serial publications intended for any of a wide variety of readers. Some magazines provide news and general information to a popular audience, while others are aimed at professionals in various fields.

    •
    Newspapers
    are commercial periodicals that are issued daily, weekly or biweekly, featuring cover age of news and current events as well as opinion and advertising. Newspapers seek to inform, explain, influence and entertain readers. Some papers such as the
    New York Times
    ,
    USA Today
    or the
    Gainesville Sun
    target the general public, while others aim for a more defined audience. Drug Use & Abuse Essay.

    Journals
    , or
    scholarly, scientific journals
    , are periodicals generally published by an institution, professional association or learned society, and contain articles that disseminate current information on research and developments in particular subject fields. Before an editor of a journal publishes a manuscript, the editor and a team of specialists on the journal editorial board examine the manuscript carefully, to be sure that the article will contribute to the knowledge of the field. Because of the rigorous evaluation process, these publications are also referred to as
    refereed
    or
    peer-reviewed
    journals. Drug Use & Abuse Essay.

    Substance: Cocaine (powder and rock)

     
    Decade: Between 1982-1992

    Attitudes

    For more than a hundred years after its creation as an isolated drug 1859, cocaine was not seen as a problem in the United States; in fact, quite the contrary.  Its use for medical purposes was praised by people such as Sigmund Freud, who believed the drug could aid in morphine withdrawal, and ophthalmologist Carl Koller, who used it as a local anesthetic for eye surgery (Ferris, Wood & Cook, 2018).  Through the 1970’s, and in the 1980’s, when the market in the United Sates blew up due to mass production in South America and major smuggling operations by cartels, cocaine was glamourized as a drug of the rich and famous.  It was used mostly in the club and party scenes of large urban cities such as New York, Miami, and Los Angeles.  This changed with the introduction of rock (crack) cocaine in the late 1980s, when the use of cocaine became rampant lower socio-economic communities, dramatically changing the public perception of the drug as glamourous (Miech, 2008, p. 363). Drug Use & Abuse Essay.

    Availability

    At its height between 1985-1990, cocaine availability was much higher than present day.  One way to show this is by self-reported “perceived availability” numbers among 12
    th
     graders, which show that in 1990, 54.5% believed they could access cocaine if they so desired, compared to only 27.3% in 2017 (Statista, 2018).  Throughout the 2000’s, this number averaged in the mid-40% range, but dropped significantly after 2010. Drug Use & Abuse Essay.

    Widespread use

    In the 80s and into the early 90’s, cocaine use was prevalent among upper-class, wealthy, mostly white people.  The club scene, including the famous Studio 54, were notorious for rampant cocaine use.  Hollywood was overrun by the drug as well.  A 1982 
    New York Times
     article stated that cocaine use was so widespread in Hollywood that the major studios had to amend their policies to hedge against drug-related risks.  They reported that some of the biggest actors, producers, and studio heads were spending up to $1 million per year on their cocaine habits (Lindsey, 1982). Drug Use & Abuse Essay.

    In the mid 80’s, crack cocaine (a crystalline, more potent form of powder cocaine) began appearing in more lower class, urban neighborhoods.  This cheaper, stronger form of cocaine led to the “crack epidemic,” where millions of inner-city residents became addicted.  The number of people in just this year who admitted to routine cocaine use increased by more than 1.8 million (Foundation for a Drug-Free World, 2018). Drug Use & Abuse Essay.

    Groups Affected

    While most data show that raw usage numbers of both forms of cocaine are higher among whites than blacks for Hispanics, the incarceration rates are not representative.  While blacks are 3.5 times more likely than whites to be regular crack users, they are 21.2 times more likely to be incarcerated in federal prisons (Criminal Justice Policy Foundation, 2018).  This can partially be explained by the fact that crack cocaine use had higher correlation with arrest than powder cocaine among all races, and also that crack users are more likely to become addicted than powder cocaine users (Palamar, Davies, Ompad, Cleland & Weitzman, 2015, p. 112), with addicts being arrested at much higher rates than recreational users.  In spite of these factors, many researchers (and several civil rights groups) do believe that race and/or racism play a significant role in the disparity of incarceration rates. Drug Use & Abuse Essay.

    Regulations/ Laws

    Cocaine is a schedule II controlled substance in the United States, with this classification beginning in 1970 with the 
    Controlled Substances Act.
      It is allowed for medical use as a topical anesthetic or to treat certain specific disorders, but possession or sale of cocaine by a non-medical professional is illegal.  As noted earlier, cocaine garnered much more law enforcement focus after the creation/spread of the crack form of the drug.  The issue of cocaine smuggling from Central and South America remains a major focus for our Coast Guard and other law enforcement outlets, with over 416,000 lbs. being seized in 2016 alone (Woody, 2016). Drug Use & Abuse Essay.

    What Has Improved or Not

    Cocaine abuse and addiction is still a problem today.  However, the likelihood of having usage numbers skyrocket again (as seen in the 80’s and 90’s) is small.  In 1985, almost 30% of people reported using cocaine in their lifetime (Schober & Schade, 1991, p. 7).  Today, that number is significantly smaller, with around 16.6% reporting cocaine use in their lifetime, and an additional 4% reporting crack usage in their lifetime (Nation Institute on Drug Abuse, 2016).  Also, while there are still racial disparities in arrests and sentencing for cocaine possession, there are efforts in several states to reform drug policies to better address the addiction problem.  Some states, including California, are trying to move away from punitive sentencing of simple possessors, and towards a focus on rehabilitation and counseling. Drug Use & Abuse Essay.

    What Surprised Me

    The first thing that jumped out at me was the sheer volume of cocaine that is smuggled from South America into the United States every year.  As I mentioned earlier, 416,000 lbs. of cocaine were seized in 2016 alone by the US coast guard.  This may seem like an astounding number, but when compared to the estimated 5.7 million lbs. that were attempted to be smuggled into the US (by sea alone) in the same year (United States Coast Guard (USCG), 2017), it is really a drop in the bucket.  5.7 million lbs. is the equivalent of about 227 full-length school busses… or 17 full-grown blue whales… being smuggled by sea 
    every year
     into the US.  I thought these numbers were really incredible, and they prove how hard it is (from a law enforcement perspective) to fight a “war on drugs.”. Drug Use & Abuse Essay.

    Harm Reduction vs Zero Tolerance

    I feel that the last 30 years of the “zero tolerance” policy we have tried towards cocaine (and other drugs) has been highly ineffective.  Particularly for the casual user, and especially for  the addict, I believe that incarceration without access to drug rehabilitation is nothing more than a band-aid (and a very expensive one at that).  I would not argue for shutting down Coast Guard operations in general, as they are vital in the security of our country; however, in 2016, the budget allocation for Coast Guard “drug interdiction” alone was more than $1.3 billion of the total ~$9 billion budget (USCG, 2016).  I would argue that this sum of money could be much more effective if allocated towards drug aversion and counseling in local communities.  I feel that our government has focused so much time and money on the ‘supply’ side of the equation, while largely ignoring ways to reduce the ‘demand’ in this country.  I am optimistic because state and local governments are beginning to realize this, shifting their focus away from punitive punishment for drug offenses. Drug Use & Abuse Essay.

     
    References

    Criminal Justice Policy Foundation (2018, April 20). Retrieved from https://www.cjpf.org/who-uses-crack-cocaine-and-why/

    Ferris, J., Wood, B. & Cook, C. (2018, March 8). Weekly dose: Cocaine, the glamour drug of the ‘70s, is making a comeback
    . The conversation
    .  Retrieved from
     
    https://theconversation.com/weekly-dose-cocaine-the-glamour-drug-of-the-70s-is-making-a-comeback-88639. Drug Use & Abuse Essay.

    Foundation for a Drug-Free World. (2018). 
    Crack cocaine: a short history.
     Retrieved from https://www.drugfreeworld.org/drugfacts/crackcocaine/a-short-history.html

    Lindsey, R. (1982, October 31). Pervasive use of cocaine is reported in Hollywood.  
    The New York Times.  
    Retrieved from https://www.nytimes.com/1982/10/31/us/pervasive-use-of-cocaine-is-reported-in-hollywood.html

    Miech, R. (2008). The formation of a socioeconomic health disparity: The case of cocaine use during the 1980s and 1990s*.
     Journal of Health and Social Behavior, 49
    (3), 352-66. Retrieved from https://nuls.idm.oclc.org/login?url=https://search-proquest-com.nuls.idm.oclc.org/docview/201664311?accountid=25320. Drug Use & Abuse Essay.

    National Institute on Drug Abuse. (2016). Retrieved from https://www.drugabuse.gov/drugs-abuse/cocaine

    Palamar, J. J., Davies, S., Ompad, D. C., Cleland, C. M., & Weitzman, M. (2015). Powder cocaine and crack use in the United States: An examination of risk for arrest and socioeconomic disparities in use. 
    Drug and Alcohol Dependence
    , 
    149
    , 108–116. http://doi.org/10.1016/j.drugalcdep.2015.01.029

    Schober, S., Schade, C. (1991). The epidemiology of cocaine use and abuse. 
    National Institute on Drug Abuse: Research Monograph Series. 
    Retrieved form https://archives.drugabuse.gov/sites/default/files/monograph110.pdf

    Statista.com. (2018). Retrieved from https://www.statista.com/statistics/208467/availability-of-cocaine-as-perceived-by-us-12th-graders-since-1975/. Drug Use & Abuse Essay.

    United States Coast Guard. (2017). Retrieved from https://www.uscg.mil/

    United States Coast Guard. (2016). 
    Posture statement: 2016 budget in brief. 
    Retrieved from https://www.uscg.mil/Portals/0/documents/budget/2016_Budget_in_Brief.pdf

    Woody, C. (2016, November 2).  The US Coast Guard hauled in a record amount of cocaine this year. 
    Business Insider. 
    Retrieved from http://www.businessinsider.com/us-coast-guard-record-cocaine-drug-seizures-2016-11

    APA RESOURCES

    https://owl.english.purdue.edu/owl/resource/560/06/
    1-page instruction on Reference List format

    http://nu.libguides.com/ld.php?content_id=8766101
    2-page handout on APA

    http://apastylecentral.apa.org.nuls.idm.oclc.org/learn/browse/QG-29
    Short video on in text citations

    http://nu.libguides.com/training/apa_basics
    13 minute video overview on APA

    apastyle.com
    website with many APA resource links. Drug Use & Abuse Essay.

    http://apastylecentral.apa.org.nuls.idm.oclc.org/learn/browse/QG-57
    Short video on how to format your Reference list

    http://apastylecentral.apa.org.nuls.idm.oclc.org/learn/browse/QG-24
     Short video on how to order your Reference list correctly

     

    In-text citations

    LIBRARY RESOURCES

    URL:
    http://library.nu.edu

    Contact the Library –
    RefDesk@nu.edu
    or (858) 541-7900

    1-866-NU ACCESS x 7900 (toll free)

     

    This class also has a special NU library page that was created by librarian Zemirah Lee to help you do research
    http://nu.libguides.com/coh318

    It contains references related to our assignments. Zem is available by appointment for one-hour consultations to help you find sources, format in APA and more. Drug Use & Abuse Essay.

    zlee@nu.edu

    858-541-7940

    http:nu.libguides.com/consultation 

    Sources of information

    For statistics on drug, alcohol or tobacco use in your city, county, state and region, or nationwide:

    The University of Michigan Monitoring the Future Study 
    http://monitoringthefuture.org
    – Results of an annual survey of adolescent drug use appear in mid-December of each year. Drug Use & Abuse Essay.

    The National Survey on Drug Use and Health (NSDUH) 
    http://samhsa.gov

    Centers for Disease Control and Prevention – 
    https://www.cdc.gov/nchs/fastats/drug-use-illegal.htm

    Healthy People 2020 – Healthy People 2020 (select the topic area of interest, e.g., substance abuse or tobacco.)- 
    https://www.healthypeople.gov/2020/data-search/Search-the-Data#topic-area=3500. 
    Drug Use & Abuse Essay.