Tag: Clinical-Nursing

Pediatric Clinical Experiences

As a future advanced practice nurse, it is important that you are able to connect your didactic experience to your Practicum experience. By applying the concepts you study in the classroom to clinical settings, you better prepare yourself for your future professional career. Each week, you complete an assignment that prompts you to reflect on your Practicum experiences and relate them to the material presented in the classroom Pediatric Clinical Experiences.

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To prepare for this course’s Practicum experience, address the following in your Practicum journal:

Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.

Discuss your personal definition of family and family roles might impact the assessment of a child and his or her family. Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment Pediatric Clinical Experiences.

Select and explain a nursing theory to guide your practice with pediatric patients.

Based on your strengths, weaknesses, and theory of nursing practice, develop goals and objectives for the Practicum experience in this course. Be sure to consider the NAPNAP Position Statement on Age Parameters for Pediatric Nurse Practitioner Practice from this week’s Learning Resources.

Create a timeline of Practicum activities based on your Practicum requirements.

2–3-page limit. Use title page and references according to APA Pediatric Clinical Experiences.

Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit

Benchmark – Capstone Project Change Proposal

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

Background

Problem statement

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Purpose of the change proposal

PICOT

Literature search strategy employed

Evaluation of the literature

Applicable change or nursing theory utilized

Proposed implementation plan with outcome measures

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting. Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit.

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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Benchmark – Capstone Project Change Proposal/ Topic falls in Psychiatric inpatient Unit

PMHNP clinical interview

Despite what you may believe (or may have been told), there is no such thing as one “right” way to do an interview. In fact, there are numerous books written about the various ways of conducting the clinical interview. In actual clinical practice, you will find the format that “works” best for you and addresses your unique strengths and the needs of the client.

In this Discussion, you will practice finding the interview format that works for you and share those ideas with your colleagues for feedback PMHNP clinical interview.

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Learning Objectives

Students will:

Develop formats for initial interviews of mental health clients

Note:

Develop an interview format you would use for an initial interview of a client.

By Day 3

Post:

Attach the interview format document you would use for an initial interview of a client.

Describe what interview format your preceptor uses for the initial interview of a client.

Describe which element of your interview format is most helpful in your practice. PMHNP clinical interview

Discussion: Applying Measurement Tools – Healthcare Effectiveness Data and Information Set (HEDIS)

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes. Discussion: Applying Measurement Tools – Healthcare Effectiveness Data and Information Set (HEDIS).

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Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old) Discussion: Applying Measurement Tools – Healthcare Effectiveness Data and Information Set (HEDIS).

Nr 509 week 7 alternative writing assignment

1. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.

2. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”

3. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation.

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4. Organize the headings and content of your paper using the outline below:

o Select a body system relevant to the lesson from the previous week for the topic of this paper..(ABDOMINAL SYSTEM)

o Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable) Nr 509 week 7 alternative writing assignment.

o Provide an overview of the objective data and expected normal physical examination findings for this body system..

o Explain special physical assessment examination techniques or procedures specific to assessing this body system.

o Analyze and discuss how you might adapt your physical assessment skills or interviewing techniques to accommodate each of the following specific populations:

 Infant/pediatric

 Pregnancy

 Geriatric

o Identify one major disease or disease process that may significantly impact this body system.

o Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process Nr 509 week 7 alternative writing assignment.

o Summarize the key points.

o References in correct APA format Nr 509 week 7 alternative writing assignment

NSG 6620 Quality Improvement Projects and the CNO

NSG 6620 Week 2 Assignment 1 Discussion

Discussion Question 1: Quality Improvement Projects and the CNO

There has likely never been a time in which healthcare organizations have had to face challenges greater than those in the twenty-first century.For example, in previous decades, bedside nurses cared for patients and were promoted into nursing leadership and nurse executive roles based on the fact that they were “good nurses.” This paradigm no longer exists in contemporary healthcare delivery settings including long-term care, acute care, and community-based settings.The CNO must be prepared to lead and have competency in guiding, leading, and restructuring healthcare delivery systems that are competitive and provide safe, affordable, and efficient quality care at the right time, each time, and every time.CNOs must have skills and competencies that allow them to drive healthcare system changes to meet societal healthcare needs for diverse populations. NSG 6620 Quality Improvement Projects and the CNO

You are the CNO in your healthcare organization.Considering this, use the readings for the week, the South University Online Library, and the Internet to respond to the following:

Provide a list of guidelines you would use to develop the quality falls program and the medication safety performance improvement project in your organization.

What challenges would you face in the development of these programs?

Evaluate two competencies you must have to successfully develop these programs.

What will you do if a quality improvement project is needed and there is not enough money in the budget at the time or if the project will add costs that exceed the operating budget? NSG 6620 Quality Improvement Projects and the CNO

Comment on the postings of at least two peers.

Evaluation Criteria:

Provided a list of guidelines you would use to develop the quality falls program and the medication safety performance improvement project in your organization.

Explained the challenges you would face in the development of these programs. NSG 6620 Quality Improvement Projects and the CNO

Evaluated two competencies you must have to successfully develop these programs.

Recommended ways to handle the situation if a quality improvement project is needed and there is not enough money in the budget at the time or if the project will add costs that exceed the operating budget.

Justified your answers with appropriate research and reasoning.

Commented on the postings of at least two peers. NSG 6620 Quality Improvement Projects and the CNO

Measuring the Performance of APNs

Discussion for Module 7 – Measurement of Performance; Quality Assurance, Peer Review

7 7 unread replies. 7 7 replies.

The topic for this week is regarding measuring the performance of APNs (and PAs, if they are to be part of your health system):

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1. How are you going to measure performance in general?

2. Are you going to include peer review in assessing performance? Be sure to address the readings regarding the pros and cons of peer reviews.

3. How are you going to ensure that APNs (and perhaps PAs) will address the issues related to cultural diversity and patient care? Measuring the Performance of APNs

NSG 6620 Discussion Question 2: CNO and Medical Staff

Discussion Question 2: CNO and Medical Staff

CNOs must be skilled and competent communicators to lead and manage the collective work of medical staff members at all levels.Reviewing healthcare literature can help you learn a lot about fostering and promoting interprofessional collaboration in healthcare.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Define and describe the role of the CNO related to medical staff.

Define interprofessional collaboration.

What happens to patient outcomes and quality care when there are disagreements between medical staff and nursing personnel regarding aspects of operations?

As a CNO, describe at least one strategy you would apply in clarifying expectations of other healthcare team members including the medical staff? NSG 6620 Discussion Question 2: CNO and Medical Staff

Comment on the postings of at least two peers.

Evaluation Criteria:

Defined and described the role of the CNO related to medical staff.

Defined the concept of interprofessional collaboration NSG 6620 Discussion Question 2: CNO and Medical Staff.

Explained the impact of disagreements between medical staff and nursing personnel regarding aspects of operations on patient outcomes and quality care.

Recommended at least one strategy to clarify expectations of other healthcare team members including the medical staff.

Justified your answers with appropriate research and reasoning.

Commented on the postings of at least two peers NSG 6620 Discussion Question 2: CNO and Medical Staff

Building a Comprehensive Health History

By Day 3 of Week 1

Post 
a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

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PATIENT:55-year-old Asian female living in a high-density public housing complex:

How would your communication and interview techniques for building a health history differ with each patient?

How might you target your questions for building a health history based on the patient’s social determinants of health?

What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks? Building a Comprehensive Health History.

Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

Select 
one
of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the 
Seidel’s Guide to Physical Examination
 text, or another tool with which you are familiar, related to your selected patient.

Develop 
at least five
targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. Building a Comprehensive Health History

NSG 6620 Week 1 Mission and Vision Statement

NSG 6620 Week 1 Assignment 2 Discussion

Discussion Question 1: Mission and Vision Statement.

Every healthcare organization must have a mission and vision statement to guide it.Mission and vision statements often come in a variety of formats.Only when there is alignment between the nurse administrator and the organizational mission and vision statement, there is synergy and a sense of purpose.For example, knowing where the organization wants to go assists nurse administrators in helping meet the mission and vision statement through the tasks they undertake along with their subordinates NSG 6620 Week 1 Mission and Vision Statement.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Describe one example of what happens when the nurse administrator’s values are not congruent with the organizational mission and vision statement.

Locate the mission and vision statement of your current or previous healthcare organization.If you are not working in the field of healthcare, find a mission and vision statement of a healthcare organization using the Internet.

Does this mission and vision statement provide clarity to the organizational direction? Provide a rationale for your answer.

As a nurse administrator, how would you assist subordinates to become familiar with this statement? NSG 6620 Week 1 Mission and Vision Statement.

Select and research a department of nursing.Then, write a mission and vision statement for this department.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described one example of what happens when the nurse administrator’s values are not congruent with the organizational mission and vision statement.

Explained whether a selected mission and vision statement provides clarity to the organizational direction.

Recommended ways in which a nurse administrator can assist subordinates become familiar with the selected mission and vision statement. NSG 6620 Week 1 Mission and Vision Statement.

Wrote a mission and vision statement for a nursing department.

Justified your answers with appropriate research and reasoning.

Commented on the postings of at least two peers.

NSG 6620 Week 1 Assignment 2 Discussion

Discussion Question 1: Mission and Vision Statement.

Every healthcare organization must have a mission and vision statement to guide it.Mission and vision statements often come in a variety of formats.Only when there is alignment between the nurse administrator and the organizational mission and vision statement, there is synergy and a sense of purpose.For example, knowing where the organization wants to go assists nurse administrators in helping meet the mission and vision statement through the tasks they undertake along with their subordinates.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:

Describe one example of what happens when the nurse administrator’s values are not congruent with the organizational mission and vision statement. NSG 6620 Week 1 Mission and Vision Statement.

Locate the mission and vision statement of your current or previous healthcare organization.If you are not working in the field of healthcare, find a mission and vision statement of a healthcare organization using the Internet.

Does this mission and vision statement provide clarity to the organizational direction? Provide a rationale for your answer.

As a nurse administrator, how would you assist subordinates to become familiar with this statement?

Select and research a department of nursing.Then, write a mission and vision statement for this department.

Comment on the postings of at least two peers. NSG 6620 Week 1 Mission and Vision Statement

Evaluation Criteria:

Described one example of what happens when the nurse administrator’s values are not congruent with the organizational mission and vision statement.

Explained whether a selected mission and vision statement provides clarity to the organizational direction.

Recommended ways in which a nurse administrator can assist subordinates become familiar with the selected mission and vision statement.

Wrote a mission and vision statement for a nursing department.

Justified your answers with appropriate research and reasoning.

Commented on the postings of at least two peers. NSG 6620 Week 1 Mission and Vision Statement