Discusion
In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about ""Case Study: Healing and Autonomy"" as the basis for your responses in this assignment.
Answer the following questions about a patient's spiritual needs in light of the Christian worldview.
In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient's autonomy? Explain your rationale.
In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James's care?
In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?
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.
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.
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.
Respond to this post. Post 1 JI
Nurses are considered the largest group of health professionals. Per the American Nurses Association, there will be far more registered nurse jobs available than any other professional healthcare by 2022 (Nursing Workforce, n.d.). Because of this shortage, there is a competing need for needing nurses due to nursing shortage and the high volume of patients requiring care. One of the causes of the nursing shortage is the result of the aging population. Currently, there are about 40.3 million people in the United States that are age 65 or older (Older Population and Aging, n.d.). As these babyboomers age, they are requiring higher acuity/patient needs in the hospitals (Haddad et al., 2020).
This high acuity of patients and nursing shortage causes organizations to develop policies that ensure a safe patient to nurse ratio. These policies ensure there is safe staffing of nurses and patient safety. An appropriate nurse-patient ratio allows the best and safer care of patients and prevents nursing burnout (The Importance of the Optimal Nurse-to-patient Ration, 2016).
The Healthcare issue selected is nursing burnout which is greatly impacted by patient acuity level and not having appropriate staff to take care of patients. This sometimes results in nurses taking care of more patients than the recommended safe nurse to patient ratio. Nurses having to work in a high-stress environment also impacts patient safety (Nursing Workforce, n.d.).
The way policies would be able to address this current issue would be to have organizations be fined if nurses are given an assignment that requires taking care of patients more than the nurse-patient ratio allows. Currently, California is the only state that legally has a defined nurse to patient ratio (The Importance of the Optimal Nurse-to-patient Ration, 2016).
References
Haddad, L. M., Annamaraju, P., & Toney-Butler., T. J. (2020, July 25). Nursing shortage. NCBI. https://www.ncbi.nlm.nih.gov/books/NBK493175/
Nursing Workforce. (n.d.). American Nurses Association. Retrieved September 14, 2020, from https://www.nursingworld.org/practice-policy/workforce/
Older population and aging. (n.d.). The United States Census Bureau. Retrieved September 14, 2020, from https://www.census.gov/topics/population/older-aging.html
The importance of the optimal nurse-to-patient ratio. (2016, November 11). Wolters Kluwer. https://www.wolterskluwer.com/en/expert-insights/the-importance-of-the-optimal-nursetopatient-ratio
POST 2 SC
A competing need, when it comes to having a 2020-BSN prepared workforce, would be hiring non-BSNs or making exceptions for staff not to achieve a BSN degree. This goal allows for some wiggle room by being 80% and not 100% of the nurses having a BSN. Making exceptions is ok, but too many exceptions and the hospital may not meet this goal on time. The policy impacted would be policies that mandate hiring BSN nurses and the requirement of non-BSN nurses getting their BSN. The policy should remain, but the exceptions should be vetted through higher management to allow for exceptions.
The problem this goal imposes is balance. Patient safety remains the top concern. Immediately firing all nurses without BSNs and replacing them with BSN nurses can leave a hospital stripped of experience in nursing and policy, leaving patient safety compromised. This problem is why this goal must be measured, and fortunately, it allows for an extended time frame (Gerardi et al., 2018).
Not achieving this goal is the compromise that may be needed to ensure a safe balance of nurses that are familiar with the hospital and have adequate experience. This compromise would be the impact of relaxing policies on hiring BSN nurses. The nurses with experience with ADNs feel like the BSN nurses are no better than they are at bedside nursing (Matthias & Kim-Godwin, 2016). Although they think they are the same, the higher ratio of BSN nurses in the workforce has many benefits (Straka et al., 2019). Regardless, this goal has been set, and the competing needs are manageable.
In the hospital where I work, we have not achieved this goal but have been trying to. I have seen days in the ICU where the most experienced nurse, including the charge and ANM, has three years of nursing experience. This situation is where this goal, and other factors, has compromised patient safety. We did not meet the goal by 2020 but are still trying to safely. I have seen new hires come in with plenty of ICU experience that do not have BSNs, but they plan on getting it.
References
Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared
workforce goal. AJN, American Journal of Nursing, 118(2), 43–45.
https://doi.org/10.1097/01.naj.0000530244.15217.aa
Matthias, A. D., & Kim-Godwin, Y. (2016). RN-BSN students’ perceptions of the differences in
practice of the ADN- and BSN-prepared RN. Nurse Educator, 41(4), 208–211.
https://doi.org/10.1097/nne.0000000000000244
Straka, K. L., Hupp, D. S., Ambrose, H. L., & Christy, L. (2019). Reaching beyond 80%
BSN-prepared nurses. Nursing Management (Springhouse), 50(5), 52–54.
https://doi.org/10.1097/01.numa.0000557624.27437.25
Course Project
Part I: HIV/AIDS has affected millions of people in the United States and the world since the 1980s. On a global scale, large numbers of people with HIV/AIDS are not receiving the needed treatment. Congress created The Ryan White Care Act of 1990 to assist public hospitals struggling financially from caring for uninsured men and women living with HIV/AIDS. There were four Titles written into The Ryan White Care Act of 1990. In recent years the Titles have moved into five Parts, Part A-F focusing on a variety of topics.
In 2014, the Affordable Care Act gave insurance access to many of the uninsured population. Over the past few decades, countries like England and Canada have a lower percentage of HIV/AIDS cases. Is this due to their healthcare structure? In 4-5 pages, discuss the following.
Explain the purpose of each of the five Parts in The Ryan White Care Act.
Explain other viewpoints or opposing viewpoints of the Act.
Describe your stance on if there is a need for the Ryan White Care Act with the Affordable Care Act. Think about other countries.
This portion of your assignment will require you to research and examine information from various sources. Use a minimum of three credible sources for your paper, with three being an academic source from the Rasmussen College Online Library (don't forget to include in-text citations throughout your paper with paraphrasing or quoting)
Make sure to include your APA formatted reference page.
Part II: Based on your research you decide which one of the previous communication tools would be most effective to communicate your findings. Keep in mind the position and facility you selected and create a memo, a PowerPoint, detailed meeting agenda, or an information sheet. In the first paragraph, slide, or bullet please justify the reason you picked communication format.
In the first paragraph, slide, or bullet please justify the reason you picked the particular communication format.
Use feedback from your instructor to guide you through the communication tool you decided to use.
Make sure to use audience specific language and tone
Research Article Upload Assignment
Upload an article that relates to psychosocial theories of aging from the First, Second, or Third Generation of theoretical development. Article must contain the name of the chosen theory, within a 5 year span, and as it relates to Gerontological Theories of Aging.
Discussion
One page with two reference
Would your problem identified in the Week 2 discussion question lend itself to a qualitative or quantitative design? What level of evidence (research design) would best address the problem? Explain your answer.
post was this please refer to answer the above question
To achieve a high-quality person-centered system of healthcare, there is a need to ensure that there is an active engagement of patients and their families in making decisions about their care. Family is any person who offers support to the patient and who is defined by the patient as such including relatives and friends among others. This effort has been ongoing for a long time as parents are allowed to be with their children at the hospital and patients under end-of-life care are allowed to have family around. However, this is different during a pandemic as healthcare workers have to balance between family support and limiting virus exposure (Frampton et al, 2020).
To discuss my topic, I will use an article by Hart et al that was published in 2020 and is titled 'Family-centered care during the covid_19 era'. This article discusses how family-centered care can be achieved during a pandemic. In the case of a pandemic like Covd_19, the best way to ensure public safety is by restricting the physical of people, especially those that are not sick, in hospitals. This means that family-centered care, which requires the family to be there to communicate with the caregivers on important matters regarding the patient, will be affected. The article provides strategies on how we can support family-centered care while at the same time maintaining physical distancing (Hart et al, 2020).
This article will be beneficial to my topic because it will help me understand how we can maintain patient and family engagement in healthcare even during a pandemic. Both family-centered care and safety during a pandemic are things that we cannot compromise. It is however a bit difficult to achieve both during a pandemic. However, with information from this article, we can be sure to keep the patient and their family safe while at the same time achieving family-centered care. These strategies will lead to long-term progress in delivering care that engages both the patient and their family.
References
Frampton, S., Agrawal, S., & Guastello, S. (2020, July). Guidelines for Family Presence Policies During the COVID-19 Pandemic. In JAMA Health Forum (Vol. 1, No. 7, pp. e200807-e200807). American Medical Association.
Hart, J. L., Turnbull, A. E., Oppenheim, I. M., & Courtright, K. R. (2020). Family-Centered Care During the COVID-19 Era. Journal of Pain and Symptom Management.
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.
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 policies to address that issue.
To Prepare:
Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
Resources:
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
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
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.
Skin disorders
Write a paper, no more than 3 pages, analyzing the role of the Nurse Practitioners in the prevention, early detection and treatment of skin disorders
Discussion
Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)
Parts 6, 7, and 8 must be different. Different writing and perspective, but always answering questions objectively
Part 1: minimum 2 pages
Part 2: minimum 1 page
Part 3: minimum 1 page
Part 4: minimum 1 page
Part 5: minimum 1 page
Part 6: minimum 1 page
Part 7: minimum 1 page
Part 8: minimum 1 page
Submit 1 document per part
2)¨******APA norms, please use headers
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3) It will be verified by Turnitin and SafeAssign
4) Minimum 3 references per part not older than 5 years
5) Identify your answer with the numbers, according to the question.
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1:
Choose a drug that is used for the GI system.
1. in minimum a complete page=
Write a legal prescription for the drug for a fictitious patient. Your writing Assignment should include all the legal elements of a prescription.
You are the provider:
Be sure your prescription includes all legally correct information:
a. patient
b. provider information
c. medication information
d. any special instructions to the pharmacist.
in minimum a complete page = Write a paper to describe:
3. pharmacokinetics and pharmacodynamics of the drug
4. specific patient education about the chosen drug.
Part 2:
Disorders of Hemostasis
Leona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a 2-week vacation from work, she packed up her bags and flew from Minnesota to Sydney, Australia, for the trip she always wanted to take. Unfortunately, just 3 days after she arrived, she was hospitalized when her left calf became inflamed, causing her considerable pain. The physician attending to her told her she developed a deep vein thrombosis.
Explain, using your knowledge of hypercoagulability, why the trip to Australia contributed to Leona’s DVT? Why was Leona already at risk for thrombus development?
How does Leona’s atherosclerosis affect platelet function? Conversely, what is the effect of increased platelet activity on the development of atherosclerosis?
How do atherosclerosis and immobility promote changes in blood coagulation?
When Leona was in hospital, she received heparin therapy. Explain why this course of action was taken to treat her DVT. Why was she not given heparin tablets to take back to the hotel with her?
Part 3:
1. What health factors can nurses address to work with young males of a community to improve overall health? (mention at least 3 health factors).
2. What can you do as a nurse to improve those health factors and overall health in that community?
Part 4:
Chamomile
1. What are the common uses of this herb?
2. Explain possible contraindications.
3. Is there any research study done on this herb? explain it
4. Mention the research study and discuss results of it.
Part 5:
Two professional registered nurses are interested in evidence-based practice and have developed research questions to study. The nurses discuss what evidence-based practice is all about and are trying to determine if the organizational culture supports nurses who seek out and use research to change long-standing practices that are rooted in tradition rather than science.
1. What is the best explanation of the difference between evidence-based practice and best practices?
2. The two registered nurses review a variety of research studies to answer their proposed research questions. What is the difference in the efficacy of randomized controlled trials, integrative reviews, or meta-analysis with practice-based evidence for continuous process improvement?
3. The registered professional nurses must consider alternative support mechanisms when searching for the best evidence to support their clinical practice. What are possible mechanisms of support for evidence-based practice?
4. Describe the challenges that exist today for nurses in implementing evidence-based practice?
Part 6:
1. Reflect on 2 key differences between the UK and US Health systems.
2. What are key opportunities related to advocacy and politics interventions that can be done by advanced practice nurses to improve our current health system?
Please refer to the resources identified below for details regarding UK Health System.
1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo
2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries
Part 7:
1. Reflect on 2 key differences between the UK and US Health systems.
2. What are key opportunities related to advocacy and politics interventions that can be done by advanced practice nurses to improve our current health system?
Please refer to the resources identified below for details regarding UK Health System.
1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo
2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries
Part 8:
1. Reflect on 2 key differences between the UK and US Health systems.
2. What are key opportunities related to advocacy and politics interventions that can be done by advanced practice nurses to improve our current health system?
Please refer to the resources identified below for details regarding UK Health System.
1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo
2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries
Older adult of nursing care
It is important for nurses to reflect on experiences and new knowledge gained in order to promote professional growth.
Course Competencies:
Analyze the increased complexity of care among older adults.
Compare care models for nursing practice specific to the older adult.
Design plans for care specific to the older adult.
Identify local, state, and national resources which facilitate safe and effective transitions of care for older adults.
Incorporate professional values, attitudes, and expectations regarding ageism when caring for the older adult.
Outline the importance of advocating for older adults in management of their care.
Transferable Skill:
Information Literacy: Discovering information reflectively, understanding how information is produced and valued, and using information to create new knowledge and participate ethically in communities of learning.
Instructions:
Reflect on your development as a nursing professional and address the following in a 1-2 page paper:
Describe how you achieved each of the course competencies and the transferable skill.
Provide at least one example of new knowledge gained related to each competency and explain how this new knowledge will impact your nursing practice.
Evidence-Based Project
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.
Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.
Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.
Part 1: An Introduction to Clinical Inquiry
Create a 4- to 5-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question
Describe how you used keywords to search on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
Provide APA citations of the four peer-reviewed articles you selected.
Part 2: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:
The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.
