Change Proposal
: Reimplementation of bedside shift report
Make an outline of Section IV (Implementation Plan) of your Change Proposal with your peers.
In your implementation post, be sure to cover the following:
Assess the factors that are likely to affect the implementation of your recommended activities.
Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to support your rationale:
Technological challenges
Institutional structures
Strategies for building buy-in among different stakeholders, including nurses
Financial trends and anticipation of the availability of human resource and project funding
Hospital or governmental policy constraints
Regulatory requirements
Patient diversity
Discussion
In 2004, the National Council of State Boards of Nursing (NCSBN) and accrediting agencies sought to develop uniform standardization of education, accreditation, licensure, and certification across the advanced practice arena. The Consensus Model for APRN Regulation, Licensure, Accreditation, Certification and Education separated the APRNs into four distinct roles: certified nurse practitioners (CNPs), clinical nurse specialists (CNSs), certified registered nurse anesthetists (CRNAs), and certified nurse midwives (CNMs), and in at least one of six population foci: family/individual across the lifespan, adult-gerontology, neonatal, pediatrics, women’s health/gender-related, or psychiatric/mental health (Consensus Model). However, the nurse leader and the nurse educator are missing from the four identified roles. Some experts believe that the nurse leader and the nurse educator roles are advanced practice nurse role while others do not.
Explore the pros and cons for identifying the nurse leader and nurse educator roles as advanced practice nurses.
Based on the evidence from your research and resources, state if you agree or disagree on these roles meeting advanced practice nurse statue.
Discuss the rationale for your decision and support with evidence.
Resources
Educator
Booth, T.L., Emerson, C.J., Christi, J., Hackney, M.G., & Souter, S. (2016). Preparation of academic nurse educators. Nurse Education in Practice, 19, 54-57. Retrieved from Proquest - USU Library
O’Lynn, C. (2015). Endorsing the Doctor of Nursing practice pathway for nurse educators. Journal of Nursing Education, 54(9), 475-477. Retrieved from Proquest - USU Library
National League for Nursing - http://www.nln.org/
American Association Colleges of Nursing - http://www.aacnnursing.org/
Leader
AONE Nurse Executive Competencies
Expectations
Initial Post:
Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
Due: Monday, 11:59
Number: A Minimum of 2 to Peer Posts, at least one on a different day than the
Nursing / Epidemiology
APA format, in-text citation
Write using a nurse practitioner point of view.
Instructions
Utilizing the list below, choose two research methods.
Next, find two articles, one for each scientific method. The articles should be related to population health and infectious disease, chronic health, occupational health, global health, genomics, or environmental health. Must be no older than 5 years.
Randomized Control Trial
Cohort Study
Case-Control Study
Cross-Sectional
The articles you choose should be completely in English (this includes the reference list). They should be related to population health and speak to one of the following elements from the course: Infectious disease, chronic health, occupational health, global health, genomics or environmental health.
Read each article and answer the following questions with detail for each article, include succinct definitions/examples or rationale as fitting to the question. Organize your answers using the number of the question you are answering (1-8). Your answers should provide more than a ""yes"" or ""no"", your answers should provide examples, critical thinking, definitions, and examples.
Does the study design specify a question, goal, of the study? Why is this important?
Explain the methodology (Randomized Control Trial, Cohort Study, Case-Control Study).
Describe the participant information, include recruitment. Is selection bias present?
How is data collected?
Are the variables identified? If yes, discuss. If no, how does this impact your interpretation of the study?
How was the data analyzed, what statistics are provided? What are potential errors related to the study design?
What are the weaknesses of the type of study design/method?
Discuss the outcomes and the implications for implementation.
Post your analysis of the research studies to the DB. Your analysis should have in-text citations and utilize a scholarly voice with APA formatting. You may choose to write a Word doc and upload your doc to the discussion board for this week
Contemporary Nursing Practice
The field of nursing has changed over time. In a 750‐1,000 word paper, discuss nursing practice today by addressing the following:
Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
Identify a patient care situation and describe how nursing care, or approaches to decision‐making, differ between the BSN‐prepared nurse and the ADN nurse.
Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.
The distinctive characteristics of the American values
You have to do an answer to this writing, add references and quotes based on the answer, minimum 200 words, do not use the same references that appear in the writing. Thank you in advanced
The distinctive characteristics of the American values are embedded in the historical familiarity of the African American individuals containing the middle passage. Thus, the culture is equally enormously and distinctive important to American beliefs as a whole. Additionally, the African American culture is embedded in Africa, where it is a combination of mainly Sahelian and sub-Saharan African cultures (Bronner & Clark 2016). Though slavery severely limited the capability of Americans of African background to exercise their cultural traditions. So, several practices, beliefs, and values lasted, and excess of time has improved or combined with white culture. The surfaces of the African American culture remained emphasized by the bondage period. However, this resulted in a dynamic and unique culture that led to a profound impact on traditional American culture.
And after liberation, exceptional African American culture sustained to flourish as distinct traditions in cuisine, music, literature, art, religion, and extra fields. Several years the culture advanced separately from traditional American culture for bondage and perseverance of racial discrimination. Nowadays, African American culture has developed an essential part of American beliefs and remains a distinct cultural body. Furthermore, in the earliest years, American slave proprietors wanted to exercise control above their slaves by trying to strip them of their African beliefs (Rumsey 2016). The physical isolation and social freezing out of African slaves far along facilitated the retaining of influential culture between the Africans and in the federal states. African cultures, slave rebellions, slavery, and public privileges movements have formed African American spiritual, familial, party-political, and economical conduct. Thus, the inscription of Africa is evident in many ways, dance, worldview, politics, hairstyles, language, economics, cuisine, and fashion.
Answer to Question Two
Involvement in culture does a more valuable indicator of health opinions and behaviors than expectations made about cluster affiliation. Thus, health disparities show inhabitants of deprived neighborhoods regularly have slight to no ecological support for ethical conduct, which raises their dangers for health disparities. Several African Americans in small income areas, plenty of fast nutrients chains, and the absence of access to healthy cheap foods lead to the occurrence of chronic disease and obesity. The cost and convenience have mainly influenced little income person’s possibility of adopting healthy nutritional behaviors. Obesity in youngsters is a significant problem crosswise America (Patterson 2017). Therefore, national agendas to advance diet excellence and the general health amid African Americans and other minority clusters have been started. African Americans have been health aware of searching health screenings and medications while wellbeing literacy in the populace tends to differ by generation.
On the other hand, the Amish life focuses on work, church, home, and family. Therefore, the participation of the healthcare scheme is advanced with the belief that drug benefits, however, God only heals. The capability to work and offer for a household is the inspiration for maintaining decent health. The Amish believed that good health was deliberated as talent from God and deserved to take the attention of it (Purnell 2018). Household’s relationships were much valued; hence taking care of the wellbeing of valued ones is significant. Health-conscious conducts have deliberated the norm between the Amish. The populace makes use of less salt, mineral supplements, less tobacco, more vitamins, and less alcohol. So, the augmented income between the Amish and several American subcultures here is progressively more packed food bought for household consumption. The Amish belief does not limit individuals from looking for modern medicinal care.
References
Bronner, S. J., & Clark, C. D. (Eds.). (2016). Youth Cultures in America [2 volumes]. ABC-CLIO.
Patterson, G. E. (2017). Cultural Diversity and Care. Issues and Trends in Nursing, 323.
Purnell, L. (2018). Knowledge of Cultures. In Global Applications of Culturally Competent Health Care: Guidelines for Practice (pp. 31-42). Springer, Cham
Rumsey, S. K. (2016). Coming of Age: Amish Heritage Literacy Practices of Rumspringa, Adult Baptism, and Shunning. In Navigating Languages, Literacies and Identities (pp. 56-68). Routledge.
Medicine major
1-Oral medicine: sickle cell anemia
A) to clarify clinical features , diagnosis and dental management of patients with leukemia
2- endo: cause of endodontic failure:
A) preoperative causes
B)intraoperative causes
C)postoperative causes
3- fixed: failure in fixed prosthodontics;
A) identify the mechanical failure ( fracture, chipping of ceramics)
B) identify the chemical failure
C) identify the esthetic failure
D) identify the periodontal failure
E) identify the proper line of treatment
4- operative: materials and techniques of relatability of indirect esthetic restoration:
A) materials and techniques used for repair of indirect esthetic restorations and their limitations
5- perio: minimally invasive techniques for treatment of gingival recession:
A) rational behind the minimally invasive concept
B) describe the techniques
C) evidence related to theses techniques in comparison to the conventional flaps
6-research: critical appraisal tools and gate frame:
A) define critical appraisal
B) identify the different tools used for critical appraisal
C) describe the GATE frame and RamboMan
7- radiology: cone beam computed tomography (cbct):
A) basic principle and image formatting
B) advantage and limitations
8 - self management: stress management:
A) types of stress ( negative stress , positivity stress) , types of stressors ( external, internal), symptoms of stress, stress related illnesses
COMMUNITY EPIDEMIOLOGY
1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals, and indicators.
2. Using your city or county public health department or the CDC, choose 3 population or community based problems such as disease, disaster, crimes, accidents, falls etc... from the topics outlined in the website and prepare an analysis discussing how these 3 conditions, affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.
3. You can also use the following CDC link https://www.cdc.gov/outbreaks/index.html and identify 3 community infectious outbreaks such as measles and develop the assignment.
The presentation must be in APA format with a minimum of 1500 words (excluding first and references page) with a minimum of 4 evidence-based references using the required APA font. You must include the zip code of the city or county chosen. Follow the APA example paper that was sent to you at the beginning of the course for guidance. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC.
The assignment will be post it in the discussion tab of the blackboard for grading and in the SafeAssign exercise in the assignment to verify originality. FNU only accept 35% of plagiarism. I will not accept any assignment that exceeds the percentage of plagiarism establish by the university.
Nursing DQ
You are a licensed practical nurse (LPN) working in an eye surgery center. A new client with type 2 diabetes mellitus presents to the office, referred by their primary care provider. Consider the association between diabetes and eye diseases, and discuss the following questions:
· Diabetes increases the risk of which eye diseases, and why?
· What are additional risk factors for these eye diseases?
· How can clients with diabetes reduce their risk of vision complications?
use two professional references, published within the past 5 years 250 words.
Informatics in the Clinical Setting
Conduct an interview with someone in an informatics role in a clinical setting. Then, in a Microsoft Word document of 5-6 pages formatted in APA style, discuss each of the following criteria:
Role description and education level required for the role.
Describe their views on how their role affects patient safety and improves the quality of patient care.
Describe the human factors faced in the role and other challenges.
Express insights gained from the interview.
Research and discuss the impact of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and The Joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies influence delivery of direct patient care.
Research, discuss, and identify the Technology Informatics Guiding Education Reform (TIGER) utilized in your clinical setting. Be sure to get the perspective of your selected informatics professional during your interview.
Reimplementation of A Bedside Shift Report
Submit Section I and II of your change proposal. Your rough draft should be in APA format for instructor review and feedback.
I. Introduction
A. Identify a clinical or nonclinical problem that is relevant to nurses in your workplace or former workplace or is a recognized issue in the local, state, or national nursing community from which you can act as a change agent and propose a change.
B. Explain why you selected the issue, identifying the significance to nursing practice and the expected outcomes from the change.
II. Justification of Need
A. Explain the current situation of the targeted organization for your proposed change.
B. Develop arguments with evidence that support this need for change.
