Epidemiology
Review the following websites and activities.
Centers for Disease Control and Prevention [CDC]. (n.d.) Solve the outbreak. Disease detective. Retrieved from https://www.cdc.gov/mobile/applications/sto/web-app.html
Office of Disease Prevention and Health Promotion. (2018). Partnering to heal. Retrieved from https://health.gov/hcq/training-partnering-to-heal.asp
You will post this response to the online Journal using the text submission tool.
Create a journal entry of 200-250 words reflecting on your personal experiences or thoughts regarding the activities at these sites, the content and epidemiological methods utilized. Are you able to identify modes of transmission and implement interventions better with these learning tools? Have you ever participated in an outbreak investigation or care of a person during such an event? Share your insights to outbreak investigation and the use of epidemiology tools
Nurse’s Role in Influencing the Legislative Process
In a Microsoft Word document of 2-3 pages formatted in APA style, you will answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill that is traveling through the legislative process. The third question refers you to the social determinants of health and asks you to think specifically on your role as a nurse in influencing social determinants of health.
Answer the following questions:
What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage?
List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other?
Reviewing the social determinants of health, select one to respond to this question:
What role can nurses play in promoting health status through policy changes directly affecting this social determinant?
Write each question as a new topic area and then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading
Evidence based practice project
As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient falls, (3 % increase in the last 6 months) .
You have been asked to investigate contributing factors to the declining outcomes and participate with a team approach to developing an evidence-based practice project. As you started this exploration, you came across this article Aiken Article titled ""The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment"" , which served as a starting point for the assignment you have been given. You may need to secure some current articles to support you as you develop the clinical question. For example, you may want to retrieve peer review articles on patient Fall.
1. Access the link to the Aiken article above and read the article. This article will provide some background information that links nurse-patient ratios to patient outcomes. The article is provided to get you started on the development of an evidence-based project (EBP).
2. Refer to the Iowa Model (available in the textbook) to serve as a guide in the development of the EBP project. Be sure to explain, in detail, how each step of the Iowa Model supports your project development.
3. Based on the information in the article, develop a PICO question to address the problem of a decline in patient outcomes.
4. Use the format below to develop the PICO:
5. Include additional articles as background information to provide information for the problem areas identified.
6. Discuss the influence of Scripture on the imperative for utilizing current evidence to deliver safe and quality patient care
Evidence-Based Practice and the Quadruple Aim
Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.
To Prepare:
Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
Patient experience
Population health
Costs
Work life of healthcare providers
Learning Resources
Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.
Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
Required Media
Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.
use 3 sources for this assign
Powerpoint presentation
I need a power point presentation of about 12 to 15 slides, plus 10 references about the following title
Neurological Alterations
· Describe and explain, making use of illustrations, the structure and function of the neurologic system in adults and children.
· Analyze the neuroanatomy of pain, temperature regulation, sleep, and sensory function.
· Identify different alterations in cognitive systems, cerebral hemodynamics, and motor function in adults and children.
· Increase knowledge and skills on the assessment and treatment of different neurologic system disorders.
· Distinguish between disorders of the central and peripheral nervous systems and the neuromuscular junction.
· Recognize the etiology and pathophysiology; clinical manifestations; and treatment of schizophrenia, mood disorders and anxiety disorders.
· Discuss and analyze the role of the Nurse Practitioner, with a focus on prevention, early detection and treatment of neurologic disorders
Time Management as an Online Student
Describe how you spend most of your time. Is this what you expected? Why or why not?
How will you rearrange these items to dedicate enough time to your schoolwork?
What changes do you want to make? What professional resources are available to help with those changes?
Nursing Leadership
- Effective Approaches in Leadership and Management
In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
Select an issue from the following list: bullying, unit closer and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.
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.
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.1: Exemplify professionalism in diverse health care settings.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
3.4: Demonstrate professional standards of practice.
Informatic
Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).
Read
Nelson, R., & Staggers, N. (2014).
Chapter 8
Chapter_008.pptx
Online Materials & Resources
Visit the CINAHL Complete under the A-to-Z Databases on the University Library's website and locate the articles below:
Hutcherson, Carolyn M. (September 30, 2001). ""Legal Considerations for Nurses Practicing in a Telehealth Setting"". Online Journal of Issues in Nursing. Vol. 6 No. 3, Manuscript
Doran, D., Haynes, B. R., Estabrooks, C., Kushniruk, A., Dubrowski, A., Bajnok, I., et al. (2012). The role of organizational context and individual nurse characteristics in explaining variation in use of information technologies in evidence-based practice. Implementation Science, 7, 122. DOI: 10.1186/1748-5908-7-122
Nagel, D. A., Pomerleau, S. G., & Penner, J. L., (2013). Knowing, caring, and Telehealth technology: “Going the Distance” in nursing practice. Journal of Holistic Nursing, 31(2), 104-112.
Kluge, E. H. (2011). Ethical and legal challenges for health telematics in a global world: Telehealth and the technological imperative. International Journal of Medical Informatics, 80(2), e1 - e5
Explore/View the website(s) below:
Healthit.gov. (2019). Telemedicine and Telehealth | HealthIT.gov. Retrieved from https://www.healthit.gov/topic/health-it-initiatives/telemedicine-and-telehealth (Links to an external site.)
Dunn/BCMJ, G. W. (2004, August). Legal issues confronting 21st-century telehealth | British Columbia Medical Journal. Retrieved from https://www.bcmj.org/articles/legal-issues-confronting-21st-century-telehealth (Links to an external site.)
QUESTION
Identify and discuss at least two potential ethical issues that could be of concern for nurses with telehealth delivered care.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
All replies must be constructive and use literature where possible.
Your assignment will be graded according to the grading rubric.
Renal System Case Study
Mr. Drummond is a 72-year-old male who is 2 days postoperative for a bowel obstruction. His urine output over the last 4 hours is less than 100 ml per hour. The MD has ordered Normal Saline IV at 200 ml per hour.
Question 1
The nephron being the functional unit of the kidney, list the three main functions the nephron is responsible for.
Question 2
The MD orders the following diagnostic and laboratory tests: kidney, ureter, and bladder roentgenography (KUB), intravenous pyelography, creatinine and blood urea nitrogen (BUN). Explain how each one can help in the diagnosis of kidney disease.
Question 3
Mr. Drummond has an elevated BUN and creatinine. The MD orders a creatinine clearance. Explain how this is done and what information it will give you to help diagnose Mr. Drummond’s renal problem.
Caring for a pediatric Burn patient
Missy is 3 years old. She enjoys being with mom and grandma in the kitchen. She pulls a chair close to the stove, climbs on the chair, and looks inside the pot of boiling water. The steam is hot on her face, she steps back and as she falls off the chair, the boiling water is pulled down on her. Missy is rushed to the emergency department. Grandma has put some butter on her fingers, but her face was not treated.
Review the Rule of Nines found on page 1239.
In the ED, the nurse discovers that her hands, face, chest, and arms are burned. The Dr. believes it to be a partial-thickness burn, but notes her hands are blistered and very edematous.
Provide nursing care to this young patient that is complaining of pain, crying, and uncooperative. Educate the mother and grandmother on the extent of the burn and the on-going care that will be needed.
Include medication you may wish to request from the physician and the dosage.
Rubric:
1. Fully explains the rule of 9's. What is it? Why is it used? Use it on Missy and share the findings.
2. Based on the information in the Discussion the student correctly identifies ONE nursing diagnosis (and all required parts) AND identifies ONE goal written in SMART format.
3. Describes THREE interventions the nurse should implement based off of the nursing diagnosis and goal making sure to consider pediatric and family needs. These interventions should be things a nurse can implement without a provider order.
4. Describes THREE medications you would expect the provider to order for this client with burns and the correct dosage.
5. The student lists all references in text and on the reference page. Uses a minimum of 3 scholarly articles less than 6 years old
