Tag: Clinical-Nursing

  • Nurs 6053

    Nurs 6053

    Your experiences working with groups—whether you perceive them as positive, negative, or neutral—can be used to facilitate insight and development. Health care, with its focus on interprofessional teamwork and collaboration, offers ample opportunities and an imperative for continuous learning.

    For this Discussion, you focus on strategies for facilitating the group process.

    To prepare:

    · Review the information in this week’s Learning Resources regarding the stages of group formation, problematic roles individuals play in groups, and strategies for facilitating and maintaining positive group collaboration. In particular, review Learning Exercise 19.14 of the course text. Nurs 6053.

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    · Reflect on various groups with which you have been or are currently involved. Select one specific group to analyze for the purposes of this Discussion. Identify the purpose or task that the group is or was meant to perform.

    · Consider the four stages of group formation (forming, storming, norming, and performing). How would you describe the progression between stages? Is there a stage in which you believe your group is or was “stuck”?

    · Consider the task or group-building role you normally play in a group setting. How could you apply the information from the Learning Resources to improve your group participation and facilitation, as well as the functioning of the group as a whole? Nurs 6053.

    · In addition, think about which individuals within your group (including yourself) may fall into problematic roles such as the Dominator, the Aggressor, or the Blocker. How have you and your group members addressed the enactment of these roles and its impact on interactions? With information from the Learning Resources in mind, what strategies would you apply now or going forward?

    Post 
    a description of a group with which you have been or are currently involved. Assess where the group is in terms of the four stages of group formation. If you are reflecting on a past experience, explain if your group moved through all four stages. Describe the task or group-building role you typically play, or played, in this group. Then, explain what strategies you, as a leader, can apply to better facilitate the group process and address any problematic individual roles in the group.

    Resources Given:

    Home

    https://www.mindtools.com/pages/article/newTMM_95.htm

    https://www.mindtools.com/pages/article/newLDR_86.htm

    Nurs 6053

  • Leadership Concept Analysis Group Paper

    Assignment: Application: Leadership Concept 

    Analysis Group Paper

    This week you will begin a group paper that you will develop over the next few weeks. By Day 3 of this week, you will be placed in a collaborative group and provided with a work area for your group (See the Groups area below Week 11 in the left-hand navigation bar. If you do not see your team area by the end of Day 3, contact your Instructor.)

    Before you begin to work with your group, read the information below describing the paper. Then join your group, introduce yourself, and begin work on selecting a topic.

    To prepare:

    · Review the 
    Peer Evaluation Form
     for important information on how this assignment is graded.

    · Identify a group facilitator.

    · Within your group, select a topic relevant to interprofessional leadership and the health care field on which to focus your group paper. The following are some potential topics for your group to consider: Leadership Concept Analysis Group Paper.

    o Matrix organizations

    o Accountable care organizations

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    o Horizontal and vertical organizations

    o Role conflict and ambiguity

    o Employee recruitment and selection

    o Interpersonal relationships in the C-suite of organizations (the relationships between the CEO, CFO, and CNO)

    o Resistance to change

    o Succession planning

    o Whistle blowing

    o “Just” culture

    o Team Stepps

    · When your group has selected a topic, the group facilitator will submit the topic to the Instructor for approval on the Discussion Board in the Week 5 Group Project Topic Forum.

    · Conduct research on your topic using the Walden Library and other credible sources.

    To complete:

    As a group, write a 3- to 5 (page count does not include title and reference page) page Leadership Concept Analysis Group paper that includes the following:

    · Section 1: Introduction

    · Section 2: Significance of the topic (based on literature that speaks to the relevancy of the concept selected in terms of interprofessional leadership)

    · Section 3: Review of the literature related to the concept that the group selects (current best practices, positive or negative impact on leadership or health care organizations, etc.)

    · Section 4: Application to nursing (e.g., implications or consequences for nursing leaders)

    · Section 5: Conclusion Leadership Concept Analysis Group Paper

    All group members are expected to collaborate fully on this project, and your group paper should demonstrate an original and thoughtful application of the ideas presented in the Learning Resources and the research literature. Leadership Concept Analysis Group Paper.

  • Article on Nursing Administration

    Article on Nursing Administration

    Article on Nursing Administration. 1.Research and identify an article on Nursing Administration, another article on Nursing Education, and a third article on the Advanced Practice Nurse (APRN) that focuses on future trends and opportunities facing each area.

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    2. For each article summarize what you learned or surprised you regarding nursing administration, education, or advanced practice.

    3. Minimum of 100 words with reference APA format. Article should be peer-reviewed and 5 years old. Article on Nursing Administration.

  • Literature Review Intro

    Literature Review Intro – Introduction To The Literature Review

    Week 4 Assignment Instructions

    Tutor MUST have a good command of the English language

    Please read all the instructions and requirements

    Sources need to be less than five years old and journal/scholarly articles.

    No textbook or direct quotes

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    All the Rubric requirements listed MUST be met.

    ***I have attached the  DPI Project Milestone: 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project Assignment with the instructor’s corrections/comments. This needs to be revised as well meeting the instructor’s expectations.

    Details:

    Empirical research is the foundation of scholarly research and scholarly writing. An empirical article is defined as one that reports actual results of a research study. An empirical article includes a description of the study, an introduction, a research question, an explanation of the study’s methodology, a presentation of the results of the study, and a conclusion that discusses the results and suggests topics for further study. Literature Review Intro.

    As you search the library for scholarly research, you should limit your search to identify empirical articles. (You can use the “Empirical Research Checklist” from DNP-801 to assist in this determination.) After finding an empirical study, begin to assess the validity of the conclusion by determining if the conclusion answers the proposed research question and if the methodology is appropriate.

    As you move forward in your doctoral journey, you will read research papers that will require you to assess the validity of the studies in question. To accomplish this, qualitative assessments about the research must be made by comparing, contrasting, and synthesizing what the research says.

    In this assignment, you will continue to develop the skill of writing, by reviewing 15 research articles associated with your chosen topic and using the content to identify at least five major concepts and subthemes related to your topic.

    General Requirements:

    Use the following information to ensure successful completion of this assignment:

    Use      the “Empirical Research Checklist” to assist in the      determination of empirical articles.

    Use      the “Research Article Chart” to provide a summary review of each      component of your Literature Review Intro assignment.

    Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the Student Success Center.

    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.

    Directions:

    Part 1: Selection of 15 Articles 

    Select 15 empirical articles related to your PICOT question. Use the “Empirical Research Checklist” worksheet to ensure that each article you select meets all of the established criteria. At least one article must demonstrate a quantitative methodology. Literature Review Intro.

    Clinical/PICOT Question:

    In Patients > 65 years of age with central line catheters, how does staff training of key personnel and reinforcement of central line catheter hub hygiene after its insertion, along with the apt cleansing of the insertion site, reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections) at a level two trauma facility compared to standard care over a one-month period?

    P: Patients > 65 years of age with a central line

    I: Staff training and reinforcement of central catheter, hub hygiene

    C: Compared to standard care

    O: Reduce the incidence of CLABSIs (Central Line Associated Blood-stream Infections)

    T: A period of one-month

    Part 2: Research Article Chart

    Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template. Literature Review Intro.

    Part 3: Synthesis of Research Studies

    Based upon your review of the 15 research articles, identify at least five major concepts that relate to your project topic, and three subthemes related to each concept.

    Using the information from the completed “Research Article Chart,” and the major concepts and subthemes you have identified, write a 2,000-3,000 word paper that synthesizes the content of the 15 research studies.

    Summarize each major concept and focus on providing a detailed synthesis of the three identified subthemes that support that concept by addressing the following.

    Introduction      of the identified subtheme

    Summary      of the research questions posed by the studies

    Summary      of the sample populations used

    Summary      of the limitations of the studies

    Summary      of the conclusion and recommendations for further research

    Literature Review Intro

  • Does God Exist essay

    Does God Exist essay

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    Does God Exist? Which argument on the existence/none existence of God you think is the most convincing in chapter 6? Pick one movie to discuss this argument. Analyze one specific scene in the movie where spectators can clearly see this argument on the existence/none existence of God. The essay must be done in MLA format with a minimum of 500 words Does God Exist essay

  • MN580 Discussion Board: Pediatric Health Maintenance Exam And PPE

    MN580 Discussion Board: Pediatric Health Maintenance Exam And PPE

    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.

    The foundation of pediatric healthcare visits, both sick and well, starts with a thorough health history; from the data collected, an accurate physical examination and diagnosis can be made. Primary care healthcare visits are an integral part of ensuring the health and well-being of the child. In children that participate in sports, a preparticipation physical examination (PPE) is required and may be the only contact the healthy child has with their healthcare provider.

    Discussion:

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    Case:

    Shelby is a 5-year-old female, brought to the clinic by her parents and will be starting kindergarten in the fall. The parents state that she needs her physical and shot record to register her for school. The parents state that she has been healthy and voice no concerns although Shelby is “scared” about the exam and vaccines. MN580 Discussion Board: Pediatric Health Maintenance Exam And PPE.

    Answer:

    How would you address Shelby’s fear of the exam and vaccines?

    What age-appropriate screenings and lab tests are recommended for Shelby? What immunizations will Shelby require, if any? MN580 Discussion Board: Pediatric Health Maintenance Exam And PPE

  • Health federal bills congress

    Health federal bills congress

    There is much attention on federal health care policy and law. Health Bills: GovTrack.us provides a list of federal bills that are currently in process in Congressional Committees.

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    Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)Links to an external site.

    Choose a health-related federal bill of interest to you. Read through the bill and post a summary in your own words. Include the bill number and name.

    How might this bill impact professional nursing practice standards if passed? If not passed?

    How might the bill impact your own nursing practice? Health federal bills congress.

  • Regulatory Environment and Requirements Essay

    Regulatory Environment and Requirements

    Select a risk management issue within a specific health care setting or organization. For your initial post to this discussion, construct a plan for regulatory compliance and address principles of high reliability organizations (Youngberg, 2011, p. 346–347). Begin your discussion by defining your selected issue and setting. Then, explain your plan and cite resources and personal experience as appropriate. The issue you select for this discussion will be the focus of the executive summary portion of this unit’s assignment, in which you must create an executive summary that describes your organization’s compliance with the regulatory requirement to promptly identify POAs and proactively assess and manage risk. Regulatory Environment and Requirements Essay.

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    Initial posts should be based upon peer-reviewed, evidence-based literature. In your post, include at least one APA-formatted in-text citation and accompanying, congruent APA-formatted reference. Your source can be a course textbook, assigned reading, or other scholarly source.

    Reference

    Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

    Response Guidelines

    Respond to the posts of other learners according to the Faculty Expectations Response Guidelines. If possible, respond to one learner who has a perspective, background, or goals that are similar to yours, and to one learner whose perspective, background, or goals are different. Peer responses should be substantive and must include one peer-reviewed source that aligns with the discussion thread. You may feel free to add an additional source that is new or provides a completely different perspective. “I agree” and “Thanks for sharing your insights” are examples of responses that do not contribute content for enhanced learning and are not acceptable. The goal is quality, substantive feedback that demonstrates higher order critical thinking and evaluation of peers’ initial posts. Regulatory Environment and Requirements Essay.

    DQ 2, 3 and 4 (24)

     

    [u03d1] Unit 3 Discussion 1
     

    Learning   from the Past

    Considering your analysis of St.   Anthony Medical Center’s Labor and Delivery service strengths and   opportunities, propose a list of features, advantages, and benefits for the   current service offering. With reference to the previous plan, explain your   reasoning for the new list.

    Response   Guidelines

    Respond to your fellow learners   according to the Faculty Expectations Response Guidelines. Focus on your   proposal in relation to that of your colleague: Where do your lists align?   Where do they differ? Support your thoughts with your own analysis.

    Resources

    Discussion Participation Scoring Guide
    .

     

    [u03d2] Unit 3 Discussion 2
     

    Competitive   Analyses

    Review the presentation given by   the marketing director in the media piece, Vila Health: Market Analysis. Then   construct a competitive analysis focused on social media use for St. Anthony   Medical Center’s Labor and Delivery service line versus the two other   competitor organizations. Post your document in the discussion space. This   completes step three of Kotler’s Marketing Plan format, presented in 
    Health   Care Marketing
    . Regulatory Environment and Requirements Essay.

    Response   Guidelines

    Review and respond to your fellow   learners according to the Faculty Expectations Response Guidelines. Focus   your response on a comparison with your own analysis–do you see any emerging   patterns? Support your response with reference to your texts and to the   information gleaned from St. Anthony Medical Center itself.

    Resources

    Discussion Participation Scoring Guide
    .

    Vila Health: Market Analysis
     | 
    Transcript
    .

    DQ 4

    High-Level Marketing Objectives

    Revisit the vision, mission, values and strategic plan summary for St. Anthony Medical Center. Given the directional strategy, analyze the current versus desired status of the Labor and Delivery service line. Propose conceptual-level marketing objectives, including performance indicators and proposed measurement units for each indicator. Explain your thinking for each objective.

    Response Guidelines

    Respond to your fellow learners according to the Faculty Expectations Response Guidelines, focusing on the similarities and differences between your two plans. Where do you see the biggest difference? Explain how you think will affect overall outcomes. Regulatory Environment and Requirements Essay

  • Case Study: Healing and Autonomy

    Case Study: Healing and Autonomy Assignment

    Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

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    Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?

    Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?

    According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?

    According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James? Case Study: Healing and Autonomy.

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

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Case Study: Healing and Autonomy.

     

    Case Study: End-of-Life Decisions

    Decisions regarding death and denying are very challenging to all individuals, including Christians. Despite death being inevitable, it is troublesome to think about when and how it will happen. In most cases, people apply philosophical and religious concepts while making decisions regarding death. However, Christians have a different perspective on various aspects of death such as euthanasia, which is mainly used in assisted dying (Inbadas et al., 2017). This discussion presents George’s end-of-life decisions.

    George’s Interpretation of his Suffering is based on the Christian Narrative, Emphasizing the Fallenness of the World

    Christians consider suffering as part of their life. They attribute human suffering to the fallenness of the world. God was not happy with Adam and Eve when they sinned against Him by eating the forbidden fruit in the garden of Aden. Consequently, God made suffering part of human life. Adam would toil to get food. Genesis 3:19, “By the sweat of your brow will you have food to eat until.” Additionally, Eve would experience pain during childbirth. Genesis 3:16, “I will make your pains in childbearing very severe; with painful labor, you will give birth to children.” Based on this evidence, humans suffer as a curse from God for the mistakes of their forefathers. Therefore George should attribute his suffering to his sins.

    George’s interpretation of his Suffering is based on the Christian Narrative, Emphasizing the Hope of the Resurrection

    Christians suffer as a result of their sins. However, God still loves mankind and is willing to forgive those who rent their sins and allow them to overcome death. “Suffering because of sin is a tragic part of all human life. Though no trial can separate the Christian from Christ’s love,” (Romans 8:35). For the love that God has for mankind, he sent his only begotten son to rescue those who believe in Him from sins and allow him to enjoy life after death. Jesus died and defeated death through resurrection. Those who will die while believing in Him shall live again after resurrection. Thus, despite suffering, George will resurrect and enjoy eternal life when Jesus comes for the church if he repents his sins and seeks forgiveness.

    How would the Christian Worldview inform George about the value of his Life as a Person?

    It is challenging for George to cope with challenges associated with his condition, amyotrophic lateral sclerosis (ALS), including pain and disability. However, George should still value his life as a precious gift from God. Humankind is special since is superior to the rest of God’s creation. Additionally, humankind was created by God in His image and likeliness. “God created man in his image,” (Genesis 1:27). Therefore, despite the suffering George should view his life as a God-given gift and consider himself as the son of God. For this reason, George should not think of taking his life away since God alone the giver of life has the right of taking life away.

    The Christian Worldview Values and Considerations in Deciding if George should opt for Euthanasia

    Christians would consider suffering as part of Christian life in deciding if George. Based on the Christian worldview George should not opt for euthanasia since its immoral (Gorczyca, 2022). Christ suffered to save mankind despite being the son of God. His life indicated that suffering is part of Christians’ life. Therefore, George should embrace the suffering associated with ALS without thinking of terminating his life through euthanasia since it’s an essential part of the Christian journey. Secondly, Christians should perceive the reward at the end of their suffering. Despite being tortured and killed, Jesus was resurrected again, giving Christians hope for resurrection. Therefore, George should focus on resurrection after his suffering; hence should not opt for Euthanasia.  Furthermore, Christians should perceive suffering as a way of bringing them closer to God through repentance. In most cases, Christians tend to repent their sins and seek God’s intervention when facing difficulties in their lives. Accordingly, God is using suffering to bring George closer to him and to make him repent his sins and seek forgiveness. Thus, George should not opt for Euthanasia but should focus on seeking God’s divine intervention during this difficult moment.

    Morally Justified Decision for George in the Christian Worldview

    In the above question, the Christian worldview perceives suffering as part of the Christian life. Thus, being a Christian, George should endure all difficulties associated with his condition, including pain and disability. Additionally, George should use this opportunity to get closer to God by repenting his sins and seeking forgiveness. According to Paterson (2017), using euthanasia to end life prematurely is immoral. Therefore, the morally justified option is for George to continue valuing his life, trusting in God, and living according to God’s commandment until God, the giver of life takes his life away. Thus, the Christian worldview does not consider euthanasia an option for George despite his condition and related adverse outcomes.

    The decision that I would make if I was in George’s situation based on the Christian Worldview

               
    Based on a worldwide view, if I was in George’s situation, I would not opt for euthanasia. Instead, I would embrace suffering as part of the Christian life, repent my sins, and seek God’s forgiveness. Additionally, I would not opt for euthanasia since life is a precious gift given to humankind by God. Hence, God alone has the right to take life away.

    Conclusion

    The Christian worldview perceives suffering as an essential part of the Christian life. Thus, being a Christian George should embrace the suffering caused by his condition without thinking of taking his life away through euthanasia. Additionally, the Christian worldview believes in life after death. Therefore, George should repent of his sins and believe he will resurrect when Jesus will come for His church. For this reason, George should not opt for euthanasia.

    References

    Inbadas, H., Zaman, S., Whitelaw, S., & Clark, D. (2017). Declarations on euthanasia and assisted dying. 
    Death Studies
    , 
    41
    (9), 574-584.

    Paterson, C. (2017). 
    Assisted suicide and euthanasia: a natural law ethics approach
    . Routledge.

    Stokłosa, I., Stokłosa, M., Więckiewicz, G., Porwolik, M., Bugajski, M., Masarczyk, W., … & Gorczyca, P. (2022). Analysis of Factors Influencing Polish Students’ Opinions on Euthanasia. 
    International Journal of Environmental Research and Public Health
    , 
    19
    (9), 5019.

  • Eczema unresponsive to treatment

    Eczema unresponsive to treatment

    Patient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care.

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    Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.ConsultationsA consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP’s evaluation and recommendations.When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.”
    Referrals:
    A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.When a NP refers a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code. 
    Writing Assignment: Consult:
    Write up a consult request and include all key elements.Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN  for consultation regarding eczema unresponsive to treatment in the past six months. Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code eczema unresponsive to treatment. 
    Writing Assignment: Referral:
     Write up a referral request and include all key elements.As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.1. Document your referral to Dr. Owens2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.

    Written Paper (Microsoft Word doc): minimum 2000 words using 6th edition APA formatting  Please review the grading rubric under Course Resources in the Grading Rubric section. eczema unresponsive to treatment.