Tag: Clinical-Nursing

  • NURS 364 Spirituality Reflective Journal Paper

    NURS 364 Spirituality Reflective Journal Paper

    Department of Nursing

    Grading Criteria for Spirituality Reflective Journal Paper

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    Course Number: NURS 364

    Name of the Professor: 

    Student Name:

    Date:

    You have been assigned required readings on spirituality in your course. You may choose one or more chapters from each assigned book to read.  You will then write a reflection paper regarding your thoughts, meaningful ideas, feelings, and/or reactions, and the application of these to nursing practice or your own spiritual growth and self-care.

                                                                                   
                           

    1. Paper is typed in at least 2-3 pages, double spaced and turned in on time via D2L or email to your professor, with  coversheet title page in APA format; thoughtful, suitable title

     10 Points

    NURS 364 Spirituality Reflective Journal Paper

    2. Introductory paragraph is attention-getting

     

     10 Points

    3.  Spelling, grammar, mechanics, and usage are correct throughout paper

     10 Points

    4. Answers all questions and thoughts are expressed in a coherent and logical manner.

    20 Points

    5. Viewpoints and interpretations are insightful, demonstrating an in-depth knowledge, and understanding of the disease process and   reflecting the role of prayer, region and culture influence on healing on the disease process.  .

    20 Points

    6. Concluding paragraph sums up information, reiterates ideas and opinions, and leaves reader with a call to action or something meaningful to remember

     10 Points

    7. Pertinent reference sources are skillfully woven throughout paper without over use of quotations but, rather, attempt to paraphrase

    10 Points

    8. References are properly cited in APA format with no plagiarism.

     5 Points

    9.  At least 3 references are cited in paper, including a reference from current class assigned chapter readings in Mauk, a reading in an assigned chapter in White, Anatomy & Physiology, and pathophysiology text and one journal article of your own choice.

     5 Points

    NURS 364 Spirituality Reflective Journal Paper

     Total

    100 Possible Points

    Actual Points =

    References:

    Mauk, K. L., & Schmidt, N. K. (2004).
    Spiritual care in nursing practice
    . Philadelphia, PA: Lippincott.

    White, E. G. (2011).  The
    Ministry of healing
    . Guildford, UK: White Crow Books.

    Journal article:

    APA format reference that you may use for free:

    https://owl.english.purdue.edu/owl/resource/560/01/

     

    It is recommended that you upload your paper into Turnitin on D2L to check for plagiarism prior to submission to your professor.  Also, to check for correct grammar, use the Grammar Tutor on D2L. NURS 364 Spirituality Reflective Journal Paper

  • Leadership and management nursing

    Leadership and management nursing

    Identify one specific contemporary issue or trend that you are interested in learning more about. Choose from the categories below. For example you might want to learn more about why it is more difficult for some groups to receive care than others, which would fall under Client Access to Care. Or, you might want to compare nursing practice in the U.S. with how nurses practice in Japan, which would fall under the category of Global Healthcare and Nursing.

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    Global Healthcare and Nursing Healthcare Reform U.S. Healthcare Financing Nursing’s Role in the U.S. Healthcare System Integrative Healthcare Nursing Leadership and Management Nursing Education Nursing Practice Nursing Professionalism Advancing Nursing as a Profession Client Access to Care Delivering Client Care Interdisciplinary Teamwork and Collaboration Ethical Practices in Healthcare Quality and Safety in Healthcare Delivery Health/Nursing Informatics

    Once the issue or trend is identified, find five important/significant facts about it, substantiated by an evidence-based article. Include the article in your submission. Leadership and management nursing

    Create an 8-10 slide PowerPoint presentation with speaker notes, in-text citations and a reference page slide. Leadership and management nursing

  • Parent Guide/ Rett disorder

    Parent Guide/ Rett disorder

    It is recommended that you make your project as attractive as possible and consider using the finished product as teaching tools for families that you will work with in your own practices.

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    Students will:

    Analyze signs and symptoms of neurodevelopmental disorders

    Analyze the pathophysiology of neurodevelopmental disorders

    Analyze diagnosis and treatment methods for neurodevelopmental disorders

    Evaluate Parent Guides

    Using evidence-based research, design and develop a Parent Guide for your assigned disorder including:

    Signs and symptoms Parent Guide/ Rett disorder

    Pathophysiology

    How the disorder is diagnosed

    Treatment options

    Provide a minimum of three academic references.

    Is there anyway if you can add some pics or anything to make it presentable. Thanks again Parent Guide/ Rett disorder

  • ENG 106 Effect of US Foreign policy in the Middle East Essay

    ENG 106 Effect of US Foreign policy in the Middle East Essay

    To help you prepare for your Cause and Effect essay on donating or selling organs, brainstorm general topics of interest and conduct an online inquiry as to possible causes and effects.

    For example, you might have an interest on the effect of social media on children younger than thirteen years of age. You research young children in their tweens and discover that these individuals are more readily exposed to online interactive groups, such as Facebook, Twitter, or Web pages themed to attract a younger audience; this creates a root cause with the effect of having a large social network of friends.

    This result becomes a new cause that leads to the effect of stronger Web-based communication skills, which leads to intuitive and up-to-date technology skills. This result leads to overuse of or possible Internet obsession, which results in decreased participation of afterschool activities, such as sports or music groups. This result leads to lack of focus on homework and a significant drop in academic performance, which results in poor quality of student work. The result is repeating the same grade level. ENG 106 Effect of US Foreign policy in the Middle East Essay.

    Now, create your own cause-effect chain based on your online inquiry. Make sure the cause-effect chain is logical, plausible, and realistic.

    Be sure to cite all sources used to compose your answer. Format your in-text citations and reference list entry according to GCU Style.

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    My topic is on the effect of US Foreign policy in the Middle East. The War on Terror was in theory supposed to “to create an international environment inhospitable to terrorists and all those who support them.” (White House, 2003). That is not the case as Anti-American sentiments continue to grow due to drone strikes on the Arabian Peninsula. In January, hundreds of thousands of Iraqi citizens took to the streets of Baghdad to protest the presence of American troops, to attempt to reclaim their sovereignty. There is also the fact that we could not defeat al Qaeda and since the War on Terror began, we have seen the rise of the Islamic Emirate of Afghanistan (Talban), AQAP (al Qaeda in the Arabian Peninsula), and Daesh (Islamic State of Iraq and the Levant) ENG 106 Effect of US Foreign policy in the Middle East Essay. Worldwide terror has skyrocketed since the start of the War on Terror leading it to be considered a failure. (Thrall, 2017).

    My topic is on the effect of US Foreign policy in the Middle East. The War on Terror was in theory supposed to “to create an international environment inhospitable to terrorists and all those who support them.” (White House, 2003). That is not the case as Anti-American sentiments continue to grow due to drone strikes on the Arabian Peninsula. In January, hundreds of thousands of Iraqi citizens took to the streets of Baghdad to protest the presence of American troops, to attempt to reclaim their sovereignty. There is also the fact that we could not defeat al Qaeda and since the War on Terror began, we have seen the rise of the Islamic Emirate of Afghanistan (Talban), AQAP (al Qaeda in the Arabian Peninsula), and Daesh (Islamic State of Iraq and the Levant). Worldwide terror has skyrocketed since the start of the War on Terror leading it to be considered a failure. (Thrall, 2017).

    To help you prepare for your Cause and Effect essay on donating or selling organs, brainstorm general topics of interest and conduct an online inquiry as to possible causes and effects.

    For example, you might have an interest on the effect of social media on children younger than thirteen years of age. You research young children in their tweens and discover that these individuals are more readily exposed to online interactive groups, such as Facebook, Twitter, or Web pages themed to attract a younger audience; this creates a root cause with the effect of having a large social network of friends ENG 106 Effect of US Foreign policy in the Middle East Essay.

    This result becomes a new cause that leads to the effect of stronger Web-based communication skills, which leads to intuitive and up-to-date technology skills. This result leads to overuse of or possible Internet obsession, which results in decreased participation of afterschool activities, such as sports or music groups. This result leads to lack of focus on homework and a significant drop in academic performance, which results in poor quality of student work. The result is repeating the same grade level.

    Now, create your own cause-effect chain based on your online inquiry. Make sure the cause-effect chain is logical, plausible, and realistic.

    Be sure to cite all sources used to compose your answer. Format your in-text citations and reference list entry according to GCU Style. ENG 106 Effect of US Foreign policy in the Middle East Essay

  • NURS 6501 Module 2 Assignment: Case Study Analysis

    NURS 6501 Module 2 Assignment: Case Study Analysis

    Module 2 Assignment: Case Study Analysis

    An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

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    Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact. NURS 6501 Module 2 Assignment: Case Study Analysis.

    Photo Credit: yodiyim – stock.adobe.com

    An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

    In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

    To prepare:

    By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

    Assignment (1- to 2-page case study analysis)

    In your Case Study Analysis related to the scenario provided, explain the following

    The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms. NURS 6501 Module 2 Assignment: Case Study Analysis.

    Any racial/ethnic variables that may impact physiological functioning.

    How these processes interact to affect the patient.

    By Day 7 of Week 4

    Submit your Case Study Analysis Assignment by Day 7 of Week 4

    Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting. NURS 6501 Module 2 Assignment: Case Study Analysis

  • NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

    NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

    Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system. NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper.

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    For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:

    1.A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.

    2.A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?

    3.A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

    You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

    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.

    Note.: My area of specialty is the nurse leader/executive. NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

     

    Course Code

    Class Code

    Assignment Title

    Total Points

    NUR-513

    NUR-513-O500

    Benchmark – Future Scope, Role, and Professional Obligations Paper

    250.0

    Criteria

    Percentage

    Unsatisfactory (0.00%)

    Less than Satisfactory (80.00%)

    Satisfactory (88.00%)

    Good (92.00%)

    Excellent (100.00%)

    Content

    70.0%

    NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

    The Scope of Your Future Role as an Advanced Registered Nurse, Including Any Regulatory, Certification, or Accreditation Agencies That Define That Scope

    20.0%

    A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is not included.

    A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is present, but it lacks detail or is incomplete.

    A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is present.

    A discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is clearly provided and well developed.

    A comprehensive discussion of the scope of the future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope, is thoroughly developed with supporting details.

    Three Professional Nursing Organizations Identified as the Most Influential in Advancing the Scope and Influence of Advanced Nursing

    15.0%

    A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is not included.

    A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present, but it lacks detail or is incomplete.

    A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is present.

    A discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is clearly provided and well developed.

    A comprehensive discussion of three professional nursing organizations identified as the most influential in advancing the scope and influence of advanced nursing is thoroughly developed with supporting details.

    Evaluate the Professional Organization That Is Most Appealing, Including How Its Goals and Mission Fit in With Worldview, Philosophy of Care, and Ability to Improve Practice (5.3)

    15.0%

    An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is not included.

    An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is present, but it lacks detail or is incomplete.

    An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is present.

    An evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is clearly provided and well developed.

    A comprehensive evaluation of the professional organization that is most appealing, including how its goals and mission fit in with worldview, philosophy of care, and ability to improve practice, is thoroughly developed with supporting details.

    A Controversial or Evolving Issue That Is Most Likely to Impact Scope of Practice or Role in the Next Few Years, Including How This Issue Could Influence the Profession and Other Stakeholders and Why It Matters to the Advanced Registered Nurse

    15.0%

    A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is not included. NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

    A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is present, but it lacks detail or is incomplete.

    A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is present.

    A discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is clearly provided and well developed.

    A comprehensive discussion of a controversial or evolving issue that is most likely to impact scope of practice or role in the next few years, including how this issue could influence the profession and other stakeholders and why it matters to the advanced registered nurse, is thoroughly developed with supporting details.

    Required Sources

    5.0%

    Sources are not included.

    Number of required sources is only partially met.

    Number of required sources is met, but sources are outdated or inappropriate.

    Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

    Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

    Organization and Effectiveness

    20.0%

    Thesis Development and Purpose

    7.0%

    Paper lacks any discernible overall purpose or organizing claim.

    Thesis is insufficiently developed or vague. Purpose is not clear.

    NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

    Thesis is apparent and appropriate to purpose.

    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

    Argument Logic and Construction

    8.0%

    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

    Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

    Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

    Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    5.0%

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

    Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

    Writer is clearly in command of standard, written, academic English.

    Format

    10.0%

    Paper Format (Use of appropriate style for the major and assignment)

    5.0%

    Template is not used appropriately or documentation format is rarely followed correctly.

    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

    Template is used, and formatting is correct, although some minor errors may be present.

    Template is fully used; There are virtually no errors in formatting style.

    All format elements are correct.

    Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

    5.0%

    Sources are not documented.

    NUR-513 Benchmark – Future Scope, Role, and Professional Obligations Paper

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    Total Weightage

    100%

  • Hospital Acquired Pneumonia

    Hospital Acquired Pneumonia Discussion: Organizational Policies and Practices to Support Healthcare Issues

    Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

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    For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

    In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue. Hospital Acquired Pneumonia.

    To Prepare:

    • Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1. NOTE: The national healthcare issue/stressor I addressed in module 1 is “HOSPITAL ACQUIRED PNEUMONIA. So, you are going to use this topic to answer questions related to this discussion.

    • Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined. Hospital Acquired Pneumonia

    Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

    Required Readings

    American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only

    Note: Review all, with special attention to “Provision 6” (pp. 23–26) Hospital Acquired Pneumonia.

    Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html

    Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html Hospital Acquired Pneumonia

     

    Hospital-Acquired Pneumonia

    Description of the National Healthcare Issue/Stressor

    Hospital-acquired pneumonia (HAP) refers to pneumonia that a patient develops within a hospital setting after at least 48–72 hours after being admitted (Pássaro et al.; 2016). HAP is the second leading hospital-acquired infection and cause of death among critically sick patients. HAP is allied to an elevated rate of mortality and morbidity, as well as increased healthcare costs (Torres-García et al., 2019). According to Min et al. (2018), the incidence of HAP worldwide is 5–20 cases per 1000 admissions. The high prevalence of HAP indicates the need to address the issue.

    In my healthcare organization, HAP is common among patients in the ICU, and notably patients who are mechanically ventilated. Similarly, the rate of HAP is also relatively high in patients within the medical-surgical ward and the general ward. In the organization, HAP in all units leads to an increased rate of morbidity and mortality, longer period of hospital stays, as well as increased costs for both the patient and the organization. This is consistent with other organizations where hospital-acquired infections like HAP are associated with a high mortality rate, a prolonged period of hospitalization, as well as higher healthcare costs (Pássaro et al., 2016) Hospital Acquired Pneumonia.

    In the organization, the rate of HAP is particularly high among older adults, patients in the ICU, as well as patients with prolonged use of antibiotics and glucocorticoids. The high incidence of HAP among patients with lengthy use of glucocorticoids is allied to the reduced immunity that makes individuals susceptible to infections. Similarly, long-term use of antibiotics is a major risk factor for hospital-acquired pneumonia due to resistance to antibiotics. In my healthcare organization, HAP is associated with an increased rate of mortality, admission to the ICU, and an increased period of hospital stay. Besides, the organization, being a government agency, spends a lot of money on financing the treatment and care of HAP.

    Summary of the Two Articles

    According to Brett et al., (2019), HAP is allied to elevated morbidity and mortality rate and also increased medical costs. HAP is also a leading factor for transfer to the ICU and results in a prolonged hospital stay. Risk factors associated with HAP include advanced age, a longer period of hospital stay, being a male, dysphagia, numerous comorbidities, as well as chronic obstructive pulmonary disease (Brett et al., 2019). Brett et al. (2019) further indicate that poor oral hygiene causes a buildup of dental disease, which is a significant risk factor in HAP. Accordingly, Brett et al. (2019) explain that improved oral hygiene is effective in decreasing the rate of HAP. Other strategies that can reduce the rate of HAP include early mobilization, effective hand hygiene, proper management of dysphagia, and prevention of viral infections (Brett et al., 2019) Hospital Acquired Pneumonia.

    Again, Deng et al. (2019) explain that HAP is a very common hospital-acquired infection and a leading cause of death among hospitalized patients. Multi-drug-resistant organisms (MDROs) are attributed to the numerous cases of HAPs, and particularly within the ICU and emergency departments (Deng et al., 2019). Wide usage of broad-spectrum antibiotics is attributable to bacterial resistance, one of the risk factors for HAP.

    Strategies used to Address HAP

    The study by Brett et al. (2019) demonstrates that interventions such as improved oral care, increased movement, and mobility, as well as dysphagia management, are effective in preventing HAP. The study indicates that improved oral care is an important modifiable risk factor for HAP. Comprehensive oral care facilitated by nurses is effective in preventing HAP as it prevents the buildup of dental plaque, which is a significant risk factor in HAP.

    Increased mobilization is also an intervention that can be used in preventing HAP, especially among patients with acute ischemic stroke. The intervention involves turning the patient from “supine position to right and left lateral resting position” after every two hours and passively mobilizing the four limbs. This intervention is effective in reducing the rate of HAP. The mobilization intervention also integrates pre-operative patient education, breathing exercises, as well as pre-operative physiotherapy (Brett et al.; 2019). Brett et al. (2019) further explain that proper management of dysphagia and particularly among post-stroke patients, is essential in reducing the rate of HAP. This intervention includes nurses screening patients for dysphagia and implementing the appropriate interventions. The reason is that dysphagia is the leading cause of aspiration pneumonia. After all, food or liquids can enter the airway when patients have difficulties in swallowing and hence introduce bacteria to the lungs. Therefore, effective management of dysphagia can prevent aspiration pneumonia Hospital Acquired Pneumonia.

    Preventing and treating infections caused by multi-drug-resistant organisms can go a long way in preventing HAP (Deng et al., 2019). Long-term use of antibiotics is a significant risk factor for HAP as a result of organisms’ resistance to antibiotic therapy. Interventions used to address the issue of multi-drug resistance include relieving the inflammatory reactions among patients, improving organisms’ clearance, reducing the period of mechanical ventilation, treating patients’ immunity, and increasing the success rate of ventilator weaning (Deng et al., 2019).

     

     

     

    References

    Brett M, Russo P, Cheng A, Andrew S, Rosebrock H, Curtis S, Robinsion S & Kiernan M. (2019). Strategies to reduce non-ventilator-associated hospital-acquired pneumonia: A systematic review.
    Infection, Disease & Health
    , 24(4), 229 – 239. Hospital Acquired Pneumonia.

    Deng, D., Chen, Z., Jia, L, Bu J, Ye M, Sun L, Gen Y, Wen Z, Chen G & Fang B. (2019)
    .
    Treatment of hospital-acquired pneumonia with multi-drug resistant organism by
    Buzhong Yiqi
    decoction based on
    Fuzheng Quxie
    classical prescription: study protocol for a randomized controlled trial.
    Trials,
    20(817).

    Min, J. Y., Kim, H. J., Yoon, C., Lee, K., Yeo, M., & Min, K. B. (2018). Hospital-Acquired Pneumonia among Inpatients via the Emergency Department: A Propensity-Score Matched Analysis.
    International journal of environmental research and public health
    ,
    15
    (6), 1178.
    https://doi.org/10.3390/ijerph15061178
    .

    Pássaro, L., Harbarth, S. & Landelle, C. (2016). Prevention of hospital-acquired pneumonia in non-ventilated adult patients: a narrative review.
    Antimicrob Resist Infect Control
    , 5(43 (20).

    Torres-García, M., Pérez Méndez, B. B., Sánchez Huerta, J. L., Villa Guillén, M., Rementería Vazquez, V., Castro Diaz, A. D., López Martinez, B., Laris González, A., Jiménez-Juárez, R. N., & de la Rosa-Zamboni, D. (2019). Healthcare-Associated Pneumonia: Don’t Forget About Respiratory Viruses.
    Frontiers in pediatrics
    , 7(168) Hospital Acquired Pneumonia.

  • Developing Organizational Policies and Practices

    Assignment: Developing Organizational Policies and Practices

    Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

    Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

    Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization. Developing Organizational Policies and Practices.

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    To Prepare:

    • Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected. NOTE: The healthcare issue/stressor is HOSPITAL ACQUIRED PNEUMONIA

    • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor. Developing Organizational Policies and Practices.

    • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

    The Assignment (4-pages):

    Developing Organizational Policies and Practices

    Add a section to the paper you submitted in Module 1. The new section should address the following:

    • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.

    • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

    • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.

    • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples. Developing Organizational Policies and Practices

    • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

    Required Readings

    American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only

    Note: Review all, with special attention to “Provision 6” (pp. 23–26).

    Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html Developing Organizational Policies and Practices

    Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html

    Required Media

    Laureate Education (Producer). (2012). Ethical, Moral, and Legal Leadership [Video file]. Baltimore, MD: Author.

    Laureate Education (Producer). (2009b). Working with Individuals [Video file]. Baltimore, MD: Author. Developing Organizational Policies and Practices

  • NURS 7101: Theoretical and Philosophical Foundations of Nursing Science

    NURS 7101: Theoretical and Philosophical Foundations of Nursing Science

    Darla has just been hired as the chief nurse practitioner at a community health clinic. Upon starting her new job, Darla notices that the clinic serves a disproportionately large percentage of female immigrants, many of whom have sexually transmitted infections and/or appear to be victims of sexual and physical abuse. Darla immediately begins to analyze various factors that may be contributing to this phenomenon, including the possibility of sex trafficking in the neighborhood.

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    Describe how Darla might use feminist theory, critical social theory, or Human Liberation theory (choose one) to better understand the female immigrants’ situation and work to improve their situation. Consider both Darla’s role and the role of the women in seeking liberation/emancipation/social justice. (DNP Essential: #8, Advanced Nursing Practice). NURS 7101: Theoretical and Philosophical Foundations of Nursing Science

  • The Importance of Nursing Informatics and the Multidisciplinary teams

    The Importance of Nursing Informatics and the Multidisciplinary teams

    As a healthcare professional, it is imperative to have excellent communication skills. Nurses should always know what is going on with their patients, too many times; nurses miss urgent orders due to a lack of communication. Nursing informatics is essential; having computerized charting makes it easier for the nurse to check orders and to know the plan of care.

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    According to YoeniTo, improve the quality of nursing care, we developed and evaluated an Electronic Medical Record (EMR) program designed to maximize productivity and efficiency in our nursing documentation system. Electronic medical records are useful communication tools that can alert anyone on the interdisciplinary team of the patient’s progress. An electronic document can share relevant patient information among care providers to coordinate care, aid in decision-making, and achieve improvements in quality (Burnett, 2016). Benefits of EMRs are they provide a virtual state of the art multidisciplinary rounding record, so when doctors are not available, they can log on and access what every interdisciplinary team discussed. EMRs increases efficiency’s, reduce readmit rate due to patient having access to their medical records online, decreases in readmissions, and have fewer mistakes and redundancies then paper charting. However, I believe that the patients should always have a physician on call available to answer patients’ questions to cut down on unnecessary ER visits. The Importance of Nursing Informatics and the Multidisciplinary teams

    Consistently getting team members together, for instance, requires constant coordination; with the electronic medical record, doctors can pull up labs and diagnostic tests with patients and families. Computers have proven to be a great communicator between teams in the health care setting. Nursing informatics provides a haven for better patient care when dealing with Large multidisciplinary teams and deliver better outcomes for patients.

    References:

    Burnett, M. (2016). Does Use of an Electronic Display of a Discharge Clinical Summary Improve the Perceived Quality of Multidisciplinary Discharge Rounds and Care Coordination?. On-Line Journal of Nursing Informatics, 20(1). The Importance of Nursing Informatics and the Multidisciplinary teams

    yoenyi@samsung.co.kr, E. (n.d.). Retrieved from https://synapse.koreamed.org/search.php?where=aview&id=10.4258/jksmi.2000.6.4.87&code=0088JKSMI&vmode=PUBREADER

    Please responde to Deana Gil ‘s post below offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

    please and add 3 refrences with your response.

    Nurses must be able to provide safe care and treatment to patients. Most of my career was working in a Level one Trauma Center Emergency Department (ED) in downtown Phoenix, Arizona. In the ED,

    we had one system that we used for charting, and the rest of the hospital had a different charting system. If our patient was admitted to the hospital, we had to print off the ED visit note and send it with

    the patient for the nurses receiving the patient. This created problems. Just a few of these were: if the patient had medications that were ordered in the ED, but were not given for whatever reason, the

    receiving nurse was not aware unless the sending nurse specifically gave it in report, if the patient had STAT lab orders, the ED nurse would not see these as the admitting providers would put them in the

    inpatient admitting orders, and at times the admitting provider would discontinue medications that the ED nurse had orders to give by the ED provider before sending them to the floor. The Importance of Nursing Informatics and the Multidisciplinary teams

    By getting input from ED staff, providers, and inpatient nurses, the nurse informaticist (NI) advocated for the team to administration. They helped implement the ED charting system that was the same

    system that the rest of the hospital had. The NIs include staff in change decisions to ensure the change would not have negative effects on the workflow and to increase staff buy-in (Tyler, 2019, p. 19). The

    NI’s trained a staff member on each shift to be a superuser and helped during the transition to the new program. As stated by Tyler (2019), ”The informatics nurse is essential to the success of super users

    in any organization” (p. 19). The super users had direct communication with the NI’s and were able to alert them to issues or ideas for a smoother process recommended by the staff.

    NI’s trained the providers and the ED staff on using the new system. When the providers needed changes in the system for different documentation within the system, the NI collaborated with the charting

    company, and the changes were made. The Importance of Nursing Informatics and the Multidisciplinary teams

    One strategy recommendation for improvement would be to have the NI come to the unit once a week for any suggestions or complaints and have a suggestion box for those that may be busy or not

    present when the NI was there. The form placed in the box would have an answer section that would go back to the person that wrote it with a week return response timeframe.

    Nursing informatics have the benefit of their ability to interact with various clinicians, clinical practice knowledge and can relate to staff with the experience the workflow change (Mastrian & McGonigle,

    2018, p. 257). As we rely on technology in so many aspects of our lives, NI’s are a necessity in healthcare. The use of NI’s and their specialty will enable hospital staff to have the most recent evidence-based

    practice, patient safety with alerts and check-offs in the electronic medical record (EMR), and track specific trends good and bad for change and education. Nursing executives can use nursing informatics to help with things like budgeting tools and trending costs and savings (McGonigle, Hunter, Sipes, & Hebda, 2014, p. 324).

    References

    Mastrian, K. G., & McGonigle, D. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett.

    McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why nurses need to understand nursing informatics: Everyday informatics the official voice of perioperative nursing the official voice of perioperative

    nursing. AORN Journal, 100(3), 324-327. doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1016/j.aorn.2014.06.012

    Tyler, D. D. (2019). A day in the life of a nurse informaticist. Journal of Informatics Nursing, 4(1), 18-20. Retrieved from https://ezp.waldenulibrary.org/login? The Importance of Nursing Informatics and the Multidisciplinary teams

    qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocview%2F2194530266%3Fac

    Tyler, D. D. (2019). A day in the life of a nurse informaticist: Organizational change. Journal of Informatics Nursing, 4(2), 18-20. Retrieved from https://ezp.waldenulibrary.org/login?

    qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocview%2F2291990769%3Facc The Importance of Nursing Informatics and the Multidisciplinary teams