Category: Nursing

Nursing in surgery essay

Nursing in the surgical floor is critical in providing patients with care before, during and after surgery. Additionally, the role of a surgical nurse also involves providing support to other healthcare practitioners like surgeons and aestheticians. Serving as charge nurse in the surgical floor comes with various responsibilities that require excellent leadership and management. A charge nurse must assign duties to nurses on the surgical floor to ensure efficiency in the department. Furthermore, the charge nurse plays a critical supervisory role to ensure that nurses perform their duties optimally. Lack of guidance from the charge nurse can cause chaos within the surgical department especially when patient care becomes compromised. Nursing in surgery essay.

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            Nursing in surgery requires professional collaboration among various healthcare professionals to achieve a common goal. Therefore, nurses often work with other professionals and assist during surgery. The charge nurse plays a pivotal role in ensuring that the collaboration is efficient and works in the best interest of the patient. When conflict arises within the surgical team, the charge nurse plays a critical role in meditation and conflict resolution. Furthermore, nurses look up to the charge nurse to manage teams and promote cohesion in the work. Nursing in surgery essay .

Healthcare provision is essential in surgery, especially during and after surgery. Particularly, the recovery stage after surgery requires input from nurses. Care provided to patients post-surgery must meet high standards of healthcare to promote quick recovery. The charge nurse has the responsibility to ensure that nurses provide adequate post-surgery healthcare to all patients. The charge nurse is the custodian for all nursing practices in their department. Therefore, they must supervise nurses to ensure they employ best practices in their work; take due care and put enough effort to ensure patients recover. Furthermore, the charge nurse should recognize the skills possessed by other nurses and suggest areas that require additional training to improve performance. Nursing in surgery essay.

Experience during the exercise showed that the charge nurse plays an important role in leadership, management and coordination. The nurse is a mediator that brings together all professionals collaborating in the surgical process. Furthermore, they provide leadership to the nursing team in the hospital. Nursing in surgery essay.

Byvalson Medication Paper

The Medication Paper Final Draft “Byvalson” paper must be a minimum of seven pages, not including your title or reference pages. You should include at least five recent references (published within the last five years), and the paper must be presented in APA format (see rough draft requirements in week 6). Byvalson Medication Paper

The paper must include the following content information:

Manufacturing company

Brand name

Indication

First in class, or not first in class

Common side effects profile

Known contradictions

Make sure you explain the special considerations that your chosen drug has on the unique populations/client groups listed below. Special considerations should include absorption, clearance/elimination, distribution, metabolism half-life, loading dose, route of drug administration, and steady state. Byvalson Medication Paper.

Pediatric Patients

Pediatric patients are not little adults. There are special pharmacokinetic and pharmacodynamics variations in this patient group. Their reaction to medication can be very unpredictable. Accurate dosing is the key due to their limited body mass.

Geriatric Patients

Geriatric patients have altered pharmacokinetic and pharmacodynamics responses to medication. The process of aging and disease will change how the body responds to drug therapy. Memory limitations and increased sensitivity to drug therapy may cause unique problems with this population. Byvalson Medication Paper.

Patients With Renal Dysfunction

Many medications are excreted through the renal glands or metabolized and excreted renally. Dosage adjustment is the key in this population. Many agents may cause nephrotoxicity.

Patients With Liver Dysfunction

Liver disease produces alterations in the physiology of the drugs’ pharmacokinetics in the body. Special attention should be given to all drugs used in this client population. Byvalson Medication Paper.

Obese Patients

Obese patients have alterations in their pharmacokinetic and pharmacodynamic response to medication. Many comorbidities and altered nutritional status can be seen as responses to taking these medications. Accurate dosing is paramount.

Pregnancy/Lactation

Pregnancy and lactation can be challenging. Concerns of effects to the unborn fetus must be considered. Will treating the mother harm the unborn fetus or nursing infant? Byvalson Medication Paper

Professional Capstone and Practicum course

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

New practice approaches

Intraprofessional collaboration

Health care delivery and clinical systems

Ethical considerations in health care

Population health concerns. Professional Capstone and Practicum course.

The role of technology in improving health care outcomes

Health policy

Leadership and economic models

Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course. Professional Capstone and Practicum course

Scholarly Activity Summary

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally. Scholarly Activity Summary.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis. Scholarly Activity Summary.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment. Scholarly Activity Summary

Scholarly Activity Summary

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10.

Overview

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you. Scholarly Activity Summary.

Problem

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.

Solution

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section. Scholarly Activity Summary.

Opportunity

This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP. Scholarly Activity Summary.

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

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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.

Ancillary services vs. inpatient services

Jacobs, L.P. (2017).
10 Health Care Trends for 2017.
Retrieved from http://www.trusteemag.com/articles/1184-10-health-care-trends-for-2017

Utica College. (2017).
10 New Trends in Health Care Management in 2017.
Retrieved from http://programs.online.utica.edu/articles/10-trends-in-health-care-management-0321

Nelson, M. L., Nelson, M. L., & Sen, R. (2014). Decision support systems: Business rules management in healthcare: A lifecycle approach.
Elsevier
. doi:10.1016/j.dss.2012.10.044

 

based on this readings

Analyze and evaluate the two most salient trends impacting the business operations and/or administration.

Are these trends uniquely different for ancillary services vs. inpatient services?

Where do you see these trends going in the future and why? Ancillary services vs. inpatient services

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.

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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

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.

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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.

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

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