Category: Nursing

Discussion: Professional Development and Certification Essay

Consider the following scenario:

Isabel recently earned certifications offered by the American Association of Critical Care Nurses and the American Organization of Nurse Executives for nurse managers and leaders. She was especially proud of this accomplishment and was confident it would serve her well as she continued her career. At a conference last week, she had found herself talking with a colleague about certification. To her surprise, her colleague suggested that she look into certification through the Project Management Institute. It had not occurred to Isabel that she might need or want that type of certification, but upon further reflection she could see how important it was to be able to manage projects effectively. Professional Development and Certification Essay. She wondered how pursuing this type of certification might further her professional development and lead to new opportunities down the road. At the very least, she decided it was worth exploring further.

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As you are aware, numerous nursing organizations offer opportunities for professional development, community service, and information gathering. There are also many certifications you can obtain through professional societies or organizations. Certifications recognize an individual’s specialty area knowledge and skills and can lead to professional empowerment. By obtaining certifications, you can help improve your quality of practice and increase your earning potential. Professional Development and Certification Essay.

In this Discussion, you consider development opportunities afforded through professional associations and examine how earning certifications can advance your career. Discussion: Professional Development and Certification

To prepare FOR Discussion: Professional Development and Certification:

Reflect on your professional goals. These goals may relate to the practicum professional development objectives you established in Week 1 (Document Attached), but you are encouraged to take a broader view of what you would like to accomplish in the immediate future, as well as five or 15 years from now. Identify at least one goal that is especially important to you.

Think about the benefits of becoming involved in professional organizations and obtaining certifications.

If you already have a specialty or clinical certification, reflect on how this has impacted the achievement of your professional goals thus far.

Review information about two or more of the professional organizations listed in the Learning Resources. Consider the following questions:

As you explore each organization’s website, review the mission, vision, and value statements. Also examine the strategic plan, if possible. How do these align with your interests and your professional goals? Professional Development and Certification Essay.

Investigate whether the organization offers networking opportunities with fellow professionals. Is there a local or regional chapter you could join?

What are the potential benefits of obtaining a certification through each organization? Examine the criteria for certification.

Evaluate your readiness and desire to become certified through each organization. What hesitations, if any, do you have?

How and why might this certification be useful to you and/or enhance your professional development? Professional Development and Certification Essay.

Post a description of one or more of your professional goals. Explain a certification provided by a professional organization that would be of interest to you. Explain how and why this additional certification would be useful to you and/or enhance your professional development. Evaluate your readiness to obtain this certification, noting any reservations you may have.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research. Professional Development and Certification Essay.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Discussion: Professional Development and Certification Required Readings (Please use all references mentioned below)

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Reminder: Review resources from previous courses as necessary.

Shekleton, M. E., Preston, J. C., & Good, L. E. (2010). Growing leaders in a professional membership organization. Journal of Nursing Management, 18(6), 662–668.

Matthews, J. H. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1), 1. Professional Development and Certification Essay.

Discussion: Professional Development and Certification Note: Retrieved from the Walden Library databases.

The author addresses the importance of involvement in professional organizations for nursing professionals.

Discussion: Professional Development and Certification Note: Retrieved from the Walden Library databases.

“In order to grow leaders an organization must make a commitment to develop and maintain an infrastructure that supports leadership development activities” (Shekleton, Preston, & Good, 2010, p. 667). The authors discuss findings from a leadership development program.

American Association of Critical Care Nurses. (n.d.). Certification for nurse managers and leaders. Retrieved May 20, 2013, from 
http://www.aacn.org/wd/certifications/content/cnmlhome.pcms?menu=certification

The American Association of Critical Care Nurses Certification Corporation, in collaboration with the AONE credentialing center, offers certification for the nurse leader-manager.

American Medical Informatics Association. (2011). Clinical informatics becomes a board-certified medical subspecialty following ABMS vote. Retrieved from 
http://www.amia.org/news-and-publications/press-release/ci-is-subspecialty

 
This article addresses the movement to recognize clinical informatics as a subspecialty.

American Nurses Association. (2013). Leadership. Retrieved from 
http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Leadership

The ANA offers a leadership institute for professional development. Professional Development and Certification Essay.

American Nurses Credentialing Center. (2013). ANCC certification center. 
Retrieved from http://www.nursecredentialing.org/certification.aspx

The ANCC is the largest and most prestigious credentialing organization. View the certifications available by specialty area.

American Organization of Nurse Executives. (2012). AONE credentialing center. Retrieved from 
http://www.aone.org/resources/certification/about_certifications.shtml

The AONE credentialing center, in collaboration with American Association of Critical Care Nurses Certification Corporation, offers certification for the nurse leader-manager.

Healthcare Information and Management Systems. (2013). Health IT certifications. Retrieved from 
http://www.himss.org/health-it-certification?navItemNumber=13588

The Office of the National Coordinator for Health Information Technology has specified certification criteria for electronic health records. Professional Development and Certification Essay.

NMA. (2012). Welcome to NMA! Retrieved from 

Home

This organization promotes the development of leadership competencies and interpersonal skills.

Project Management Institute. (2013). What are PMI certifications? Retrieved from 
http://www.pmi.org/Certification/What-are-PMI-Certifications.aspx

PMI recognizes that many professionals of varying skill and education levels are or will be involved with projects. The organization offers certification for professionals involved in project management. Discussion: Professional Development and Certification. Professional Development and Certification Essay.

NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form

Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines and grading rubric found in Doc Sharing for specific instructions in order to complete the information below. This assignment is worth 150 points. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Type your name above and your answers below directly on this form. Click Save as and save the file with the assignment name and your last name (e.g., “NR443 Windshield Survey Form_Smith”). When you are finished, submit the form to the Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated in your guidelines.

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Criteria

Community introduction:

Identify the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting.

Windshield survey

vitality

Indicators of social and economic conditions

Health resources

Environmental conditions related to health

Social functioning

Attitude toward healthcare

Conclusion:

Provide a summary of your findings and your conclusion. What problems did you identify? NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

References:

OPTIONAL: List any references that you cited.

 

NR443 Guidelines for Caring for Populations

Milestone 2: Assessment and Diagnosis

Purpose

The purpose of this paper is to provide an opportunity to utilize community assessment strategies, uncover a community health problem, and identify the components of the problem related to the community dynamics. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

CO 1. Evaluate the planning of delivery of care to individuals, families, aggregates, and communities in a variety of healthcare settings based on theories and principles of nursing and related disciplines. (PO 1)

CO2. Integrate clinical judgment in professional decision-making and implementation of the nursing process through analysis of community health nursing practice. (PO 4)

CO7. Accept accountability for personal and professional development as part of the life-long learning process. (PO 5) NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

This paper is expected to be no more than four pages in length (not including the title page and reference list). Typical papers are usually three pages. Below are the requirements for successful completion of this paper.

Introduction: This should catch the reader’s attention with interesting facts and supporting sources and include the purpose statement of the paper. This should be no more than one or two paragraphs.

Community: Identify the community by name that you will be using for this paper and provide a brief, general description of the community. Your community should be the area where you live or work. This should be one or two paragraphs. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Demographic and epidemiological data: Compile a range of demographic (population description) and epidemiological (causes of health problems and death) data for your community by examining census reports, vital statistic reports, city records, morbidity and mortality reports, and other agency sources. Using these data, describe the community and the problem. Compare your community data to state or national data. This comparison will help to identify a community health problem specific to your community. A summary of these data should beno more than one page.

Windshield survey: Provide a brief summary of the findings from your first assignment. Make sure to discuss elements that link your observations to your identified problem. This should be no more than one or two paragraphs.

Problem: Using the assessment data, identify the problem that you consider to be a priority concern. Provide a rationale for your choice and relate your choice to one of the Healthy People 2020 specific numbered objectives. Healthy People objectives are located within a topic area under the Objectives page. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form. Your rationale should also include why this is specifically a problem in your community. This should be no more than three paragraphs. Include support of your rationale with at least two scholarly sources such as professional journal articles related to your problem.

Summary: The summary paragraph of your paper should include a statement about the problem, the population at risk for this problem, and the major direct or indirect factors that contribute to this problem. This information should be no more than one or two paragraphs.

Reference page: All references cited within the paper should be included on a separate References page.

Guidelines

Application: Use Microsoft Word 2010™ to create this assignment.

Use the categories above as APA headings for the sections of your paper.

Length: This paper is expected to be no more than four pages in length (not including the title page and reference list). Typical papers are three pages.

Submission: Submit your file via the basket in the Dropbox: Caring for Populations: Assessment and Diagnosis by 11:59 p.m. MT Sunday of Week 4.

Technical writing: APA format is required. Review APA tutorials in Doc Sharing and use the resources of Smarthinking for writing tutors.

Do not use first person (I, me, my, our) in this paper. Make the community the subject even in your windshield survey summary. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Save your paper with your last name in the document title (e.g., “Smith Assessment and Diagnosis”).

Late submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

Complete the demographic, epidemiologic, and windshield survey prior to choosing a problem to focus on.

Choose a nursing problem specific to your community.

Make sure all elements of the paper are addressed and headings for each category are included.

Review directions thoroughly. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Cite all sources within the paper as well as on the References page.

Proofread prior to final submission.

Check for spelling and grammar errors prior to final submission.

Use the A column of the rubric below to ensure that you have included all the needed elements.

Abide by the CCN academic integrity policy.

NR 443 Milestone 3: Intervention and Evaluation

Purpose

The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Course Outcomes

Scenario

You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form. You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal.

Directions

Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.)

Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides)

Proposed Intervention: Propose one community health nursingintervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies& McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form. Your intervention needs to be specific:

o Who is your target population?

o Where is this intervention taking place?

o Will it take place one time or multiple times?

o How will you reach out to your target population?

How will you get your target population involved?

o What is the CH Nurses role in this intervention?

o Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?)

o Is anyone else involved besides yourself (C/PHN)? NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

If yes, are they paid or volunteers?

o What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)?

Intervention Justification: Justify why the problem and your nursing interventions should be a priority.

o Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides). NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides)

o Include discussion about the long-term and short-term impact on your community if the intervention is successful. Keep in mind your desired outcomes when analyzing the evaluation.

Summary: The summary should reiterate the main points of the presentation and conclude with what you are asking to be accomplished, e.g., “Based on ABC, it is imperative our community has XYZ. Thank you for your consideration.” NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

In addition to the slides described above, your presentation should include a title slide, and reference slide. Remember, you are presenting to your leadership team, so the slides should include the most important elements for them to know in short bullet pointed phrases. You may add additional comments in the notes section to clarify information for your instructor.

Guidelines

Application: Use Microsoft PowerPoint 2010.

Length: The PowerPoint slide show is expected to be no more than 20 slides in length (not including the title slide and reference list slide).

Submission: Submit your files via the basket in the Dropbox: “Caring for Populations: Intervention and Evaluation” by 11:59 p.m. Sunday of Week 6. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Save the assignment with your last name in the file title. Example: “Smith Intervention and Evaluation”

Late Submission: See the course policy on late submissions.

Tutorial: If needed, Microsoft Office has many templates and tutorials to help you get started.

Best Practices in Preparing PowerPoint

The following are best practices in preparing this project:

Be creative, but realistic with your intervention and evaluation tool.

Incorporate graphics, clip art or photographs to increase interest.

Slides should be easy to read with short bullet points and large font.

Review directions thoroughly. NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form.

Cite all sources within the slide show as well as on the reference page.

Proofread prior to final submission.

Spell check for spelling and grammar errors prior to final submission.

Abide by the CCN academic integrity policy.

NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form

NR507 Week 3 Quiz

Question

Question 1

2 / 2 pts

In hemolytic anemia, jaundice occurs only when

the patient has elevations in aspartate transaminase (AST) and alanine transaminase (ALT).

heme destruction exceeds the liver’s ability to conjugate and excrete bilirubin.

the erythrocytes are coated with an immunoglobulin. NR507 Week 3 Quiz.

erythrocytes are destroyed in the spleen.

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Question 2

2 / 2 pts

Symptoms of polycythemia vera are mainly the result of

destruction of erythrocytes.

neurologic involvement.

increased blood viscosity.

a decreased erythrocyte count.

Question 3

2 / 2 pts

The underlying disorder of _____ anemia is defective secretion of intrinsic factor, which is essential for the absorption of vitamin B12. NR507 Week 3 Quiz

pernicious

microcytic

hypochromic

hemolytic

Question 4

2 / 2 pts

Pernicious anemia generally requires continued therapy lasting

8 to 12 months.

the rest of one’s life.

until the iron level is normal.

6 to 8 weeks.

Question 5

2 / 2 pts

In some anemias, the erythrocytes are present in various sizes, which is referred to as

microcytosis.

poikilocytosis.

isocytosis.

anisocytosis.

Question 6

2 / 2 pts

Untreated pernicious anemia is fatal, usually because of

renal failure.

heart failure.

brain hypoxia.

liver hypoxia.

Question 7

0 / 2 pts

Local signs and symptoms of Hodgkin disease–related lymphadenopathy are a result of

inflammation and ischemia.

obstruction and pressure.

ischemia and pressure.

pressure and obstruction.

Question 8

2 / 2 pts

What is the most common cause of vitamin K deficiency?

An IgG-mediated autoimmune disorder

Liver failure NR507 Week 3 Quiz

Total parenteral nutrition (TPN) with antibiotic therapy

Administration of warfarin (Coumadin)

Question 9

2 / 2 pts

Heparin-induced thrombocytopenia (HIT) is described as a(n)

IgG immune-mediated adverse drug reaction that reduces circulating platelets.

hematologic reaction to heparin in which the bone marrow is unable to produce sufficient platelets to meet the body’s needs.

cell-mediated drug reaction in which macrophages process the heparin and platelet complexes that are then destroyed by activated cytotoxic T cells.

IgE-mediated allergic drug reaction that reduces circulating platelets.

Question 10

2 / 2 pts

Which proinflammatory cytokines are responsible for the development and maintenance of DIC?

Tumor necrosis factor-alpha (TNF-a); IL-1, IL-6, and IL-8; and platelet-activatingfactor (PAF)

Granulocyte-macrophage colony-stimulating factor (GM-CSF); IL-3, IL-5, and IL-9, and IFN-?

Granulocyte colony-stimulating factor (G-CSF); IL-2, IL-4, and IL-10; and IFN-?

Macrophage colony-stimulating factor (M-CSF); IL-7, IL-11, and IL-14; and PAF

Question 11

2 / 2 pts

G6PD and sickle cell disease are

diagnosed equally in men and women.

inherited autosomal recessive disorders.

inherited X-linked recessive disorders.

disorders initiated by hypoxemia and acidosis.

Question 12

2 / 2 pts

The sickle cell trait differs from sickle cell disease in that the child with sickle cell trait

has the mildest form of the disease with normal hemoglobin and hemoglobin F, which prevents sickling.

has a mild form of sickle cell disease that causes sickling during fever and infection, but not during acidosis or hypoxia, whereas the child with sickle cells disease develops sickling during each of these conditions.

has a milder form of the disease that is characterized by vaso-occlusive crises and is believed to result from higher hemoglobin values and viscosity.

inherited normal hemoglobin A from one parent and Hb S from the other parent, whereas the child with sickle cell disease has Hb S from both parents.

NR507 Week 3 Quiz Question 13

2 / 2 pts

Hemolytic disease of the newborn can occur if the mother is

type AB blood and the fetus has type B.

Rh-positive and the fetus is Rh-negative.

Rh-negative and the fetus is Rh-positive.

type A blood and the fetus has type O.

Question 14

2 / 2 pts

What is the name of the disorder in which levels of bilirubin remain excessively high in the newborn and are deposited in the brain?

Icterus gravis neonatorum

Jaundice

Kernicterus

Icterus neonatorum

Question 15

2 / 2 pts

In a full-term infant, the normal erythrocyte life span is _____ days, whereas the adult is _____ days.

30 to 50; 80

60 to 80; 120

120 to 130; 150

90 to 110; 140

Question 16

0 / 2 pts

Idiopathic thrombocytopenic purpura (ITP) is an autoimmune process involving antibodies against

eosinophils.

basophils.

neutrophils.

platelets.

Question 17

2 / 2 pts

Cardiac cells can withstand ischemic conditions and still return to a viable state for how many minutes?

15

10

25

20

Question 18

0 / 2 pts

The risk of developing coronary artery disease is increased up to threefold by

obesity.

hypertension.

high alcohol consumption.

diabetes mellitus.

Question 19

0 / 2 pts

What alteration occurs in injured endothelial cells that contributes to atherosclerosis?

They are unable to make the normal amount of vasodilating cytokines.

They produce an increased amount of antithrombotic cytokines.

They develop a hypersensitivity to homocysteine and lipids.

They release toxic oxygen radicals that oxidize low-density lipoproteins (LDLs).

NR507 Week 3 Quiz Question 20

2 / 2 pts

In systolic heart failure, what effect does angiotensin II have on stroke volume?

Increases preload and decreases afterload

Increases preload and increases afterload

Decreases preload and decreases afterload

Decreases preload and increases afterload

Question 21

2 / 2 pts

What is the most important clinical manifestation of aortic coarctation in the neonate?

Congestive heart failure (CHF)

Cor pulmonale

Cerebral hypertension

Pulmonary hypertension

Question 22

2 / 2 pts

When does most cardiovascular development occur?

Between the 12th and 14th weeks of gestation

Between the eighth and 10th weeks of gestation

By the 28th day of gestation

Between the fourth and seventh weeks of gestation

Question 23

2 / 2 pts

Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border with an occasional ejection click?

Pulmonic stenosis

Hypoplastic left heart syndrome

Aortic stenosis

Coarctation of the aorta

Question 24

2 / 2 pts

Which congenital heart defects occur in trisomy 13, trisomy 18, and Down syndrome?

Coarctation of the aorta and pulmonary stenosis

Tetralogy of Fallot and persistent truncus arteriosus

Atrial septal defect and dextrocardia

Ventricular septal defect and patent ductus arteriosus

NR507 Week 3 Quiz Question 25

2 / 2 pts

The foramen ovale is covered by a flap that creates a check valve allowing blood to flow unidirectionally from the _____ to the _____.

right atrium; left atrium

right atrium; right ventricle

right ventricle; left ventricle

left atrium; left ventricle

NR507 Week 3 Quiz

Ethical Dilemma Discussion Essay

Ethical Dilemma Discussion Board

The following is a fictitious scenario:

Following an automobile accident, a 16-year-old boy who had recently escaped from a detention center was brought to the hospital emergency department by ambulance. The patient seemed to be alert and claimed to be suffering withdrawal symptoms from a drug habit. The patient claimed that he participated in a methadone treatment program. The physician administered 40 milligrams of methadone. Ethical Dilemma Discussion Essay. The patient needed blood but refused it. After being observed in the emergency department for several hours, the patient was placed on a medical-surgical unit for observation. The following morning it was not possible to awaken him, and he was pronounced dead. It was discovered that he had never been an addict or in a methadone treatment program. Rather, the previous night he had been drinking beer and taking librium. He had not told this to hospital authorities. His estate sued the physician. Ethical Dilemma Discussion Essay.

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Consider the possible outcomes if death was the result of (1) overdose, (2) failure to administer blood, or (3) subdural hematoma. Consider the possible outcomes if the patient was not a minor.

How would you argue for the plaintiff? And what evidence would you present?

How would you defend the defendant? And what are your defense options?

If you were on the jury, what would your finding be, based on only the facts as presented above?

If you find the defendant responsible, what damages would you award, and for what reasons?

Without knowing many details of healthcare law and legal obligations
 (that’s why you are in this class),
 answer the above questions based on what you think is ethical. 

You are responsible for at least a 250 word post, plus an educated response, including thoughtful comments or questions, to 
two
of your classmates. This discussion board response is worth 10 points of your grade. Ethical Dilemma Discussion Essay.

EBP process: PICOT Statement And Literature Search

Details:

The first step of the EBP process is to develop a question from the nursing practice problem of interest.

Select a practice problem of interest to use as the focus of your research.

Start with the patient and identify the clinical problems or issues that arise from clinical care.

Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project.

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The 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).

Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem. EBP process: PICOT Statement And Literature Search.

Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

Suggestions for locating qualitative and quantitative research articles from credible sources:

Use a library database such as CINAHL Complete for your search.

Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.

When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. EBP process: PICOT Statement And Literature Search.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. EBP process: PICOT Statement And Literature Search.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. EBP process: PICOT Statement And Literature Search.

EHR Proposal Summary

Imagine
 you are working at a doctor’s office. You are approached by the office manager, who asks you to develop an effective way of storing patient information.

Write
 a 350- to 700-word summary to your office manager informing her of the advantages of using electronic health records (EHRs) to store patient information. Be clear and concise, use complete sentences, and use examples to support your responses.

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Include
 the following in your response:

Discuss the functions and advantages of using EHRs.

Discuss three to four forms used to keep patient information in EHRs.

What is the purpose of each form? EHR Proposal Summary.

EHR Proposal Summary – Sample 1

Storing patient information has never been easier.  Gone are the days of rooms full of filing cabinets and rows of files.  With the advancement of technology in medicine comes the use of Electronic Healthcare Records (EHRs).  EHRs allow offices to store patient’s records electronically, thus streamlining their patient files.  EHRs will revolutionize the way that our office provides care to the patients.  Through their various functions, advantages, and forms used we will be able to move this practice further into the technological age of record keeping. EHR Proposal Summary.

Electronic health care records have many functions that will help this office change the way keep patient records.  The first function that EHRs provide a way to keep track of and manage every patient’s record individually, and electronically (Gartee, 2011).  They also keep track of patient demographic information and care management data (US Department of Health and Human Services, n.d.).  Having a person’s information in an electronic format helps to ensure correctness, and provide ease of access.  Next, the electronic healthcare record operates as a legal document.  In court proceedings, a lawyer can use their client’s health record to prove wrongdoing or evidence in a case (Gartee, 2011).  Another function of an EHR is it is used to prescribe medication electronically (US Department of Health and Human Services, n.d.).  A physician can fill out a prescription for a patient and send it to the pharmacy electronically thus saving time and issues with confusing handwriting.  Lastly, records help in patient education (US Department of Health and Human Services, n.d.).  At the end of an appointment, a doctor can use an EHR to print information on a patient’s condition or exam notes for that consultation.  These standard functions of EHRs better shape the ability to keep track of the patients in this office.

Not only do EHRs serve multiple functions, but they also have many advantages to using them.  The first advantage in electronic records is thorough, up-to-date records on every patient (Health IT, n.d.).  Having up-to-date information reduces the chance of a medical error.  Using EHRs will enable our office to have faster access to every patient’s record when needed, and also the ability to share with specialists in a secure manner (Health IT, n.d). EHR Proposal Summary.  Thus, saving the patient time from filling out redundant paperwork.  Another advantage of EHRs is the ability for physicians to better diagnose patient ailments (Health IT, n.d.).  Lastly, they will lessen the amount of time spent on every patient’s record; therefore, increasing the time with patients. (Health IT, n.d.).  EHRs have many advantages that will further this practice technologically.

Like their paper counterparts, EHRs still use forms to store patient’s information.  The first example is the registration form.  This type of form includes patient’s demographic data such as home address, and phone numbers (Gartee, 2011).  This form is one of the most important, and if mistakes occur, it could mess up billing later on.  The second type of form used is various consent forms.  Consent forms such as treatment agreements or HIPPA consent are common examples of a consent form (Gartee, 2011).  The primary purpose of these forms is to protect the patient from unauthorized care or viewing of their records.  The third type of form is a patient’s medical history.  Having this form on file for every patient is important so that the physician or nurse has a comprehensive background, and can make decisions based on the forms data.  If data is missing mistakes could happen to jeopardize patient care.  Forms are the backbone of an EHR, by providing accurate and complete data physicians will know to treat the patients.

As you can see, switching to EHRs from our current paper method is a better solution to storing patient files.  The functions and advantages of records continue to improve the capabilities of medical professionals on a daily basis, leaving more time to spend with patients.  The same forms that took up excess space in files would now be in digital format making it easier to find patient data.  Patients are the customers of medicine, and by using electronic health records instead of paper, we can provide a better medical experience each time.

References

Gartee, R. (2011). Health information technology and management. Retrieved from The University of Phoenix eBook Collection database. EHR Proposal Summary.

Health IT. (n.d.). What are the advantages of electronic health records?. Retrieved from https://www.healthit.gov/providers-professionals/faqs/what-are-advantages-electronic-health-records

US Department of Health and Human Services. (n.d.). Common EHR functions. Retrieved from http://www.hrsa.gov/healthit/toolbox/healthitimplementation/implementationtopics/selectcertifiedehr/selectacertifiedehr_5.html

EHR Proposal Summary Sample 2

 
As a health care provider, you have so many different concerns on a day to day basis when it comes to the EHR system at the office. You should know your advantages and disadvantages of an EHR system and what you can benefit from to your facility and staff. The advantages that I would consider addressing would be improving the aspects of health care for the well-being and safety of the patient’s overall care. The EHR system ameliorates order and decreases the health care costs by encouraging preventive medicine and enhance straight order of health care services, and decreasing waste and unnecessary tests. EHR Proposal Summary. EHR system has different characteristics that authorize a superior clinical conclusion building by cross examining patient information from numerous areas (healthit.gov, 2014).

There are more advantages for the EHR system in the office of a provider with real time information on all clients at the time needed for service. This gives the faculty time to have all the clients records quickly as possible for a more smoother transition of care. EHRs additionally contribute a reliable electronic data will share with clients in the hospitals. EHR systems authorize providers with achievable results for the patients. Lower medical mistakes and supply protected care with ready to use guide that the provider use for physical exam care. Health maintaining is a great tool that is contained in EHR systems to stop diseases and to catch it at the beginning stage, this is down with precautionary care screenings and immunizations that’s within the plan of care systems. (Gartee, 2011). EHR Proposal Summary. EHR systems has more great advantages that enhances the communication interaction from clients to providers so the provider has looked over the reason for the ins office visit so they have a brief description to the diagnosis. It is vital that EHR systems have accurate legible, and complete patient information for health care providers and billing purposes. (healthit.gov, 2014). EHR Proposal Summary.

EHRs provide different applications for client information that takes the place of the paper forms. One vital form that is in electronic system with access to patient demographic’s, insurance and urgent contact information. Some of the features that are different from paper is electronic system can send reminders and alerts via text or email if the client requests like for billing, scheduling and patient information.   Intake forms are for past medical history that offers you the option to record the information quicker, with the access to the check off boxes, drop down menu, popup windows for easy access. (Gartee, 2011). Intake forms make it a smooth transition for providers to go right to it by the click of the browsers. Flow charts show information for resent data from different tables that has a side by side comparison of information over a period (Gartee, 2011). Flowchart stores client’s vitals and taking in/take out information that can be related to diagnosing patients. Many hospital settings use these flow charts to capture patient vitals, take in/take out for shift to shift to relate to a patient’s state during a particular time frame. EHR Proposal Summary. Physicians may order diagnostic tests, labs and prescriptions when completing a total exam. Another feature is commercial EHR systems is to keep a copy of clinical frequently used orders that the provider all prescription by a click of the mouse (Gartee, 2011).. The motivation of all the forms is to become better in all direction of patient care, communication, education, timeliness, efficiency and equity.

References

Gartee, R. (2011).
Health Information Technology and Management
(first edition). Upper Saddle River, NJ: Prentice Hall. EHR Proposal Summary.

gov. (2014, September 4). What are the advantages if electronic health records? Retrieved from http://www.healthit.gov/providers-professionals/faqs/what-are-advantages-electronic-health-records

Asthma And Stepwise Management Essay

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Asthma And Stepwise Management Essay. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment. Asthma And Stepwise Management Essay.

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To prepare
:

· Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.

· Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.

· Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Asthma And Stepwise Management Essay.

What to do
:

· Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.

· Explain the stepwise approach to asthma treatment and management.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Please pay attention to drug-drug interactions. Asthma And Stepwise Management Essay.

 

The NLH guidelines for asthma are a good reference.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources Asthma And Stepwise Management Essay

The following Resources are not acceptable
:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). 
Pharmacotherapeutics for advanced practice: A practical approach
 (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Chapter      18, “Otitis Media and Otitis Externa” (pp. 243-252)

This chapter compares the causes and pathophysiology of two common ear      infections—otitis media and otitis externa. It also identifies types of      drugs used to treat these ear infections.

Chapter      24, “Upper Respiratory Infections” (pp. 259-374)

This chapter explores the causes, pathophysiology, and diagnostic criteria      of two upper respiratory infections—the common cold and sinusitis—as well      as drug therapy for both infections. It also covers monitoring patient      response and patient education of drug therapy for these infections. Asthma And Stepwise Management Essay.

Chapter      25, “Asthma” (pp. 377-392)

This chapter examines the causes, pathophysiology, pharmacogenomics, and      diagnostic criteria of asthma. It also outlines suggested drug therapy      plans for asthmatic patients.

Chapter      26, “Chronic Obstructive Pulmonary Disease” (pp. 395-406)

This chapter explains the causes and pathophysiology of chronic      obstructive pulmonary disease (COPD). It also examines the process of      selecting, administering, and managing drug therapy for COPD patients.

Chapter 27, “Bronchitis and      Pneumonia” (pp. 407-424)

This chapter begins by examining the causes, pathophysiology, and      diagnostic criteria of acute bronchitis, chronic bronchitis, and      community-acquired pneumonia. It then explores the process of selecting,      administering, and managing drug therapy for patients with bronchitis and      pneumonia.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

National Heart Lung and Blood Institute. (2007). 
Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma
. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

This website presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.
  Asthma And Stepwise Management Essay

Evidence-based practice proposal topic for the capstone project assignment

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the 
Healthy People 2020
 website.

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Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project

The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.

A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need. Evidence-based practice proposal topic for the capstone project assignment.

Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.

Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.

A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment. Evidence-based practice proposal topic for the capstone project assignment.

Diabetes And Blood Pressure Teaching Plan Related To Obesity

This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

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Summary of teaching plan

Epidemiological rationale for topic

Evaluation of teaching experience

Community response to teaching

Areas of strengths and areas of improvement

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to Turnitin. Diabetes And Blood Pressure Teaching Plan Related To Obesity.

6501 Assignment 1

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis. NURS 6501 Assignment 1.

Consider the following scenarios:

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Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute. NURS 6501 Assignment 1.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished. NURS 6501 Assignment 1.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.

· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations. NURS 6501 Assignment 1.

· Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

· Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page NURS 6501 Assignment 1 paper excluding the title page, reference page and Mind Map that addresses the following:

· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.

· Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations. NURS 6501 Assignment 1.