Research M

Research M

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review the Work Environment Assessment Template*.
  • Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
  • Select and review one or more of the following articles found in the Resources:
    • Clark, Olender, Cardoni, and Kenski (2011)
    • Clark (2018)
    • Clark (2015)
    • Griffin and Clark (2014)

*Template completed in the Week 7 discussion should not be submitted with this assignment.

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

  • Review the Work Environment Assessment Template you completed for this Module’s Discussion.
  • Describe the results of the Work Environment Assessment you completed on your workplace.
  • Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
  • Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

  • Briefly describe the theory or concept presented in the article(s) you selected.
  • Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
  • Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

  • Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
  • Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

Improving Patient Care

Improving Patient Care

Complete all your lesson content and assigned readings. Make sure that you are focusing on:

· An example of evidence-based practice (EBP)

· How EBP improves patient care

 

Instructions:

· Answer the questions listed below using complete sentences.

· Use correct grammar, spelling and APA format.

· Support your answers using credible sources such as textbooks, course materials, and evidence-based articles ( 1 Point)

Resources:

How do I know if a source is credible?

How do I find evidence-based practice articles? Or nursing best practices?

 

 

1. Describe an example of evidence-based practice (EBP) change or guidelines. (2 Points)

 

 

 

2. Explain how EBP improves patient care. (2 Points)

Your written assignment for this module is a worksheet that describes the following:

  1. Provide an example of an evidence-based practice (EBP) project
  2. How do EBP projects improve patient care?

In order to receive FULL CREDIT for the worksheet:

  1. Use complete sentences to answer the questions.
  2. Use correct grammar.
  3. Support your answers using your textbook, course materials, credible internet resources, and scholarly journals.
  4.  All citations must be in APA format.

Mr. Rivera Is A 72-Year-Old Patient With End Stage COPD Who Is In The Care Of Hospice

Mr. Rivera is a 72-year-old patient with end stage COPD who is in the care of Hospice. He has a history of smoking, hypertension, obesity, and type 2 Diabetes. He is on Oxygen 2L per nasal cannula around the clock. His wife and 2 adult children help with his care. Develop a concept map for Mr. Rivera. Consider the patients Ethnic background (he and his family are from Mexico) and family dynamics. Please use the concept map form provided.A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item and made it available to you.

Please use this Rubric to answer the Question

Novice Competent Proficient

CONTENT & MECHANICS Points:0.33 (5.50%)

Minimal number of concepts. Current & applicable information; demonstrates marginal conceptual understanding. Information may not be clearly presented & flow through assignment. Errors in spelling, grammar and/or citations

Points:0.67 (11.16666%)

Partial number of concepts. Current & applicable information; demonstrates acceptable conceptual understanding. Information clearly presented & flows through assignment. Errors in spelling, grammar and/or citations

Points:1 (16.66666%)

Contains appropriate number of concepts. Current & applicable information; demonstrates superior conceptual understanding. Information clearly presented & flows through assignment. Correct spelling, grammar & citations

PATHOPHYSIOLOGY

Points:0.33 (5.50%)

Concept map detail does not show pathophysiology for pertinent disease process/processes. Excludes more than one disease if related

Points:0.67 (11.16666%)

Concept map shows limited pathophysiology for pertinent disease process/processes. May overlook more than one disease if related (ex: renal failure secondary to HTN)

Points:1 (16.66666%)

Concept map detail must show pathophysiology for pertinent disease process/processes. May include more than one disease if related (ex: renal failure secondary to HTN)

CLINICAL MANIFESTATIONS

Points:0.33 (5.50%)

Subjective & objective data not included

Points:0.67 (11.16666%)

Subjective & objective data partially included

Points:1 (16.66666%)

Subjective & objective data included

NURSING DIAGNOSIS

Points:0.33 (5.50%)

Absence of NANDA diagnosis, or does not include ‘related to’ and ‘evidenced by’

Points:0.67 (11.16666%)

Less than two NANDA diagnosis or may not include ‘related to’ and ‘evidenced by’

Points:1 (16.66666%)

Two NANDA diagnosis, including ‘related to’ and ‘evidenced by’

NURSING INTERVENTIONS

Points:0.33 (5.50%)

Less than 2 nursing interventions for each diagnosis

Points:0.67 (11.16666%)

Less than 4 but more than 2 nursing interventions for each diagnosis

Points:1 (16.66666%)

At least 4 nursing interventions for each diagnosis

GOALS

Points:0.33 (5.50%)

Less than one per nursing diagnosis. Not formatted as SMART goals (specific, measurable, attainable/agreeable, realistic, time-based)

Points:0.67 (11.16666%)

Less than one per nursing diagnosis. Format as SMART goals (specific, measurable, attainable/agreeable, realistic, time-based)

Points:1 (16.66666%)

One per nursing diagnosis. Format as SMART goals (specific, measurable, attainable/agreeable, realistic, time-based)

NAME:MODULE 2 CONCEPT MAP: END OF LIFE CARE

Nursing Clinical Judgment

Nursing Clinical Judgment

Clinical judgment in our daily practice can influence how we (nurses) take care of our patients. Our everyday care of our patients also incorporate ethical care and charting. Why should nursing include evidence-based practice into their daily routine? 

“Themself” By Shelley Jackson And “The Making Of The Drum By Kamau Brathwaite

“Themself” By Shelley Jackson And “The Making Of The Drum By Kamau Brathwaite

A few questions (among many) on “Themself” that can be explored on this week’s discussion board: What are we truly saying when we claim to feel someone else’s pain? That we can imagine someone else’s pain? That we all overlap in certain areas?  Does weight-loss or weight-gain make us any “more” or “less” ourselves? Do we turn into mere “stuff” at the moment of death? Is there a “soul” separable from our bodies? If the singular pronoun “I” is appropriately lonely-looking, is there anything plural-looking about the words “we” or “us” or “them”?

Some additional questions for the Brathwaite half of this week’s discussion: Why the double-use of the definite article “the” in the title? How is this different from “a making of a drum”? How many words does the word “drum” rhyme with and what do some of these words imply? What is the effect of breaking the poem into sections (skin, barrel, sticks) based on a drum’s material ingredients? How does it make sense to directly address a goat with a “Bless you” once it has already been killed? The word “bless” is rooted in an ancient word that means “to redden with blood”—how might this pertain to this poem?

The COVID-19 pandemic had a direct impact on global population-based practice.

The COVID-19 pandemic had a direct impact on global population-based practice.

  • What are your thoughts about the role nursing played in addressing health as an international phenomenon during the pandemic?
  • What lessons have been learned?
  • In your community how did the social determinants of health impact the experience of COVID-19?
  • As a nurse leader, what recommendations would you have for the future of global population-based nursing?
  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.

Initial Post Instructions

Initial Post Instructions

In the real world, functions are mathematical representations of input-output situations. A vending machine is one such example. The input is the money combined with the selected button. The output is the product.

Here is another example: The formula for converting a temperature from Fahrenheit to Celsius is a function expressed as:

C = (5/9)*(F – 32), where F is the Fahrenheit temperature and C is the Celsius temperature.

If it is 77 degrees Fahrenheit in Phoenix Arizona, then what is the equivalent temperature on the Celsius thermometer?

Our input is 77.

C = (5/9)*(77 – 32)

C = (5/9)*(45)

C = 25

The equivalent temperature is 25 degrees Celsius.

To complete the Discussion activity, please do the following:

Choose your own function or choose from the list below and then provide a unique example of a function and evaluate the function for a specific input (like the example above).

Arm length is a function of height.

The circumference of a circle is a function of diameter.

The height of a tree is a function of its age.

The length of person’s shadow on the ground is a function of his or her height.

Weekly salary is a function of the hourly pay rate and the number of hours worked.

Compound interest is a function of initial investment, interest rate, and time.

Supply and demand: As price goes up, demand goes down.

Issues in Advanced Nursing Practice

Issues in Advanced Nursing Practice
55 year old female

Background

Gloria Smart is a 55-year-old female who presents to your office today for regular gyn care. You read her medical history and note she received a cardiac stent at age 50, has mild hypertension, and is on Zocor, Plavix, and lisinopril. Surgical history is remarkable for tonsils as a child and bunion surgery. She works full time, by choice, because it “makes me feel young.” She is up to date with colonoscopies. Gyn history normal pap history, last DXA within normal limits, normal mammogram. BMI is 26. First menses age 14 and menopause age 52. She works out at her local gym 5 days a week. Social history is negative for tobacco and recreational drugs. She has an occasional glass of wine. She has never married and has been with her current partner for 2 years and will be getting married in 2 months. She has never been pregnant, and her partner has never had a child.

Decision Point One

Gloria relates as you start to talk to her that she and her fiancé have been talking about it, and they would like to have a child. She wants a referral and some guidance.

Q: What anticipatory guidance should you consider?

A: She has some things in her history that she needs to consider.

CORRECT

Rational:

First, she has a significant cardiac history and is at high risk for cardiovascular complications. Additionally, Zocor and lisinopril are both category x drugs, and it is unknown whether Plavix is safe in pregnancy.

Decision Point Two

You discuss with Gloria about the issues with her medical problems and the issues with her current medications. You recommend that she set up an appointment with a maternal-fetal medicine specialist to discuss this and make recommendations for them.

Q: Are there any other preconceptual recommendations you would make for her (or another woman considering pregnancy)?

A: Begin folic acid 400 mcg to 800 mcg daily. Discuss risks of alcohol and pregnancy.

CORRECT

Rational:

All women should consider preconceptual folic acid supplementation to help prevent neural tube defects. Gloria speaks with the maternal-fetal medicine specialist, who then speaks with her cardiologist. She is taken off her cholesterol meds, has her blood pressure meds changed to Procardia, stops the Plavix, and starts a baby aspirin daily. Her cardiac stress test is good, and her kidney function is reported as normal.

Decision Point Three

Gloria then sees an infertility specialist and discusses IVF and donor egg. She and her fiancé proceed and she gets pregnant on her second cycle. She is referred back to you at 12 weeks to be co-managed with the maternal-fetal medicine specialist.

Q: What specific issues do you need to think about?

A: Baseline CMP and 24-hour urine.

CORRECT

Rational:

As she has chronic hypertension and known cardiac disease, she is at a higher risk for preeclampsia. You need to see what her normal is at the beginning.

Decision Point Four

Gloria and her fiancé present to your office with a complaint that her blood pressure has been up at home when they check it with their BP cuff. Her fiancé thinks it might be related to a pain she has in her ribs on the right side that started after they went out Chinese food. They also ask if you can give her something to help with her “swelling” as her face won’t look good at the planned marriage in 2 weeks. Her BP is 160/ 92, with a repeat 160/ 88. You note that she has 2+ pitting edema in her legs and that her face appears slightly swollen.

Q: What is your next consideration?

A: Explain to the patient and family the concerns for her high blood pressure and need for immediate treatment to prevent stroke and/or placental abruption.

CORRECT

Rational:

Extreme hypertension is related to strokes in women and complication from preeclampsia/hypertension in pregnancy/HELLP is the second leading cause of death of women worldwide.

Her LFTs are quadruple normal and her platelets are 50,000. She is started on IV magnesium sulfate and given several doses of IV labetalol to get her blood pressure under control. Unfortunately, she abrupted late that day and delivered a male infant who lived about 20 minutes. After a rough course, including anuria and difficulty maintaining her pressures, she was eventually discharged home on Day 11.

HW:

 

Review the above case studies. Your post should address the following:

1: Summary of your chosen case study

2: What is your differential diagnosis?

3: Why did you make this diagnosis decision?

4: What is your treatment plan?

5: What evidence-based research can you provide to support your decision (choice for differential diagnosis and plan/intervention)?

6: What resources did you use to meet your best practice guidelines?

7: Address the ethical dilemmas and/or other issues for your case study:

– Ethical issues

– Psychological issues

– Physical issues

-Financial issues

Daily Routine

Daily Routine

Directions:

Clinical judgment will influence how we (nurses) take care of our patients. Why is it so important for nurses to critically think and include evidence-based practice into their daily routine?

In order to receive FULL CREDIT for this assignment:

  1. Please make an initial post by midweek
  2. Respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking.
  3. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation.
  4. If you refer to any outside sources or reference materials, provide proper citation.

Interventions For Patient Care In The Clinical Setting

Interventions For Patient Care In The Clinical Setting

Directions:

In this discussion, you’ll describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting:

Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications.

  • Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.
  • Identify one effective nursing intervention and why you feel it worked.
  • Overall, do you feel this client was kept safe? Why or why not?
  • Please provide supporting evidence for your answers.

Respond to at least to two other classmates and explain if you agree or disagree with how they would handle a client who was having those symptoms. If you do not agree, please provide how they could have approached the client differently.