Introduction:
BMGT8114, also known as Accounting in the Global Era, is a dynamic course offered by Capella University. This course explores the complexities of accounting in the global business environment, focusing on international financial reporting standards, cross-border transactions
Subject: Business Finance
Course: BMGT8610
School: Capella University
In 1923, Yale Nursing School was launched as a sovereign entity in America and accommodated women into the program. The participation of women in the nursing profession was not common in colleges and universities at the time. Yale’s Bachelor of Science in Nursing degree was launched in 1925. Students needed to gain general college education in other institutions before enrolling at Yale
This paper aims at developing a professional plan for my professional career as an MSN-prepared nurse practitioner. An MSN degree offers nursing students a specialized set of vital skills to fill the essential healthcare roles in today’s dynamic healthcare. As an MSN-prepared nurse, one can positively influence the healthcare field by offering accessible, cost-effective healthcare to their clients. Therefore, creating an MSN professional development plan provides novice nurses a directional path to transit into their MSN- prepared nurses. An MSN development plan enables the MSN-prepared nurse to explore the MSN scope of practice specific to their states. This professional development plan will incorporate different elements like specific profes
Improvement Plan Tool Kit
School of Nursing and Health Sciences, Capella University
NURS-FPX4020: Improving Quality of Care and Patient Safety
Registered Nurses (RNs) and Advanced Practice Nurse Practitioners (APRNs) in Florida are subject to the Nurses Practice Act, which governs nursing practice in the state (Florida Board of Nursing, 2022). RNs must graduate from a Florida-approved nursing school and pass the National Council Licensure Examination to obtain licensure, with renewal requiring completion of continuing education credits every two years (Florida Board of Nursing, 2022). APRNs, in addition to RN licensure, must obtain a Master’s of Nursing degree from an accredited Florida nursing school, pass a specialized certification exam, and accrue 3000 supervised hours before practicing independently (Florida Board of Nursing, 2022).
EB002 Research Methodology
Renewable energy and energy efficiency measures can help mitigate climate change and reduce greenhouse gas emissions worldwide, thus contributing to a more sustainable and resilient future for all humanity. Employing the literature on evaluation as guidance, it is necessary to compare the content of the learning sessions to the guides on best practices.
According to the American Nurses Association (ANA), nursing informatics is defined as “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.”
The improvement plan toolkit helps nurses implement and sustain quality improvement efforts, and it provides an organized and accessible resource of evidence-based knowledge, tools, and solutions to solve healthcare issues. The toolkit helps nurses improve patient safety skills. It promotes continuous learning and development by systematically understanding, implementing, and maintaining improvement strategies (Tucker et al., 2021). This assessment develops an online toolkit to address healthcare and medication safety issues in vulnerable populations such as homeless, migrants, and prisoners.
Research skills are inseparable skills that give an individual the power to gather, analyze, and interpret the data required for informed decisions. In this era of information, skill transfer is more vital than before, regardless of whether you are a student, a professional, or somebody who just wishes to expand your knowledge. The objective of this guide is to provide a thorough introduction to the basic research skills and methodologies to impart practical advice and techniques that will equip you to become an efficient and good researcher.
In the realm of software companies and businesses, the pursuit of strategies is imperative to achieve their objectives. In striving for tremendous success and enhanced competitiveness in the market, these entities often rely on two prevalent strategies: the business strategy and the corporate strategy. These strategies exhibit commonalities and distinctions, yet they can collaboratively serve Vengile Soft’s quest for enhanced performance and profitability (Chow et al., 2023).
Project Design: Formative Program Evaluation, Quantitative
Model For Improvement: PDSA cycle
Target Population Undergoing the Practice Change: The target population undergoing the practice change for the project includes healthcare providers involved in surgical procedures, such as nurses, ancillary staff and operating room staff.
The project, “Reducing Hospital-acquired Infections with Advanced Sanitization Protocols,” aims to enhance patient safety by implementing advanced sanitization measures in operating rooms, specifically focusing on reducing surgical site infections (SSIs).
NURS 6051 Assessment 6 TN006 Policy and Regulation Supporting Informatics and TechnologyNURS 6051 Assessment 6 TN006 Policy and Regulation Supporting Informatics and Technology
NURS 6231 Healthcare Systems and Quality Outcomes
NURS 6231 Healthcare Systems and Quality Outcomes
Innovations to Improve Outcomes
Identified Problem
Part 1: The Connection Between Academic and Professional Integrity
Academic integrity serves as the foundation of all scholarly endeavors, ensuring the authenticity and responsible representation of work through proper citation of sources and attribution of ideas. Upholding academic integrity involves acknowledging the intellectual property of others and fosters consistency and accuracy in information dissemination. Moreover, academic integrity is indispensable in professional practice, embodying scholarly ethics and fostering trust, respect, and meanin
Strategic planning in healthcare organizations is crucial for navigating the complexities of the healthcare landscape, achieving organizational goals, and delivering high-quality patient care. This assessment will delve into key concepts essential for effective strategic planning in healthcare settings.
Study groups offer a valuable platform for collaborative learning and problem-solving. However, striking a balance between academic focus and social interaction can be challenging. To optimize the benefits of study groups, I intend to prioritize joining smaller, task-oriented groups dedicated to academic pursuits. This approach will ensure productive discussions and minimize distractions, thereby enhancing my learning experience.
Managing the demands of a full-time job, academic studies, and family commitments necessitates careful planning and prioritization. Recognizing the importance of each responsibility, I plan to integrate my work into my academic journey, viewing it as a practical extension of my professional development. Furthermore, allocating dedicated time for family activities, particularly during weekends, will help maintain a healthy work-life balance. As highlighted by Hunimed web team (2017), cultivating a passion for learning and embracing the challenges ahead are crucial components of successful time management and overall well-being.
References
Hunimed web team. (2017). 10 quick tips for successful exam preparation. Retrieved from https://www.hunimed.eu/news/10-quick-tips-successful-exam-preparation/
Academic integrity is foundational to scholarly writing, necessitating authors to articulate their ideas authentically while acknowledging and attributing sources appropriately (Walden University, n.d.). The interconnection between academic writing and integrity underscores the moral duty to uphold honesty within educational environments. Plagiarism
NURS 6003 Assessment 3 FG003 Academic and Professional Integrity
Academic Resource/Strategy 3: Accessing the Writing Center at Walden University
Walden University’s Writing Center provides guidance on honing academic writing skills essential for scholarly engagement (Walden University Writing Center, n.d.). Through resources such as APA style webinars and social media tools, students can practice proper referencing and enhance grammar and composition skills. Additionally, the center offers personalized assistance via email and online chat (Walden University, n.d.).
Professional Resource/Strategy 1: Engagement with the American Association of Nurse Practitioners (AANP)
The American Association of Nurse Practitioners (AANP) advocates for high-quality healthcare delivery through practice, advocacy, research, and leadership (American Academy of Nurse Practitioners, n.d.). By upholding core values like integrity, professionalism, and excellence, AANP aims to cultivate future nurse practitioner leaders (American Academy of Nurse Practitioners, n.d.).
Professional Resource/Strategy 2: Mentorship from Pouya Afshar, M.D.
Dr. Afshar, a mentor with extensive expertise in internal medicine, geriatrics, and hospice care, offers invaluable guidance and support. His commitment to healthcare and education serves as a beacon for professional growth and development.
References
American Academy of Nurse Practitioners. (n.d.). Strategic Focus. Retrieved September 18, 2021, from https://www.aanp.org/about/about-the-american-association-of-nurse-practitioners-aanp/strategic-focus
Walden University. (n.d.). Student Success Advising. Retrieved September 19, 2021, from https://studentsuccess.waldenu.edu/home.html
The landscape of medical practice has undergone rapid evolution, demanding doctors to adapt continually and equip themselves with the requisite knowledge and skills to meet increasing expectations. This paper aims to delineate the transformations in medical education spanning from the 1800s to the present day. Furthermore, it will delve into a comparison between the apprenticeship and academic models of medical training, charting their progression. Lastly, it will assess the importance of comprehending the history of medical education and its implications for current and future medical graduates.
BHA FPX 4106 Assessment 4 Improving Quality of Care at End of Life for Cancer Patients
Benchmarking Plan:
Comparative analysis will be conducted between three quality metrics outlined in the National Qualifications Framework (NQF) and data extracted from local healthcare facilities and our clinic. Leveraging electronic Health Information Exchanges (HIEs) will facilitate seamless interoperability of patient records, thereby enhancing the overall quality of care.
Quality and Change Management Strategies:
Rigorous quality management strategies, including peer review and tracer methodology, will be employed to ensure the reliability and accuracy of our findings. Only peer-reviewed journal articles authored by accredited healthcare professionals will be incorporated into our study. Tracer methodology will be utilized to gauge compliance with standards pertaining to the quality of care for individual cancer patients.
Conclusion
This investigation will provide invaluable insights into end-of-life care practices for our cancer patients. It will shed light on the necessity of initiating discussions about end-of-life decisions early in the cancer diagnosis process to mitigate the likelihood of intensive end-of-life care and promote peaceful home-based transitions. Moreover, it will elucidate whether intensive care aligns with the preferences of these patients nearing the end of life. Furthermore, this study will enable us to assess the suitability of hospice and palliative care for patients experiencing deteriorating health and integrate these options into their end-of-life plans.
The exploration of end-of-life quality of care stands to enhance the planning process for cancer patients, thereby easing the burden on both patients and their families. This inquiry will investigate whether comprehensive discussions regarding end-of-life planning should commence at the time of diagnosis or if patients undergoing ICU care or novel chemotherapy regimens prior to death align with their preferences. Utilizing this research, our institution aims to optimize care for these patients while honoring their end-of-life wishes.
Data Collection Plan:
This study will target a specific demographic—adults aged 18 and above diagnosed with cancer. The data collection process is estimated to span two to three weeks, ensuring thoroughness and accuracy. Retrieval of essential information will involve scrutinizing Electronic Health Records (EHRs) from local medical facilities and our clinic.
Data Security Plan:
Adherence to strict confidentiality protocols is paramount. All staff involved in this research endeavor will undergo specialized training and sign documentation attesting to their compliance with confidentiality, security, and privacy standards. Additionally, consent from patients and/or their kin will be obtained prior to accessing their medical records.
BHA FPX 4106 assessment 3 Healthcare Information Review Proposal
Data analysis will drive improvements in patient care by identifying areas of discrepancy between our clinic and national benchmarks. Prompt treatment implementation and diagnosis efficiency will be assessed to enhance patient outcomes. Management and senior leadership will utilize evaluated data to initiate necessary changes in diagnosis techniques, treatment plans, and patient education, ensuring compliance with established standards (Alexandrou & Mentzas, 2019).
Implementation
This proposal aims to assess the quality of care provided to female breast cancer patients aged 30-60 years. Enhancing patient care quality is vital, especially for cancer patients who grapple not only with the disease’s physical toll but also with mental trauma, stress, fear, and uncertainty (Mahapatra, Nayak, & Pati, 2016).
Enhancing patient contentment and the caliber of healthcare provision remains a consistent objective for all medical institutions. Patient satisfaction holds as much significance as the quality of care dispensed, particularly among cancer patients who endure not only the ailment itself but also heightened levels of mental anguish, stress, ambiguity, and fear (Mahapatra, Nayak, & Pati, 2016). As someone who has experienced the impact of cancer personally through the loss of a loved one, my interest lies in evaluating the quality of care received by cancer patients and its repercussions on both patients and their families during treatment.
BHA-FPX4106 Introduction to Managing Health Care Information
BHA-FPX4002 History of the United States Health Care System
The incident at Vila Health concerning a breach of patient privacy, violating the Health Insurance Portability and Accountability Act (HIPAA), underscores the importance of safeguarding patient information (Vila Health: Patient Safety, 2021). HIPAA, enacted in 1996, mandates standards to protect patient data (Health Insurance Portability and Accountability Act [HIPAA], 2022; HHS.gov, 2022). The HIPAA Privacy Rule governs the use and disclosure of patients’ protected health information (PHI), emphasizing patient control over their data (HIPAA, 2022; Vila Health: Patient Safety, 2021).
To address HIPAA violations, it’s crucial to reeducate staff on HIPAA laws, ensure private discussions about patient care, and limit medical record access to direct care staff only (HIPAA, 2022; Berwick et al., 2008). Implementing the Institute for Healthcare Improvement (IHI) Triple Aim framework, which focuses on patient experience, cost reduction, and population health improvement, can enhance care quality and mitigate errors (Institute for Healthcare Improvement [IHI], 2018).
Culture
A safety culture prioritizes values, beliefs, and attitudes to ensure patient safety (Pellegrini, 2017). Trust-based communication and learning from adverse events are essential for fostering a safety culture (Pellegrini, 2017). The Joint Commission recommends principles such as recognizing error reporting and eliminating intimidating behavior to develop a robust safety culture (Berry et al., 2020).
Collaboration
Collaboration between risk management and nursing departments is vital for reducing errors and ensuring patient safety (Berry et al., 2020). By involving various departments and reinforcing patient identification protocols, hospitals can mitigate risks and enhance patient safety (Stevens, 2014).
In the dynamic landscape of healthcare, the indispensable role of healthcare professionals remains steadfast as the industry continues to transform and advance. Patients rely on healthcare professionals to establish a secure, ethical, and trusting relationship concerning their health.
Thank you for joining this afternoon. Today’s lunch and learn session focuses on patient care and the essential communication channels between hospitals and physicians to ensure optimal patient outcomes. As a Registered Nurse functioning as a case manager within the outpatient clinical follow-up department at Baptist Health, facilitating communication among providers and facilities for patient follow-up care is integral to our daily operations. We will delve into our operational structure and its pivotal role in enhancing patient care
Before the ACA, healthcare coverage in the U.S. was minimal, leading to a significant decline in healthcare accessibility and quality. The ACA aimed to provide health insurance to U.S. residents at affordable rates and enhance healthcare quality. It prohibited insurance providers from denying coverage based on pre-existing conditions and regulated insurance costs.
The American Rescue Plan Act (2021) Overview
Throughout this paper, I will identify a patient safety concern and explore its impact on patient safety. Secondly, I will assess the risks this concern poses to healthcare organizations if left unaddressed. Lastly, I will analyze the roles of patient safety officers and how recommendations from regulatory agencies contribute to enhancing patient safety.
Introduction
The Safety and Quality Dashboard serves as a pivotal tool in the healthcare domain, offering a visual representation of hospital performance. Its implementation has shown promising results, leading to an increase in overall hospital performance and a simultaneous reduction in errors. This paper delves into the multifaceted aspects of this dashboard and its implications for enhancing patient safety and quality of care.
Accreditation offers benefits such as on-site inspections, peer reviews, and guidance on organizational and patient care tasks, including governance and leadership (Araujo, Siqueira, & Malik, 2020). By incorporating regulations and evaluation procedures, accreditation helps ensure safe, high-quality services and effective leadership within healthcare organizations (Araujo et al., 2020).
Accreditation in healthcare refers to the process of evaluating and certifying the quality and safety of healthcare organizations and programs (Mate, Rooney, Supachutikul, & Gyani, 2014).
The purpose of this policy and procedure is to establish an environment of safety for both our patients and employees by:
Fraud and abuse pose significant challenges in the healthcare sector, impacting taxpayers, patients, and various entities involved. The National Healthcare Anti-Fraud Association (n.d.) reported that in 2018, healthcare expenses amounted to 3.6 trillion dollars, with a substantial portion allocated to healthcare insurance claims. Shockingly, health care fraud and abuse are estimated to cost the United States a staggering 68 billion dollars annually (Blue Cross Blue Shield, n.d.)
An operating budget forecasts anticipated income and expenses, akin to transactions in for-profit enterprises. It accounts for resources consumed during operations and the timing differences between resource utilization and cash inflows. Capital budgeting assesses potential ventures requiring significant investments, ensuring alignment with predefined criteria through financial analysis methods. Project budgets comprehensively estimate all costs incurred until project completion (Finkler et al., 2020).
Medicaid provides coverage for low-income individuals and families (Casto, 2019A). Despite efforts to expand insurance coverage, options like Medicaid remain crucial for the uninsured (Rosenthal et al., 2016). Additionally, financing options and self-pay discounts are available. Financing companies may offer payment plans based on income, while self-pay patients can negotiate discounted rates (Lamberti, 2021).
This paper delves into the dynamics of competition within the healthcare industry and its implications for strategic planning. It also evaluates the frameworks associated with healthcare organizations and their operational impacts. Through a comprehensive examination of internal, external, and general environments, the paper highlights the necessity of strategic planning in navigating the challenges posed by competition and ensuring organizational success.
Subject: Reimbursement Models in Healthcare (BHA-FPX4009 – Assessment 1)
Traditional reimbursement methods in the medical field encompass Fee-for-Service (FFS), Episode-Based Payment (EBP), and the Capitation model, alongside contemporary trends influencing healthcare service costs. There is a significant shift in healthcare towards value-based payment systems from the conventional volume-driven payment approaches. This memorandum aims to provide insights into traditional and evolving reimbursement methodologies.
BHA-FPX4104 Strategic Leadership and Workforce Planning in Health Care
Definition of Strategic Planning
Strategic planning encapsulates the process by which organizational leaders delineate their future vision while delineating their objectives and goals for the organization. It serves as a pivotal tool employed by organizations to attain their objectives, evade potential pitfalls, gain perspective on actions, and facilitate policy execution. Originating in the corporate realm during the 1960s, strategic planning has persisted as a cornerstone of strategic management.
Nursing Staffing as a Critical Factor
BHA FPX 4104 assessment 4 Human Resources: Strategy and Competitive Advantage
Implications of Unaddressed Issues
The effective execution of organizational strategic plans hinges on employee engagement and cooperation. Without adequate staffing policies, strategic goals would be rendered ineffective. According to Lowe (2015), achieving a high level of employee engagement is crucial for realizing organizational goals and vision. Cohesion, transparency, and teamwork are essential to resolving employee grievances and realizing strategic objectives.
Human Resources as a Competitive Advantage
Human resources play a pivotal role in recruiting, training, administering, and managing employees within an organization. In the healthcare sector, staying ahead of competitors necessitates leveraging human resources to attract talented individuals who embody the organization’s mission, vision, and values (O’Donnell, 2019). Human resources serve as gatekeepers, conducting thorough background checks to ensure alignment with organizational objectives (O’Donnell, 2019).
Conclusion
In conclusion, hospital staffing should not be viewed solely as an expense to be minimized. Overburdening nurses with excessive patient assignments increases the likelihood of medical errors and compromises patient safety. To mitigate these risks, hospitals must prioritize adequate staffing to alleviate burdens on staff and enhance patient satisfaction and care.
References
AHRQ. (2019). Nursing and Patient Safety. Patient Safety Network. https://psnet.ahrq.gov/primer/nursing-and-patient-safety
BHA FPX 4104 assessment 4 Human Resources: Strategy and Competitive Advantage Name Capella university BHA-FPX4104 Strategic Leadership and Workforce Planning in Health Care Prof. Name Date Human Resources: Strategy and Competitive Advantage In this analysis, the current workforce will be examined in contrast to future needs, alongside an explication of the ideal staffing plan for the organization based on anticipated requirements. Additionally, measures for evaluating and gauging the success of an implemented staffing plan will be identified. Furthermore, the repercussions for an organization’s future if the workforce fails to adapt and meet the organization’s needs will be elucidated. Finally, an exploration of how human resources can serve as a competitive advantage within an organization will be conducted. Part 1: Comparison of Current Workforce to Future Needs Capacity of Current Staffing The current staffing capacity at SAMC has been strained by its existing staff and leadership. The recent train derailment has exacerbated staffing limitations, particularly evident in the shortage of language interpreters in the emergency room department. The growing number of Limited English proficiency (LEP) patients has compromised the hospital’s ability to deliver optimal care to linguistically diverse patients. For instance, without multilingual nurses, adequate care for the Hmong and Somali communities in the vicinity would be compromised. Insufficient nursing presence in the Pediatric Intensive Care Unit (PICU) during evening and night shifts has also impeded patient care. SAMC operates on a razor’s edge concerning nurse staffing and must develop strategies to address these operational challenges. Failure to rectify nursing shortages would lead to loss of patient revenue to competing hospitals and increased staff turnover. Moreover, overburdening nurses with high patient ratios would result in longer wait times and diminished care quality, subsequently reducing patient volumes and census in the hospital (Bridges et al., 2019). Research by the Agency for Healthcare Research and Quality (AHRQ) indicates that hospitals with low nurse staffing levels tend to experience higher rates of adverse patient outcomes such as pneumonia, cardiac arrest, and urinary tract infections (AHRQ, 2019). Consequently, neglecting staffing concerns could lead to job-related burnout among healthcare professionals, resulting in suboptimal medical care and decreased patient satisfaction (Heath, 2018).
Upon completing the Culture, Diversity, and Out-groups Leadership assessment, I received a score of 52. This score suggests that I prioritize integrating out-group members into the larger group context, valuing diverse viewpoints, and recognizing the importance of minority perspectives in collaborative settings (Becoming a Culturally Competent Health Care Organization
A leader’s role is pivotal in the advancement of any organization, wielding control and command over most activities. Having a proficient leader with essential leadership qualities proves advantageous for an institution. Conversely, an inadequately equipped leader can jeopardize the entire system
DENG 605 Quality Systems and Process Improvement MODULE 2 Process Improvement Case Studies & Project Results
To reduce medication errors at RGH, the following strategies are recommended:
Transitional Care Management (TCM) refers to the patient’s transition from hospital discharge to continued care in the community. This study will conduct a cost-benefit analysis (CBA) to evaluate the costs and benefits of the TCM program, analyzing its benefit-to-risk ratio. The benefits and objectives of TCM in a hospital setting include reducing patient readmissions, improving the quality of care outside the hospital, ensuring continuity of care, and promoting long-term health for discharged patients (Elsener et al., 2023). The CBA will help determine the cost-effectiveness of TCM by identifying its anticipated costs over five years and comparing them with the projected benefits, aiding in making informed decisions (Elsener et al., 2023).
MHA-FPX 5014 Health Care Quality, Risk, and Regulatory Compliance
MHA-FPX 5012 Organizational Leadership and Governance
Assessment and Leadership Skills Plan
Hello everyone, I am __, and today I will present my leadership plan aimed at enhancing the financial strategy and condition of our organization. This report will analyze the current financial leadership scenario and propose strategies to address financial gaps within our healthcare organization. Financial management in healthcare organizations poses significant challenges, requiring adept leadership to navigate. Leaders play a pivotal role in managing and planning the financial resources of hospitals, influencing organizational priorities and goals. In the context of Home Health Agency, financial objectives exert a substantial influence on leadership decisions. The hospital must establish internal benchmarks concerning available financial resources and strive to maintain a balanced fiscal framework within the organization. Drawing upon previous analyses such as PEST and S
MHA-FPX 5017 Data Analysis for Health Care Decisions
MHA FPX 5017 Assessment 3 Predicting an Outcome Using Regression Models
Regression Modeling for Predictive Analysis
MHA-FPX 5016 Introduction to Health Information Systems
The Valley City Regional Hospital is currently utilizing Health Information Management (HIM) technology. This paper aims to analyze the existing HIM technology workflow within the hospital, identify best practices to maintain workflow efficiency, adhere to state and federal guidelines, and propose methods to evaluate the effectiveness of the workflow strategies.
Tufts-New England Medical Center (Tufts-NEMC) traces its origins back to 1796 but faced challenges remaining competitive. Following a merger with Life Span, the organization discontinued the merger after five years. Ellen Zane’s appointment marked a significant juncture in Tufts-NEMC’s trajectory.
Tufts-NEMC Transformation
A sense of urgency permeated the organization as it identified key resources, provided valuable information, and fostered trust among stakeholders.
MHA-FPX 5014 Health Care Quality, Risk, and Regulatory Compliance
The healthcare team employs a holistic approach, with nutritionists providing evidence-based diet plans, physiotherapists offering tailored exercise regimens, cardiologists monitoring patients’ symptoms, and information technologists facilitating telehealth solutions (Nicolai et al., 2018).
Given the emphasis on Electronic Health Record (EHR) proficiency, we must incorporate EHR-focused roles into our structure. A dedicated EHR team headed by a Chief Information Officer (CIO) or Chief Medical Information Officer (CMIO) will streamline EHR operations. This team can liaise directly with care providers. It ensures that technical challenges are rapidly addressed, and user feedback influences software upgrades and training content. Furthermore, integrating this structure will solidify the organization’s commitment to digital transformation and quality care (Schleyer, 2022).
Student Name
Capella University
NURS-FPX 6111 Assessment and Evaluation in Nursing Education
Prof. Name
Date
In the constantly evolving world of education, feedback plays a pivotal role in shaping course content and delivery methodologies. At [University Name], we consider our students key stakeholders in teaching-learning. Your insights help us understand what is working and where there is room for improvement. This evaluation form, therefore, not only reflects our commitment to continuous enhancement but also underscores our belief in a collaborative educational environment. We assure you of the anonymity of your responses and deeply value your time and honesty.
Evaluation of the Course “Clinical Healthcare Ethics for Pediatric Nurses”
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Course Objectives – The course’s primary aim is to ensure you: |
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Understand and adeptly apply the fundamental ethical principles in pediatric nursing. |
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Delve deeply into the emotional and moral undertones of decisions within pediatric nursing. |
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NURS FPX 6216 Assessment 2 Preparing and Managing an Operating Budget
Hello everyone! I hope this announcement finds you in the best of health. This announcement is generated with the aim of informing you that there is going to be an ‘all-mandatory meeting’ at stakeholder meetings on Friday at 2:30 pm. post-lunch break. The agenda of the meeting is to discuss the implementation and association of the new telehealth technology with practice. This new technology is called wearables or remote monitoring devices, and the aim is to enhance the patient’s engagement in their own treatment while encouraging them to monitor their vitals accordingly.
In this comprehensive assessment, I reflect on my practicum experience as a nurse informaticist in a cancer centre and discuss the impact of diabetes self-management education on patient outcomes based on a peer-reviewed article. Completing the required NURS FPX 6025 Assessment 3 Practicum and Scholarly Article, practicum hours further validates my readiness for future nursing endeavours.
Hypertension (HTN), a widespread health issue, is prevalent in middle-aged and older adults, as well as those with specific genetic predispositions (Oparil et al., 2019). This patient-centered needs assessment looks into harnessing healthcare technology targeted to this high-risk population’s particular needs. Based on evidence-based techniques, the evaluation addresses the target population’s multifaceted health, economic, and cultural characteristics, enabling increased patient engagement and more successful HTN management.
It is also important to assess the achievement made toward systems-change objectives such as improved educational meals, broader public transportation, more extensive coverage through insurance for dietary offerings, and permitting regulations that support living an active life. Such changes in our surroundings are necessary to have a long-lasting effect on overweight. Following them reveals that significant shift often happens gradually. We may objectively measure the effect and drive policy to attain health equality by addressing adiposity throughout all groups using community-centered standards to track health consequences and generate variables (Kitson et al., 2021).
Collaborations with neighborhood groups that support those in need, such as the Obesity Action Coalition (OAC), are going to be essential to carrying out an obesity management strategy responsibly and efficiently (Obesity Action Coalition, 2019). Food stores, educational institutions, parks agencies, transportation leaders, religious organizations, and neighborhood health clinics are examples of pertinent stakeholders. It will be crucial to communicate with respect and develop trust. Sessions need to take into account cultural norms, difficulties with medical education, and worries about the confidentiality of information (Platter et al., 2021). Accessibility will be improved by providing medical ideas in a straightforward manner and by using anonymized or aggregated information. Comment may be gathered, and news about progress can be shared via brochures, television shows, institutions of learning, and congregations, among various other methods (Vaughan et al., 2021).
One way to politely share views and observations with nonprofit organizations is to organize a neighborhood advisory board with members drawn from the affected populations. This demographic may direct the right message and customization of interventions. Collaborating with Latino congregations, for instance, might provide invaluable insights into communicating nutrition principles in a manner that is both relevant and respectful of ethnic culinary customs. It will be crucial to maintain constant contact via discussion forums, consultative committees, and open community gatherings. This will guarantee that the strategy takes care of the underlying causes of overweight or obesity, which include injustice toward the environment, impoverishment, hazardous communities, and an absence of access to preventative treatment. Not only is the interaction that promotes the exchange of knowledge moral, but it is also practical. For the purpose of developing long-lasting solutions to challenging safety issues, the firsthand knowledge of community members is essential (Calancie et al., 2023).
For the purpose of setting objectives and monitoring advancement over time, precise, up-to-date statistics on the prevalence of obesity are crucial. Important statistical information showing rising instances of overweight over the last 20 years, particularly severe weight gain, may be found in the NIDDK (2021) numbers. Population breakdowns highlight inequalities that need to be addressed; for example, certain classes of obesity have a greater prevalence of overweight among men and women and racial minorities. The use of sophisticated mapping and information analysis programs may help guide initiatives to avoid obesity. Geographical investigation, for instance, may be used to determine “food deserts” and workout deficiencies in infrastructure in local areas. Algorithms for predictions may also be used to assist resource allocation by estimating future illness prevalence and expenditures under multiple intervention possibilities (Buchanan et al., 2020).
Studies clarifying the environmental causes of obesity are also very important, especially for underprivileged groups. According to research by Blackstone and Herrmann (2020), obesity is mostly caused by low-income areas’ poor exercise opportunities and restricted access to wholesome, reasonably priced meals. This emphasizes how important it is to modify policies and implement focused initiatives to increase the utilization of healthy nutrition and physical activity in underprivileged communities.
To pull alongside various organizations in the community to promote significant change, seamless interaction will prove essential. The purpose of the first sessions should be to present scientifically supported strategies and get opinions on their viability and suitability for the community at large. It will be easier to adapt projects so that they align with the objectives and values of organizations if thorough listening and transparent communication are encouraged. Occasional advancement reports
Failure to address this issue will have dire consequences for our constituents. Without adequate access to mental health care services, individuals will continue to suffer needlessly, resulting in a decline in overall well-being and quality of life (Coombs et al., 2021). Furthermore, the economic costs associated with untreated mental illness, such as lost productivity and increased healthcare expenditures, will only continue to escalate.
To optimize IT governance, organizational leaders must align on strategic priorities and ensure active participation across divisions. A shared understanding of core objectives will enable cohesive decision-making. Cross-functional involvement in governance processes will break down silos and identify dependencies. Ongoing reinforcement of strategic goals through governance policies and training will sustain alignment (Azeem et al., 2021). These structured frameworks for strategy-driven governance will facilitate appropriate oversight and value creation.
Beyond formal governance, we must prioritize ethical responsibility in all operations. This entails considering our impacts on the environment, employees, customers, and society. As an ethical company, we must take a long-term view when evaluating risks, resources, and relationships (Rossi et al., 2021). Fair labor practices, sustainable operations, regulatory compliance, and diversity and inclusion initiatives demonstrate an ethical approach. Embedding ethical responsibility throughout our culture builds trust and integrity with stakeholders. It also reinforces our commitment to equal and transparent competition. Overall, ethical governance and corporate citizenship provide strategic and social benefits.
Azeem, M., Ahmed, M., Haider, S., & Sajjad, M. (2021). Expanding competitive advantage through organizational culture, knowledge sharing and organizational innovation. Technology in Society, 66(1), 101635.
https://doi.org/10.1016/j.techsoc.2021.101635
CFI. (2022, October 27). Threat of new entrants. Corporate Finance Institute.
https://corporatefinanceinstitute.com/resources/management/threat-of-new-entrants/
Dairo, M., Adekola, J., Apostolopoulos, C., & Tsaramirsis, G. (2021). Benchmarking strategic alignment of business and IT strategies: Opportunities, risks, challenges and solutions. International Journal of Information Technology, 13(6).
Furthermore, Vengile proactively advances assets and new products for global businesses, facilitating professional growth and resource optimization (Zimuto & Zvarimwa, 2022). Their corporate strategy hinges on harnessing LinkedIn’s resources and professional networks to achieve meaningful scalability and engage in product innovation:
LinkedIn resources + data + Product Innovation = Profits
NURS-FPX 6216 Advanced Finance and Operations Management
NURS-FPX 6410 Fundamentals of Nursing Informatics
NURS-FPX 6109 Integrating Technology into Nursing Education
Selected Role Group’s Importance in Implementing a New Policy
NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology
NURS FPX 5005 Assessment 1 Protecting Human Research Participants
Protections for Vulnerable Populations
Federal regulations, including the Common Rule, issued by the Department of Health and Human Services, provide protections for vulnerable populations in human research (US Department of Health & Human Services, 2020). These regulations include subparts that protect pregnant women, human fetuses, neonates, prisoners, and children (CITI Program, n.d.) (US Department of Health & Human Services, 2020).
Conclusion
The importance of human research cannot be overstated. By protecting the rights and welfare of human subjects, we enable critical medical advancements while ensuring fair and respectful treatment of study participants. The history of human research ethics highlights the need for robust safeguards to protect the well-being of all individuals involved.
References
CITI Program. (n.d.). https://about.citiprogram.org/en/homepage/
National Institute of Dental and Craniofacial Research. (2022, June). Human subjects research overview. https://www.nidcr.nih.gov/research/human-subjects-research
NURS FPX 6103 Assessment 2 Applying the Tripartite Model
Nurse educators focused on clinical Teaching Strategies can research novel approaches to clinical instruction or effective preceptorship models. Publications such as the “Journal of Nursing Education” are suitable outlets for their work. The “National League for Nursing Education Summit” is a great stage for them to share their innovative strategies (Kaas, 2019).
Qualifications as a Change Agent
In the context of nursing education, the role of a nurse educator as a change agent requires specific qualifications that facilitate the initiation and drive for positive transformation. Such qualifications encompass strong leadership, effective communication abilities, a robust knowledge base, the courage to challenge existing practices, and a commitment to continuous professional development. With these qualities, a nurse educator can influence decision, articulate change, propose innovative methodologies and stay updated on healthcare and education trends (Jeffries, 2022). Therefore, a nurse educator equipped with these qualifications is well-positioned to be an impactful change agent, fostering innovation and promoting continuous improvement in nursing education.
Conclusion
In conclusion, the tripartite model of teaching, service, and scholarship plays a vital role in the career growth of a nurse educator. It underscores the importance of excelling in these areas to foster a positive learning environment and advance nursing education. The assessment highlighted the significance of mentorship for new educators and tenure recognition, both crucial to sustained excellence in the field. It identified various scholarship opportunities related to specific areas of expertise and evaluated key qualifications for nurse educators as change agents. Overall, it provided a thorough reflection on the diverse responsibilities and opportunities within the nurse educator profession.
References
Bashshur, R., Doarn, C. R., Frenk, J. M., Kvedar, J. C., & Woolliscroft, J. O. (2020). Telemedicine and the COVID-19 pandemic, lessons for the future. Telemedicine and E-Health, 26(5). https://doi.org/10.1089/tmj.2020.29040.rb
In the dynamic field of education, the quality of instruction plays a pivotal role in fostering effective learning. Specifically, when designing a course, it is vital to consider learning outcomes, appropriate teaching strategies, managing potential barriers to learning, and strategies to maintain student motivation. This report, developed for a stress management course designed for ADN nursing students, seeks to detail these considerations using the latest peer-reviewed literature.
This analysis delves into the Bachelor of Science in Nursing (BSN) curriculum offered by Capella University, presenting a detailed exploration of its structure, mission, theoretical framework, and alignment with professional nursing standards. This program serves as a stepping stone for individuals aspiring to enter the nursing profession, imparting them with requisite skills and knowledge.
Identification of Nursing Curriculum and Target Learner Population
Comparatively, an alternative learning theory like “Piaget’s Cognitive Development Theory” might not be as effective. While Piaget’s theory provides a valuable framework for understanding cognitive development, its focus on individual cognitive stages could limit its applicability in a diverse learning environment such as a nursing course. The theory’s emphasis on solitary exploration of concepts might not facilitate the level of interaction necessary to prepare students for real-world nursing practice where teamwork and collaboration are vital (Hanfstingl et al., 2019).
Another consequence would be increased morbidity and mortality rate. A thorough examination of the foot and legs as well as HBA1c tests assists healthcare providers in early diagnosis and management of the disease using appropriate interventions. HBA1c is considered a biomarker for the diagnosis of diabetes whereas early and constant foot examination prevents the occurrence of diabetic foot ulcers (Kaiafa et al., 2020; Song & Chamber, 2023). Inadequate tests and examinations may lead to poor quality of care, delayed diagnosis, and treatment, and subsequently cause patients’ death. Lastly, the hospital as well as patients may encounter financial burdens due to high costs associated with the readmission rates and severe morbidities.
Prof. Name
Date
A community health assessment is a comprehensive process that involves extensive data collection and analysis to identify critical health issues and needs within a community. It equips organizations with a deep understanding of the community’s requirements and current health status, thereby enabling the development of effective strategies for improving overall health. This assessment report will delve into the outcomes of previous initiatives and focus on the demographics related to diabetes in West Virginia. Additionally, it will explore insights gained from interviews with healthcare professionals, highlight crucial elements of the intervention plan, and propose approaches to promote cross-cultural collaboration.
NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology
Additionally, it assumes that implementing evidence-based diabetic management plans will lead to improvements in HgbA1c exams and overall quality of care. While evidence supports the use of evidence-based diabetes management plans, the success of these plans may vary depending on individual patient factors and the resources available within the healthcare organization or interprofessional team.
NURS FPX 6008 Assessment 4: Lobbying for Change
I propose implementing a comprehensive care coordination and transitional care program to address the economic issue of high hospital readmission rates due to environmental factors leading to chronic diseases. This program would involve close collaboration between healthcare providers, patients, caregivers, and community resources to ensure seamless care transitions and effectively support patients in managing their chronic conditions (Bierman et al., 2021). Key components of this program would include comprehensive discharge planning, medication reconciliation, patient education, and post-discharge follow-up.
Answer for HCA 645 Topic 1 Assignment Governance in Healthcare Organizations
Von Hippel, F., 1983: The Effects of Nuclear War, in Physics, Technology and the Arms Race (D.W. Hafemeister and D. Schroeer, eds.), pp.1-46, American Institute of Physics, New York, NY.64
Bracken, P., 1979: On theater warfare, Hudson Institute, Report #HI-3036-P, Croton-on-Hudson, NY. Bracken, P., 1983
During team discussions, I will foster an environment where diverse viewpoints are welcomed and considered, while maintaining decisive leadership to align actions with project goals. Acknowledging potential conflicts, I will employ open communication and resource-driven solutions to ensure alignment. To streamline project execution, I propose utilizing Microsoft Project, a robust platform for task management, communication, and accountability. Its intuitive features will help team members track responsibilities and visualize their contributions toward achieving goals.
In conclusion, my professional experiences, leadership qualities, and passion for equitable healthcare position me uniquely to lead this project effectively. I am deeply grateful for this opportunity and am confident in my ability to contribute meaningfully to the team and the community we aim to serve.
NHS FPX 5004 Assessment 3 Diversity Project Kickoff Presentation
As the leader of the committee at Lakeland Clinic, my role is to facilitate effective interprofessional collaboration and ensure the successful implementation of our cultural competence enhancement project. I will work closely with team members following a transformational leadership style to establish clear goals, define roles, and foster a collaborative environment where diverse perspectives are valued, motivated, and integrated into decision-making processes (Hallo et al., 2020).
Additionally, I will integrate specific collaboration strategies into our approach to enhance effectiveness and engagement. Vision-setting activities will be conducted during our quarterly face-to-face meetings, where we will collectively articulate the committee’s long-term goals and objectives. By employing techniques such as visual brainstorming or vision board creation, I aim to foster creativity and commitment among members. As a transformational leader, I will promote intellectual stimulation by promoting candid conversations and creative brainstorming sessions that value and accept a range of viewpoints (Shafi et al., 2020).
NHS FPX 5004 Assessment 3 Diversity Project Kickoff Presentation
I will put individualized attention into practice by appreciating and honoring every committee member’s views, experiences, and talents. Furthermore, I will host periodic problem-solving workshops to address identified challenges or opportunities. These workshops will utilize structured exercises such as the “Five Whys” method or SWOT analysis to generate innovative solutions and consensus among members (Khomokhoana & Nel, 2022).
Roles within the group will be clearly defined based on each member’s expertise and responsibilities. For example, clinical professionals will identify cultural competence gaps in patient care, while diversity and inclusion specialists will lead initiatives to address these gaps. Administrative staff will oversee project logistics and coordination, make policies for diversity issues, and practice an ethical code of conduct (Berlinger et al., 2020). Lastly, external consultants will provide strategic guidance and recommendations on handling diverse and unique matters within our organization. Overall, the committee will function as a cohesive and collaborative team committed to enhancing cultural competence and promoting inclusivity within Lakeland Clinic. By leveraging diverse perspectives, fostering open communication, and employing effective decision-making processes, we will work together to achieve our project objectives and improve patient care outcomes.
A varied and inclusive workplace is defined by a number of essential elements that support fairness, dignity, and a sense of community for every worker, regardless of their background or identity. Drawing support from scholarly resources, we can outline the basic characteristics of such a workplace:
The CRAAP test provides basic guidelines for evaluating sources based on their
credibility, relevance, accuracy, and purpose. The guidelines for cystic fibrosis were updated
and published in 2022. They were relevant to the medical requirements and assessment of
Caitlynn.
Reputable details are necessary for the practice of evidence-based medicine. Nurses who provide CHF care need to know five internet resources. A comprehensive method for gathering clinical diagnostic data is offered via medical article databases, webpages, hospital regulations databases, and others. A distinct viewpoint on the publications’ applicability to caregivers in this context will be offered by ranking three of the five explicitly related to CHF; for caregivers researching CHF, the Capella University Library served as an invaluable resource—evidence-based solutions. Material from CINAHL, PubMed, Medline, and Cochrane is available via this internet-based library (etutorsusa, 2023).
Purtell kevin17-21 minutes 3/22/2024
DOI: 10.1002/jper.19-0723, Show Details
Evidence-based practice (EBP) is necessary for providing high-quality, patient-centered medical care. To use EBP, baccalaureate nurses who oversee clinical staff must work together and interact with one another. Congestive heart failure is treated by recently recruited healthcare professionals (CHF). We will look at how evidence-based practice affects the health of patients. NURS FPX 4030 Assessment 1, The emphasis will be on comprehending the unique problems associated with CHF and developing strategies to include newly qualified nurses in EBP.
It is necessary to enhance evidence-based practice for several reasons. It initially guarantees that medical treatment is grounded on up-to-date, validated study results and business standards of excellence. Both outcomes for patients and treatment effectiveness are enhanced by this (Engle et al., 2021). Furthermore, EBP has to be promoted within clinical personnel by supervisory nurses with baccalaureate training. Thinking strategically and having an ongoing learning attitude foster competency and career progression.
They must collaborate and communicate effectively to encourage nurses, particularly novices, to learn about congestive heart failure (CHF) and use A based-on-science application. To promote learning, it is essential to have open interaction channels and provide a forum where nurses can voice their worries and inquiries (Chih et al. et al., 2023). These conversations may be facilitated via public discussion boards, inspections, or team conferences. Educating clinicians on the value of evidence-based practice, or EBP, might encourage them to incorporate research findings into their treatment plans (Pedroni et al., 2023). Emphasizing EBP improves patients’ health and makes nurses feel more responsible and purposeful.
Mentoring initiatives provide helpful counsel to nurses dealing with challenging situations such as congestive heart failure (CHF), which may reduce stress. Over the years, a nursing professional’s competence and attitude may be strengthened by the guidance of more seasoned nurses as they undertake research (Pedroni et al., 2023). NURS FPX 4030 Assessment 1: Locating Credible Databases and Research, Knowledge exchange is made possible by encouraging cooperation among medical staff members and creating supporting networks, which further support the implementation of EBP for the best possible care. Research has shown that teamwork improves caregivers’ professional abilities. Healthcare professionals can collectively create solutions supported by evidence by exchanging perspectives and expertise (Simpkins, 2021). It is essential to do regular assessments and discussions about feedback to maintain involvement. Through these interaction points, nurses may monitor developments and report any problems they encounter while researching or implementing new procedures.
These tactics support professional development, investigation, and robust healthcare team dynamics. Research shows that cooperation enhances professional competence. Studies have shown that evidence-based practice engagement among healthcare professionals is enhanced by excellent relationships with colleagues and ongoing support. In particular, new physicians are motivated and assisted in their studies of illnesses such as CHF by the use of teamwork and interaction approaches. These strategies support studies and foster a cooperative, professional environment.
Evidence-based practice (EBP) in the medical field requires reliable, accurate, and pertinent data. The most beneficial work research venues must be chosen by nurses researching CHF. Research is improved when investigators know which organizations to consult for relevant details and whether to employ certain medical facilities (Felker et al., 2020). The Capella University Library has CINAHL, PubMed, Medline, and Cochrane online, making it an excellent resource for healthcare professionals looking into CHF. In addition, the library provides vital hospital policies, guidelines, regulations, and resources for medical study (etutorsusa, 2023). It offers nurses thorough and reliable evidence-based knowledge as their go-to source for reputable and academic publications. NURS FPX 4030 Assessment 1: Locating Credible Da
NURS FPX 4050 Assessment 3 Care Coordination Presentation to Colleagues
NURS FPX 4060 Assessment 1 objective of a health promotional strategy is to thus impact positively on the health status of a country, organization or targeted population by enhancing the participation level of such a population in various health activities. The communication via the plan aims to reduce the risk of chronic diseases and morbidities by increasing the awareness and involvement of the targeted population mentioned by Gallagher et al. (2021). Among the key parameters of health promotion plans, the WHO states the right to be in charge of one’s health. Educational programme for protection and provision of healthcare facilities requires social and environment-oriented programs.
Ethical aspects need to be taken into account when developing CCPs, as the care has to be delivered properly, in the right manner and way, and as efficiently as possible. These care plans include applying ethical values of beneficence, non-malicious intentions, respecting the client’s decisions, and equity that the involved healthcare workers practice. Beneficence involves an obligation to care and always the right thing is to act with a benevolent purpose of causing good to the patients through positive health alteration. Nonetheless, non-maleficence aforesaid that healthcare givers should not harm anyone. Consequently, the care coordination plans have to be created with attention to the potential enhancements that may hurt the patient and to ensure that all of the suggested interventions will correspondingly improve the patient’s state (Smith & Lee, 2021).
In the aftermath of the COVID-19 pandemic, the transformation of healthcare delivery has been significantly impacted by nursing practice standards and organizational policies, which prioritize medical technology, coordination of care, and resources from the community. The National Council of State Boards of Nursing (NCSBN) and the American Nurses Association (ANA) are two influential nursing groups in the United States that have been instrumental in establishing requirements for practice (Baker, 2020).
NUR 590 Based on the PICOT you developed for NUR 550 Summarize the Intervention you are Proposing Sample Answer
Introduction
NURS FPX 4015 Assessment 3 Physical Skills Lab are expected to be a part of conducting by giving a planned system for overseeing an overview of a patient’s thriving status. With affirmation-based rehearses, nurses can see irregularities, spread out a benchmark, and make changed care diagrams. This assessment is pivoted by making physical assessment skills while interpreting findings to cultivate nursing diagnoses and mediations. The objective is to guarantee a wide understanding of the patient’s condition and further support succeeding outcomes through unquestionable assessments and broadly thorough care improvement.
Based on the YMH Boston Vignette 5 video , here are thoughtful responses to the questions:
The practitioner demonstrated several strengths during the clinical interview:
Chosen Company: Patagonia, Inc.
Overview:
Patagonia, Inc. is an American clothing company that markets and sells outdoor clothing and gear. Founded in 1973 by Yvon Chouinard, the company is renowned for its commitment to environmental sustainability and ethical business practices. Patagonia's product line includes outdoor apparel, gear, and accessories designed for activities such as climbing, surfing, skiing, snowboarding, fly fishing, and trail running.
Effective leadership skills are essential in bringing innovation and change to an organization and ensuring flexibility in adapting to the changing environment (Zuckerman & O’Shea, 2021). According to a recent study, enterprises with effective leadership styles have increased employee relationships, reduced staff turnover, fewer tensions, higher staff involvement in the workflow, and improved resource utilization (Zuckerman & O’Shea, 2021). Leaders must incorporate core values into their leadership to ensure they have a compass to guide them as they lead others. Additionally, knowing your values as a leader is essential to mastering your strength, especially when interacting with others.
Medical centers may employ several strategies to keep treatment costs low while maintaining high standards. Big healthcare facilities are making similar efforts to curb the rising expense of hypertension management, which has been shown to affect both care quality and patient safety negatively. High-quality
Various factors influence healthcare delivery, but chronic illnesses are the primary reason for the largely unmet demand for medical services. Inadequate monitoring of these factors can lead to a crisis in the healthcare system when providers cannot meet patients’ requirements. It is important to remember that hospitals and other healthcare facilities should routinely evaluate their preparedness to prevent problems like poor service standards, rising expenses, and compromised patient safety. Nearly half of American adults have hypertension (high blood pressure), per the CDC (2021), which might cause a public health emergency if not handled effectively.
There is also a current iss
Improvement in the quality of health is a major concern for healthcare facilities and governments. To provide quality healthcare, healthcare facilities focus on improving service delivery, reducing healthcare costs, and enhancing patient outcomes. To achieve these objectives, healthcare organizations must put in place proper leadership structures, skilled staff, and appropriate tools to create a robust healthcare system.
Environmental and Epidemiological Data About American Indian Communities
Numerous approaches and models aimed at changing people’s behavior have been developed. The Five As Behavior Change Model can be appropriate in the hospital under analysis. This model implies five stages that include assessing, advising, agreeing, assisting, and arranging (Lopez-Jeng & Eberth, 2019). The interdisciplinary team will assess the situation (exploring behaviors and beliefs) and advise on the benefits of change. The next phase is agreeing, which encompasses the development of specific goals. Assisting is an important stage that involves the identification of major barriers and approaches for change.
Finally, arranging implies the creation of a sound plan that can be an effective policy in the case under study. This model should be used to create interdisciplinary teams that will develop safety policies that will become the basis of safety culture. The model for change has been employed in diverse settings and has proved to be effective. The model is described in the study implemented by Lopez-Jeng and Eberth (2019). This source is relevant as the article is current and published in a peer-reviewed journal. The researchers utilize sound methodology and appropriate sample size.
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Effective leadership is an important component of organizational change related to safety culture establishment (Kagan, Porat, & Barnoy, 2019; Tetuan et al., 2017). Transformational leadership is the most appropriate leadership strategy in the present case as healthcare professionals need encouragement, support, and guidance rather than performance ratings and punishment/reward approach (Kagan et al., 2019).
The healthcare professionals employed in intensive care units are overwhelmed with tasks, have to respond to numerous emergency situations, which leads to medical errors. Interdisciplinary teams will identify the major causes and effects of medical errors, as well as barriers to implementing change from different perspectives (Tetuan et al., 2017). The sources referenced in this section are credible as they are published in peer-reviewed articles. They are current and based on sound methodology.
As mentioned above, transformational leadership should be employed to ensure effective collaboration within interdisciplinary teams. Each team will have a leader coordinating the work of the team. This leader should acknowledge the need for change and should understand the value of every member’s input (Tetuan et al., 2017). Kagan et al. (2019) explore the benefits of the involvement of patients in the creation of a safety culture, which can be relevant in the present case. As mentioned above, the administration of the hospital implemented research related to medical error.
This experience can be utilized to examine the current safety culture based on the attitudes of healthcare professionals, administrators, and patients (Kagan et al., 2019). This approach will help identify major weaknesses and barriers to establishing a sound safety culture. The articles referenced in this section are relevant as they are based on proper methodology and are published in current peer-reviewed articles.
Kagan, I., Porat, N., & Barnoy, S. (2019). The quality and safety culture in general hospitals: Patients’, physicians’ and nurses’ evaluation of its effect on patient satisfaction. International Journal for Quality in Health Care, 31(4), 261-268. Web
In this interview, I talked with Mrs. Andy, an advanced practice registered nurse in one of the largest hospitals in my state. Mrs. Andy agreed to have the interview through videoconferencing through Google Meet. She works as a nurse manager in the surgical inpatient unit, which has a capacity of forty inpatient beds
Pregnancy in women and girls aged 13-19 years is considered teenage pregnancy. Impacts of teenage pregnancy include increased suicidal ideas and depression of affected women
If you did not take UNV 104 or if you would like to review the writing concepts introduced in UNV 104, it is suggested that you view the media piece entitled, “The Writing Process,” which is available to support the development of your writing skills. Access “The Writing Process” in the Course Materials. For this Topic, focus on the “Planning and Getting Started?” section of the media piece.
Topic 4 How socialization influences the role of the nurse educator
The scenario I was given for this week is an 80-year-old white male with angina who lives on a farm 80 miles from a healthcare center.
According to the National Institute on Aging (NIA), 25% of seniors aged 65 to 70 have hearing loss, while 50% of those over 75 have debilitating hearing loss. Talking clearly and slowly, looking at the patient directly, and reducing background noise are all ways of dealing with hearing loss (National Institute on Aging, n.d.-b).
Critical Evaluation of a Research Study Sample
Evidence-based strategies to prevent/reduce confidentiality, privacy, and security breaches
Baccalaureate-prepared nurses play a significant role in developing and implementing policies within healthcare systems. Nurses have a deeper understanding of the healthcare needs of patients as they primarily interact with them and can better advocate for policies that promise improved health outcomes and overall well-being (Anders, 2020).
NURS-FPX 4900 Capstone project for Nursing
Capella university
NURS-FPX 4040 Managing Health Information and Technology
Prof. Name
Date
Protected Health Information (PHI) is the Health Insurance Portability and Accountability Act (HIPAA) policy legislation that protects patients’ personally identifiable medical data sent or stored in electronic records or communicated or retained in any other form or medium. Individual identifiable health information consists of demographic data acquired from an individual and developed or acquired by a healthcare provider or health plan (Alder, 2023)
Health Insurance Portability and Accountability Act (HIPAA)
Capella 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Interdisciplinary teams evaluate the patient’s health information in EHR. The evaluation includes nursing data documentation, doctors’ updates, and wound healing guidelines. The team examines the data to gather information on HAPU history, therapy protocols, and risk evaluations. The collected information is subsequently communicated through several channels, including quality enhancement reports, discussions or presentations, and training sessions. These reports are distributed to multidisciplinary groups and management to increase awareness, track trends, and promote advancement activities. Furthermore, the health organization has built feedback channels to guarantee that nurses receive practical information from the data, enabling ongoing enhancement in patient care procedures (Getie et al., 2020).
NURS-FPX 4030 Making Evidence-Based Decisions
Prof. Name
Date
The improvement plan toolkit developed in this assessment aims to enhance understanding of the safety improvement plan for reducing patient identification errors among healthcare staff and the relevant workforce. As the Arnold Palmer Hospital has been facing patient identification errors lately, a safety improvement plan is developed in the previous assessment. To better understand this plan, the improvement plan toolkit is designed to comprise research-based evidence focusing on patient identification errors and a tailored safety improvement plan. The toolkit is built by delving into research articles and drawing relevant articles as evidence-based practices to prevent patient misidentification. The four categories focusing on patient identification errors and safety improvement plans are patient identification and its significance in healthcare, procedures, and protocols to prevent patient identification, technology integration, and innovation and human-centered approaches towards correct patient identification.
What is systems thinking and how can management information systems enable and (possibly) improve business communications?
When would you use a SWOT analysis to help you make business decisions?
Why are competitive advantages temporary?
What are Porter’s three generic strategies and how can a company add value by using Porter’s chain analysis?
Define and Porter’s Five Forces model and explain each of the forces.
For this assignment, we will examine how different analytical methods result in contrasting explanations for why the United States annexed and retained the Philippines following the defeat of Spain in 1898.
For this exercise you have two tasks:
Part 1: Compare the two secondary sources on why the United States annexed the Philippines.
Part 2: Using primary sources, evaluate the arguments of the two secondary sources.
Part 1: Comparing Secondary Sources
The Christian worldview in light of George’s condition will employ different values and consideration as dictated by the biblical teachings. One of the considerations which will be taken is the value of life as earlier discussed. The Christian worldview considers the sanctity of life and considers it as a gift from God.
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
Using the narratives described in the previous section, facing such a condition as the one being faced by George, there are various perspectives which may be taken by George. Knowing the world as a fallen place for sinners, with heaven being a place for the righteous, George may view death as a gateway which will allow him to escape the suffering that awaits him with the progression of his medical condition.
The concept of death and dying, is, in most cases viewed from different perspectives depending on one’s cultural and spiritual beliefs. An individual’s choice on how they approach or look at death can also vary depending on the condition they are in. The selection of voluntary euthanasia, in light of terminal illnesses, is one which has elicited discussion, especially from different religious groups, including Christianity.
This paper will evaluate a case of Mr George, a fifty-year-old lawyer diagnosed with amyotrophic lateral sclerosis (ALS). Due to his condition, George is considering voluntary euthanasia as a possible option to avoid the harrowing life that awaits him after the disease has taken its course.
The Christian narrative has different interpretations of suffering as that which is experienced by George. The first interpretation of suffering is the notion that suffering comes as a form of test to measure our faith in God (O’brien, 2017). There are various biblical examples where suffering was used as a test of faith.
Case Study: End of Life Decisions
George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George is also actively involved in his teenage son’s basketball league, coaching regularly for their team. Recently, George has experienced muscle weakness and unresponsive muscle coordination. He was forced to seek medical attention after he fell and injured his hip. After an examination at the local hospital following his fall, the attending physician suspected that George may be showing early symptoms for amyotrophic lateral sclerosis (ALS), a degenerative disease affecting the nerve cells in the brain and spinal cord. The week following the initial examination, further testing revealed a positive diagnosis of ALS Case Study on Death and Dying.
Case Study: End of Life Decisions
George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George is also actively involved in his teenage son’s basketball league, coaching regularly for their team. Recently, George has experienced muscle weakness and unresponsive muscle coordination. He was forced to seek medical attention after he fell and injured his hip. After an examination at the local hospital following his fall, the attending physician suspected that George may be showing early symptoms for amyotrophic lateral sclerosis (ALS), a degenerative disease affecting the nerve cells in the brain and spinal cord. The week following the initial examination, further testing revealed a positive diagnosis of ALS.
ALS is progressive and gradually causes motor neuron deterioration and muscle atrophy to the point of complete muscle control loss. There is currently no cure for ALS, and the median life expectancy is between 3 and 4 years, though it is not uncommon for some to live 10 or more years. The progressive muscle atrophy and deterioration of motor neurons leads to the loss of the ability to speak, move, eat, and breathe. However, sight, touch, hearing, taste, and smell are not affected. Patients will be wheelchair bound and eventually need permanent ventilator support to assist with breathing.
George and his family are devastated by the diagnosis. George knows that treatment options only attempt to slow down the degeneration, but the symptoms will eventually come. He will eventually be wheelchair bound and be unable to move, eat, speak, or even breathe on his own.
In contemplating his future life with ALS, George begins to dread the prospect of losing his mobility and even speech. He imagines his life in complete dependence upon others for basic everyday functions and perceives the possibility of eventually degenerating to the point at which he is a prisoner in his own body. Would he be willing to undergo such torture, such loss of his own dignity and power? George thus begins inquiring about the possibility of voluntary euthanasia
Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure
Capella 4030 Assessment 3 Picot Questions and An Evidence Based Approach
Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas
Zolpidem (Ambien)
Zolpidem is a non-benzodiazepine receptor modulator that is approved to be used as a short-term treatment for insomnia (Bouchette et al., 2022). It is a listed medication in the American Geriatrics Society 2019 Updated Criteria for Potentially Inappropriately Medication Use in Older Adults because the elderly can have similar adverse effects as with benzodiazepines, such as delirium, falls, and increased need for hospitalization. In my experience, we gave this medication cautiously to the elderly in the hospital. This was not a first-line of sleep-aids due to the possible adverse effects. I do remember some of our patients “sleepwalking” or becoming delirious after taking this, and then having no recollection of their activities in the morning. Luckily we were there to monitor and intervene, but it could lead to harm if they were left unattended.
Absorption
Zolpidem is rapidly absorbed by the digestive tract and has a short half-life in healthy patients (Bouchette et al., 2022). Elderly population have decreased motility. This population should only receive the lowest dose of 5 mg because their concentrations were higher in RCTs (Bouchette et al., 2022).
Metabolism
This medication is converted into an inactive metabolite. Hepatic impairment, especially in the elderly, will affect the metabolism and dosage of medication given (Bouchette et al., 2022).
Distribution
This drug has vast distribution throughout the body and crosses the blood-brain barrier. Other effects that zolpidem can have is restoring brain function in patients that are in a vegetative state after brain injury (Bouchette et al., 2022).
Excretion
Zolpidem is excreted by the kidneys (Bouchette et al., 2022). Clearance will be decreased in the elderly.
References
Bouchette, D., Akhondi, H., & Quick, J. (2022). Zolpidem. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK442008/
Describe the organization’s culture and explain to what degree the culture supports change. Consider organizational and leadership structure, mission and values, interprofessional collaboration/team engagement, communication, perception of the organization by employees, etc. Select an organizational readiness tool and assess the level or readiness for change within your organization. Identify the readiness tool and summarize the survey results. Discuss the degree to which the culture will suppor
NURS-FPX4030 Assessment 1 Locating Credible Databases and Research SOLVED Example 2
Summary Brief of the Nursing Practice Scenario
Ethical and spiritual decision making in health care
Part 1: Explain the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care
Falls are a critical issue in clinical nursing practice, particularly among older adults and those with chronic diseases. According to the World Health Organization (WHO), falls are the second leading cause of accidental injury-related deaths globally, with around 650,000 deaths annually. The high prevalence of falls in clinical settings makes them a key focus for improving patient safety and healthcare outcomes.
In an AI-driven healthcare environment, the role of nurses is undergoing a profound transformation. Far from being replaced, nurses are becoming indispensable interpreters of AI-generated insights, blending technological expertise with human compassion. This evolving landscape demands nurses to develop new skills, such as data analysis and AI literacy, while honing their critical thinking and emotional intelligence. Nurses are now taking on roles as AI trainers, ensuring these systems are calibrated to real-world healthcare scenarios. As AI handles routine tasks, nurses find more time for direct patient interaction and holistic care planning. This shift empowers nurses to practice at the top of their license, positioning them as key innovators in healthcare delivery. The future nurse will be a tech-savvy, empathetic caregiver, seamlessly integrating AI-driven precision with the irreplaceable human touch, ultimately leading to enhanced patient outcomes and a more efficient healthcare system.
As we look to the future of healthcare, it’s clear that AI in nursing is not just a passing trend but a transformative force reshaping the profession. The integration of AI technologies offers unprecedented opportunities to enhance patient care, streamline workflows, and elevate nursing education. While challenges remain, particularly in ethics and data security, the potential benefits far outweigh the hurdles. Nurses stand at the forefront of this digital revolution, poised to become skilled AI interpreters and innovators. By embracing these technological advancements, nurses can focus more on what they do best: providing compassionate, personalized care. The synergy between human expertise and artificial intelligence promises a future where healthcare is more efficient, accessible, and patient-centered. As we navigate this exciting new landscape, one thing remains certain: the heart of nursing – the human touch – will always be irreplaceable, even in an AI-driven world.
The transformative impact of AI on nursing practice is reshaping the healthcare landscape, empowering nurses to deliver care with unprecedented precision and efficiency. By automating routine tasks and providing data-driven insights, AI frees up valuable time for nurses to focus on the human aspects of patient care. From AI-powered predictive analytics that help identify at-risk patients to virtual assistants that streamline documentation, these technologies are enhancing clinical decision-making and improving patient outcomes. Nurses are now able to provide more personalized care, leveraging AI-generated insights to tailor treatment plans to individual needs. This synergy between human expertise and artificial intelligence is not only improving the quality of care but also reducing nurse burnout and increasing job satisfaction. As AI continues to evolve, it’s clear that its impact on nursing practice will only grow, ushering in a new era of healthcare where technology and compassion work hand in hand to benefit both patients and caregivers alike.
Balancing technology and human touch in patient care is crucial as AI becomes more prevalent in nursing. While AI offers incredible tools for diagnosis, treatment, and workflow optimization, it’s essential to remember that compassion and empathy remain at the heart of nursing. Nurses must skillfully integrate AI-driven insights with their intuition and emotional intelligence, ensuring that patients feel heard and cared for as individuals. This delicate balance involves using technology to enhance, rather than replace, human interaction. For instance, AI can handle data analysis and administrative tasks, freeing nurses to spend more quality time with patients, offering comfort, and addressing emotional needs. By embracing AI as a powerful ally while maintaining the irreplaceable human connection, nurses can provide the best of both worlds: cutting-edge, efficient care infused with genuine compassion. This harmonious blend of high-tech and high-touch approaches will define the future of nursing, elevating patient care to new heights.
DNP nurses have the potential to make profound and lasting changes in patient care, communities, and the nursing profession. For example, by advocating for policies that prioritize preventive care, such as immunization programs for underserved populations, DNP nurses can significantly reduce the incidence of vaccine-preventable diseases. This directly impacts patient health and contributes to overall public health by reducing the burden of preventable diseases on the healthcare system.
Communities benefit when DNP nurses take a leadership role in addressing the SDOH. For example, a DNP nurse might work to improve access to nutritious food in low-income neighborhoods by collaborating with local food banks or farmers’ markets. This type of community engagement helps to address one of the key factors that contribute to poor health outcomes—lack of access to healthy food. By advocating for such initiatives, DNP nurses can make tangible improvements in community health and well-being.
The nursing profession also benefits from the leadership of DNP nurses in advocating for social change. By leading initiatives that address health inequities, DNP nurses set an example for the broader nursing community. Their work inspires other nurses to engage in similar efforts, creating a collective impact that extends throughout the profession. Additionally, DNP nurses contribute to the development of nursing policy, ensuring that the profession continues to evolve in response to the changing needs of society.
Conclusion
The role of the DNP-prepared nurse as an agent of positive social change is crucial in today’s healthcare landscape. Through their leadership, expertise, and advocacy, DNP nurses are uniquely positioned to address health disparities and work toward a more equitable healthcare system. By focusing on the social determinants of health and advocating for policies that promote health equity, DNP nurses contribute to a healthier future for individuals and communities. Their commitment to social justice and healthcare reform not only improves patient care but also advances the nursing profession as a whole. As DNP nurses continue to lead efforts to promote social change, they will inspire future generations of nurses to follow in their footsteps and work toward a more just and equitable healthcare system.
References
Abu, V. K., & Moorley, C. R. (2023). Social justice in nursing education: A review of the literature. Nurse Education Today, 126, Article 105825. https://doi.org/10.1016/j.nedt.2023.105825Links to an external site.
Centers for Disease Control and Prevention. (2022, December 8). Social determinants of health at CDC. https://www.cdc.gov/socialdeterminants/index.htm
Positive Social Change: The Role of the DNP-Prepared Nurse
Social change is a fundamental principle that drives progress in society, and it plays a central role in the mission of Walden University. The sociological definition of social change refers to the transformation of culture, behavior, social institutions, and social structures over time (University of Minnesota, 2016). Walden’s definition is more succinct and directly aligned with the purpose of higher education: it is about “people working to improve the lives of others” (Walden University, n.d.). As nurses with Doctor of Nursing Practice (DNP) preparation, we are uniquely positioned to serve as agents of social change in healthcare. The DNP-prepared nurse has the education, expertise, and leadership abilities to influence positive social change in both healthcare practices and policies. This blog will explore how DNP nurses can be catalysts for social change, the ways in which they demonstrate their commitment, and the positive impact they have on patients, communities, and the nursing profession.
The Role of the DNP-Prepared Nurse as an Agent of Positive Social Change
DNP nurses are at the forefront of implementing and advocating for changes that improve the health and well-being of individuals and communities. In this role, they combine their clinical expertise with leadership, research, and policy development to foster a healthcare environment that is equitable, effective, and patient-centered. The DNP-prepared nurse is not merely a clinical practitioner but also a leader who advocates for system-wide changes that address the root causes of health disparities and social injustice.
One of the most significant ways in which DNP nurses contribute to positive social change is through addressing social determinants of health (SDOH). These factors—such as income, education, and access to healthcare—significantly influence health outcomes (CDC, 2022). DNP nurses are uniquely qualified to identify these determinants and lead initiatives aimed at mitigating their impact. For example, a DNP-prepared nurse might advocate for policy changes that reduce infection rates in vulnerable populations, such as elderly individuals in long-term care facilities. By developing infection prevention programs and implementing evidence-based practices, these nurses reduce healthcare-associated infections, improving patient outcomes and promoting health equity.
Another way DNP nurses influence positive social change is by leading organizational initiatives to provide equitable access to healthcare services. For instance, many older adults face barriers to accessing vaccinations due to lack of insurance or transportation. DNP nurses may collaborate with healthcare administrators to develop outreach programs that deliver immunizations to these individuals, thus reducing preventable illnesses in an underserved population. This not only benefits individual health but also contributes to the overall well-being of the community by reducing the spread of infectious diseases.
Demonstrating Commitment to Positive Social Change as a DNP-Prepared Nurse
Demonstrating a commitment to social change requires more than just performing clinical tasks. It involves actively engaging in efforts that create long-lasting and positive changes in the healthcare system. As a DNP-prepared nurse, I intend to contribute to social change by advocating for policies that ensure equitable access to healthcare and by developing programs that address the SDOH. One important initiative is the integration of social care into the healthcare delivery system. For example, collaborating with social workers and other healthcare providers, DNP nurses can help to bridge the gap between clinical care and social services, ensuring that patients receive comprehensive care that addresses their medical and social needs.
Additionally, as a DNP-prepared nurse, I am committed to educating the next generation of nurses about the importance of social justice in healthcare. This includes mentoring nursing students and professionals about the need for culturally competent care and the critical role that nurses play in advocating for vulnerable populations. By teaching future nurses about the impact of SDOH on health outcomes, we are preparing them to be leaders who will continue to advocate for social change in their own practices.
Moreover, DNP nurses must continuously engage in research and evidence-based practice to advocate for changes in healthcare policies and practices that improve patient outcomes. For example, a DNP nurse might conduct research on the effectiveness of a community-based intervention to improve health literacy among low-income populations. Based on the findings, the nurse can advocate for broader implementation of the intervention,
In the case study the main character is E. L. Straight who is director of clinical services at Hopewell Hospital. Dr. Cutrite is a quite well-known surgeon in the hospital, who is famous for his brilliant surgeries in the past. However, he has slipped physically and mentally over the years, and Straight is contemplating taking steps to recommend a reduction in his privileges. Whereas such procedure takes a practically long time and the process is not complete, the doctor continues to perform a full range of procedures. During the development of the story, the readers realize that Dr. Cutrite left a plastic needle protector from a disposable syringe in a patient’s stomach. The supervisor said that the syringe was among the items in a used surgical pack. E. L. Straight suggested putting the aforementioned patient, Mrs. Jameson, to go back into surgery. He did not plan on actually explaining to her that they were going to look for the needle cover. The unfortunate event was that she had already left the hospital. Moreover, the guilty doctor Cutrite would not consider Mrs. Jameson there might be a problem and called her back to the hospital, while the chief of surgery said there was no promise that there would not be any consequences of such negligence.
To begin with, the main ethical dilemma of E. L. Straight was rather to listen to a rather politically powerful member of the hospital or to follow the principle of non-maleficence. In this scenario, Dr. Cutrite is the one who represents the well-being of the member of staff, the employer, obviously willing to preserve his reputation and the place of work. Indeed, going against the oldest member of the hospital might have put Straight in a highly inconvenient situation. On the contrary, if Straight does not stand out and somehow disobey the surgeon, he will not risk losing his position in any way. Nevertheless, as a medical professional, he has to pay attention to anything that could potentially hurt the patient.
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To analyze the given situation from the viewpoint of morality, it is essential to refer to the present ethical decision-making model. Initially, it is crucial to recognize the existence of an ethical dilemma and a pathway to establish a need for an ethical decision. E. L. Straight, the person obliged to make a choice, realizes that his future name and reputation depend on his decision. On the contrary, he knows there is a small-scale chance of unhealthy consequences for Mrs. Jameson if the surgeons do not take the needle cover out of the patient’s body. After the moral dilemma goes the moral judgment, which can be influenced by multiple different individual and organizational variables, such as cognitive biases, group pressure, a code of conduct or standards of behavior, et cetera. In the particular case study, the political power of Dr. Cutrite, the reputation of the hospital, the principles of ethical medicine affect E. L. Straight’s judgment. It goes to show how dependent people working in medicine usually are. In addition, the last aspect of the decision-making model is ethical behavior that is based on ideas what is morally good or bad (Legge, 2020). The dilemma in question is supposed to be solved by the students.
In the study, E. L. Straight did not manage to communicate well with the patient due to her leaving the hospital, not knowing about the incident. Such carelessness demonstrates how significant it is for surgeons to build trust with the hospitalized person whose well-being depends on them. The failure in good patient-and-doctor connection is caused by the decreasing quality of Dr. Cutrite’s mental and physical state. However, Straight still has a chance to follow a careful systematic approach to Mrs. Jameson to promote a healthy work environment (American College of Healthcare Executives, 2019). Therefore, the communication between the surgeon Cutrite and Mrs. Jameson was not effective because it is considered unprofessional to hide the real information about the results of performed surgeries from a patient.
Considering the aforementioned principles of ethics and the aspects of a decision-making model, it is still rather complicated to balance job requirements and subjective morality for the director E. L. Straight. However, American College of Healthcare Executives the importance of avoiding the improper exploitat
Student Name
Capella University
NURS-FPX 4010 Leading in Intrprof Practice
Student Name
Capella University
NURS-FPX 4050 Coord Patient-Centered Care
Student Name
Capella University
NURS-FPX 4050 Coord Patient-Centered Care
Inflammation is part of our body's natural defense against pathogens, but chronic inflammation can play a role in almost every major disease. There is growing evidence that chronic inflammation has an important impact on human health, through its impact on various diseases including diabetes, cardiovascular problems, neuropathic issues, and cancer. A concerted effort must be mounted to reduce the global incidence of chronic illness, especially those that can be readily addressed through the implementation of policy and environmental changes; interventions in those who are at risk; and strategies that help people with chronic conditions better manage them. It is not by coincidence that chronic diseases share common behavioral risk factors; these risk factors also happen to contribute to the development of chronic inflammation. That is to say the common denominator is healthy living. From hanging out with people who smoke to excessive consumption of sugar-sweetened beverages, the air we breathe, and our large fortunes, there are a number of factors that put everyday people not just at risk of developing chronic diseases and conditions, but also inflaming their bodies with every breath, every mouthful, every step, every thought, and every laugh.
Aspects of Change Management Affecting Patient Experience
As the saying goes, health is wealth. Wealth can be earned through hard work and dedication, but good health is a gift from God. Maintaining a strong, healthy body not only increases this gift - one's longevity - but it also does much to improve their ability to enjoy their life to the fullest. To be truly qualified as being healthy, both the body and the mind must work together, as the health and strength of each is critical to the overall well-being of a person. A physical illness or injury can have a serious detrimental impact on one's mental health, just as numerous levels of stress can lead to chronic or acute health disorders. A sound mind in a sound body means everything. People are inclined to think that their bodies are more important than their minds, or promote beauty and neglect wisdom. That is unhealthy because when the origins of the pains arise from the mind, the soul cannot be at ease. Complete peace of mind is, therefore, essential. Mental peace is the result of balance between heart and head, the will and intellect. Money, if it can afford you a beautiful body, cannot afford you a fair and square mind. You are then not in a position to do what you want to do in order to enjoy body and mind. You are deprived of the joy, a very severe form of deprivation indeed. Then you are truly unhealthy
Prescribing for Older Adults and Pregnant Women From the DSM-V, one of the most common disabling mental disorders among the elderly is generalized anxiety disorder (GAD). It is characterized by persistent and recurrent fear or worry, leading to racing thoughts and feeling hopeless (Andreescu & Lee, 2020). However, through evidence-based practice, several treatment options have been outlined in clinical practice guidelines to help manage this disorder among this vulnerable population. The purpose of this discussion is to illustrate the FDA-approved and non-FDA approved “off-label” medication for GAD among older adults in addition to their associated risks and benefits to the patient. FDA-Approved Medication The FDA recommends the use of selective serotonin reuptake inhibitors (SSRIs) such as escitalopram, as the first line for the management of GAD among elderly patients. Due to the desirable safety profile and effectiveness in the management of anxiety symptoms among these vulnerable populations, several clinical guidelines such as the National Institute for Health and Care Excellence (NICE) guidelines on GAD and PD also recommend the use of escitalopram
Prescribing for Older Adults and Pregnant Women From the DSM-V, one of the most common disabling mental disorders among the elderly is generalized anxiety disorder (GAD). It is characterized by persistent and recurrent fear or worry, leading to racing thoughts and feeling hopeless (Andreescu & Lee, 2020). However, through evidence-based practice, several treatment options have been outlined in clinical practice guidelines to help manage this disorder among this vulnerable population. The purpose of this discussion is to illustrate the FDA-approved and non-FDA approved “off-label” medication for GAD among older adults in addition to their associated risks and benefits to the patient. FDA-Approved Medication The FDA recommends the use of selective serotonin reuptake inhibitors (SSRIs) such as escitalopram, as the first line for the management of GAD among elderly patients. Due to the desirable safety profile and effectiveness in the management of anxiety symptoms among these vulnerable populations, several clinical guidelines such as the National Institute for Health and Care Excellence (NICE) guidelines on GAD and PD also recommend the use of escitalopram
Through effective communication, all the personnel will understand their roles in the workplace and as members of a particular team. Additionally, they will be involved in the decision-making process, which enables them to express their views and opinions freely without any obstacles. An example would be evident in the case where a leader in the healthcare organization emphasizes to its team members the need to improve relationships through proper conservations. When this happens, the teams will enhance an opportunity for improved performance and growth of the organization. Another strategy is appreciation of the aspect of diversity in the organization (Clark et al. 2011). Diversity may consider ethnicity, sexual differences, culture of the care facilities, and religion. By promoting diversity in the By promoting diversity in the workplace, team members coordinate their tasks effectively, identify any gaps that might exist and fix them amicably. The personnel can also spend time and shadow the professionals from other disciplines to enable them understand the experience of patient care from a different perspective. In this way, the practitioners may gain new skills and unique knowledge brought forth by the professionals from other disciplines. As such, it would be easy to see through the lens of others and build trust, which will enlighten and enhance individual understanding of their responsibilities. Evidence-Based Strategies to Improve Practice
The concept is about fostering and promoting civility in the workplace. The assessment shows that the organization promotes civility in its work environment hence depicting how civility and incivility influence organizational performance in different ways.
The results show that there are very few cases of incivility in the nursing workplace, which affects the health of patients but not to a greater extent as most nurses undertake their tasks effectively. Additionally, the few individuals affected by incivility only acknowledge the acts and practices privately and are not free to talk about them to enable the organizational management take relevant measures. The organization has adopted effective strategies that promote the health of both personnel and patients in the workplace hence showing that the gaps that exist in the operational platform are less (Clark et al. 2011). Theory or Concept Briefly describe the theory or concept presented in the article(s) you selected
Workplace Environment Assessment Usually, it is crucial to assess workplace environment to help understand the behaviors of different individuals and conditions that may affect the performance of an organization in a given way. This paper will focus on discussing the Work Environment Assessment and provide a review of literature of a concept or theory considered to be relevant to the assessment. It will also provide recommendations of evidence-based strategies, which can be utilized to ensure best practices in the organization. Workplace Assessment Findings Describe the results of the Work Environment Assessment you completed on your workplace From the assessment, it was evident that most employees are aware of
Part 1: Cultural Competence Self-Reflection Upon completing the Culture, Diversity, and Out-groups Leadership assessment, I received a score of 52. This score suggests that I prioritize integrating out-group members into the larger group context, valuing diverse viewpoints, and recognizing the importance of minority perspectives in collaborative settings (Becoming a Culturally Competent Health Care Organization: AHA, 2013).
This paper delves into the dynamics of competition within the healthcare industry and its implications for strategic planning. It also evaluates the frameworks associated with healthcare organizations and their operational impacts. Through a comprehensive examination of internal, external, and general environments, the paper highlights the necessity of strategic planning in navigating the challenges posed by competition and ensuring organizational success.
This proposal aims to assess the quality of care provided to female breast cancer patients aged 30-60 years. Enhancing patient care quality is vital, especially for cancer patients who grapple not only with the disease’s physical toll but also with mental trauma, stress, fear, and uncertainty (Mahapatra, Nayak, & Pati, 2016).
MHA FPX 5010 Assessment 1 Current Environmental Analysis Name Capella university MHA-FPX 5010 Strategic Health Care Planning
Executive Summary Sentara Healthcare has observed a rise in turnover rates among its nursing staff, exceeding the national average by 1.5%. This paper aims to investigate the issue of high nurse turnover in our local hospital. According to the United States Office of Personnel Management (2018), each additional percentage point in nursing turnover costs an average hospital approximately $300,000. Preliminary data analysis reveals average turnover rates ranging from 6.6% to 28.7%, with registered nurses experiencing the highest turnover at 16.8%. Moreover, hospitals with 250+ beds witness the highest turnover rates, whereas those with 200 beds or fewer show lower rates.
Overview Synopsis Statement of the Problem Hospital Acquired Infections (HAIs) continue to pose significant risks to patient health and healthcare quality within the Northwell Hospitals System. These infections are linked to adverse outcomes such as extended hospital stays, preventable deaths, and increased healthcare costs (Monegro, Muppidi, & Regunath, 2020). Factors Examined and Units of Measurement Elements Examined Underlying Health Conditions Use of Antibiotics Use of Invasive Medical Devices Units of Measurement Number of HAI Cases Reported Mortality Rates Ratio of Pressure Injuries Reported in Adults and Children Summary of Literature Key
Personal Leadership Analysis
Critical Leadership Competencies for Health Care Organizations Core competencies are fundamental skills essential for effective management and practice within the healthcare sector. They serve as a basis for healthcare administrators and professionals to comprehend and adapt to the evolving demands of the industry. Incorporating core competencies into staff development equips organizations to meet specific needs and drive performance improvements. Among the crucial leadership competencies vital for the success of healthcare organizations are analytical skills, policy development
Assessment and Leadership Skills
Plan Hello everyone, I am __, and today I will present my leadership plan aimed at enhancing the financial strategy and condition of our organization. This report will analyze the current financial leadership scenario and propose strategies to address financial gaps within our healthcare organization. Financial management in healthcare organizations poses significant challenges, requiring adept leadership to navigate. Leaders play a pivotal role in managing and planning the financial resources of hospitals, influencing organizational priorities and goals. In the context of Home Health Agency, financial objectives exert a substantial influence on leadership decisions.
Personal Leadership Model Emotional
Intelligence Emotional intelligence refers to the skill of understanding one’s own emotions and those of others. Historically, expressing emotions in the workplace was seen as a distraction and a hindrance to efficiency (Goleman, Boyatzis, & McKee, 2013). However, individuals who fully comprehend and utilize emotional intelligence understand their emotions, their reasoning, and meaning, as well as how they can impact others. In contrast, those who lack this understanding often experience high levels of stress, leading to negative behaviors towards colleagues, such as passive aggression, yelling, and blaming others (Zeider, Matthews, & Roberts, 2012). This can create a working environment where employees feel uneasy and less committed to the organization
MHA FPX 5014 Assessment 1 Regulatory Environment – Executive Summary Name Capella university MHA-FPX 5014 Health Care Quality, Risk, and Regulatory Compliance
The Community Development Block Grant-Disaster Recovery (CDBG-DR) program is another critical governmental policy designed to address the long-term recovery needs of communities after a disaster. Managed by the Department of Housing and Urban Development (HUD), this policy funds state and local governments for infrastructure repair, housing recovery, and economic revitalization. CDBG-DR offers flexibility in tailoring recovery initiatives to the unique needs of affected communities, emphasizing community participation in the planning and implementation processes. By integrating housing, infrastructure, and economic development efforts, CDBG-DR contributes to a comprehensive and sustainable recovery approach, reflecting the federal government’s commitment to aiding communities in their journey toward resilience and restoration.
Policies not only define the boundaries of nursing practice but also serve as essential guides for informed and effective interventions. For instance, a clear understanding of ANA guidelines may inform nursing interventions related to patient advocacy and shared decision-making. Similarly, adherence to CDC protocols is instrumental in guiding nursing interventions aimed at infection prevention and control. In the context of Mr. Johnson’s healthcare, policies can inform and guide interventions that optimize patient outcomes. A comprehensive knowledge of policy frameworks ensures that nursing interventions align with evidence-based practices, legal requirements, and organizational standards (Mehta et al., 2021). By utilizing policies as guiding principles, nurses can implement interventions that are not only clinically effective but also ethically sound, contributing to the overall improvement of patient care and safety.
Su, Y., Huang, S.-T., Wu, Y.-H., & Chen, C.-M. (2020). Factors affecting patients’ acceptance of and satisfaction with cloud-based telehealth for chronic disease management: A case study in the workplace. Applied Clinical Informatics, 11(02), 286–294. https://doi.org/10.1055/s-0040-1708838
The study, employing a case study approach in a workplace setting, investigates the intricate dynamics that contribute to the success or challenges of implementing telehealth solutions. The authors employ a comprehensive perspective to identify and analyze factors such as usability, accessibility, and patient engagement, shedding light on the nuanced aspects that influence individuals’ acceptance and satisfaction with cloud-based telehealth in the context of chronic disease management. The central focus of research is to unravel the complexities surrounding patient acceptance and satisfaction with cloud-based telehealth, specifically targeting chronic disease management. Through their case study methodology, the authors delve into the workplace environment,
The medical and nursing domain requires wide, extensive, and up-to-date research. It helps the healthcare worker to know about new studies, treatment techniques, and care strategies for pre-and post-natal care. Many printed and digital academic resources can help in this literature review and adoption of knowledge. Some examples of these resources are peer-reviewed articles, seminars, magazines, and healthcare websites. These literature sources can help a healthcare worker to better deal with maternal and neonatal care with the help of evidence. Some digital resources that can provide sufficient information on this subject are Google Scholar, PubMed, and the American Academy of Pediatrics. These digital platforms provide tons of research articles, expert guidelines, patient experiences, and surveys on maternal and neonatal care. This care can also be ensured through a policy-based approach by the government (Song et al., 2018).
Principle of Non-maleficence Violation Essay
Pakistan is a developing country with 184 million populations; majority of people is living in rural areas, where literacy rate is very low. The burden of Chronic liver disease (CLD) is increasing day by day due to poor compliance to preventive measures. According to Qureshi, Bile, Jooma, Alam and Afridi (2010) the burden of hepatitis B and C is increasing in general population and it is currently 7.6%. High prevalence of hepatitis B and C will result in increased incidence of CLD. Quality of life among CLD patients is very poor and the only option for them is liver transplantation. Unlike liver transplantation renal transplantation started early in 1985, currently facility is available both in public and private hospital across the country. On other hand very few liver transplantation were performed in the country despite the fact that every year 10,000 people die due to CLD (Ali, Qureshi, Jilani, & Zehra 2013). The liver transplant project was initiated in 2011 at Pakistan Institute of Medical sciences under special instruction from prime minister of Pakistan. The purpose of this project was to provide liver transplant facility in the country on affordable cost.Principle of Non-maleficence Violation Essay
Engaging in evidence-based practice (EBP) projects is among the most practical interventions for addressing health problems. Nurses use nursing interventions founded on research to enhance health outcomes. This paper describes the population, intervention, and expected outcome. It also explains the implementation time and the application of aqnursing science, social determinants of health, and epidemiologic, genomic, and genetic data in supporting the health management of children with obesity.
Professional associations are important in every organization and team of workers. In the healthcare institutions, professional organizations seek to further the interest of individuals that are engaged in both the professional and public interest. Also, professional associations are important in enhancing networking between the healthcare professionals through integrating the operational processes and promoting the roles that each individual are to play. A professional association or the professional body or professional society is important in maintaining the control or oversight of the legitimate nursing practices. Also, the body plays significant roles in safeguarding the public interest. The organizations should therefore maintain their own privileges and powerful positions in controlling the professional associations. In the healthcare practices, professional organizations can be applied in enhancing the interest of the workers or healthcare professionals. The professional nursing organization that relates to my specialty area is American Foot Care Nurses Association.
Problem Statement
In recent years, inserting a central line has become routine for outpatient and inpatient settings. Central lines include administering medication, monitoring hemodynamic status, and providing nutritional assistance, among other things (Huybrechts et al., 2021). For the same reasons, patients in the intensive care unit (ICU) need central lines since they are in critical condition. A proper insertion process must be followed because central line insertion is typical for ICU patients. NUR 590 Evidence-Based Practice Project Assignments
Implementation of the project is critical as it involves actualizing the ideas discussed in the project proposal through practice. Implementation is among the various stages of this project to help incorporate an evidence-based project (EBP) inpatient care to enhance the quality of care and cost-effectiveness (Baier et al., 2020).
Evidenced-based Practice Proposal Using the Research Process
Operational efficiency is an objective that healthcare organizations strive to achieve in their service provision. Operational efficiency enhances the performance and competitiveness of health organizations due to resource optimization in service provision. Strategies such as the use of health information technologies, evidence-based practices, and effective human resource management contribute to operational efficiency in healthcare. Safety events such as medication errors in practice however affect the financial performance and efficiency in health organizations. It also affects the financial stability, marketability, and viability of the organization’s operations in its markets. Therefore, the purpose of this paper is to explore the effects of medication errors in practice on the budget of an organization and the role of the nurse in the problem.
Fluphenazine is a potent medication employed in the management of schizophrenia. Extensive research has demonstrated its comparable efficacy to low-potency antipsychotics like chlorpromazine (González et al., 2018). Various brand names, including modecate, moditen, and rhophenazine, are used to market this medication. Fluphenazine has obtained FDA approval for the treatment of schizophrenia and addressing related symptoms such as malevolence, delusions, and hallucinations. Limited evidence and both guided and non-guided support exist for the off- label utilization of fluphenazine in children and adult. Classification Fluphenazine is classified as a phenothiazine medication, specifically a neuroleptic. It shares the same drug class as chlorpromazine and thiordazine (Siragusa et al., 2020). Their mechanism of action involves modifying the chemical equilibrium of neurotransmitters within the brain
Law is defined as rules that are sanctioned and implemented by the parliaments, which all the citizens are legally obligated to obey (Montgomery, 2013). The Queen in parliament created and revises the English law that governs the whole of Wales and England, after which it is deliberated on by the House of Commons before being passed for implementation (Surbhi, 2015). However, the common laws, which are laws that serve as a framework from court judgement, are used for similar future cases (Juridique, 2017). Law differentiates between the good and the bad in a society and serves as a norm which guides people’s behaviors (Montgomery, 2013). The nurse has a special role within her code of practice to respect the right of the patient under her care, work co-operatively with other health care professionals and notify with details, anything that can negatively impact on the standard of care that she delivers (Rai, 2011).
Drug administration is an integral part of nursing. Medication errors can be pernicious to a patient’s health. Medicines are prescribed by the doctor and dispensed by the pharmacist but the responsibility of current administration rests with the nurse. Each nurse is responsible for their practice. The result of medication errors varies from mild to deadly. Medication errors have been an ongoing issue in all healthcare settings. Healthcare organizations should ensure and maintain effective measures to prevent medication errors.
Side effects/adverse reaction potentials Some of the side effects of Invega include shortness of breath, dizziness, tremors, uncontrolled movement of muscles, swelling of one’s breasts, discharge from nipples, weight gain, mouth sores, impotence, Polydipsia, polyphagia, fainting and high fever (FernándezMiranda et al., 2021). Contraindications for use including significant drug to drug interactions Administration of Invega is contraindicates in patients with overweight, dehydrated patients, diabetic patients, patients with breast cancer, high levels of prolactin, patients with low amounts of potassium or magnesium present in blood and among individuals with excessive fat in their blood (Fernández-Miranda et al., 2021). It is also contraindicated among patients with heart attack, confusion or with tardive dyskinesia.
Midwives played a significant role in women’s healthcare and childbirth, providing a more compassionate and natural approach than male doctors. As Brodsky notes, the rise of obstetrics led to competition between physicians and midwives. While physicians focused on medical interventions and techniques, midwives, often experienced mothers themselves, offered support, comfort, and personalized care during childbirth. They used natural methods and provided nourishment, emotional support, and spiritual guidance to ensure a safe delivery for both the mother and baby (Brodsky, 2008)
Role of the Nurse in Improving Health Equity and Impacting Social Needs
Nurses can use their position and influence to improve health equity and effectively address people’s multidimensional needs. In agreement with Oruche and Zapolski (2020), nurses can reduce health disparities by being increasingly committed to diversity, inclusion and breaking down barriers to health. In this case, they should ensure health resources are fairly distributed according to people’s diverse needs and that all patients are assisted to achieve their full health potential. The other critical nurse’s role is advocacy, which entails protecting patients’ rights and acting as their voice (Nsiah et al., 2019)
The American healthcare system is faced with the great challenge of inequality which displays a disproportionate impact on marginalized communities, including people of color (Boyd et al., 2020). Such inequalities are the reason behind the gaps in the acquisition of health insurance coverage, leading to uneven access to care services and poor health outcomes among the minority populations. Additionally, studies show that African Americans are significantly impacted by these inequalities contributing to the high prevalence of chronic conditions such as hypertension and diabetes, in addition to the increased mortality rates among this minority population. This discussion provides an analysis of the health status of African Americans, as part of the minority population, in comparison to the national average.
Scenario 2: A 42-year-old man comes to clinic with chief complaint of pain, redness, and swelling of his right calf. He states that he had been working in his yard using a string trimmer when the trimmer slipped and cut his leg. He cleaned the wound with water from the garden hose and covered the wound with a large Band-Aid. Several days later, he developed fever to 100.6˚ F and chills and noticed that his leg was swollen and red. He comes to the emergency department for definitive care.
The use of nursing theories is critical to patient care because of the different purposes that they serve. Nursing theories assist in informing every interaction between nurses and patients. Through defining the features of the nurse-patient interaction, these theories shape how nurses develop relationships with patients (Wei et al., 2019). The purpose of most nursing theories is to help nurses identify care needs among patients, articulate what they can do for patients and why they do it, and determine the kind of information to collect to develop care plans. Through theories, nurses can comprehend and evaluate health situations, explain and anticipate certain responses from patients and map out objectives and anticipated outcomes (Bahabadi et al., 2020). These theories also help nurses determine the interventions to deliver, best practices, and selection of productive areas for research. The implication is that nursing theories are fundamental to quality care provision as they help nurses to possess background propositions to offer the best care.
Scenario 3: A 34-year-old Hispanic-American male with end-stage renal disease received kidney transplant from a cadaver donor, as no one in his family was a good match. His post-operative course was uneventful, and he was discharged with the antirejection drugs Tacrolimus (Prograf), Cyclosporine (Neoral), and Imuran (Azathioprine). He did well for 3 months and had returned to his job as a policeman. Six months after his transplant, he began to gain weight, had decreased urine output, was very fatigued, and began to run temperatures up to 101˚F. He was evaluated by his nephrologist, who diagnosed acute kidney transplant rejection.
Scenario 4: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.
Develop a 1- to 2-page case study analysis in which you:
In the United States (US), the early adopters, developers, and innovators of technology in nursing practice are referred to as Pioneers of Nursing Informatics. These individuals are the innovators, spear headers, and groundbreakers in the specialty of nursing informatics. This paper seeks to compare two nursing informatics pioneers, Patricia Abbott and Virginia Saba, focusing on their professional accomplishments and how their contributions have influenced nursing practice.
Healthcare facilities aim to deliver high-quality medical services to patients. The demand for high-quality patient services is motivated by adjusting to upcoming organizational structures, healthcare system changes, and available procedures. Recently, there has been an increased focus on delivering high-quality medical treatment, as recognized by the government, medical experts, and patients (Palese et al., 2020). Assessing the probability and frequency of encountering quality issues is crucial to determining the provision of high-quality services. This paper identifies three rate-based measures of patient care.
Use the space below to identify and examine one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization.
The Psychiatric-Mental Health Nurse Practitioner (PMHNP) is my chosen specialty within the MSN program. PMHNPs are equipped with knowledge and skills to provide mental health care to individuals across the lifespan. When deciding on the MSN program to select, I encountered challenges in identifying which program would enable me to reach my full potential. I was caught between a rock and a hard place, deciding whether to choose a program based on my passion or career prospects, including income rates. As much as I wanted to follow my passion, I had to think if my specialty has a high job demand and the average income nurses in the specialty are paid in my state. Besides, I had a challenge determining the level of autonomy different nursing specialties have in Illinois based on the state’s scope of practice for nurse practitioners.
Barker, A.M., & DeNisco, S.M. (2016). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones & Bartlett Burlington, MA. Retrieved from https://www.gcumedia.com/digital-resources/jones-and-bartlett/2016/advanced-practice-nursing_essential-knowledge-for-the-profession_3e.php
American Nurses Association. (2020). Advanced practice registered nurse (APRN). American Nurses Association. Retrieved from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/
Many nursing models have come into practice since the early 1950’s (DeNisco & Barker, 2016). May of these theories focus on a patient as a individual and therefore focus their behavioral modifications and goals on an individual’s unique circumstances (DeNisco & Barker, 2016). While this path is incredibly important, it is also pivotal to understand that many of our patients belong to a family unit and this will directly impact their care (DeNisco & Barker, 2016). This discussion will focus on the Calgary family assessment Model and the Modeling and Role Modeling theory.
Nola Pender’s Health Promotion Model This model looks into patient characteristics and behaviors to see how nursing interventions can help the patient adapt, add, or improve healthful habits and practices. Pender defines health as more than just the absence of illness or disease; it is also a dynamic positive state that includes one’s physical, mental, and social well-being (Current Nursing, 2020). Pender’s approach exemplifies how nurses can motivate their patients to live healthy lifestyles, which is a cornerstone of public health and illness prevention.
Assignment: Current Issues/ Trends in Nursing
1. Choose from one of the following topics:
Nursing during an epidemic, pandemic or natural disaster across the country or around the globe
a. Social media influences on health or health care delivery
b. The effect of the media on nursing image. How can nurses educate the public and help portray the true image of nursing?
To be honest, the human species does not have a stellar track record when it comes to ethical medical research. During World War II, Nazi Germany and the German medical establishment were implicated in harsh, cruel, and immoral human research. Following WWII, the Nuremberg trials were pushed to hold people accountable for some of the most horrible acts of “research” carried out in concentration camps (Vaughn, 2017). The Nuremberg Code, which contains 10 points outlining what is considered permissible medical experimentation, is the result of these trials (Vaughn, 2017).
Health staff primarily focuses on delivering safe and quality treatment to patients, reducing their health expenses as well. Among health staff, the nurses are the most centered staff members whose participation can improve the hospital’s quality of treatment delivery. Russ-Jara et al. (2021) briefly discussed the nurse’s care coordination to complete the patient’s healthcare needs and requirements (Russ-Jara et al., 2021). Sharing knowledge among staff members regarding patient care and attaining a patient-centered care strategy help in providing innovative and robust ideas that contribute effectively to patient care. The collaboration ensures patient safety and transition of care and develops strong and influential personalities that lead to positive patient outcomes (Russ-Jara et al., 2021).
Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross-sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19(4), 1–9. https://doi.org/10.1186/s12912-020-0397-0
Wondmieneh et al. (2020) conducted a prevalence study in tertiary hospitals in Addis Ababa, Ethiopia, to investigate errors in medication dispensation and their contributing factors among nurses. The authors utilized a self-administered questionnaire and medication administration error report form to collect data from 298 nurses. The results revealed that medication administration errors were common among the nurses, with the most frequent errors being the incorrect time of dispensation, inappropriate dose, and inadvertence of medication. Contributing factors to these errors included heavy workload, inadequate training, and lack of knowledge about medication. The study concludes that improving the training and knowledge of nurses on medication administration, reducing workload, and promoting a culture of reporting medication errors could help minimize medication administration errors.
1 Prevention of Central Line-Associated Blood Stream Infections: A Quality Improvement Plan Michelle Perez College of Nursing, University of South Alabama NU-613-808: Organizational & Systems Leadership
This study examines the nature of inoculation theory, a process through which attitude change can be resisted in the face of counterattitudinal communication intended to convert or shift existing attitudes, and how it applies to pack journalism, an unethical media practice where herds of journalists repeatedly and widely cover one particular story and storm the targets (i.e., people, buildings, etc.) with their overwhelming presence. Based on inoculation theory’s theoretical assumptions, and by deriving concepts and designs from previous inoculation studies, the authors urge scholars to implement a viable theoretical and practical platform by which inoculation treatments can be executed on journalists to render maximum attitudinal resistance toward the copycat (and unethical) element of pack journalism coverage.
Cultural Humility And Health Promotion
Currently, Hispanic/Latino people experience poor health outcomes as compared to other people. This is attributed to many factors, including limited access to healthcare services. Notably, most Hispanic people do not have insurance coverage, and this usually makes healthcare very expensive for them. Additionally, some of them experience language barriers as they do not understand English, the primary language spoken in the country.
It is also notable that they have higher rates of chronic diseases such as diabetes, obesity, and other conditions (Dragomanovich & Shubrook, 2021). Another issue is the low health literacy levels. Most of them are concerned with working and do not focus on health knowledge or how to interact with the healthcare system. Overall, this reduces their health outcomes, making it crucial to enhance their health integration..
In healthcare, budget reporting helps hospitals to identify their expenses including the deviation between these expenses and what they projected to spend, allowing them to make better decisions in terms of how they allocate resources, and budget for various programs. For instance, a hospital can use the generated budget reports to make decisions in terms of what to spend on staff, and the amount of duns to use to acquire essential resources and medical supplies. The budgeting process involves creating a plan with details of what one intends to spend, and what they think they would earn based on the services they provide.
When there is a deviation between the forecasted and the planned financial outcomes, this phenomenon is known as budget variance, with variance reporting denoting the resulting report with details of how the variance occurred (Nuti et al., 2021). It is important to explore why a nurse leader should understand it, and the information that is pertinent to understanding staffing.
For a nurse leader, understanding the variance reporting is crucial in the sense that it informs the decisions they make regarding the management of costs and the allocation of resources. A variance report reveals any discrepancy between the expenses, both actual and budgeted, and by reviewing this report, the nurse leader gains insight into the areas where they can add resources to optimize operational outcomes (Anderson et al., 2020). With this information, still, the leader can understand the different metrics, and make meaningful decisions such as identifying measures that if they initiate in nursing settings, can improve patients’ wellbeing (El-Sayed Aly et al., 2022).
Variance reporting becomes a vital tool for nurse leaders by helping them identify opportunities for the improvement of certain processes that can help optimize clinical outcomes. A nurse informed by this tool, for instance, can make changes to the cash flows to match the resource requirements in specific units or areas. For instance, a nurse leader can rely on reports to identify areas facing a shortage of resources and respond to this by adjusting the budget to address the shortfalls (Kawaguchi et al., 2019). The report also forms an integral tool for informing decision-making during the subsequent budget preparation activities. Relying on what worked in the previous budget, a nurse leader can replicate the same in future budgets
Achieving Higher Levels of Education
The Future of Nursing 2020-2030 report elaborates on the need for nurses to advance in their education, with one of the reasons being to create a larger impact on nursing practice and the healthcare system. There are several reasons why nurses should find encouragement to continue their education. Some of the reasons make one question whether advancing nursing education should be a mandatory requirement and not a personal choice. Therefore, to shade more light on this topic, this paper aims to provide an understanding of the implications of achieving higher levels of nursing education.
Options in the Job Market Based on Your Educational Level
The health-illness continuum is a simple concept, as each person has gone through almost all of the spectrum at least once in a lifetime. According to this theory, extreme levels of wellness or death (due to diseases) are on opposite sides of the continuum. Next to them, closer to the center, are the levels of good health and illnesses, and in the very center, there is a neutral zone (Burke, 2019). John Travis and Regina Ryan proposed the illness-wellness (health-illness) continuum in 1975. The core of this model is individuals’ ability to move towards better health and well-being whenever they don’t have visible illnesses. It is essential, however, to work on one’s mental health and awareness, educate oneself, and stimulate self-growth.
OBJECTIVES • Identify any risks for falls • Assessment tools to use for identifying risk for falls • Plan interventions for fall prevention • Education for patient, family members, and staf
By Day 7 of Week 1
Write a 2- to 3-page paper that addresses the following:
You will also evaluate and analyze ethical and legal implications and practices related to prescribing drugs. As advanced practice nurses, almost every clinical decision you make will have ethical or legal implications. Your ethical and legal knowledge is fundamental to your ability to resolve the multitude of challenging issues encountered in practice. This week you have an assignment to write a paper – you will explore the ethical and legal implications of the following scenario, and consider how to appropriately respond:
Legal and Ethical Implication in Prescription
Legal and ethical implications manifest in the scenario in which an Advanced Practicing Nurse (APN) has to decide between observing codes of ethics on prescription, and prescribing medicion to their friend who has no known health history. Nursing professionals are expected to practice within the boundaries of the codes of the American Nurses Association (ANA). One of these codes’ provisions require APNs to promote and protect patients’ health as well as safety. Reflecting on this provision, prescribing the medication to the patient without getting details of their health condition constitutes a breach of this provision.
Gastroesophageal Reflux Disease
JJ has had recurrent heartburn and has been diagnosed with gastroesophageal reflux disease. While medication can work, JJ needs to make lifestyle modifications as they will alleviate his symptoms. It is also important to counsel him so that he can understand his condition and how he can recover fully.
Cognitive Behavioral Theory versus Rational Emotive Behavioral Theory
Introduction
The philosophy of the rational emotive behavioral therapy (REBT) is that some form of thoughts intrinsically result to problems and always occur when an individual is troubled regardless the type of difficult an individual is going through (Turner et al, 2014). Cognitive behavioral therapy (CBT) is based on how an individual thinks, feels, and behaves (Bell et al, 2015). Even though both REBT and CBT specifically focus on an individual’s tendency to develop own “emotional” difficulties, these therapies have their own differences as well Cognitive Behavioral Theory (CBT) Versus Rational Emotive Behavioral Theory (REBT) Sample Essay.
Cognitive Behavioral Therapy in the Family and Individual Settings
CBT, or Cognitive-Behavioral Therapy, is a mental treatment that was created through logical research. That is, the entirety of the parts of CBT have been tried by analysts to decide if they are compelling and that they do what they are expected to do. Research has demonstrated that CBT is one of the best medications for the administration of tension. Fortunately in spite of the fact that it is best finished with a prepared CBT advisor, you can apply CBT standards at home to deal with your own nervousness and overcome your feelings of dread. What are the Principles of CBT? CBT includes adapting new aptitudes to deal with your manifestations. It shows you better approaches for deduction and carrying on that can assist you with dealing with your nervousness over the long haul. There are a couple of rules that are critical to comprehend when utilizing CBT (Corey, 2013). .
The Assignment
In a 5- to 10-slide PowerPoint presentation, address the following. Your title and references slides do not count toward the 5- to 10-slide limit.
Learning Resources
Leadership Style and Self-Assessment
Effective leadership is paramount in nursing, where the well-being of both the healthcare team and patients hinges on collaborative, thoughtful, and visionary guidance. Various leadership theories and styles have emerged, each offering unique perspectives on how leaders can inspire, guide, and shape their teams (Kelly & Hearld, 2020). Self-assessment is integral in understanding oneself and proper leadership tendencies.
Assessment:
Mental Status Examination: The patient looks at his stated age. He is well-groomed and kempt. He is oriented to place, time, and people. His speech is normal and his mood is consistent with affect. However, he does not maintain eye contact. He answers questions properly. He reports delusions and hallucinations. No suicidal or homicidal thoughts. Memory and concentration are intact. Judgment and insight are also intact.
Diagnostic Impression:
The primary diagnosis is schizophrenia. According to McCutcheon et al. (2020), schizophrenia is a mental health condition that causes delusions and hallucinations. The symptoms of schizophrenia include negative symptoms, delusions, hallucinations, catatonic behavior, and disorganized speech (American Psychiatric Association (APA), 2013).
DSM-5 highlights that at least two symptoms should be noted for one to be diagnosed with schizophrenia (APA, 2013). One of the symptoms should either be hallucinations or delusions. The patient has both hallucinations and delusions making the disorder a primary diagnosis. The second diagnosis is schizoaffective disorder.
A patient with schizoaffective disorder causes schizophrenia symptoms and depressed mood (Peterson et al., 2019). According to DSM-5, patients should be diagnosed with schizoaffective disorder if they have depressed mood and schizophrenia symptoms (APA, 2013). The disorder was included in the diagnosis because the patient has delusions and hallucinations.
However, the patient does not have a depressed mood, and thus the disorder has been ruled out. The last disorder is delusion disorder. Delusion disorder is associated with delusional ideas (Joseph & Siddiqui, 2021). The disorder has been ruled out because the delusions the patient experience are a result of schizophrenia.
Reflections:
I agree with the preceptor’s diagnosis. The patient has schizophrenia. If I was given a chance, I would have screened the patient for depression. The ethical consideration, in this case, is the safety of the medication. The patient has the right to safe medication. The patient also has a right to be treated justly without any discrimination. I would avoid being judgmental when treating the patient. I would educate the patient to avoid alcohol and cigarette since they can negatively affect his health.
Case Formulation and Treatment Plan:
The presented symptoms show that the patient has schizophrenia. However, he should be referred to a psychiatrist for extensive mental health assessment and treatment. The patient can be recommended quetiapine fumarate extended-release (XR) 300 mg/day PO (Li et al., 2018). The dosage should be maintained between 400-800 mg/day.
Quetiapine has been selected because it is effective in treating schizophrenia, is well-tolerated and has good completion rates (Li et al., 2018). Li et al. (2018) noted that quetiapine is safe and has high efficacy in treating schizophrenia. Quetiapine XR tablets have been recommended because they allow a physician to start treatment at a high dose quickly to reach a therapeutic level.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed). Arlington, VA: American Psychiatric Publishing.
Joseph, S. M., & Siddiqui, W. (2021). Delusional disorder. In StatPearls [Internet]. StatPearls Publishing.
Li, H., Shen, Y., Wang, G., Shi, J., Ma, C., Xie, S., & Gu, N. (2018). A 6-week, multicenter, double-blind, double-dummy, chlorpromazine-controlled non-inferiorityrandomized phase iiitrial to evaluate the efficacy and safety of quetiapine fumarate (SEROQUEL) extended-release (XR) in the treatment of patients with schizophrenia and acute episodes. Psychiatry Research, 259, 117-124. https://doi.org/10.1016/j.psychres.2017.07.006
Assignment: The Nurse Leader as Knowledge Worker
The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.
In this Assignment you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.
Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.
To Prepare:
The Assignment:
Overview
In nursing, critical thinking is a very essential skill. Nurses with adequate critical thinking offer quality and safe care to their patient. This is significant when viewed against the background of increasing numbers of adverse patient outcomes and escalating healthcare complaints the top three reasons for adverse patient outcomes are: failure to properly diagnose, failure to institute appropriate treatment, and inappropriate management of complications (NCBI,2022)
My Scenario
Addressing Ethical Lapse in the Police Department
The Law Enforcement Departments, such as the Berlin and other police departments are the backbone of the global public safety. The police are the body of officers who represent civil government authority. The police are typically responsible for ensuring that there are law and order in their respective jurisdictions (Ghavami et al., 2021).
They are required to maintain public safety and order, detect, investigate, and prevent any criminal activity, and enforce the law (Bogumil & Kuhlmann, 2021). They are also entrusted with various regulatory and licensing activities, such as providing the driving license to people who own cars and provide a firearm certificate to private firearm owners (McCluskey et al., 2019).
INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY
If you are struggling with the format or remembering what to include, follow the Focused SOAP Note Evaluation Template AND the Rubric as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. After reviewing full details of the rubric, you can use it as a guide.
In the Subjective section, provide:
Project Implementation Plan
Having an elaborate implementation plan is crucial for the successful implementation of an evidence-based change initiative. The purpose of this paper is to describe the change implementation plan that will be used for a quality improvement capstone project. The plan will include the objectives and outcome for the capstone initiative and the implementation methodology.
Summary of Problem
The current problem within the practicum site is poor handover communication. Poor handover communication leads to poor patient outcomes, and low patient satisfaction, and affects interprofessional collaboration, thus necessitating the implementation of an evidence-based change initiative (Bukoh et al., 2020).
Solution
Literature Review
Handover communication or shift reporting is an essential process that determines the quality of care patients receive. It is a process that is highly dependent on the quality of information nurses exchange with each other, which in turn determines the quality of decisions made to ensure that there is continuity of care from one shift to another. There are different shift reporting approaches that healthcare facilities use. However, each approach has its own merits and demerits. Currently, the target healthcare facility is using a traditional shift reporting approach where the transaction of information is done away from the bedside.
Healthcare systems worldwide continue to improve various aspects of the provision of care to meet the needs of the patients and ensure improved health outcomes and patient satisfaction (Manias, 2019). Enhancing the quality of care requires the incorporation of efforts from healthcare providers as well as all stakeholders involved in care. One way of improving patient care is through active engagement of patients and their relatives in care through coordinated care and clear communication.
Developing and implementing new systems is a complex task that requires many different people to work together. As technology changes, businesses need to keep up in order to compete. In the healthcare industry, nurse informaticists play a vital role in the development and implementation of new systems (Strudwick et al., 2019). By providing evidence-based care, nurse informaticists help to improve the quality and outcome of patient health.
Decision Tress for Depression
Introduction to the Case
An 8-year-old African American was brought to the emergency room by his mother for medical assessment and treatment. The patient was exhibiting depression signs. According to the patient, he experiences sad feelings. His mother notes that the patient’s teacher reported that he is withdrawn in school and is not interacting with his classmates. The patient has also lost his appetite and is often irritated. His body appearance shows that he is well developed and has reached all milestones and his development is appropriate to his age.
Patient safety and improved quality of care requires providers and organization to use evidence-based practice (EBP) interventions to tackle issues that may cause adverse events like patient falls. Patients in medical-surgical units are susceptible to falls because of their delicate nature. The Centers for Medicare and Medicaid Services (CMS) considers falls as never events since they are preventable (Melnyk et al., 2022). Falls lead to increased stay in hospitals, poor patient outcome and serious fractures and head injuries that can lead to death. The use of bundled care approach through TIPS (tailoring interventions for patient safety) is considered one of the most effective ways to reduce and prevent falls in medical-surgical settings. The purpose of this literature review paper of the EBP project is to compare articles on the use of TIPS toolkit to reduce and prevent falls in medical-surgical settings.
Maternal morbidity and mortality is often caused by factors such as cardiovascular disease and hypertension requiring care longer than two months postpartum. One-third of pregnancy related deaths occur between one week and one year after delivery, and almost 12% occur after the regular six-week postpartum visit. This had led to an increased recognition that postpartum women need comprehensive care beyond two months—therefore also need the insurance coverage to ensure continuity of services.
Women who qualify for Medicaid on the basis of pregnancy receive a variety of services including prenatal care, and labor and
Discussion: Evidence-Based Practice Project Literature Review
The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5 “Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.
The Topic of interest is medication administration errors in critical care. Nurses must often make medication administration errors. Medication errors can occur anywhere between prescription and administration, and healthcare professionals strive to provide development that minimizes these errors. Medication administration constitutes the largest source of medication errors. During medication administration, nurses must confirm the five rights of medications before administering medications.
Benchmark – Evidence-Based Practice Project: Literature Review
Nosocomial infections or hospital-acquired infections (HAIs) affect quality care outcomes for patients and increase the cost of care. Evidence-based practice (EBP) interventions like hand hygiene compliance can reduce the prevalence of hospital-acquired infections, especially among older patients who are 65 years and above (Powell-Jackson et al., 2023). Hand hygiene education program for healthcare providers ensures that they have sufficient information and skills to reduce the prevalence of nosocomial infections among older patients. The evidence-based practice project proposal of hand hygiene to reduce healthcare-associated infections will enhance the care experience for the target patients, and lower longer stays in hospitals.
Literature Review
One of the major challenges that come with surgery, especially surgeries with long recovery periods like Coronary artery bypass grafting (CABG) is immobilization. Long periods of immobilization have been associated with several adverse effects that affect the patient’s general well-being in the short and long run. Some issues related to immobilization include intensive care unit (ICU)-acquired weakness (ICU-AW), which in turn results in longer hospitalization period and cost of care, increased risk of getting pressure ulcers, and long-term mobilization issues, for example, reduced functional range of motion, and depressed recovery of functional walking capacity, to list a few (Borges et al., 2022).
Early mobilization is one of the interventions suggested by scholars that can help improve patient outcomes for patients who have undergone surgery or are admitted to the ICU. This paper will therefore evaluate the literature on the option of using early mobilization using the following PICOT question; In adult patients after coronary artery bypass graft surgery, what is the impact of early mobilization compared to delayed mobilization in preventing postoperative complications during the first week of postoperative hospital stay?
In a paper of 1,250-1,500 words, select 4 of the 6 articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:
1. Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
Spiritual care is an integral perspective of any care provision. From a Christian perspective, it is a calling to ensure that all patients’ spiritual needs are addressed alongside other medical needs. Notably, patients have varying spiritualties and understanding the patients is integral to offering holistic care (Notini & Oakley, 2022). While this might seem straightforward on paper, it is more complicated. Many ethical issues and decisions need to be made to ensure that the patient can access the best care possible.
CC (chief complaint): “I have had depression for many years.”
HPI: MM is a 24-years-old female of white origin who came to group therapy complaining of depression since the age of 13. She noted that she started experiencing relational and emotional difficulties with her family, especially her sisters. She also noted that she sometimes has a depressed mood and feels low. She reported a loss of interest in her job which she loved before. Associated symptoms include fatigue, weakness, and unintended weight loss. Her depression severity is 7/10.
Past Psychiatric History:
Pathophysiology of Differential Diagnoses
ACS
ACS is primarily caused by a decrease in blood supply to a part of the cardiac muscle (Theofilis et al., 2023). Theofilis et al. (2023) noted that this is the basic pathway of ACS and is usually caused by plaque rupture or thrombus formation. The underlying vasospasm causing ACS may or may not have atherosclerosis. A decrease in blood flow to a section of the heart’s muscle causes first ischemia and then infarction (Theofilis et al., 2023).
NUR631L Case Study 1
Patient: Shirley
Time: 07/04/2024
Source and Reliability: Self-referred, reliable
CC: “I have been having chest pain for the last four days.”
HPI: Summary of what patient came to see you for based on scenario provided
Shirley is a 76yo female who presented to the clinic with complains of chest pain that has lasted about four days. She noted that she has been experiencing chest pain occasionally. However, four days ago, she noticed that the pain increased when she was engaged in activities such as her morning walk or walking the stairs and decreased when she rested. The chest pain radiates to her left shoulder and breasts. She also noted that he experiences tingling in her left arm.
PMH:
Part 1: Chart (60 points)
Ethical Issues Based on the Principles of Beneficence Nonmaleficence, autonomy and Justice and Fairness
Osteoarthritis is a degenerative joint condition linked to the degradation of joint structures (Mahmoudian et al., 2021). It is the most common form of arthritis and occurs more often in older adults. Usually, osteoarthritis patients report joint pain along with a few seconds of stiffness in the morning or after periods of inactivity. This results from the cartilage degeneration that cushions the ends of bones (Norris, 2019).
Particular Area of Interest in Nursing
Nursing informatics is one of the areas which I find intriguing in the modern-day nursing. Nursing informatics involves the application of nursing science and other sciences, specifically information and technology, to collect analyze and utilize information to enhance the delivery of healthcare services to patients and the general public (McCormick & Saba, 2015).
The nursing sector has developed a standard terminology that should be used to communicate all the nursing messages. This mode of communication has both advantages and disadvantages. The following are some of the advantages. First, having a common terminology can facilitate communication between nurses from different language backgrounds. For instance, nurses from India can communicate with the ones in China using a common terminology model, and this can be used to break the communication barrier between healthcare providers.
Nursing Informatics
Nurses have used nursing informatics to improve their practice in various ways. Cummings, Shin, Mather and Hovenga (2016) argue that nursing informatics has made it easy for nurses to collect data from patients who are in remote areas away from health institutions. This type of data collection has been made possible through telemedicine. Data storage has also been improved through one of the informatics techniques known as electronic health records (Holmes, 2018). Overall, nursing informatics has proven significant in nursing practice. That said, this assignment discusses different professional development exercises in nursing related to informatics.
Nursing professionals play critical role when it comes to the delivery of care, and for patients to receive optimal benefits from the nursing care, nurses have to be competent. This is because the nurse’s competency determines the quality of the clinical services they provide, and it can influence the costs of the medical care. Advanced Practice Registered Nurses (APRNs) contribute to the advancement of the health care objectives pertaining to access, cost and quality of care. The healthcare priorities, and patients’ needs are changing, and the APRNs have to find new ways of addressing health concerns.
Epidemiology of Tuberculosis
Out of the 55.4 million cases of mortality that the World Health Organization (WHO) reported to have died in 2019, 13.7 million cases were attributed to the infectious diseases (WHO, 2020). One of the unique attributes associated with these diseases is that different pathogenic microorganisms are involved in their transmission. Given this attribute, the choice of the intervention for a communicable disease, depends on the type of pathogen that causes the disease. If one has a Hepatitis B which is linked to Hepatitis B virus, for instance, a physician may recommend Bulevirtide.
Data from healthcare informatics systems can be saved for retrieval following a disaster through cloud-based data storage, virtualization, and snapshot technology. First, cloud-based data storage offers automatic backups, data redundancy, and the ability to restore information quickly in case a disaster occurs (Kubo et al., 2019). The use of these methods in healthcare informatics data offers accessibility, scalability, and built-in disaster recovery abilities. In addition, the method involves continuous synchronizing of data to the cloud, which ensures real-time updates. Secondly, virtualization and snapshot technology can also be used (Kubo et al., 2019). Virtualization technologies allow the creation of virtual instances of applications, servers, and data. On the other hand, snapshot technology keeps the state of a system at a specific point in time,
The joint commission accreditation process outlies a framework pathway for high-quality quality, safe, and excellent healthcare. In the technological errors where health informatics are entrenched within healthcare operationalization, these processes provide the groundwork for evaluating organizational compliance with the performance standards. The first expectation of the joint commission related to healthcare informatics is the maintenance and communication of accurate patient medication information. In this respect, information systems utilizable in contemporary healthcare should uphold medication safety by ensuring that medication information is provided, providers obtain patient information at the point of contact, and providers compare medication information provided to the patient previously. The second expectation is patient confidentiality.
Diversity and Health Assessments
Factors Associated with Assigned Patient
The first factor associated with the assigned patient is the economic factor. The patient is dependent on his daughter, who does not have the financial muscle to properly care for him. This factor may hinder the patient’s ability to access quality care. The second factor is the social factor (Ball, Dains, Flynn, Solomon & Stewart, 2019). The patient has only one family member, his daughter, who can care for him.
The use of statistics in nursing dates back to 1850s when Florence Nightingale came up with a method of representing statistical data on graphs, and her works in statistics ushered in a period in which clinicians and researchers began using and applying statistics to conduct survey, and make clinical decisions. For example, researchers used statistics in 1971 to assess and examine Americans’ nutritional behaviors, and this study was instrumental in shaping future application of the statistics in healthcare sector (Aggarwal, 2018).
Advancing a civil workplace culture has been a topic of interest in the current healthcare practice. Daily in nursing practice and training, nurses have to deal with some level of workplace incivility in many settings (Crawford et al., 2019). The impact of workplace incivility in nursing has been felt in more stressful environments such as emergency care units and operation units. This paper aims to describe this health issue, its impact on collaboration in nursing, its significance in nursing practice, and propose a solution to this issue.
Capstone Project Change Proposal – Improving a Fall Prevention Program in a Clinical Environment.
Improving a Fall Prevention Program in a Clinical Environment
Falls are very important and preventing these falls are the most important goal and plan for every patient’s safety that encounters healthcare settings. There are many ways in preventing falls such as new trainings, new bed alarm tones and even hourly rounding. Daily improving to bedside reporting is another suggestion this field of study. Failing to increase measures in implementing change can lead to death and or longer hospitalization stays. Detecting problems early and adjusting to change will help with improvement of falls.
Capstone Project Change Proposal – Improving a Fall Prevention Program in a Clinical Environment.
Improving a Fall Prevention Program in a Clinical Environment
Falls are very important and preventing these falls are the most important goal and plan for every patient’s safety that encounters healthcare settings. There are many ways in preventing falls such as new trainings, new bed alarm tones and even hourly rounding. Daily improving to bedside reporting is another suggestion this field of study. Failing to increase measures in implementing change can lead to death and or longer hospitalization stays. Detecting problems early and adjusting to change will help with improvement of falls.
NRS-429VN – VARK Analysis Paper
VARK Analysis
Since birth, human beings are continually learning, and their learning styles differ depending on the person. It is thus essential for each to identify the learning style that best suits them (Bhagat et al., 2015). A specific analysis tool is the Visual, aural, read/write and kinesthetic (VARK) allows one to recognize their style that better prepares them throughout their educational process. Neil Fleming designed the tool in 1987 as a sixteen question assessment scores. After tallying the results, the tool shows where the individual falls within the five strategies.
Evidence collection is gathering evidence by one or more people, usually to support a legal claim. Evidence collection may involve interviewing witnesses and others who know facts relevant to a case, photographing and videotaping physical evidence, examining documents and records, or questioning suspects (Bell, 2019). The types of evidence collection involved are physical evidence, such as fingerprints and blood stains, testimonial evidence, and oral testimony from witnesses. Evidence collection involves conducting contextual analysis to collect as much factual information as possible, including searching, collecting, and organizing all data within this scope.
Health Information management Strategies
Technology is shaping healthcare by making it possible for individuals to access health information anytime and anywhere. People can access this information on websites and from the existing literature retrieved from the various database platforms such as ProQuest. While it is important for one to use this kind of information, some of the information that is available online can be misleading. When one makes decision on the basis of unverified information, they may expose their health at risk of harm (Verma et al., 2020).
Topic 3 DQ 1
Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient care.
Servant Leadership
Fundamental principles of Servant leadership
Accounting Revenue Recognition
Revenue Recognition Standards
Chapter 4 of the textbook indicates the five-step process of revenue recognition. The first step is identifying the contract with a customer. IFRS 15 provides a clear guideline for a contract with a customer. A contract is an agreement between parties that attracts enforceable rights and obligations. A contract could be expressed, implied, or oral.
Advancing Health for All
There are several health issues affecting the global healthcare system. One way of addressing these issues is through policy formulation and implementation. This paper will review one of the global issues, namely advancing health for all, comparing how these issues are addressed in the US and Australia. The paper will also evaluate the impact of global perspectives on the nurse leader role and its impact on social change.
How Incorporation Might Impact Local Practice and Role as a Nurse Leader
Incorporating the global lens into practice allows nurse leaders to consider improvements or interventions from a larger perspective in the context of a wider global community rather than just the local level. Therefore, incorporating the global perspective might affect how nurses implement interventions. For example, vaccination drives, depending on emerging global trends towards a given infection such as COVID-19. Incorporating global perspectives also provides an opportunity for nurse leaders to consider collaborative interventions with peers from other countries with an effort towards making a larger impact, in research, policy formulation, and implementation of targeted interventions.
How Incorporation Impacts Social Change
The incorporation of global perspectives considers aspects like health equity, emerging technology, and dealing with emerging health issues such as control of epidemics. By looking at things from a global perspective, we consider the healthcare system from a larger perspective, meaning that the interventions created will be structured towards more significant social changes (Kilpatrick et al., 2023). A global perspective also highlights issues that the local system may not capture well, for example, existing systemic disparities, which collaborative policies may help to address.
Conclusion
Advancing health for all is among the challenges listed by the World Health Organization, which almost all healthcare systems are trying to address. This paper highlights how this issue is tackled using policies by the US government and the Australian government, making comparisons on the differences between the two policy perspectives. The paper also elaborates on how looking at health issues from a global perspective affects the role of a nurse leader and impact on social change.
References
Cash-Gibson, L., Rojas-Gualdrón, D. F., Pericàs, J. M., & Benach, J. (2018). Inequalities in global health inequalities research: A 50-year bibliometric analysis (1966-2015). PloS One, 13(1), e0191901. https://doi.org/10.1371/journal.pone.0191901
Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan.
Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.
Nurses are critical in the healthcare sector and provide one of the most essential forms of care at all times (Guido, 2020). It is important that nurses ensure that they deliver the best available care. To help the nurses in making sane and informed decisions, different ethical theories and principles can be applied to ensure efficient implementation of the process.
How I fulfilled the role of Scientist, detective, Manager of the healing environment during the BSN program: As a detective, a nurse is expected to utilize his/her clinical imagination alongside nursing science to identify deviations and changes from what is expected so that adverse outcomes can be controlled or prevented. As scientists, nurses are expected to take part in scientific inquiry with the sole purpose of critiquing, implementing, and disseminating evidence as well as informing healthcare decisions to influence practice (Lynch & Duval, 2011). Lastly, as managers of the healing environment, it is the role of the nurses to advocate, coordinate, and create interdisciplinary and respectful environments that acknowledges the dignity of patients and their families experience in addition to promoting their optimal well-being. During my program at the WGU, I mastered the roles of a nurse as a scientist, Detective and Manager of Healing environment as detailed. My role as a Scientist
Them It is undeniable that I have faced multiple challenges during my BSN program. My major challenge is juggling between family, personal and school life. My work-related challenge is starting a new job as a NICU Nurse that requires 5 days a week in training. As a newly appointed NICU Nurse, I am also required to obtain some certificates in the first few months of my job
placement. My personal related challenge is being a full-time mom for three beautiful daughters. Two of my kids are very busy with sports that require being out of the house 3 or more days a week. My school challenge is finding time to finish assignments in a timely manner. However, I believe my biggest challenge is striking a balance between school work, my work schedule and family time. Nonetheless, as a nurse professional, I understand that every challenge has got a solution. Therefore, to overcome the earlier mentioned challenges, I rely on friends and family so much. For instance, my kids at times are forced to carpool with their friends to practice. My husband too had to change his work schedule to accommodate the kids’ needs when I am busy with school work. My mom came from California to watch my kids so I can have time to work on school projects
With each course at WGU, my skills and knowledge continued to grow every day. This is attributable to the fact that the course content primarily focused on current trends in the industry, community concepts, theory, research, leadership, therapeutic interventions, and healthcare policy. For this reason, I did not have difficulties working as a Neonatal Intensive Care Unit nurse because I was able to demonstrate the professionalism and competency that I gained as a WGU student. The attachments in this portfolio prove the skills that I have learned and used to achieve my professional goals. One of my completed works in this portfolio (task 1) depicts me as a learner and a healthcare professional. Leadership and professional image experience task 1 gave me the opportunity to utilize my leadership skills in investigating the challenges that characterize the NICU and find a solution. Also, as a learner and a healthcare professional, I have used my knowledge to assess, diagnose a problem, and implement a solution to benefit my unit. WGU BSN program has also helped me in enhancing my competence as a
Part VIII offers insight into how government practices and the structure of society create ethical issues and the ethical issues that arise from the structure and government policies. I think Iris Young offers the most interesting approaches to the structure of society and the practice of government because it explains the realities that create ethical issues in society based on what the society and government expect from the people. For example, Iris Young argues that there are five faces of oppression in society: exploitation, powerlessness, marginalization, violence, and cultural imperialism (Cahn, 2019).
Discrimination at work can significantly impact an individual’s developmental themes in adulthood, as it intersects with various aspects of personal growth and well-being. The developmental themes of adulthood, often explored within developmental psychology, include factors such as identity, intimacy, generativity, and integrity, as outlined in Erik Erikson’s theory of psychosocial development and further elaborated upon by other theorists. Unemployment, underemployment, and a hostile work environment can significantly negatively impact a person’s ability to progress on the developmental tasks of middle adulthood. These tasks are related to career, family, and personal growth (Newman & Newman, 2017). Accordingly, regarding career and work-related tasks, unemployment or underemployment can disrupt an individual’s career trajectory. It may lead to feelings of stagnation and fulfillment, which can hinder pursuing career-related goals and achievements. Secondly, these challenges often result in financial instability, making it challenging to meet financial obligations and save for the future. This can create stress and anxiety that interferes with other developmental tasks. Lastly, a hostile work environment can negatively impact job satisfaction, making it difficult for individuals to find fulfillment and meaning in their work. This, in turn, can affect overall life satisfaction.
Management is composed of various functions that include planning, organizing, leading, and controlling. In the provided scenario, there is a need to double corporate sales. Notably, this can be achieved through effective management actions. Thus, this paper elaborates on management actions to utilize the sales team to double corporate sales with respect to effective management characteristics and behavior, as well as actions required to plan, lead, organize, and control the sales team.
The recommended FDA-approved drug for the treatment of ADHD in children and adolescents is the dextroamphetamine sulfate (d-alpha-methylphenethylamine). Dextroamphetamine sulfate is a central nervous system stimulant majorly sold under the brand name Zenzedi. It is available in both tablets and oral solution forms and is approved for use in children aged between 3 and 16 years old (Wigal et al., 2020). It is approved for prescription to treat ADHD in children as well as in the management of narcolepsy. It works by increasing dopamine and norepinephrine levels in the brain, therefore helping control symptoms such as inattentiveness and impulsivity and improving attention and focus (Steingard et al., 2019).
Off-label Drug
Written communication is one of the most convenient ways to express thoughts and opinions with limited interference. Various authors use writing to connect with their audience and target a specific audience based on the content they intend to share. The writing process can be complex, especially when delivering a sensitive message or discussing a controversial topic. In some instances, important information may be left out during the writing process. Shitty First Drafts and Seven Ways High School Prepares You for Failure discuss vari
AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore AG is a 54-year-old Caucasian male – NURS 6512 discussion post.
Nursing is a regulated practice. The nursing scope of practice delineates nursing roles and responsibilities and the range of interventions qualified nurses can engage in. The scope of practice of nursing is jurisdictional, with variations existing across states and nationalities. Notwithstanding, nursing remains integral in modern healthcare. Nurses’ position in healthcare makes them valuable in-patient care. Even with the variation in the apparent scope of practice, nurses are involved in patient protection, health promotion and preservation, and advocacy.
Nursing professionalism is a complex and fundamental concept in nursing that is defined by nursing values, behaviors, and attitudes toward the delivery of nursing care (Cao et al., 2023). Professionalism in nursing is a reflection on the embodiment of the values of nursing, the self-concept of the nursing profession, and the role of nursing (Poorchangizi et al., 2019). It is defined by a nurse’s responsibility and obligation to observe the morals and ethical standards in nursing and attain the desired nursing competencies and skills to deliver quality and safe nursing care services. Enhancing nursing professionalism is a continuous process in which all nurses must be actively engaged. This article discusses strategies to employ and enhance nursing professionalism.
In the realm of healthcare informatics, two federal laws stand out with significant implications. The Health Insurance Portability and Accountability Act (HIPAA) and the HITECH Act (Health Information Technology for Economic and Clinical Health) have profound impacts on how health information is managed and transmitted. HIPAA, enacted in 1996, focuses on safeguarding the privacy and security of patients’ health information (Edemekong et al., 2022). Its implications for healthcare informatics are extensive, as it mandates the development of standards for electronic healthcare transactions. Healthcare informatics systems must adhere to these standards to ensure the secure exchange of health information.
Halloween is celebrated on October 31 every year in the United States and Canada. The documentary on the history of Halloween provides significant insights into children’s thinking based on their understanding and beliefs of various traditions (Fire of Learning, 2019). The Halloween holiday encourages children’s creativity, illustrated through the festival costumes associated with scary monsters and the dead. Notably, children develop costumes aligned with the festival’s themes (Fire of Learning, 2019).
Readings, exercises, exams, and clinical experiences in this course have all contributed considerably to my attainment of Program Outcome 5. Leadership skills and crisis management enhance knowledge and abilities, allowing one to take on complex tasks, create cooperation, and effectively drive change in healthcare settings (Heydari et al., 2022). For example, learning about crisis management and stress management, as well as team leadership principles, improved my ability to advocate for better access, quality, and cost-effective healthcare. Another example was emphasizing evidence-based practice and integrating research, theory, and practice knowledge, which equipped me to critically examine data, make educated decisions, and contribute to beneficial health outcomes.
Recent global public health events have pushed healthcare systems towards integrating and using informatics to support evidence-based practice in public health.
A recent public health concern related to health promotion and disease prevention is COVID-19. The COVID-19 pandemic resulted in major public health challenges, including the unavailability of safe and effective vaccines during the initial outbreak, a substance use crisis, a mental health crisis, and exacerbating the nursing shortage (Lopez et al., 2021). The pandemic also increased the work burden on the current healthcare workforce and caused delays and avoidance of medical care (Czeisler et al., 2020).
Evidence-Based Practice Proposal
Problem
The issue of concern selected for the research is the pressure ulcer among patients in long-term care facilities. Within these facilities, patients sit or lie on bed for long hours or for days, resulting to the exertion of pressure on their skin tissues. This sustained pressure causes injuries or sores particularly in the sacrum, ischium and other body parts with bones. The condition primarily results because of the blockage of the blood flow to tissues due to the effect of the pressure on the skin.
This denies tissues the nutrients they need to be in good health. The rubbing of the skin against the beddings is the other cause of the bedsore (Gillespie et al., 2020). However, certain conditions tend to expose patients to the risk of developing this particular clinical issue. If a patient has a disorder that affects the flow of blood to tissues, for instance, their risk of developing pressure ulcers is significantly high. Dehydration, decline in the ability of the skin to sense pain, and immobility are the other risk factors for the clinical issue (Wilson et al., 2023).
As a clinical problem, pressure ulcer is associated with a wide range of complications that may cause the patient’s health to worsen. One of these complications is cancer considering that when pressure ulcers recur, it is likely to cause chronic inflammation, which is tied to the epidermoid carcinoma. Given the difficulty involved in managing the wound, abscess may develop in the affected areas because of the frequent infections. In certain cases, a patient may feel pain due to pus.
Osteomyelitis is also a complication, and it occurs when the infection in the ulcer wound affects the bone tissues. The wound may also provide the inlet for the bacterial infection, triggering an abnormal autoimmune response (Afzali Borojeny et al., 2020). Considering these complications, pressure ulcer is a problem my discipline because it causes prolonged hospitalization, and results to more workload for providers.
Purpose
The suggested intervention is the use of standard care protocol with patient education, and it targets patients in long-term care facilities. These patients are primarily seniors, receiving a wide range of services in long-term care facilities including nursing and adult homes. For this group, prolonged stay in bed and on wheelchairs causes them to develop pressure sores.
The delicate and thin skin that characterizes this group is the reason why the population is at risk of developing the clinical issue. The incontinence of the urine and faecal matter in this population is prevalent. The dumpiness of the skin linked to this incontinence is a risk factor for the development of the pressure sore. In addition, the elderly experience nutritional issues that make them susceptible to various forms of skin injuries.
The deterioration of individuals’ physical health as they age may adversely affect their eating habits, resulting to the nutritional issues (Norman, Haß, & Pirlich, 2021). Furthermore, seniors have weak bones, which expose them to the risk of fall. Frequent falls causes injuries that exacerbate the pressure sores. Therefore, old age poses a serious bed sore risk factor for the elderly.
Questions
Question 1
Population- Patients in long-term healthcare facilities who are likely to develop pressure ulcer.
Intervention – Standard care with patient education.
Comparison – Standard care without patient education.
Outcomes – The reduction of the number of cases of patients with pressure ulcers.
Time – A month following hospitalization.
In patients in long-term healthcare facilities who are likely to develop pressure ulcers, how does standard care that include the use of mattress and patient positioning, combined with patient education, compares with the standard care without patient education?
Question 2
Population – Patients admitted in long-term care facilities who are at risk of developing pressure ulcers.
Intervention- Comprehensive intervention that addresses various aspects of the patient needs with focus on preventing pressure sores.
Comparison – Standard intervention that focuses on the use of the required bedding and patient positioning.
Outcomes – The reduction in the number of cases of pressure sores among the targeted patient population.
In patients admitted in long-term care facilities who are at risk of developing pressure ulcers, how does comprehensive intervention that addresses various aspects of the patient needs with focus on preventing pressure sores, c
Among the ways that informatics has helped to transform care is improved documentation systems, where care providers can easily access important patient and staff information that leads to coordinated care. The introduction of nurse informatics also helps to improve the processes in care and hence to generate improved care outcomes (Robert, 2019). Also, with informatics, healthcare givers can identify at-risk patients in a timely fashion and give them more priority to care.
Nursing Informatics Project Proposal
Background
In today’s world, there is nothing worrying than the deaths that are recorded on a daily basis emanating from the so-called lifestyle diseases. Thousands of new patients are diagnosed each day with a large number being unaware of being victims of these silent killer conditions. Among the top-rated lifestyle diseases/conditions are diabetes, hypertension, as well as obesity (Moghani Lankarani & Assari, 2017). One in every four Americans suffers from either hypertension or is diabetic. These statistics are alarming and have placed the two conditions among the 10 leading causes of death in the US. Diabetes is ranked number 1 cause of opportunistic diseases such as kidney failure, stroke and heart attack globally (The Observatory. Diabetes in America, 2017). NURS 6051 Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies Essay.
Accounting Revenue Recognition
Revenue Recognition Standards
Chapter 4 of the textbook indicates the five-step process of revenue recognition. The first step is identifying the contract with a customer. IFRS 15 provides a clear guideline for a contract with a customer. A contract is an agreement between parties that attracts enforceable rights and obligations. A contract could be expressed, implied, or oral.
A recent federal law that reforms healthcare in the United States would be the Sustaining Excellence in Medicaid Act of 2019 (HR 3253). This bill was introduced into Congress on June 13 2020 and signed into law on August 6 2020. The Michigan representative, Debbie Dingell, introduced and sponsored this bill. The bill seeks to restructure the Medicaid program by providing for some extensions in some of its provisions (KDP LLP, 2019). One of the changes made was allowing the appropriations of Medicaid through to the fiscal year 2024. Another reform in Medicaid authorized in this bill is allowing the state fraud units within the program to consider and examine complaints from the non-institutionalized patients.
A recent federal law that reforms healthcare in the United States would be the Sustaining Excellence in Medicaid Act of 2019 (HR 3253). This bill was introduced into Congress on June 13 2020 and signed into law on August 6 2020. The Michigan representative, Debbie Dingell, introduced and sponsored this bill. The bill seeks to restructure the Medicaid program by providing for some extensions in some of its provisions (KDP LLP, 2019). One of the changes made was allowing the appropriations of Medicaid through to the fiscal year 2024. Another reform in Medicaid authorized in this bill is allowing the state fraud units within the program to consider and examine complaints from the non-institutionalized patients.
Patient Preferences and Decision-Making
Patients have values and beliefs which shape their views about health, illness and clinical care, and when seeing patients, clinicians have to keep this in mind. This is necessary and important when it comes to the delivery of the holistic care that meets the patient’s physiological and cultural needs. Providers meet diverse patients, and this may lead to a situation in which the beliefs they hold clash with the values of their patients.
Finding Knowledge
The three methods that nurses can use to find knowledge include authority, scientific approach, and empiricism. The scientific method is the main approach nurses use to find knowledge. According to Sturm and Sunyaev (2019), the scientific method involves gathering and evaluating evidence-based data and using the results to make clinical decisions.
The key data collection approaches in the scientific method include quantitative and qualitative frameworks. Empiricism involves using experience and observation to find knowledge. In this method, nurses use what they have experienced and observed since they started working as nurse practitioners to answer various clinical questions (Krumrei-Mancuso et al., 2020). The Authority method is where nurses utilize authoritative figures in the nursing field as a source of information.
Literature Review
One of the major challenges that come with surgery, especially surgeries with long recovery periods like Coronary artery bypass grafting (CABG) is immobilization. Long periods of immobilization have been associated with several adverse effects that affect the patient’s general well-being in the short and long run. Some issues related to immobilization include intensive care unit (ICU)-acquired weakness (ICU-AW), which in turn results in longer hospitalization period and cost of care, increased risk of getting pressure ulcers, and long-term mobilization issues, for example, reduced functional range of motion, and depressed recovery of functional walking capacity, to list a few (Borges et al., 2022).
Explain the significance of evidence-based practice and critical thinking in modern nursing. Identify one key nursing leader and summarize one historical event that has shaped contemporary nursing practice, the advancement of nursing as a profession, and the development of nursing roles. Select a leader and a historical event different from those identified by your classmates.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 1.1, 9.5.
Recently, Barbara Streisand was “living in poverty.” In a particular year, she did not perform live, and her album sales were extremely slow. She has a great deal of wealth but had little income that year. Although she has more money than 99.99% of the rest of the population, according to the government income threshold, she was considered to be impoverished. What other statistic can you name that is misleading? Why?
The increasing healthcare costs have always become one of the major barriers of accessing the right levels of healthcare in the US. Healthcare insurance comes in handy in reducing this burden, and ensuring that individuals receive subsidized healthcare services through the financial aid such as Medicare and Medicaid (Sohn & Timmermans, 2017).
The increased demand for healthcare services, especially among the aging populations, however, has led to a significant drain in Medicare and Medicaid resources, creating questions as to whether these insurance services would be able to serve in the coming years. Healthcare givers have also bought the idea of ‘gate-keeping,’ where they refer primary care patients to specialists who help them access better services based on their specific needs (Barnett et al., 2018).
Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other. Managed care organizations emphasize physicians' responsibilities to control patient access to expensive hospitalization and specialty care, a principle dubbed "gatekeeping." Some argue that "gatekeeping" is unethical because it introduces financial factors into treatment decisions. Others say it improves quality by promoting the use of the most appropriate levels of care. Medicare is an area that often gets overlooked and is seen as a burden financially. Discuss alternatives to ease the drain on Medicare resources. Medicaid is shouldering an ever-increasing burden of cost for long-term care for the elderly, with enormous impacts on state budgets throughout the nation. Discuss alternatives to ease this drain on Medicaid resources.
The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
Among the ways that informatics has helped to transform care is improved documentation systems, where care providers can easily access important patient and staff information that leads to coordinated care. The introduction of nurse informatics also helps to improve the processes in care and hence to generate improved care outcomes (Robert, 2019). Also, with informatics, healthcare givers can identify at-risk patients in a timely fashion and give them more priority to care.
Project Proposal:
Decreasing Interruptions in Medication Administration
Chic-fil-A is one of the fast-food and eatery facilities which has been and continues to operate in the hotel industry (Chick-fil-A, 2019). There are numerous potential issues or problems that Chic-fil-A needs to address if the followers do not respectfully adhere to the demands of the leaders. The role of leaders in Chic-fil-A is to ensure the proper operations of the restaurant and that the followers adhere to the provided directions.
Leadership is an essential element in human life both for personal growth and also in an organizational setting. Leaders help with motivation, offer proper paths for others to follow, and ensure coordination within the team (Bhattacharyya, 2020). As a leader, one is guided by personal leadership guidelines that shape how one implements their leadership skills and traits. These philosophies shape one’s character and can determine the greatness of a leader.
Characteristics of a Good Leader
Leaders are responsible for shaping any organization or the nation as a whole as they are involved with establishing essential decisions that ensure the progression of the human race. However, a leader can either be good or bad based on their individual and personally identifiable characteristics (Fransen et al., 2017).
A set of characteristics can be used to determine a good leader and ensure that bad leadership is averted. To begin with, integrity is one of the main characteristics of a good leader. Integrity or otherwise moral soundness is essential as it ensures equality and eliminates bias within the organization, making the right decision even under immense pressure (Haski-Leventhal, 2020).
A leader also needs to possess the character of an effective communicator, be self-aware, and influence. Other than knowing how to come up with the right decisions and correct motivation for the employees, a leader needs to be able to communicate these findings and influence the staff or followers to align themselves with the implementation.
The Assignment:
An Empirical Investigation To Measure the Success Levels of Fast Fashion Companies in the United Arab Emirates in Achieving Their Corporate Social Responsibility (CSR)
This assignment examines the ‘care / control dilemma’ at the core of Youth Justice practice. It examines the effects of recent changes in legislation and the political context in which these changes took place. The welfare versus justice argument is well versed and in preparation for this assignment I found that there was a wealth of social theories that were relevant to this topic. It was interesting to see the way in which young offenders are perceived by society and how these children or young people can be thought of as a threat to the social order.
The Basseri of Southern Iran are traditionally a nomadic, tent-dwelling people, descended from Arabic, Persian, Turkish, and gypsy ancestors. Amanolahi (2003) informs us that now, however, the Basseri have been detribalised and integrated into the Iranian state. Traditionally, their primary mode of subsistence had been pastoral; herding sheep and goats. They numbered about 16,000 in the 1950s, when research for the classic ethnography, Nomads of South Persia by Frederik Barth was conducted (Amanolahi, 2003). Anthropologists have long observed connections between the primary mode of subsistence and aspects of culture such as kinship, social organisation, and political organisation. The case is no different with the Basseri. This paper will explore some of those connections as outlined in published ethnographic work.
Introduction
Rachel Robbins and Kate Cook (2017) authored the article “Don’t Even Get Us Started on Social Workers’: Domestic Violence, Social Work and Trust – An Anecdote from Research”. The article explores the concept of trust relating to the work done by social workers in child protection against domestic abuse. The authors conducted the study using interviews from women who suffered domestic abuse and requiring child protection services for their children and used the interviews to examine the barriers to trust-building. Robbins and Cook (2017) used the ‘Freedom Programme’ to highlight issues in trust-building in the context of living with abuse, systems set up to provide social work services, wider inequality, and developing an ecological approach towards improving the trust-building process. The authors set apart the argument that social work should be seen as a trauma through which mothers should be helped to overcome.
Essay on Green Human Resource Management and Corporate Social Responsibility in the Conservation of the Environment
Child Sexual Abuse in the Contemporary Era: Exploring Prevalence Levels Via Media Sources, Empirical Studies, and Official Statistics
In a paper (7501,000 words), summarize your analysis of this exercise and discuss the overall value of learning styles. Include the following:
Cite to at least three peer reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
NRS-429VN – VARK Analysis Paper
VARK Analysis
Since birth, human beings are continually learning, and their learning styles differ depending on the person. It is thus essential for each to identify the learning style that best suits them (Bhagat et al., 2015). A specific analysis tool is the Visual, aural, read/write and kinesthetic (VARK) allows one to recognize their style that better prepares them throughout their educational process. Neil Fleming designed the tool in 1987 as a sixteen question assessment scores. After tallying the results, the tool shows where the individual falls within the five strategies. Understanding an individual’s learning styles improves the capacity of teaching others in different settings. The purpose of the paper is to discuss the nurse’s scores of the VARK questionnaire, compare their identified learning style with the rest and identify the required changes to improve one’s learning behavior NRS-429VN – VARK Analysis Paper.
VARK Questionnaire Analysis
The VARK questionnaire is a learning style assessment tool that was developed by Neil Fleming in 1987 (VARK Learn Limited, 2023a). The acronym VARK stands for Visual, Auditory, Reading/Writing, and Kinesthetic, which represent the four main learning modalities or styles. The primary design of the questionnaire is to help individuals understand their preferred learning style(s) and use this knowledge to enhance their learning experience. The VARK questionnaire consists of 16 multiple-choice questions that assess an individual’s preferred mode(s) of learning.
Hello, and welcome to this disaster recovery presentation. I hope you will learn about my disaster recovery plan. This presentation will develop a disaster recovery plan for the provided Vila Health community to reduce health disparities and elevate access to care.
A disaster is any regular activity that prevents individuals from accessing key processes. Recovery is a set of activities that happen before, during, and after the disaster. Disaster commonly co-occurs with emergency response activities. The disaster recovery plan aims to restore and revitalize communities impacted by a disaster (Finucane et al., 2020). Natural disasters include hurricanes, storms, lightning, air crashes, floods, fires, and earthquakes. One community affected by a disaster is the Villa Health community, which was affected by a derailed oil tanker trained. The community did not have the necessary measures to respond to such a disaster. After conversing with community and hospital officials, their disaster recovery plan should be updated.
Map-IT framework from the Healthy People 2020 is a framework that can be used in the planning and evaluation of public health programs, including disaster recovery. The first step in this framework is mobilizing collaborative partners (Buns et al., 2017). This step helps to determine the end objective of the recovery plan. In the case of Valley City, a derailed oil tanker caused an explosion and fire. The first step should be collaborating with local EMS responders to formulate a plan to reach and offer emergency services to individuals affected by the fire and those needing medical attention. This collaborative process should discuss triage protocols and the hospitals to receive critical patients. Furthermore, a search and rescue team should be in place to look for individuals who cannot be traced. Other partners will be state and federal government agencies, such as FEMA, who can offer additional help.
Assessing and Treating Adult and Geriatric Clients with Mood Disorders Case Study:An Elderly Hispanic Man with Major Depressive Disorder
Falls are very important and preventing these falls are the most important goal and plan for every patient’s safety that encounters healthcare settings. There are many ways in preventing falls such as new trainings, new bed alarm tones and even hourly rounding. Daily improving to bedside reporting is another suggestion this field of study. Failing to increase measures in implementing change can lead to death and or longer hospitalization stays. Detecting problems early and adjusting to change will help with improvement of falls. Patients will build confidence and a trusting relationship that will help secure a solid foundation for the healthcare setting.
What are the macroscopic and microscopic features of the brain that are typical in Alzheimer disease? Normally the changes in brain with age is it weighs less, widening of the cerebral sulci, narrowing of the gyri, and enlargement of the ventricles.
The anticholinergic drugs help decrease signs and symptoms, thereby allowing the patients to hopefully provide self-care and maintain a reasonable quality of life. Anticholinergics provide benefits such as reduced tremor and rigidity. Sinemet (levodopacarbidopa) is both a immediate release and a controlled release drug that help improve motor function[Ign17]. The benefits of the combination of drugs help prevent a wearing off phenomenon which may impact dyskinesias with periods of good mobility then poor mobility.
Nurses are tasked to care for patients, which requires them to make decisions and take actions that are in the interests of their patients. Nurses are involved in evidence collection as a part of the patient care process. They must be familiar with the various evidence-collection methods and their relevance to nursing practice. Nurses are expected to be familiar with evidence-collection procedures when dealing with a patient in the emergency department.
Evidence collection is gathering evidence by one or more people, usually to support a legal claim. Evidence collection may involve interviewing witnesses and others who know facts relevant to a case, photographing and videotaping physical evidence, examining documents and records, or questioning suspects (Bell, 2019). The types of evidence collection involved are physical evidence, such as fingerprints and blood stains, testimonial evidence, and oral testimony from witnesses. Evidence collection involves conducting contextual analysis to collect as much factual information as possible, including searching, collecting, and organizing all data within this scope.
Controversies Associated With Dissociative Disorders
The diagnosis of the psychiatric disorders including their treatment is marred by controversies, and this is particularly noticeable with the dissociative disorder (DDs). A person with these disorders exhibits various symptoms such as having distorted perceptions about others, and experiencing amnesia. People with history of trauma that particularly occurs early in one’s life, can expose them to the risk of developing these disorders (Subramanyam et al., 2020).
Dissociative disorders involve problems with behavior, sense of self, memory, identity, perception, and emotion. Dissociative disorders include conditions such as dissociative amnesia and dissociative identity disorder.
Most of the controversy Dissociative Identity Disorder (DID) is whether it is a real disorder. This is despite the availability of research to validate this disorder. Dissociative identity disorder is listed as an official mental disorder in the DSM-5.
Another controversy arises from the confusion in diagnosing dissociative and personality disorders, especially borderline personality disorders. Both of these disorders have some similarities in symptoms.
My Professional Beliefs about Dissociative Disorders
My professional beliefs hinge on my knowledge about mental health, and these beliefs shape my interaction with a patient with a dissociative disorder (DD). I believe that DD is a mental condition like any other, and that the use of appropriate intervention, can help lessen the symptoms of this condition. I also believe that the evidence and psychiatric knowledge should inform the treatment of the DD.
Controversies Associated With Dissociative Disorders
The diagnosis of the psychiatric disorders including their treatment is marred by controversies, and this is particularly noticeable with the dissociative disorder (DDs). A person with these disorders exhibits various symptoms such as having distorted perceptions about others, and experiencing amnesia. People with history of trauma that particularly occurs early in one’s life, can expose them to the risk of developing these disorders (Subramanyam et al., 2020).
To effectively care for patients with DDs, a psychiatric should be aware of these controversies, adopt sound professional beliefs about the DDs, and embrace strategies that can help maintain therapeutic relationship with the client with a dissociative disorder as described in this paper.
The Controversy that surrounds Dissociative Disorder
Certain controversies are associated with the DDs. One of these controversies involves the tendency for people to see the manifestations as fake, and this is the reason why people would question whether these disorders represent the trend that individuals may want to associate with. The DDs are also mired in controversies because of their complex nature. In fact, one needs to conduct deep research to understand these disorders.
Unfortunately, peoples’ tendencies to dismiss the research on these disorders is the reason why there is limited understanding of the DDs among those affected by the disorders. Still, there are those who question the notion that trauma that occurs early in one’s life can cause the DDs because of the difficulty involved in proving the truthfulness of the memory of abuse.
My Professional Beliefs about Dissociative Disorders
My professional beliefs hinge on my knowledge about mental health, and these beliefs shape my interaction with a patient with a dissociative disorder (DD). I believe that DD is a mental condition like any other, and that the use of appropriate intervention, can help lessen the symptoms of this condition. I also believe that the evidence and psychiatric knowledge should inform the treatment of the DD.
My belief about the DD is informed by the fact that its manifestations affect one’s functioning (Meganck, 2017). It therefore, has the potential to exacerbate mental health issues ranging from depression to memory loss. Therefore, I don’t believe in the controversies linked to DD because they can affect my judgment, and cause poor diagnosis outcomes.
The National Academy of Medicine (formerly the Institute of Medicine) championed the goal that 90% of clinical decisions will be evidence-based by 2020. A recent systematic review of the published literature indicates that evidence-based practice (EBP) implementation remains deficient despite an ongoing effort to increase implementation. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which the identified barriers may be addressed.
Clinical settings face various challenges that have negative implications on patient safety. Among the common challenges are hospital-acquired infections. Hospital-acquired infections are a wide range of infections ranging from central line-associated bloodstream infections, catheter-associated urinary tract infections, and ventilator-associated pneumonia, and hold a significant burden to patients, payers, and the facility. Research has shown that the prevalence rate of HAIs is 7.5% in high-income countries and varies between 5.7 and 19.2 in low-income countries (Raoofi et al., 2023).
Once you have selected a topic for your capstone project, you will need to examine research articles to explore viable solutions. The GCU Library has various resources to support students during this process.
Based on the first letter of your first name, you are assigned the following GCU Library resource:
A-F: GCU Library Nursing and Health Sciences Research Guide
G-L: GCU Library: Find Journal Articles
M-S: GCU Library: What Are Empirical/Research Articles?
T-Z: GCU Library: Capstone and Evidence-Based Projects
Please note: each of these links can be found in the topic Resources.
Describe the resource assigned to you including two examples of how this resource will support your successful completion of the capstone project.
Topic 2 DQ 1 Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal. Discuss why these two databases are better than Google Scholar or a general Internet search. What benefit does peer review have over a regular research study/academic article? PubMed is a database that has over 32 million citations in biomedicine and uses sources such as MEDLINE database (Stannard & William, 2021)
Falls in Older Adults
The Problem
The problem that this Capstone project will address is falls in older adults. The US is one of the countries recording many older experiencing falls. Over three million older people visit emergency care departments across the US to get treatment for fall-related injuries and accidents (Centers for Disease Control, 2021). According to the Centers for Disease Control (2021), one in four older people experiences at least a fall per year.
Population Health Concerns
While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.
Capstone Project Change Proposal – Improving a Fall Prevention Program in a Clinical Environment.
Improving a Fall Prevention Program in a Clinical Environment
While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:
The human body comprises complex systems that perform various functions that promote life. The immune system is among the essential systems that prevent the body from infections. Immunity is not limited to the lymphoid system, intact skin, initial inflammatory response, and oral mucosa (Bankanie et al., 2021). Unlike healthy individuals who have improved immunity, patients in the intensive unit (ICU) are at increased risk of several infections due to reduced immunity and invasive life-saving procedures such as endotracheal intubation, central lines, and mechanical ventilation (Chen et al., 2022). As a result, they are susceptible to most infections, including bacteremia, periodontal disease, central line infections, infective endocarditis, and ventilator-acquired pneumonia (VAP). Reducing such infections requires nurse-led interventions to reduce incidences while improving patient outcomes. Among the common interventions aimed at improving oral hygiene, preventing aspiration of micro-biota, and reducing colonization by micro-organisms. To get more insight, I came up with a PICOT question that will aid in improving my knowledge of this subject.
Advancing a civil workplace culture has been a topic of interest in the current healthcare practice. Daily in nursing practice and training, nurses have to deal with some level of workplace incivility in many settings (Crawford et al., 2019). The impact of workplace incivility in nursing has been felt in more stressful environments such as emergency care units and operation units. This paper aims to describe this health issue, its impact on collaboration in nursing, its significance in nursing practice, and propose a solution to this issue.
The Problem
The problem that this Capstone project will address is falls in older adults. The US is one of the countries recording many older experiencing falls. Over three million older people visit emergency care departments across the US to get treatment for fall-related injuries and accidents (Centers for Disease Control, 2021). According to the Centers for Disease Control (2021), one in four older people experiences at least a fall per year.
Evidence collection is gathering evidence by one or more people, usually to support a legal claim. Evidence collection may involve interviewing witnesses and others who know facts relevant to a case, photographing and videotaping physical evidence, examining documents and records, or questioning suspects (Bell, 2019). The types of evidence collection involved are physical evidence, such as fingerprints and blood stains, testimonial evidence, and oral testimony from witnesses. Evidence collection involves conducting contextual analysis to collect as much factual information as possible, including searching, collecting, and organizing all data within this scope.
10-Minute Lecture developed in the Previous Module
Changes to make to the Lecture when Delivering the Content via Distance Methods
I would adopt a different approach when delivering the lecture content via a distance method such as video conferencing. I would do this by being brief when starting the presentation, and using interactive methods so as to improve the engagement of the audience. I would also focus on keeping the presentation colorful by using more images and graphics so as to make learning interesting and appealing. I would also be creative, and ensure that the audio and visuals are clear (Bientzle et al., 2017).
A Plan for Social Change
As a nurse leader, it is important to understand that our practice is influenced not only at the national level but also at the global level. Similarly, the contributions we make at the local practice level to some degree affect the overall global health outcomes. One way to advocate for the incorporation of global perspectives in local practice and the role of a nurse leader is by encouraging nurses at the local practice level to apply evidence-based practice, where they scrutinize and apply the concepts from current literature, which considers best practice from different sources (Kilpatrick et al., 2023). Another way is by participating in evidence-based policy change programs, where one can give direct contributions towards policy formulation as a nurse leader, with consideration of global perspectives and best practices.
Advancing Health for All
There are several health issues affecting the global healthcare system. One way of addressing these issues is through policy formulation and implementation. This paper will review one of the global issues, namely advancing health for all, comparing how these issues are addressed in the US and Australia. The paper will also evaluate the impact of global perspectives on the nurse leader role and its impact on social change.
Assignment: Academic Success and Professional Development Plan Part 4: Research Analysis
Week 4 | Part 4: Research Analysis
I have identified one topic of interest for further study. I have researched and identified one peer-reviewed research article focused on this topic and have analyzed this article. The results of these efforts are shared below.
Directions: Complete Step 1 by using the table and subsequent space below identify and analyze the research article y
Academic Success and Professional Development Plan Part 4
The topic selected
Coming up with a topic to talk about could be challenging. However, in-depth research, clear identification of the field of study, and selecting multiple topics make it very easy to develop a good topic. The topic which interested me much like a Family Nurse practitioner (FNP) was the Practice guidelines for family nurse practitioners (Fenstermacher & Hudson, 2019). This topic interests me much as it helps me learn more skills of a successful nurse as I work towards improving my skills as a nurse. The topic also relates very much to my practice, and it would provide valuable information surrounding my practice.
Academic Success and Professional Development Plan Part 4
The topic selected
Coming up with a topic to talk about could be challenging. However, in-depth research, clear identification of the field of study, and selecting multiple topics make it very easy to develop a good topic. The topic which interested me much like a Family Nurse practitioner (FNP) was the Practice guidelines for family nurse practitioners (Fenstermacher & Hudson, 2019). This topic interests me much as it helps me learn more skills of a successful nurse as I work towards improving my skills as a nurse. The topic also relates very much to my practice, and it would provide valuable information surrounding my practice.
Step 2: Summary of Analysis
My approach to identifying and analyzing peer-reviewed research begins with a systematic and thorough search process. I typically start by formulating a clear research question or topic and identifying relevant keywords and phrases associated with it. I then utilize academic databases such as PubMed, Google Scholar, and university library databases to conduct searches.
One effective strategy I employ is using Boolean operators (e.g., AND, OR) to refine my search and target specific aspects of my research question (Al-Jundi & Sakka, 2017). Additionally, I pay close attention to filters and sorting options provided by these databases, such as publication date and peer-reviewed journal filters, to ensure that I retrieve high-quality research articles.
Another effective strategy I use is citation chaining, where I explore the reference lists of articles, I find relevant to my topic. This allows me to trace back to earlier research that has influenced the current body of knowledge and identify seminal studies in the field. Additionally, I frequently consult authoritative sources such as Cochrane Reviews and systematic reviews to gain a comprehensive understanding of the current state of evidence on a particular topic.
In the future, I intend to use Google Scholar more extensively as a resource for finding peer-reviewed research. Google Scholar provides access to a vast network of researchers and their publications, making it a valuable platform for discovering relevant studies and connecting with experts in specific fields (Rahmatullah & Gunawan, 2020). This resource can facilitate not only the identification of peer-reviewed research but also potential collaborations and discussions with fellow researchers
Topic 3 DQ 1
Describe the fundamental principles of servant leadership. Present two qualities of servant leadership and explain how they support interprofessional communication in providing patient care.
Servant Leadership
Fundamental principles of Servant leadership
Effective leadership is central to organizational success. Vidman & Strömberg (2020) assert that the impact of leadership on the work environment depends on who the leaders are, their values, and their leadership approach toward change management and interaction with employees. The significance of nurse leadership in care organizations inspires aspiring nurse leaders to equip themselves with best practices in health care leaders and the strategies for acquiring and maintaining leadership skills that produce positive changes in care organizations.
Development Plan in Improving Selected Key Behaviors to Achieve Personal Vision
Developing an astute plan is integral in the process of leadership and facilitates success in the achievement of goals. I would like to strengthen my ability to communicate with others who are socio-culturally different from me, especially patients. According to the American College of Healthcare Executives (2020), racial diversity is notable in healthcare. As a nurse, communication with coworkers and other caregivers is paramount for delivering the best possible care (Meinert, 2019). Therefore, it is crucial to communicate effectively with a diverse range of patients using both verbal and non-verbal cues (American College of Healthcare Executives, 2020).
The ability to learn other common languages besides English will help improve my communication skills with diverse patient groups. For example, I will use the Duo phone App to initiate learning the basics of the Spanish language. The use of applications and professional language educators will further improve my understanding and use of the language. The same process can be applied to learning American Sign Language. Acquiring these skills will improve the ability to connect with others, including patients. It will also help improve interaction with the community. This is important in helping me understand the needs of the people and effect change in healthcare delivery.
Stress has been identified as a prelude to burnout. Therefore, I would also like to strengthen my ability to manage stress. (Amir et al., 2019). As I tackle critical issues as a caregiver and maintain my personal relationships, it is vital to develop efficient strategies to manage stress and anxiety levels better. Failure to do so is detrimental to my health and to the attainment of my mission. To help better manage stress, I will identify the activities and environments that reduce my stress. I will make specific plans to include these activities in my daily schedule and recreate the environments in places to spend most of my time. I will also pay attention to my health and identify and minimize stressors in my life. Prevention is the key to achieving better control of stress. Planning ahead of time and breaking down goals into smaller tasks will reduce stress and improve focus and promote time management (D’Silva, 2019).
Conclusion
Leadership is integral to our society. Every healthcare institution requires a good leader to execute its goals effectively. Identifying strengths and areas for improvement will ensure successful leadership. A good leader possesses and promotes integrity, communicates well, and holds them accountable for continuous growth and improvement.
References
Amir, H. P., Shoorrideh, F. A., Falco-Pegueroles, A., & Lofti, Z. (2019). Correlation Between Nursing Managers’ Leadership Styles and Nurses’ Job Stress and Anticipated Turnover. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30136322/
American College of Healthcare Executives. (2020). Increasing and Sustaining Racial/Ethnic Diversity in Healthcare Management.Ache.org: https://www.ache.org/about-ache/our-story/our-commitments/policy-statements/increasing-and-sustaining-racial-diversity-in-healthcare-management
Leadership is an essential element in human life both for personal growth and also in an organizational setting. Leaders help with motivation, offer proper paths for others to follow, and ensure coordination within the team (Bhattacharyya, 2020). As a leader, one is guided by personal leadership guidelines that shape how one implements their leadership skills and traits. These philosophies shape one’s character and can determine the greatness of a leader.
Clinical assessment entails an analysis of the patient’s medical history and physical health. It serves the role of determining the health risks which may predispose patients to the clinical emergency when they are receiving treatment. It is also important in the sense that it helps assess a patient’s emotional as well as their psychological response to a physiological health event.
A clinician has various options when it comes to the assessment tool they can use to examine a patient, and when selecting such tools, it is imperative that they consider the patient’s age. This is important because some tests such as Pap Smear are only used in clinical cases which involve adults. However, factors such validity and reliability of the test can equally influence the selection of the tool for performing the test (Sachan et al., 2018).
It is important to examine Pap Smear in terms of the purpose it serves, the process of performing it, the type of information it gathers, and assess the tool’s reliability and validity.
Quality measures and pay for performance programs are designed to improve patient outcomes by incentivizing healthcare providers to achieve certain performance goals. The use of quality measures and pay for performance programs can have a significant impact on patient outcomes, as well as on the nursing practice (Endeshaw, 2021).
U.S. Health Care Delivery System Reforms
The healthcare system is always undergoing changes from time to time. Different healthcare facilities have to abide to the set standards an ensure that they are in line with the set guidelines. The Congress and other third-party agencies are also invested in the delivery of appropriate and quality medical practice. As a result, constant reviews and amendments to care systems is a continuation process. Since the enactment of the Affordable Care Act in 2010, the majority of the US population has been able to access quality healthcare with ease.
Be that as it may, various committees were formed in the Trump era, leading to several modifications that received mixed reactions from different stakeholders. Some saw them as a threat to the healthcare and well-being of citizens and an attempt to undermine the Affordable Care Act. In the current legislature, different reforms are constantly being taken into account and restructuring put in place with changes in the overall care process.
Current Health Care Law
One of the most recent health care law formulations is the S.352 – Health Care Improvement Act of 2021 sponsored by Senator Warner, Mark R. [D-VA] (Introduced 02/22/2021) (Congress.gov, 2021). The bill is aimed at creating additional reforms to the existing Affordable Care Act of 2009 in various ways. For instance, the main aim of the bill is to ensure a reduction in the costs of working families (Congress.gov, 2021). The strategy is to further reduce the premiums that the families are paying as well as the out of pocket costs.
The strategy will see to it that the Health Human Services create a more affordable and low-cost option of the families. The strategy also seeks to eliminate the policy that prevents families making more than 400 percent of the federal poverty line to be provided with premium subsidy (Warner, 2021). The funds can be used to support the program to lower costs for the working families and reduce the overall cost. The bill also seeks to reduce the cost for working families by negotiating the cost of prescription drugs and lifting the ban against negotiation with pharmaceutical companies to lower the cost of medication.
The other aim of the proposed amendments includes an increase in health care enrollment or access to care (Warner, 2021). With a reduced number of the uninsured, the legislation will be creating a means to increase accessibility to quality medical care for low-income families and other that might be in need of the service. The legislation has a direct impact on nursing practice since it creates an avenue within which appropriate care can be administered for different settings (Warner, 2021).
The legislation will increase the number if patient accessing healthcare facility, and with it the need for nurses to care for an even larger number of patients. Nurses need to be prepared to deal with the diversity and also ensure access and quality of care to all patients.
U.S. Health Care Delivery System Reforms
The healthcare system is always undergoing changes from time to time. Different healthcare facilities have to abide to the set standards an ensure that they are in line with the set guidelines. The Congress and other third-party agencies are also invested in the delivery of appropriate and quality medical practice. As a result, constant reviews and amendments to care systems is a continuation process. Since the enactment of the Affordable Care Act in 2010, the majority of the US population has been able to access quality healthcare with ease.
Be that as it may, various committees were formed in the Trump era, leading to several modifications that received mixed reactions from different stakeholders. Some saw them as a threat to the healthcare and well-being of citizens and an attempt to undermine the Affordable Care Act. In the current legislature, different reforms are constantly being taken into account and restructuring put in place with changes in the overall care process.
Current Health Care Law
One of the most recent health care law formulations is the S.352 – Health Care Improvement Act of 2021 sponsored by Senator Warner, Mark R. [D-VA] (Introduced 02/22/2021) (Congress.gov, 2021). The bill is aimed at creating additional reforms to the existing Affordable Care Act of 2009 in various ways. For instance, the main aim of the bill is to ensure a reduction in the costs of working families (Congress.gov, 2021). The strategy is to further reduce the premiums that the families are paying as well as the out of pocket costs.
Healthcare Program/Policy Evaluation Analysis
Health programs help improve engagement and empower people to adopt quality behaviors to enhance individual and communal welfare. It targets behaviors that reduce wellness, but which can be modified through education and mentorships. Health programs reduce disease incidence, and therefore, healthcare costs. Sexual and reproductive health continues to draw the attention of medical practitioners because of the negative effects they introduce across populations. The purpose of this health program is to educate and empower young and older adults into making quality decisions that will promote their sexual and reproductive health Assessing a Healthcare Program Essay
The Assignment: (2–3 pages)
Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:
Differentiate between research and EBP. Discuss a peer-reviewed article that you have located that supports the need for a change in nursing practice.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Once you have selected a topic for your capstone project, you will need to examine research articles to explore viable solutions. The GCU Library has various resources to support students during this process.
Based on the first letter of your first name, you are assigned the following GCU Library resource:
A-F: GCU Library Nursing and Health Sciences Research Guide
G-L: GCU Library: Find Journal Articles
M-S: GCU Library: What Are Empirical/Research Articles?
T-Z: GCU Library: Capstone and Evidence-Based Projects
Please note: each of these links can be found in the topic Resources.
Describe the resource assigned to you including two examples of how this resource will support your successful completion of the capstone project.
Develop a PICOT question using your approved nursing practice problem. Post a draft of your PICOT question in the following format: In_______________(Population), how does _______________ (Intervention) compared to _______________ (Comparison) affect _______________ (Outcome) within______________(Time, optional)? This should be the same question you will be using in your “PICOT Question Development” assignment. Give and receive feedback to refine your PICOT question. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Write a 500-750 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources in your essay. Review the rubric criteria for this assignment.
Find your regulating body’s standards of practice and review the IAFN/ANA Forensic Nursing Scope and Standards of Practice. Then, address the following topics in your essay:
Nursing theories have been used in nursing practice, including clinical practice, patient care, and nursing research. In most cases, nursing theory-guided practice helps move the nursing profession forward into the next century and improve the quality of care delivered to patients. Additionally, the different application of nursing theories has demonstrated improved patient outcomes through patient-centered care (Hoeck & Delmar, 2018). Moreover, nursing theory aims at describing, predicting, and explaining the nursing phenomenon by providing a foundation for practice for guidance for knowledge and practice development (Roy, 2018). This article illustrates the purpose of applying nursing theory in patient care, its meaning in current practice, applying the theories before planning and providing care, and demonstrating how my theory of nursing practice has been helpful for planning and
Introduction
Health research papers are prepared under a systematic framework to guarantee their credibility, reliability of findings, and reproducibility. Researchers are expected to follow the same framework when investigating health topics to facilitate discourse development. For that reason, they should include a methodological chapter to provide details of how the study was conducted. It defines the specific procedures, techniques, tools, and methods used in collecting data and processing the findings. The research methodology allows other peers in the field to assess the validity and reliability of the finding.
1.1Research Aim The aim of this research is to decipher the impact of online marketing on the consumer behavior of the UK FMCG sector. 1.2Research Problem In the United Kingdom, the Fast Moving Consumer Goods (FMCG) sector is one of the fastest growing industries due to the incessant daily needs and demands for FMCG products by individuals worldwide (Lacy, Long and Spindler, 2020). The rise in digitalization has resulted to a significant consumer-drift into online shopping and therefore businesses are beginning to seek out ways of comprehending the consumers with respect to their online shopping attractions and activities (Jaller & Pahwa, 2020).
Controversies Associated With Dissociative Disorders
The diagnosis of the psychiatric disorders including their treatment is marred by controversies, and this is particularly noticeable with the dissociative disorder (DDs). A person with these disorders exhibits various symptoms such as having distorted perceptions about others, and experiencing amnesia. People with history of trauma that particularly occurs early in one’s life, can expose them to the risk of developing these disorders (Subramanyam et al., 2020).
VARK Questionnaire Analysis
The VARK questionnaire is a learning style assessment tool that was developed by Neil Fleming in 1987 (VARK Learn Limited, 2023a). The acronym VARK stands for Visual, Auditory, Reading/Writing, and Kinesthetic, which represent the four main learning modalities or styles. The primary design of the questionnaire is to help individuals understand their preferred learning style(s) and use this knowledge to enhance their learning experience. The VARK questionnaire consists of 16 multiple-choice questions that assess an individual’s preferred mode(s) of learning.
Nursing interventions should adhere to evidence-based practice for various reasons, including ensuring that patients receive the best care possible that is safe and meets their preferences. Research has shown that implementing evidence-based practice in clinical settings has various advantages, such as enhanced patient satisfaction, improved job satisfaction for care providers, and better patient outcomes (Connor et al., 2021).
NRS-493 Individual Success Plan
REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.
A COMPARATIVE CRITIQUE BETWEEN QUANTITATIVE AND QUALITATIVE STUDIES ONOBESITY AMONG LIBYAN ADULTS LJMU-7505-PUBUNI-34092
Evidence collection is gathering evidence by one or more people, usually to support a legal claim. Evidence collection may involve interviewing witnesses and others who know facts relevant to a case, photographing and videotaping physical evidence, examining documents and records, or questioning suspects (Bell, 2019). The types of evidence collection involved are physical evidence, such as fingerprints and blood stains, testimonial evidence, and oral testimony from witnesses. Evidence collection involves conducting contextual analysis to collect as much factual information as possible, including searching, collecting, and organizing all data within this scope.
Health Information management Strategies
Technology is shaping healthcare by making it possible for individuals to access health information anytime and anywhere. People can access this information on websites and from the existing literature retrieved from the various database platforms such as ProQuest. While it is important for one to use this kind of information, some of the information that is available online can be misleading. When one makes decision on the basis of unverified information, they may expose their health at risk of harm (Verma et al., 2020).
10-Minute Lecture developed in the Previous Module
Changes to make to the Lecture when Delivering the Content via Distance Methods
I would adopt a different approach when delivering the lecture content via a distance method such as video conferencing. I would do this by being brief when starting the presentation, and using interactive methods so as to improve the engagement of the audience. I would also focus on keeping the presentation colorful by using more images and graphics so as to make learning interesting and appealing. I would also be creative, and ensure that the audio and visuals are clear (Bientzle et al., 2017).
Health Information management Strategies
Technology is shaping healthcare by making it possible for individuals to access health information anytime and anywhere. People can access this information on websites and from the existing literature retrieved from the various database platforms such as ProQuest. While it is important for one to use this kind of information, some of the information that is available online can be misleading. When one makes decision on the basis of unverified information, they may expose their health at risk of harm (Verma et al., 2020).
Advancing Health for All
There are several health issues affecting the global healthcare system. One way of addressing these issues is through policy formulation and implementation. This paper will review one of the global issues, namely advancing health for all, comparing how these issues are addressed in the US and Australia. The paper will also evaluate the impact of global perspectives on the nurse leader role and its impact on social change.
Global Health Comparison Grid
Advancing Health for All
There are several health issues affecting the global healthcare system. One way of addressing these issues is through policy formulation and implementation. This paper will review one of the global issues, namely advancing health for all, comparing how these issues are addressed in the US and Australia. The paper will also evaluate the impact of global perspectives on the nurse leader role and its impact on social change.
Global Health Comparison Grid
The increasing healthcare costs have always become one of the major barriers of accessing the right levels of healthcare in the US. Healthcare insurance comes in handy in reducing this burden, and ensuring that individuals receive subsidized healthcare services through the financial aid such as Medicare and Medicaid (Sohn & Timmermans, 2017).
Clinical assessment entails an analysis of the patient’s medical history and physical health. It serves the role of determining the health risks which may predispose patients to the clinical emergency when they are receiving treatment. It is also important in the sense that it helps assess a patient’s emotional as well as their psychological response to a physiological health event.
A clinician has various options when it comes to the assessment tool they can use to examine a patient, and when selecting such tools, it is imperative that they consider the patient’s age. This is important because some tests such as Pap Smear are only used in clinical cases which involve adults. However, factors such validity and reliability of the test can equally influence the selection of the tool for performing the test (Sachan et al., 2018).
It is important to examine Pap Smear in terms of the purpose it serves, the process of performing it, the type of information it gathers, and assess the tool’s reliability and validity.
How the Assessment Tool is used in Healthcare
The Purpose of the Tool
Pap smear’s role is to gather part of the cervix’s cells with focus on identifying whether the cervix has malignant cells. It is important that once one reaches age 21 years old, they should receive the test, and in this case, it can help determine the presence of the cancer of the risk. They can go for the next test after three years if the current test indicate they don’t have the cancer
Leadership is an essential element in human life both for personal growth and also in an organizational setting. Leaders help with motivation, offer proper paths for others to follow, and ensure coordination within the team (Bhattacharyya, 2020). As a leader, one is guided by personal leadership guidelines that shape how one implements their leadership skills and traits. These philosophies shape one’s character and can determine the greatness of a leader.
The specialty hospitals such as the trauma center specialize in the management of specific patient needs. For example, the trauma center focuses on delivering health care services to people with injuries including victims of accidents. Like any other hospital, a trauma center is subject to the regulations and standards that dictate the procedures involved in care delivery, and a healthcare organization that specializes in this area, therefore, should commit to comply with these standards.
The use of statistics in nursing dates back to 1850s when Florence Nightingale came up with a method of representing statistical data on graphs, and her works in statistics ushered in a period in which clinicians and researchers began using and applying statistics to conduct survey, and make clinical decisions. For example, researchers used statistics in 1971 to assess and examine Americans’ nutritional behaviors, and this study was instrumental in shaping future application of the statistics in healthcare sector (Aggarwal, 2018).
In healthcare, statistics have a critical application because they help healthcare professionals to make evidence-based decisions, improve care delivery, enhance patient outcomes, and advance hospitals’ quality. Oster and Enders (2018) recommend that healthcare providers have statistical competence to boost their capacity to consume research findings and translate them into practice and further studies. An increasing body of knowledge compels healthcare providers to update their practices to be in line with novel results which are reliable and useful in delivering care. Moreover, the quality improvement of procedures, processes, and systems requires continual research activities through statistics. According to Guetterman (2019), statistics offer a systematic and rigorous process of generating valid and reliable healthcare findings. For healthcare providers, including nurses, managers, and physicians, to deliver optimal care, they apply statistical analyses to adopt evidence-based practices. In this view, this paper focuses on examining the application of statistics in healthcare aspects of quality, safety, promotion, and leadership, along with the routine application in nursing.
Explain the physiology of the organ system in 2–3 slides, including:
A description of the major physiological functions of the organ system
A labeled diagram or image illustrating one of the functions of the organ system
Describe the relationship of the primary organ system to a secondary organ system in 2–3 slides, specifically:
The interactions of the two systems, including physiological functions that require the two systems to perform together
The dependence of the human body on this specific relationship, that is, its significance.
Discuss common medical issues and diseases affecting the primary organ system in 2–3 slides, describing for each:
The nature of the condition or disease (who can have this and when it can occur)
The implications of the condition or disease (such as the impaired function, the ultimate consequences).
Explain the physiology of the organ system in 2–3 slides, including:
A description of the major physiological functions of the organ system
A labeled diagram or image illustrating one of the functions of the organ system
Describe the relationship of the primary organ system to a secondary organ system in 2–3 slides, specifically:
The interactions of the two systems, including physiological functions that require the two systems to perform together
The dependence of the human body on this specific relationship, that is, its significance.
Discuss common medical issues and diseases affecting the primary organ system in 2–3 slides, describing for each:
The nature of the condition or disease (who can have this and when it can occur)
The implications of the condition or disease (such as the impaired function, the ultimate consequences).
Health is dynamic because it involves the interplay of various factors and conditions that vary, influencing one’s physiological, emotional and psychological response. As A dynamic concept, health varies because of the change in the body’s biological functioning, exposure of one to environmental conditions, and adoption of certain lifestyle habits. Other factors such as one’s emotions and socioeconomic conditions account for the dynamic aspect of health. Because these factors cumulatively determine a person’s health status, it is sensible to view health from the perspective of the illness-wellness continuum (Oben, 2020). For providers, viewing health from this perspective when caring for patients can motivate them to better care for patients by comprehensively addressing the patients’ needs.
The Health-Illness Continuum
The health-illness continuum recognizes how a wide range of factors work together to determine an individual’s wellbeing or their whole health. According to this concept, health not only transitions from one phase of health to the next, but it takes various forms including physical, emotional and physiological health (van der Lande et al., 2022). The concept, still, recognizes how social factors including the social relationships can hamper or promote health of individuals. Given this perspective about health, the absence of an illness does not necessary represent good health.
The Importance of Health-Illness Continuum in Relation to Health and Human Experience when Caring for Patients
When caring for patients, providers should consider the health-illness continuum because of the benefits it presents in terms of optimizing the health outcomes, and improving patient experience of care. When providers incorporate this perspective into health care, they are likely to holistically understand health because it enables them to recognize how health shifts with changes in factors such as one’s behaviors. Additionally, embracing the concept when working with patients, can lead to increase in provider’s awareness of the essence of providing preventive care because the concept reinforces the need for providers to identify and address issues that may cause illness (Crisp, 2021).
If a provider is aware of the effect of negative emotions on health, for instance, they can opt for interventions such as counseling to reduce the effect of undesirable emotions on the patient’s health. Furthermore, knowing where the patient lies within the illness-continuum can enhance the nurse’s decisions when empowering the patients through education.
Module 6 The Inclusion of Nurses in the Systems Development Life Cycle Sample Paper
For a long time the healthcare sector remained sceptical in adopting technology to assist in the effective delivery of healthcare services. This was until it became apparent to everyone that the world was moving on to another era of technology-driven service delivery and that healthcare practices were becoming obsolete without the adoption of technology. According to Ozair et al. (2015), the introduction of the different types of electronic health records (EHRs) from different vendors was a milestone in the improvement of the quality of healthcare and the storage and access to patient data. As a matter of fact, the signing of the Health Information and Technology for Economic Clinical Health Act (HITECH) in the year 2009 proved to be a watershed moment for technology in healthcare. This piece of legislative policy allowed for the provision of financial incentives to providers who embraced the use of EHRs as a way of encouraging more adoption and implementation of technology in healthcare (Sweeney, 2017). But behind all this, there has always been the realization and appreciation that nurses must be put in the forefront of any development and implementation of any health information system (HIS) adoption initiative. This is because they form the single largest cohort of users of any HIS adopted by a healthcare institution (McGonigle & Mastrian, 2017).
Role of Nurse Informaticist in SDLC
Improvement of the quality of healthcare services requires the development of new systems. The development of a reliable system requires that a System Development Life Cycle is followed to ensure the reliability of the established system. The involvement of stakeholders is also crucial for the success in the delivery of quality information systems within the scheduled budget and the scope constraints of any system development. (JEVTIC, 2019) In the process of development of a nursing documentation system, a nurse leader must be involved to ensure that the end-users find the system compatible with their capabilities. The nurse informaticist works hand-in-hand with the system developers over the relevant aspects of the documentation system such as data recovery, systems ethics, relevance to patient care, computer-human interactions, decision support systems, security, system’s intelligence, etc. (Joanne M Curry, 2007).
Emerging Technology Brief
Overview of the Emerging Technology and its Role in Health Care
The global Artificial Intelligence (AI) industry is thriving, with players across different sectors leveraging the AI to improve operational efficiency, and enhance decision-making. In healthcare sector, the AI use is widespread, with pharmacists utilizing it to inform decisions when prescribing medications because this technology integrates capabilities such as the ability identify adverse drug events based on specific patient characteristics.
Specifically, the AI adopts a capability that makes it mimic human brain by developing the capability to predict the working of the medication relative to the human chemical components. The AI integrates the data-analysis ability, which also explains the reason why it is popular among players within the healthcare industry (Bohr & Memarzadeh, 2020). If a physician wants to accurately make diagnosis, they can utilize an AI tool to analyze a sample collected from a patient, and make diagnosis. Considering these elements pertaining to AI use, the AI use can potentially help improve patients’ access to health services.
Diversity and Health Assessments
Factors Associated with Assigned Patient
The first factor associated with the assigned patient is the economic factor. The patient is dependent on his daughter, who does not have the financial muscle to properly care for him. This factor may hinder the patient’s ability to access quality care. The second factor is the social factor (Ball, Dains, Flynn, Solomon & Stewart, 2019). The patient has only one family member, his daughter, who can care for him.
However, the daughter is often busy and does not have time to care for her father. The patient is also a single mother struggling with her issues. Another factor is age. The patient is old and cannot perform several ADLs and is also unable to exercise. He need help to perform some physical activities.
Issues to Consider
First, healthcare professionals should be sensitive to is communication. For the patient to trust the caregiver, they must be able to communicate effectively. Dains, Baumann, and Scheibel (2019) note that the language barrier can hinder communication between a nurse and the patient. Second, when interacting with the assigned patient, a care provider should be sensitive to his traditions (Centers for Disease Control and Prevention, 2015).
The caregiver should be able to understand whether the patient trust western medicine or Asian traditional medications. Lastly, the nurse should be sensitive about the patient’s health literacy level (Melton, Graff, Holmes, Brown & Bailey, 2014). The healthcare professional should determine whether the patient understands his current treatment protocols and their benefits to his general health.
Targeted Questions
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel\’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Centers for Disease Control and Prevention. (2015). Cultural competence. Retrieved from https://npin.cdc.gov/pages/cultural-competence
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. Doi:10.3109/02770903.2014.906605The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma. https://www.researchgate.net/profile/Gretchen_Norling_Holmes2/publication/261030464_Health_literacy_and_asthma_management_among_African-American_adults_An_interpretative_phenomenological_analysis/links/56375d8e08aed65d3c42a45c/Health-literacy-and-asthma-management-among-African-American-adults-An-interpretative-phenomenological-analysis.pdf
Abstract
Leadership goes beyond directing people on what to do. A true leader empowers, engages and listens. This portfolio introduces the idea of leadership, communicates my personal leadership, and provides a background description of how I developed interest in leadership. It also highlights the lessons which I learned from these past experiences, and what played a key role in shaping my approach to leadership. The portfolio also gives details of my strengths as a leader, and highlights how I seek to apply these skills to manage public safety administration.
My Learning Style
The ability of people to acquire knowledge differs across different personalities and environments. The learning styles and techniques of someone may be a combination of different styles that could be applied over a wide range of circumstances (Truong, 2016). Regardless of one’s physical presentation, it is necessary to learn that they can develop specific styles of learning in response to present needs. In most schools, the curriculum employed allows learners to use their styles of choice including book-based learning, tutorials, class discussions, as well as exams. Recognizing one’s own learning styles improves the speed and the quality of learning they experience in different environments.
The Assignment
In a 2- to 3-page paper, address the following:
Management of the Disease *Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations. 1.Identify two (2) "Evidence A"recommended medication classesfor the treatment of this condition and provide an example (drug name) for each.
Medication errors can have either be harmful or harmless, but it decreases the quality of care, increases conflict between health care professionals, pharmacy, medical transcriptionist, and other stakeholders (Thompson et al., 2018). Also, it reduces the trust of patients in health care. The elements of the problem are packaging errors, prescription errors, dispensing errors, drug administration, poor communication, and adverse drug reactions (Hammoudi et al., 2017).
Topic 3 DQ 1 |
Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.
NRS-440VN -O500 Trends and Issues in Today’s Healthcare
Topic 1 DQ 1Discuss the events that have contributed (or will continue to contribute) to the nursing shortage, or that contribute to a shortage in a region or specialty. Discuss at least one way that the nursing profession is currently working toward a resolution of this problem. In replies to p |
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Benchmark – Creating Change Through Advocacy
The purpose of this assignment is to identify a problem or concern in your organization, local community, or state in which change can occur through advocacy and legislation.
Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.
Identify a problem or concern in your organization, local community, or state. Examples of problems relevant to nursing include, but are not limited to, title “nurse” protection, sharps injury prevention, nursing shortage, nurse well-being, valuation of nursing services, etc. Research the issue you selected and use the attached “Creating Change Through Advocacy” template to complete this assignment.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Global Healthcare Comparison Matrix and Narrative Statement – COVID-19
Medication errors are a persistent but preventable issue in healthcare. They majorly occur due to mistakes at any point in the medication process. In nursing, they majorly occur due to insufficient knowledge, workload, interruptions, burnout, and unclear guidelines (Wondmieneh et al., 2020). Medication errors are a problem with significant professional relevance as they have negative impacts on care quality and safety, the provider’s reputation, and negative economic outcomes. I have experienced how medication errors affect patient well-being and put a lot of stress and pressure on the care provider. For instance, I have witnessed minor situations and near misses. However, one case involving a newly employed physician ended up sending the patient to the emergency room as the patient had underlying hemophilia and the medication was blood thinner. This and the other cases made me explore various evidence-based interventions to prevent medication errors and improve the quality and safety I deliver.
Transitioning care from one level to another, such as from the hospital to primary care follow-up or from long-term care to home care, is a critical juncture in a patient’s healthcare journey. This transition is riddled with various barriers and challenges, some of which I have encountered while working in an emergency room.
One significant barrier is ineffective communication and information exchange among healthcare providers. Inadequate sharing of patient information, including medical history, treatment plans, and medication lists, can lead to errors and misunderstandings. For example, when a patient is discharged from the hospital for primary care follow-up, there is a risk of duplicate testing, medication differences, and missing follow-up appointments if the primary care physician needs to be better informed about the hospitalization specifics. (Sharma et al., 2023). This can negatively impact patient safety and continuity of care.
Another common challenge is coordinating services and resources, especially when transitioning from a long-term care facility to home care. Patients often require support services like home health nursing, physical therapy, and medical equipment. Coordinating these services effectively can be complex and time-consuming (Sharma et al., 2023). Without a seamless process, patients may experience delays in receiving essential care and equipment, potentially resulting in worsened health or preventable readmissions.
In my experience, a procedure that has shown promise in improving care transitions is the implementation of care transition teams or care coordinators. These professionals are responsible for carefully managing all aspects of the transition. They communicate with both the sending and receiving healthcare providers, ensure the patient’s health information is shared accurately, and facilitate the scheduling of follow-up appointments and necessary services. By serving as a bridge between different levels of care, care transition teams help streamline the process and reduce the likelihood of errors. The impact of such a procedure on patient safety is significant. By improving communication and coordination, care transition teams can reduce the risk of medical errors, medication discrepancies, and missed appointments. This, in turn, can lead to better patient outcomes, decreased readmission rates, and enhanced patient satisfaction (Finkelstein et al., 2020). Patient safety is not only about preventing medical errors but also about ensuring that the patient’s overall well-being and quality of care are maintained during transitions.
Finkelstein, A., Zhou, A., Taubman, S., & Doyle, J. (2020). Health care hotspotting—a randomized, controlled trial. New England Journal of Medicine, 382(2), 152-162. 10.1056/NEJMsa1906848
Sharma, D., Singh Aujla, G., & Bajaj, R. (2023). Evolution from ancient medication to human‐centered Healthcare 4.0: A review on health care recommender systems. International Journal of Communication Systems, 36(12), e4058. https://doi.org/10.1002/dac.4058
An example of new technology in nursing that I have encountered working in the emergency room is artificial intelligence (AI). AI involves the use of computers to perform work that formerly needed human cognition (Vearrier et al., 2022). Furthermore, artificial intelligence underscores the computers’ assistive role in promoting physician skills rather than replacing them. Artificial intelligence algorithms can evaluate patient information, signs, symptoms, and medical history to help prioritize patients according to the severity of their condition (Vearrier et al., 2022).
Even though this technology has the potential for emergency care optimization, it also poses ethical challenges that need closer consideration. First, AI involves processing large amounts of patient data; therefore, patient privacy is paramount. Maintaining patient privacy and confidentiality while adhering to legal standards is important (Farhud & Zokaei, 2021). Secondly, patients may not fully understand the intricacies of AI algorithms used in triage. Emergency room nurses should ensure they educate their patients on the purpose of using artificial intelligence in their care and seek their informed consent whenever feasible (Farhud & Zokaei, 2021).
Thirdly, AI raises the ethical concern of data security. Nurses in the emergency room should be conversant in the data protection and encryption used by AI systems. Also, nurses must advocate for transparent communication with patients on how their data is being used and stored, which instills confidence in the security protocols (Farhud & Zokaei, 2021). Fourthly, even though AI can improve triage accuracy, it can be subject to data inadequacy. Nurses in the emergency rooms should be aware of the disadvantages of AI algorithms and apply their clinical judgment (Farhud & Zokaei, 2021). Lastly, in case of a hostile outcome, healthcare professionals’ accountability when involving AI in decision-making may be in question. Farhud and Zokaei (2021) note that the establishment of guidelines on the use of AI in triaging and continuous education and training is significant in mitigating the risks related to possible liabilities and errors.
Farhud, D. D., & Zokaei, S. (2021). Ethical issues of artificial intelligence in medicine and healthcare. Iranian Journal of Public Health, 50(11). https://doi.org/10.18502/ijph.v50i11.7600
Vearrier, L., Derse, A. R., Basford, J. B., Larkin, G. L., & Moskop, J. C. (2022). Artificial intelligence in emergency medicine: Benefits, risks, and recommendations. The Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2022.01.001
Part VIII offers insight into how government practices and the structure of society create ethical issues and the ethical issues that arise from the structure and government policies. I think Iris Young offers the most interesting approaches to the structure of society and the practice of government because it explains the realities that create ethical issues in society based on what the society and government expect from the people. For example, Iris Young argues that there are five faces of oppression in society: exploitation, powerlessness, marginalization, violence, and cultural imperialism (Cahn, 2019). Iris Young provides an interesting approach to the structure of society and the practice of government by describing how the people in power systematically exploit the disadvantaged, leading to a societal structure where the results of people’s labor are transferred to a specific social group to benefit the group. Exploitation creates powerlessness for the disadvantaged group because they are forced to take orders from the social group that benefits from their labor to continue earning the income they need to survive. Iris Young’s explanation of the five faces of oppression also provides an approach to understanding intersectionality, which is one of the ethical issues related to the structure of society and government practices. According to Shlasko (2015), intersectionality includes the connection between systems of oppression for marginalized and privileged identities as they influence experience and identity. Therefore, intersectionality can arise from the relationship between the five faces of oppression proposed by Iris Young. For instance, intersectionality can arise from marginalization and cultural imperialism, which create powerlessness, exploitation, and the threat of violence as the exploited groups push to achieve freedom and regain power.
Cahn, S. M. (2019). The world of philosophy an introductory reader. Oxford University Press.
Shlasko, D. (2015). Using the five faces of oppression to teach about interlocking systems of oppression. Equity & Excellence in Education, 48(3), 349–360. https://doi.org/10.1080/10665684.2015.1057061
The confirmation for hypothyroidism will be using Thyroid Stimulating Hormone (TSH) and Free thyroxine test (Free T4 test). TSH test is a blood workup that tests the levels of TSH in the blood. The Free T4 test is a blood workup to test the levels of unbound T4 hormone in the blood. Besides testing for hypothyroidism, these tests can also be used to test for hyperthyroidism. In a patient with hypothyroidism, the results for the TSH test will show elevated levels of TSH, while the test for Free T4 will show low levels of T4 below 0.4 mU/L, indicating reduced thyroid function. For a patient with hyperthyroidism, the results from the TSH test will show low levels of TSH, while the free T4 test will show elevated levels of T4 due to increased thyroid function, increasing production of thyroxine (T4) and triiodothyronine (T3).
The treatment of choice for hypothyroidism is Levothyroxine (Chiovato et al., 2019). It is mainly marketed under Synthroid, Levoxyl, and Levo T. Levothyroxine works as a synthetic T4 hormone, therefore replacing the low levels of endogenously produced T4 due to reduced thyroid gland function. Once administered, Levothyroxine is activated into triiodothyronine (T3), which is critical in regulating metabolism and production of hormones for growth and development. The initial dose will include levothyroxine 25mcg, which is to be taken orally once daily in the morning.
Thyroid replacement therapy can cause adverse effects, including hyperthyroidism and associated symptoms such as increased heartbeat, heart problems, anxiety, and loss of weight (Kalra et al., 2019). It can also cause osteoporosis. The patient will be educated on the therapy’s risks, medication safety, how to self-administer the therapy, the need for consistent administration of medication, any unexpected symptoms during the therapy, and foods and medications to avoid during the therapy.
Adriana Stoica, R., Simona Ștefan, D., Rizzo, M., Iulia Suceveanu, A., Paul Suceveanu, A., Serafinceanu, C., & Pantea-Stoian, A. (2020). Metformin Indications, Dosage, Adverse Reactions, and Contraindications. In Metformin. https://doi.org/10.5772/intechopen.88675
Chiovato, L., Magri, F., & Carlé, A. (2019). Hypothyroidism in Context: Where We’ve Been and Where We’re Going. Advances in Therapy, 36(2), 47–58. https://doi.org/10.1007/S12325-019-01080-8/TABLES/1
The classes of diabetes medications that are either weight neutral or cause weight loss in diabetic patients include the sodium-dependent glucose cotransporter proteins-2 (SGLT-2) inhibitors, also known as gliflozins, glucagon-like peptide-1 (GLP-1) receptor agonists, and dipeptidyl peptidase 4 (DPP-4) inhibitors. Consistently, GLP-1 has the most impact on weight loss, followed by SGLT-2, while DPP-4 has a neutral weight loss impact on obese patients (Haddad et al., 2023). An example of a medication from the SGLT-2 class is empagliflozin, which is sold under the trade name Jardiance.
The Affordable Care Act (ACA) brought about several notable changes that considerably impacted healthcare in the United States. One of the most prominent aspects was the expansion of health insurance coverage. The ACA allowed individuals to stay on their parents’ insurance plans until age 26 (Blascack et al., 2023). This prevented young adults from losing coverage when transitioning into the workforce. Additionally, it prohibited insurance companies from denying coverage on the grounds of pre-existing diseases. This ensured that individuals with prior health issues could also access insurance. The Act also established health insurance marketplaces (Rasmussen & Taylor, 2021). It provided a platform for individuals and small businesses to compare and purchase affordable plans. Furthermore, it offered subsidies to lower-income families to make insurance more accessible. Overall, the goal of the ACA was to improve the quality of care, enhance preventive services, and control healthcare costs.
Anxiety disorders remain one of the most common psychiatric illnesses among children and adolescents. Traditionally thought to be benign, these disorders are disruptive, often affecting the social, academic, and family functioning of the affected child or teen. People with anxiety often suffer from low self-esteem. This disorder also remains a modifiable risk factor for other medical problems such as depression, heart disease, and diabetes, among others. This paper annotates three sources on anxiety centered on the thematic concerns of management and the epidemiology of anxiety disorders.
Communication is a crucial component in all steps of the healthcare process. One of the most important parts of communication is listening. Dr Kerr effectively listens to Jenna and Chris Smith. She learns about their lifestyle, the way they want to rise Ana, and their concerns about vaccination. Listening helps Dr Kerr to understand why the Smith family is against vaccination. Dr Kerr’s communication is effective in this case study because she focuses on patient safety, shares research findings and give examples. First, Dr Kerr states that vaccines have saved the lives of millions of children worldwide and have been largely responsible for the decrease in child mortality. Her statement shows that she is concerned about Ana’s health. Second, Dr Kerr shares the federal government’s VAERS website as a reliable source to confirm the vaccine’s safety.
The proposed solution is the adoption of telehealth services. Telehealth creates flexibility and improves access to healthcare services. Notably, telehealth is beneficial to those living in rural areas and those facing other geographical barriers (USC.edu, n.d.). Access to healthcare is improved via technologies such as video conferencing and the use of wearable devices (USC.edu, n.d.). These technologies facilitate remote patient monitoring and real-time interactions between patients and healthcare providers (USC.edu, n.d.). Telehealth eliminates the need for face-to-face interactions between healthcare providers and patients. It allows patients to access their preferred specialists (USC.edu, n.d.)
Limited access to healthcare has impacts on the type and quality of care provided to various populations. This problem affects individuals with both acute and chronic conditions. Healthcare providers should collaborate with patients, their families, and other external stakeholders to improve access to healthcare services. This paper evaluates the problem of limited access to healthcare and proposes solutions to the problem.
Communication is a crucial component in all steps of the healthcare process. One of the most important parts of communication is listening. Dr Kerr effectively listens to Jenna and Chris Smith. She learns about their lifestyle, the way they want to rise Ana, and their concerns about vaccination. Listening helps Dr Kerr to understand why the Smith family is against vaccination. Dr Kerr’s communication is effective in this case study because she focuses on patient safety, shares research findings and give examples. First, Dr Kerr states that vaccines have saved the lives of millions of children worldwide and have been largely responsible for the decrease in child mortality. Her statement shows that she is concerned about Ana’s health. Second, Dr Kerr shares the federal government’s VAERS website as a reliable source to confirm the vaccine’s safety. Finally, Dr Kerr brings an example of the recent outbreak of measles. She wants the Smith family to see the consequences of not vaccinating their daughter Ana. Using effective communication, Dr Kerr shows that she respects the Smith family’s opinion about vaccination, but because she is a healthcare professional, she must educate them about the benefits and consequences of it. Even though Dr Kerr’s communication is effective in this case study, the Smith family refuses to vaccinate Ana at this time.
Healthcare professionals use the four ethical principles to resolve ethical dilemmas, such as in the case study. The four ethical principles include autonomy, beneficence, nonmaleficence, and justice. In the medical field, autonomy respects a person’s freedom to choose what is right for them. Beneficence means that healthcare providers must do all they can to benefit the patient. All procedures and treatments recommended must be with the intention to do the most good for the patient. Nonmaleficence means that healthcare workers must do no harm intentionally. The justice principle states that there should be fairness in all medical decisions.
In the medical field, the patient’s autonomy often comes into conflict with the doctor’s beneficence. The doctor wants what is best for the patient but also does not want to take away the patient’s autonomy. In the case study, Dr Kerr faces the conflict between autonomy and beneficence. She, as a healthcare professional, wants the best for Ana because her parent strongly agrees with not vaccinating their daughter. Dr Kerr has to respect their decision based on the principle of autonomy. Dr Kerr shows her respect by listening and not coercing them to vaccinate Ana but by educating them about the importance of vaccination and its benefits.
To solve the ethical dilemma related to the case study, Dr Kerr could mention such organizations as the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics. CDC is the nation’s health protection agency that saves lives and protects people from health, safety, and security threats. The mission of the American Academy of Pediatrics is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescence, and young adults. Both organizations apply rigorous scientific standards to ensure the accuracy and reliability of research. Using these two sources, additionally with the VAERS website, could provide the Smith family with more reliable information and the possibility to change their opinion about vaccination based on building more trust. On the other hand, Dr Kerr could also use a story from her experience about an unprotected child who became ill or share a personal experience of vaccinating her family members. Sometimes true stories can build trust or at least make people think more and research more about the concerns they have. Despite the fact that Dr Kerr used effective communication when talking to the Smith family, they still refused vaccination at the end of the conversation. Refusing to vaccinate Ana despite the recommendations of Dr Kerr does not mean that Dr Kerr’s communication is not effective. Some people take a longer time to process the information they just heard or to do more research based on the suggestion given to them. It may happen that on the next doctor’s visit, Jenna and Chris Smith will change their opinion about vaccination. Dr Kerr also could contact Smith a few days after the visit. A caring call or email can provide comfort and reinforce trust.
The four principles of healthcare ethics support healthcare professionals as they navigate patient care. Each of these principles has a uniqu
Ahmed, Z., Saada, M., Jones, A. M., & Al-Hamid, A. M. (2019). Medical errors: Healthcare professionals’ perspective at a tertiary hospital in Kuwait. PLoS ONE, 14(5), 1–14. https://doi.org/10.1371/journal.pone.0217023
This article aims to identify the causes of various medical errors and explore measures to prevent medical errors in Kuwait. According to the authors, medical errors account for about 60 percent of prolonged hospitalizations, 32 percent of adverse events, and 20 percent of mortalities. Findings indicate that misdiagnosis, wrong labeling, wrong dosage, wrong route of medication administration, and the lack of detailed instructions are common medical errors in Kuwait. The factors associated with medical errors include a lack of optimized staff ratios, inadequate knowledge and training, negligence, and poor communication. Defective interdisciplinary collaboration and non-compliance to organizational policies and procedures are the other causes of medical errors.
This article is relevant because it identifies the types of medical errors that constitute healthcare system errors. Additionally, the article identifies the causes and impact of these healthcare system errors. This information will form the basis for formulating relevant strategies to minimize the incidence of these errors in Kuwait.
The proposed solution is the adoption of telehealth services. Telehealth creates flexibility and improves access to healthcare services. Notably, telehealth is beneficial to those living in rural areas and those facing other geographical barriers (USC.edu, n.d.). Access to healthcare is improved via technologies such as video conferencing and the use of wearable devices (USC.edu, n.d.). These technologies facilitate remote patient monitoring and real-time interactions between patients and healthcare providers (USC.edu, n.d.). Telehealth eliminates the need for face-to-face interactions between healthcare providers and patients. It allows patients to access their preferred specialists (USC.edu, n.d.).
Limited access to healthcare has impacts on the type and quality of care provided to various populations. This problem affects individuals with both acute and chronic conditions. Healthcare providers should collaborate with patients, their families, and other external stakeholders to improve access to healthcare services. This paper evaluates the problem of limited access to healthcare and proposes solutions to the problem.
Limited access to healthcare occurs when individuals fail to access timely quality health services. Timely access to quality care is associated with better patient outcomes and safety. In this context, access to healthcare entails both healthcare facilities and providers. Limited access to healthcare worsens the prognosis of diseases, increases the risk of complications, and increases mortality and morbidity rates (Salami et al., 2020). This problem affects people from various sociodemographic backgrounds. However, it is prevalent among immigrants, ethnic minorities, and populations with low socio-economic status (Salami et al., 2020).
Various etiological factors are linked with limited access to healthcare. Firstly, high treatment costs limit access to quality healthcare services. Patients are forced to choose between basic needs such as food and costly healthcare services (Ayón et al., 2020; Fante-Coleman & Jackson-Best, 2020). When this happens, they are likely to forego healthcare services to cater to their basic needs. Notably, this is an issue of concern among the uninsured population forced to adopt the out-of-pocket payment method (USC.edu, n.d.). Secondly, lack of appropriate transportation limit access to timely and quality healthcare. Limited transportation can occur in the form of physical barriers and a poor public transport system (Fante-Coleman & Jackson-Best, 2020). Thirdly, inadequate public and patient education limits access to healthcare. The public should be educated about available community health services, healthcare sites, and available primary care services (USC.edu, n.d.). This increases the likelihood of accessing these healthcare services by the public. Fourthly, social determinants of health impact access to healthcare services. This entails aspects such as society and community factors and the environment. As aforementioned, immigrants, ethnic minorities, and populations with low socio-economic status are likely to have limited access to healthcare (Salami et al., 2020).
Health care professionals face ethical dilemmas during their daily practice that require the use of their moral values, moral judgement, and principles when making decisions. There are four fundamental principles of ethics for the health care work to include autonomy, beneficence, no maleficence, and justice. These principles act as a guide for fair and ethical decision making by health care professionals. Many use the principles to make decisions when faced with complex health care situation involving patients. Overview of the Case Study Dr. Straight is the director of clinical services at Hopewell Hospital, since he took the position two years ago, new programs have been developed and quality is getting better. Dr. Straight was informed by the operating room supervisor of a problem.
Health care professionals and medical providers frequently face ethical dilemmas during their daily practice, such as vaccines for children, their potential harm from them and the financial aspects.Medical providersare required to use their scope of practice to educate, provide a framework for safety, manage, coordinate and manage medical conditions, affecting babies through teenagers.Health care providers use these principals on a daily basis to make decisions for the best possible care for heir patients. Overview of the Case Study Chris and Jenna have a five day old daughter Ana, baby girl that was born healthy without any medical conditions or problems.Both parents decided that they want to raise their daughter in the best possible way naturally such as breastfeeding, pure organic food, and not allowing vaccinating Ana.Ana's parents are educated and did a research about the harm from the vaccines.
D092: Using Technology In The Classroom
A. Case # 680 Applying Listening And Speaking Skills While Presenting A Digital
Scrapbook About The Early Settlers.
A1. Describe the technology and how it is integrated in the instructional process
a. Identify the level of technology integration according to the SAMR model, and provide a
rationale for your selection.
D092: Using Technology In The Classroom
A. Case # 680 Applying Listening And Speaking Skills While Presenting A Digital
Scrapbook About The Early Settlers.
A1. Describe the technology and how it is integrated in the instructional process
a. Identify the level of technology integration according to the SAMR model, and provide a
rationale for your selection.
To begin the search for articles that discuss the relationship between nurse staffing ratios and patient outcomes, the research question: “How does nursing staff ratio influence patient care outcomes?” was used in several different databases. These databases include PMC, BMJ, BMC, EBSCOhost, and Google Scholar. While this initial search returned several articles, some of them were not written about staff ratios and patient outcomes per se, but may have included a discussion about that topic. Another search was undertaken using the search term: nursing staff ratios and patient outcomes at the same databases and this yielded enough articles to complete the literature review.
Nursing staffing, the literature proves, is a controversial topic. Some assert that increasing the nurse to patient ratio is the right action to take. Others suggest that nurse to patient ratios should be considered, but also the education of the nurse (i.e., BSN or above) also affects patient outcomes. The implication here, though, is that RNs with bachelor’s degrees can work understaffed with the same outcomes as having a proper nurse to patient ratio with less well-educated nurses. This results in discussions about the best staffing methodology. Another aspect that makes the discussion of nurse to patient ratios controversial is the cost of paying the nursing labor force. Nurses are the largest group of healthcare workers and their salaries certainly account for the largest portion of the salaries and wages paid by healthcare organizations. What most of the literature concludes, however, is that there is little empirical evidence about nurse to patient staffing ratios and patient outcomes.
While it may seem like a no-brainer, it is important to point out that patient outcomes vary. Patients may experience adverse events such as falls, pressure ulcers and hospital acquired infections (HAIs) whether there is an adequate nurse to patient staff ratio or not. Aiken, et al. (2018) of Revista Médica Clínica Las Condes explains that mortality rates, for example, can be different in 2 hospitals in the same city, state or country. This may be because some hospitals have sicker patients. “The popular magazine Consumer Reports, for example, recently published an analysis of death rates in U.S. hospitals for elderly patients admitted for treatment of common acute medical conditions—pneumonia, heart failure, acute myocardial infarction—and surgery (4). Death rates for patients with these conditions were twice as high at some hospitals than for others” (Aiken, et al., 2018, p. 323). The same death rates were found in research Aiken et al. (2018) did in Europe too. It is important to keep that in mind because even absolute statements and comparisons of patient outcomes recognize the variability of experience.
One of the claims made by several of the authors included in the review is that better nursing staff ratios will result in fewer adverse events (e.g., falls, pressure ulcers, being give the wrong medication, HAIs, etc.). Driscoll, et al. (2018) of the European Journal of Cardiovascular Nursing say, “Patients will also be less likely to experience an adverse event in units with a high nurse-to-patient ratio. This has important implications for clinical practice and the optimisation of patient outcome” (Driscoll, et al., 2018, p. 21). These types of general claims are made frequently in the literature; however, this assertion is not followed by a source of empirical evidence. There have been many qualitative studies done, but the results of these are useful in descriptive terms only. For example, He, Staggs, Bergquist-Beringe, and Dunton (2016) of BMC Nursing found that changes in nurse staffing were inversely associated with the rate of falls and pressure ulcers, but other factors included time of day and seasonal issues. However, they do not go so far as to claim a causal relationship. “No causal inference about staffing and patient outcomes can be made without control for improvements in quality of patient care from other aspects or changes in patient population over time, or other seasonal factors that may have influenced patient outcomes at the seasonal level” (He, Staggs, Bergquist-Beringe, & Dunton, 2016, pp. 8-9). Falls, pressure ulcers and HAIs are not the only negative patient outcomes that are thought to be affected by nursing staff ratios.
To begin the search for articles that discuss the relationship between nurse staffing ratios and patient outcomes, the research question: “How does nursing staff ratio influence patient care outcomes?” was used in several different databases. These databases include PMC, BMJ, BMC, EBSCOhost, and Google Scholar. While this initial search returned several articles, some of them were not written about staff ratios and patient outcomes per se, but may have included a discussion about that topic. Another search was undertaken using the search term: nursing staff ratios and patient outcomes at the same databases and this yielded enough articles to complete the literature review.
Nursing staffing, the literature proves, is a controversial topic. Some assert that increasing the nurse to patient ratio is the right action to take. Others suggest that nurse to patient ratios should be considered, but also the education of the nurse (i.e., BSN or above) also affects patient outcomes. The implication here, though, is that RNs with bachelor’s degrees can work understaffed with the same outcomes as having a proper nurse to patient ratio with less well-educated nurses. This results in discussions about the best staffing methodology. Another aspect that makes the discussion of nurse to patient ratios controversial is the cost of paying the nursing labor force. Nurses are the largest group of healthcare workers and their salaries certainly account for the largest portion of the salaries and wages paid by healthcare organizations. What most of the literature concludes, however, is that there is little empirical evidence about nurse to patient staffing ratios and patient outcomes.
While it may seem like a no-brainer, it is important to point out that patient outcomes vary. Patients may experience adverse events such as falls, pressure ulcers and hospital acquired infections (HAIs) whether there is an adequate nurse to patient staff ratio or not. Aiken, et al. (2018) of Revista Médica Clínica Las Condes explains that mortality rates, for example, can be different in 2 hospitals in the same city, state or country. This may be because some hospitals have sicker patients. “The popular magazine Consumer Reports, for example, recently published an analysis of death rates in U.S. hospitals for elderly patients admitted for treatment of common acute medical conditions—pneumonia, heart failure, acute myocardial infarction—and surgery (4). Death rates for patients with these conditions were twice as high at some hospitals than for others” (Aiken, et al., 2018, p. 323). The same death rates were found in research Aiken et al. (2018) did in Europe too. It is important to keep that in mind because even absolute statements and comparisons of patient outcomes recognize the variability of experience.
One of the claims made by several of the authors included in the review is that better nursing staff ratios will result in fewer adverse events (e.g., falls, pressure ulcers, being give the wrong medication, HAIs, etc.). Driscoll, et al. (2018) of the European Journal of Cardiovascular Nursing say, “Patients will also be less likely to experience an adverse event in units with a high nurse-to-patient ratio. This has important implications for clinical practice and the optimisation of patient outcome” (Driscoll, et al., 2018, p. 21). These types of general claims are made frequently in the literature; however, this assertion is not followed by a source of empirical evidence. There have been many qualitative studies done, but the results of these are useful in descriptive terms only. For example, He, Staggs, Bergquist-Beringe, and Dunton (2016) of BMC Nursing found that changes in nurse staffing were inversely associated with the rate of falls and pressure ulcers, but other factors included time of day and seasonal issues. However, they do not go so far as to claim a causal relationship. “No causal inference about staffing and patient outcomes can be made without control for improvements in quality of patient care from other aspects or changes in patient population over time, or other seasonal factors that may have influenced patient outcomes at the seasonal level” (He, Staggs, Bergquist-Beringe, & Dunton, 2016, pp. 8-9). Falls, pressure ulcers and HAIs are not the only negative patient outcomes that are thought to be affected by nursing staff ratios.
Prescribing medications is a privilege that not all nurse practitioners (NPs) in every state have. In some states, the prescribing of medications by NPs is heavily regulated. In Maryland, the state where I practice, NPs can prescribe medications with the only restriction being they must have practiced under a physician for 18 months previous to earning the privilege. That means Maryland NPs are autonomous in this regard and must take the responsibility for prescribing medications seriously. Maryland NPs should know the laws that apply to prescribing medications and follow them. One practice, prescribing medications to friends and family, is not illegal in Maryland but any NP anywhere should be cautious about this practice because the prescription legally binds them to the consequences of the medication’s effect on the patient. Such prescriptions can come back to haunt them in the future. The purpose of this paper is to describe the best practice in the scenario of prescribing medications for a friend, the moral obligation to disclose medication errors, and to describe the prescription process.
Sex: Male Race: African American
Medical history: Arthritis; COPD (mild) no recent exacerbations; he inhaled some noxious gas at a former place of employment; underwent pulmonary rehabilitation and reports no problems since then.The Ameican Lung Association (2019) says a person “with a chronic lung disease, like chronic obstructive pulmonary disease (COPD) or pulmonary fibrosis, there is hope for rebuilding strength and enjoying a more full and active life through pulmonary rehabilitation. These programs are designed to improve lung function, reduce symptom severity and improve quality of life” (American Lung Association, 2019).
NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue
Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States
The shortage of nurses is not a new issue, but it is one that is becoming increasingly more serious. Some, such as Cox, Willis and Coustasse (2014) who delivered a paper at the Business and Health Administration Association (BHAA) conference, have even considered the shortage of nurses as an epidemic in the United States because of its negative implications on healthcare organizations and the healthcare delivery system altogether (Cox, Willis, & Coustasse, 2014). Not having enough nurses means that nurses are unable to deliver as high of quality care as they would like to. Safety is another issue when there are not enough nurses, and safety in the workplace is a factor in nurse retention. According to Lawati, Dennis, and Abdulhadi (2018)
The Stanton Park neighborhood of Washington D.C. sits next to the Capitol Hill neighborhood where some of the important buildings that house the federal government of the United States are located. Stanton Park is an upper middle class community, but there are pockets of poverty within it also. In a city that is predominantly populated by African Americans. Stanton Park is predominantly white, middle class and educated. The homes are fairly new constructions including many townhomes and row houses. There are green spaces throughout, and Lincoln Park sits on one side of the Stanton Park area. The main health concerns in the area are heart disease, cancer and other chronic illnesses that are the same for the entire region and the entire of the United States. Health disparities exist to a degree in the Washington D.C. area as a whole, and probably in the Stanton Park area as well. However, the city of Washington D.C. and the District of Columbia are working to eliminate health disparities and other issues with 2020 as their goal.
Today’s nurses must understand what drives the change that they see in healthcare. They must understand why there are mandates for practice change, and the knowledge, skills, and attitudes they will need to effect the change not only in themselves but throughout the healthcare system. Salmond and Echevarria (2017) of Orthopedic Nursing say, “To deliver these outcomes, nurses, from the chief nursing officer to the staff nurse, must understand how nursing practice must be dramatically different to deliver the expected level of quality care and proactively and passionately become involved in the change. These changes will require a new or enhanced skill set on wellness and population care, with a renewed focus on patient-centered care, care coordination, data analytics, and quality improvement” (Salmond & Echevarria, 2017, pp. 19, 21).
Write a 2- to 3-page paper that addresses the following:
Long-Term Oxygen Treatment Trial Research Group. A randomized trial of long-term oxygen for COPD with moderate desaturation. New England Journal of Medicine,2016;375(17), 1617-1627. Retrieved from https://www.nejm.org/doi/pdf/1...
This article begins by talking about 2 tests done in the 1970s to see if long-term treatment with supplemental oxygen reduced mortality in patient with COPD who had severe resting hypoxemia. These studies led to recommendations that supplemental oxygen be given to COPD patients with oxyhemoglobin saturation of less than 89%. Other studies were done after that to see if supplemental oxygen should be given to patients with mild to moderate hypoxemia, but no benefits were found. This group of researchers did their own parallel-group, randomized clinical trial of long-term supplemental oxygen versus no long-term supplemental oxygen in patients with COPD and moderate resting or exercise-induced desaturation.
The study took place between January 2009 and August 2014. Seven hundred, thirty-eight patients were randomized into several groups. Three hundred, sixty-eight patients were randomly assigned to the supplemental-oxygen group and 370 to the no-supplemental oxygen group. In the supplemental-oxygen group, 220 patients were prescribed 24-hour oxygen and 148 were prescribed oxygen during exercise and sleep only. The patients were followed for a period of 1 to 6 years.
The results were that there was no difference between the study groups in the combined outcome of death or first hospitalization for any cause. No significant differences were noted in the subgroups of oxygen prescription, desaturation profile, race, sex, smoking status, nadir Spo2 during exercise, forced expiratory volume in 1 second, BODE index, SF-36 physical-component score, body-mass index, or history of anemia. The patients in the supplemental-oxygen group who had a COPD exacerbation 1 to 3 months before the study lived longer or had a longer time before their first hospitalization than similar patients in the no-supplemental-oxygen group.
The conclusion is that supplemental oxygen provided in the circumstances listed did not prolong death or first hospitalization. The study had some limitations like that some seriously ill patients did not take part in the trial and they may have been the ones that benefited most from the oxygen. There was no masking done, which may have affected the researchers and oxygen delivery was not done with uniform devices.
Human patient simulation (HPS) involves using a life-like mannequin on which nursing student can practice their skills, gain competency and confidence without negatively affecting an actual human patient. While it sounds like a great idea to help students learn and to avoid any unfortunate mishaps that may occur while a student is learning, there are issues associated with HPS that some may not have considered. Overall, however, HPS appears to be a great new innovative way for students to practice nursing skills and gain confidence in them before practicing them on an actual human patient.
Telehealth is not really a new phenomenon because nurses have been using the phone to check in with patients for many years. However, the concept of telehealth is to use the new smart phones and electronic devices to do more than check with patients verbally. Telehealth allows nurses and other healthcare providers to use electronic communications and telecommunications technologies to perform long distance clinical health care with data sent over the smart phone. For instance, some of the telehealth technologies allow providers to check a patient’s vital signs from a remote location. They can also video conference with a patient in real time and see how the patient is doing. One of the main benefits of telehealth is patient safety and improved outcomes. Telehealth is able to perform many different functions because of the variety, quality and level of complexity of the software that is used. Because of this newly innovated software, and old concept is advanced and the result is better patient safety and outcomes.
Discussion 5 - Question 1
Rubenfeld & Scheffer (2015) suggested that interdisciplinary teamwork and collaboration involves different communication styles and can result in conflict that can negatively affect patient care practices. Previously you discussed how emotions, feelings anxiety and confidence can affect your ability to think critically. Discuss how you may be able to use conflict in a positive way to promote interdisciplinary teamwork and collaboration.
Please support your initial discussion and opinions with at least two citations from the assigned readings, or peer-reviewed professional nursing literature.
See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.
. This has forced multinational corporations to undergo massive changes, both in production practices and policy making. The relentless demand for affordable products is the major reason behind outsourcing of factories and production units. One of the most obvious benefits that this has bought about for the global economy is the increased source of revenue for countries like Pakistan and Bangladesh, where labor is cheaper and plentiful on account of a constrained, service based job sector. The Ready Made Garment industry (RMG) in Bangladesh accounts for over 84% of its exports, and is mainly responsible for its meteoritic economic growth. (1) According to some estimates, Pakistan’s garment industry employs 15 million people, some 38 percent of the manufacturing labor force. (2)
Analyze the interactions between the group members. Identify the phase of group formation the group appears to be in. Include your rationale and evidence for your treatment phase selection. Since this is the initial session, participants do not seem to engage to each other. They did seem to communicate non-verbally by listening carefully when other participants are talking and nodding their head when they relate to other participants. Participants are in the forming phase of group formation. In this session, participants adapt being in the group, boundaries were set, and limited information was shared. According to Vaida et al. (2021), first session includes acquainting group members to each other, discussing goals and guidelines c. Describe the therapeutic approach and techniques the therapist is using The therapist is using process-oriented approach. The therapist is a leader of the group, and she focused on group experience rather than teaching them about a topic. She used imparting information technique by asking 3 questions to everyone and allow
When an emergency occurs, immediate action is always necessary to minimize harm to the people and property that may be affected by it. The range of responses to workplace emergencies may include similar components but depending upon several factors, emergency responses can be very different too. Regardless of the type of emergency and/or type of response that is best for the emergency, the first priority is the preservation of life. Knowing the proper response may be the difference between life and death, so it is important that emergency protocols are established and implemented. An EAP lists the types of actions that every employee of an organization should take during emergencies. They are vital for every employee to understand, practice and be able to access if they should need to.
In a classic and disturbing case of “blame the victim,” Catherine Hall, Nicholas Draper and Keith McClelland begin Legacies of British Slave-Ownership by revealing how the Oxford Dictionary of National Biography (ODNB) referred to slave owners as “vulnerable and the real victims of slavery,” victims because abolition forced them to relinquish their “property” (Hall, Draper and McCelland 2). Before the mention of compensation, slave owners tried to distance themselves from slavery. As they became separated by distance and time, it was easier to feel unconnected to slavery. Many slave owners were or became the British elite and went on to build capital in Great Britain using the money they earned in the West Indies with their free labor force and then later the compensation for abolition. Why were slave owners given money instead of the slaves? The answer is that the British government conceded to the slave owners, many who were property owners and members of parliament. Money took the sting out of their “victimhood.” This compensation was then reinvested in Great Britain in the railroads, religious institutions, schools and the financial institutions in London. In this twisted way, slave owners not only profited when they owned slaves but also when they had to free them.
Since ASD touches all cultures, it is important to know what affects culture can have on the way ASD is perceived by a community. Some cultures will view ASD differently than the white American culture does, but white American culture is often assumed as the standard much to the detriment of some patients perhaps. There may be cultural myths about ASD in some cultures that can stop people from seeking help for their child who is suffering from it. They may be ashamed of the child or they may think the child is blessed with special powers depending upon their culture. This may delay treatment, which can be detrimental. It is important for people of all cultures to understand what ASD is. However, the information that can be shared with families how have a child with ASD may be right for some cultural groups but completely wrong for others.
What do you think would help victims of violent crime recover from such a powerful and painful experiences?
Inspecting a workplace after an accident may seem like a straightforward task. However, as an OSHA safety inspector, I will be looking for the risks or hazards that the SMS at the workplace has omitted. Hopefully, it will be a learning experience for everyone involved, and the workplace will be a safer place after the audit is complete.
In recent years, the condition known as “autism” had gone through not only a name change to “autism spectrum disorder” or ASD, but also a great deal of research the result of which was a more accurate name for the collection of early-onset communication deficits and repetitive sensory-motor behaviors experienced by those who are diagnosed with it. ASD has a strong genetic component, but the research that has been done has given hope to many who have a loved one diagnosed with the disorder. At one time, people who were diagnosed with the most severe types of ASD—a diagnosis that lands toward the more severe end of the spectrum of conditions that make up the spectrum—had little hope of ever living a normal life. Now, more and more
Coco melon is a very popular American YouTube channel as well as a streaming media show that mainly airs animation videos of original children songs and traditional nursery rhymes. The channel is so popular such that it is currently in second position in terms of most views globally and has the most views in the US. The channel’s content is made up of videos about babies as well as adults and animals who typically interact in portrayal of daily life. The popularity of Coco melon was spurred by the pandemic which caused an increase in terms of the hours spent by children and parents at home due to COVID 19 protocols
Based on research undertaken by Duch et al., (2013), there is evidence that at least 68% of children aged 3 years and below use various forms of screen media such as television and video games and television on a daily basis. Interestingly, research varies in regards to the effects of screen time in young children with some studies suggesting that increased screen time for young children leads to diverse negative health outcomes (LeBlanc et al., 2017; ) while others have found certain benefits associated with limited screen media usage for kids (Ponti et al., 2017). In fact, some of the scientific research conducted regarding this phenomenon has found that there are positive effects, negative outcomes and even unknown effects associated with the use of screen media in children (Radesky et al., 2015; Reid et al.,2016 ). This paper will undertake an extensive qualitative research to investigate the impact of the media, video games and television on autistic infants and toddlers aged 0-3 years. This will provide a background to suggest the interventions that can be utilized to prevent adverse effects of screen media usage on autistic children particularly in order to boost their developmental growth and well-being.
The Baby Boomer generation, those born between 1946 and 1965, in terms of numbers alone, have dominated society since the end of World War II. Millennials, born 1981 through 1996, equal their numbers now though, and Generation Z, those born 1997 and later outnumber both groups by 20 million according to Statistia. Because society has changed a great deal since the Baby Boomers were young, the potential for great generational gaps exist. This study was done to examine the differences between generational attitudes among those young people reaching adulthood now, which includes both Millennials and Generation Z. The 12 respondents to a questionnaire used for this study fall into population segments. Like their parents and grandparents of the Baby Boomer generation segment, they are changing society’s perspective on many issues including sexuality, marriage, divorce and religion. Despite the fact that respondents bridge the Millennial generation and Generation Z, they reflect the differences in attitudes toward these issues as the current literature demonstrates. Generational differences can be seen in the responses to the questionnaire and these generational differences while leading to a more progressive society also reveal that the divide in politics and society that exists should not be a surprise to those who study how culture and society change over the span of generations.
After school programs are important aspects of education. Some students attend them for help with academics. Others in an effort to have productive activities in which to engage after school while their parents may be working. The goals of after-school programs (ASPs) are to boost the morale of students, provide inclusivity, and help with academic success for students who are socioeconomically disadvantaged and/or minority population, studies vary on how successful ASPs are at achieving these objectives. More rigorous standards should be applied to the development and implementation of ASPs to ensure the success of students of varying ethnicities. For example, some non-English speaking ASP participants are placed in English-only programs that have proven not to be successful for students who do not understand English. Another example is that students often differ culturally and the programs are designed with a “model student” in mind. That model student may not match the reality for students from some cultures. That leads one to question whether after-school enrichment programs help students of different ethnicities perform better. One such program, the Oakland Tech After School Program. African American students make up a significant proportion of Oakland Techs multicultural student population and many attend the ASPs offered at the school. However, recent studies have shown that 66% of African Americans scored below standard in mathematics, and 36% of African Americans scored below standard in English. Oakland Tech had one of the lowest percentages of USC/UC Credits completed at 44.9%. This makes one wonder why this is the case if ASPs are promoted as being useful especially for African American students who are disproportionately the students who attend ASPs. That leads to the research question: Does participation in the Oakland Tech After School Program boost academic success for Black/African American students?
In the film White Like Me, Tim Wise talks about how American society is centered around race and racism. He explains that white people do not think about being white because they are the majority, and they have developed policies and institutions that benefit them and not minorities. This is where the concept of white privilege comes from. Beginning with the Constitution, the white male founders of the United States included privileges for white people that other people who also lived in the country did not have. Since then, racism and racial identity has played a major role in the way American society has developed. Now the racial biases that are built into American society are so common that white people do not even realize how they affect people of color.
One rarely hears the term “third world” anymore. When it was used, it was used in a pejorative sense or as an insult. One cannot claim that the term is descriptive because there are not three worlds. The term came about because Western countries, no doubt led by the United States, after World War II, considered themselves the “first world.” They thought they were the most sophisticated, the most advanced, and, therefore, the “first” in everything. The second world was the Soviet nations. They too were sophisticated and advanced, but were also the enemy. They could not be considered “first.” The third world accounted for everyone else even if they were not an impoverished country
The Evolution/Creationism debate is an ongoing debate that may seem as if it is a matter of science versus religion, but it can also be seen as a clash of cultures and politics as well. The debate is about what should be taught in schools, evolution, creationism or both. Some want just evolution or just creationism taught. Others think it is fair to teach both, but they are not equal entities: evolution is science; creationism is literature and religion, and religion is not supposed to be taught in public schools based on separation of church and state laws in the Constitution. So if both are taught, should they be taught side by side or in separate classes such as science and literature or English classes?
Buddha answers the question in the parable about why he maintains a noble silence. He says, “Because all this is useless, it has nothing to do with real Dhamma, it does not lead to cessation of passion [grasping and agitation], to peace, to supreme wisdom, and the holy life, to Nirvana. That is why I have not taught all this” (Lugenbehl). The questions that Malunkyaputta asks such as what the man looked like: his height, weight, skin color, his tribe and his status in life are all unnecessary to know about another person according to Buddha. What is important to know is what the Buddha said, “He will die” (Lugenbehl). We will all die. We all suffer, and we can all help to relieve each other’s suffering. By doing so, we relieve our own.
The current system under which the United States operates is liberalism although, it was damaged before, and the Trump administration has caused even greater damage. Some Americans have wanted to revolt since Trump was put into office against the will of the majority of Americans. Liberalism has failed. Socialism is the talk of many Democratic candidates for president, but Americans are afraid of socialism. They are even more afraid of anarchy—what they fear could occur though. Americans may have to decide between liberalism and anarchism in the near future.
The U.S. Constitution serves to establish a government of the people and by the people. The Constitution also allows for elected leaders of the people. Because the founders knew that human nature was flawed and that, even in a country based on individual rights and freedoms, there may some who try to take more power than what is given to them when they are elected. For this reason, the founders put constitutional restraints on political power of elected individuals. For instance, a limitations on Congress is that it cannot appoint someone King or give titles of nobility. While this is not a normal fear of Americans today, in 1789, when the Constitution was created, it was a fear because the successful American Revolution had been fought to be free of the oppressive power of the king of England. Not only can Congress not appoint someone king (or any other sort of sovereign ruler)
The paper should be organized into the following sections:
Context and Online Privacy
An activity often carried out online nowadays is email. It was one of the greatest parts of the internet when it first became widely available to the public. This is because what often took up to a week in the past could be done in less than a minute depending upon one’s modem speed. The old-fashioned way of sending mail was to write something out either by hand or typewriter, fold it up and place it in an envelope which was then sealed, stamped and placed in a mailbox where the United States post office (or the equivalent in other countries) would retrieve it and take it to the post office. Then the letter’s postage would be “canceled” and the letter sent to its destination.
Governance occurs at different levels because there are many different types of projects and the objectives of those projects may be better obtained with different focuses. In other words, project governance takes place in context. Corporate governance is always present, but project governance can vary from project to project. It influences the way projects are managed because governance provides structure by determining which projects are selected, who manages them and to whom the progress is reported (Joslin & Müller, 2015, p. 1381). Of course, the project governance is determined by the organization’s vision, mission and culture. Project governance should not engage in practices that the organization does not also endorse (Badewi, 2015, p. 7). So, project governance can be looked at as a way to promote organizational values in every project that is done.
Project governance is a rather new concept. Many of the authors cited in this literature review offer definitions of the concept. While these definitions differ from each other, they all include organizational strategy and alignment of goals among the stakeholders of a project These authors also discuss the benefits, purpose and approaches to project governance.
The Tucson Convention Center is an interesting place. It houses the Tucson’s Musicians Museum. Latinx people make music and are interested in music in the same way people of all ethnic groups are, so it is possible the exhibits at the museum will appeal to them. Latinx people may also want to attend one of the many shows or conventions that the Convention Center holds every year. For instance, several holiday events are schedule throughout December that anybody, including Latinx people, may be interested in. There are sure to be aspects of these events such as the “Shop Local Mingle and Jingle” on December 7 and the Southwest Nutcracker on December 14th and 15th that will appeal to the Latinx culture as well as to other cultures
The client in the case study is diagnosed with schizophrenia. She suffers from symptoms of psychosis that cause her to be paranoid and suffer from perceptual distortions, which cause her to hear hallucinatory voices. Stahl (2013) explains, “Paranoid projection includes preoccupation with delusional beliefs; . . . believing one is being persecuted or being conspired against” (Stahl, 2013). This patients suffers from paranoid delusions. She believes her husband wants to leave her for another woman even though that does not appear to be true, but she hallucinates that voices in the television tell her this is true.
When an emergency occurs, immediate action is always necessary to minimize harm to the people and property that may be affected by it. The range of responses to workplace emergencies may include similar components but depending upon several factors, emergency responses can be very different too. Regardless of the type of emergency and/or type of response that is best for the emergency, the first priority is the preservation of life. Knowing the proper response may be the difference between life and death, so it is important that emergency protocols are established and implemented. An EAP lists the types of actions that every employee of an organization should take during emergencies. They are vital for every employee to understand, practice and be able to access if they should need to.
Inspecting a workplace after an accident may seem like a straightforward task. However, as an OSHA safety inspector, I will be looking for the risks or hazards that the SMS at the workplace has omitted. Hopefully, it will be a learning experience for everyone involved, and the workplace will be a safer place after the audit is complete.
Since the audit is an External Third Party audit, the auditor would be involved, the safety manager, and the employees involved such as the maintenance manager in the opening conference. The injured employee and the employees who witnessed the accident or had information about the accident or the forklift could be met with at another time. Other than those relevant employees, I would invite as many employees as wanted to be involved in the audit to join in though. McKinnon (2017) says, “As many employees as possible should be involved in the safety auditing process. This provides further training” (McKinnon, 2017, p. 91). I would also invite a mechanic from a neutral business so that there was a neutral expert on hand to look at the brakes on the forklift, but that would also be at another time before the audit. This way I would have the relevant reports and my own eye witness view of the setting of the accident.
For the closing conference, all those involved/interested would be invited. McKinnon (2017) says, “Once all the documentation has been reviewed and systems are verified, a feedback session is held with all concerned parties. Here, the auditors present feedback on the strengths and weaknesses of the system, and at the conclusion, announce the score for each section and the total for the entire safety system” (McKinnon, 2017, p. 95). The closing conference is where all parties find out the results of the audit, and that is important for everyone to know.
One could classify both Kate Chopin’s “Ripe Figs” and Jamaica Kincaid’s “Girl” as coming of age stories. Both have two characters, a young woman and an older woman who is guiding, teaching, and monitoring the young woman in an apparent attempt to keep them safe from the ways of the world, especially those of men. The young women in the stories do not come of age in the stories, but they learn what that entails for them. Both stories involve references to the natural world and to sexuality, although the time setting in which they were written allowed for more direct comment in “
The image the word “harem” may create of barely dressed women fulfilling every desire of a Middle Eastern man is only one way to envision the meaning behind the word. In Fatima Mernissi’s Dreams of Trespass: Tales of a Harem Girlhood, several different ways to imagine a harem are provided, and not all of them include women being treated as objects. Some of the stories she tells have a feminist heroine as the lead character.
The image the word “harem” may create of barely dressed women fulfilling every desire of a Middle Eastern man is only one way to envision the meaning behind the word. In Fatima Mernissi’s Dreams of Trespass: Tales of a Harem Girlhood, several different ways to imagine a harem are provided, and not all of them include women being treated as objects. Some of the stories she tells have a feminist heroine as the lead character.
The last part of this class was about emotional self-awareness, or the ability to understand one’s own emotions, and emotional expression, the skill of expressing one’s own emotions effectively. These are definitely important skills to have as McGuinness points out. Being able to understand one’s own emotions and express them in a meaningful way ensures that when others do the same, one can have empathy for them. It is important to have empathy for the person one coaches because, as a coach, one needs to know what motivates, inspires, frightens, angers, etc. the person they are coaching. Then the coach can work with those emotions to bring out the best that the coachee can be. McGuinness says, “
All employees should be encouraged to report workplace situations that are approaching or becoming hazards such as slippery conditions in winter weather, health concerns such as mold in the break room, and SMS program shortcomings such as an area of the workplace that does not get scrutiny such as employee restrooms or breakrooms. The Occupational Safety and Health Administration (OSHA) (2016) explains that workers are the best people to report such things because they may see situations about which management is unaware (OSHA, 2016). Other types of information that should be reported include unsafe conditions, close calls, near misses, and actual incidents.
The Lover by Marguerite Duras and Simple Passion by Annie Erneaux are feminist novels, written by French women who live in a patriarchal world, but write in the way that the choose subverting patriarchy. However, one could say that patriarchy is represented throughout both novels: both of the protagonists are women who have love affairs that are illicit and both play with the conventions of the novel. What is more interesting is how the two authors subvert patriarchy: both protagonists are speaking
Apichatpong Weerasethakulm’s film, Cemetery of Splendour, is, for those who see it, interesting on many different levels. To begin with, viewers cannot be sure what to make of the film. The entire story is about soldiers who have a mysterious illness that makes them fall into comatose states where they appear to be dreaming. They exist in a former school set in a rural area of Thailand. One of the characters, Jen, who lives in the rural area and volunteers to help care for the soldiers, attended the school when she was young, long before it became a hospital. She becomes attached to one of the soldiers named Itt, who has moments where he comes out of his comatose state and talks to Jen about what occurs in his coma.
On December 26, 2004, an earthquake of 9.2 magnitude occurred in the seafloor off the coast of Indonesia. The earthquake caused the most destructive tsunami in recorded history across the Indian Ocean. Mills (2014) of Earth Magazine describes the tsunami: “A wall of water and debris slammed the shores of South Asia; some witnesses described it as sounding like a freight train. Tourists and locals alike scrambled to safety inland and atop tall hotels, recording videos of the surging water that inundated their communities. Many were unable to reach higher ground” (Mills, 2014). The tsunami hit 11 countries that border the Indian Ocean including Indonesia, India and Somalia. In the low-lying coastal regions, the wave caused damage hundreds of meters inland and damaged thousands of miles of coastline. Nearly 230,000 people lost their lives. In some countries like Thailand, many tourists lost their lives, but the majority of the dead were people who worked and lived in the tsunami destruction area. Beyond the human toll, there was devastation to infrastructure such as the roads, electrical and communications. Drinking water was also contaminated. Approximately 1.7 million people were displaced by the tsunami. They lived in temporary refugee camps, in some cases for years. Many lost their means of making a living leaving them poverty stricken also (Mills, 2014). The 2004 tsunami was one of the worst disasters in recorded history, but the aftermath, while not demonstrating ethics across the board, was far more positive than it was negative.
When asked if violence is justified in fighting against colonial rule, many people may say no. They would side with the better nature in humans that says non-violence is always better than violence. However, most of these same people, if they thought back to the history of their own nation—and for some it might not even be distant history—there was at least one violent overthrow of a colonial government in the past. They would surely think violence was justified because it ended the oppressive control. Yet, today, war weary people do not want violence. No one really ever has wanted violence, but they wanted to be free
General Constitutional Restraints on Political Power Found in the U.S. Constitution.
The U.S. Constitution serves to establish a government of the people and by the people. The Constitution also allows for elected leaders of the people. Because the founders knew that human nature was flawed and that, even in a country based on individual rights and freedoms, there may some who try to take more power than what is given to them when they are elected. For this reason, the founders put constitutional restraints on political power of elected individuals. For instance, a limitations on Congress is that it cannot appoint someone King or give titles of nobility. While this is not a normal fear of Americans today, in 1789, when the Constitution was created, it was a fear because the successful American Revolution had been fought to be free of the oppressive power of the king of England. Not only can Congress not appoint someone king (or a
Globalization is the process of contact, collaboration and assimilation with people, companies and governments of other nations. Globalization is done mainly for the purposes of international trade and investment. Information technology made globalization possible on a wide scale, but people have participated in trade, communication and collaboration with people of other nations for thousands of years. The main features of globalization include an economy that is dominated by investments all around the globe, multiple production locations and processes, low costs for transportation, the information and communication technology revolution, deregulation of national economies, and the relevance and ubiquity of major transnational economies.
The impact of sexual harassment is not just felt by the person being harassed. If a woman is being sexually harassed at work, her co-workers see it and those who are female may fear that it could happen to them. They see that there is nothing being done to stop the behavior and that makes them worry that it may be part of the company culture. A harassed person can lose his or her job or a chance for promotion if he or she does not concede to the harasser if the harasser is someone in authority. Or, the harassed person may be so uncomfortable they quit their job. The harassment makes the workplace hostile and that can traumatize not only the harassed person but also those who witness it and believe that it is sanctioned by the company.
Recent research of asthma has led to the conclusion that asthma is not a specific illness, but more of a general descriptive label for a group of related symptoms and/or disorders. Bush (2019) of Frontiers in Pediatrics says, “The term ‘asthma’ was no more a diagnosis than is ‘arthritis’ or ‘anemia.’ It is an umbrella term that should be used to describe a constellation of clinical symptoms, namely wheeze, breathlessness, chest tightness and cough” (Bush, 2019, p. 1). Yet these symptoms are indications of the issues occurring within the respiratory system of patients who have these symptoms. Hyperresponsiveness is a common feature of asthma and is the cause of many acute asthma exacerbations.
Write a 2- to 3-page paper that addresses the following:
Related to:
An activity often carried out online nowadays is email. It was one of the greatest parts of the internet when it first became widely available to the public. This is because what often took up to a week in the past could be done in less than a minute depending upon one’s modem speed. The old-fashioned way of sending mail was to write something out either by hand or typewriter, fold it up and place it in an envelope which was then sealed, stamped and placed in a mailbox where the United States post office (or the equivalent in other countries) would retrieve it and take it to the post office. Then the letter’s postage would be “canceled” and the letter sent to its destination. If it got accidently sent to the wrong address, the sender had to resend it or the receiver had to wait for the person that got the letter to put it back in their mailbox so it could be delivered to the correct address eventually. It was a long and arduous process, but email solved all those problems and created some new ones.
Communication is important no matter what sort of business one is in. People must communicate in order to conduct business. Healthcare professionals must communicate with patients, families and each other. Teachers must communicate with students, parents, and other teachers and educational professionals. Merchants must communicate with customers, suppliers and government officials. These are just some examples. However, communication is influenced by many things including cultural bias and leadership styles. Most industries require that people work together in order to get things done.
In 1999 Stephen King was involved in a terrible car accident that left him badly injured. Once he had recovered enough to write again, he wrote On Writing: A Memoir of the Craft. In this book he describes what it has been like for him as a writer and gives advice to other writers. The book is divided into sections that talk about different things. For instance, in “C.V.” King talks about what happened in his life that made him become a writer, and those things did not include going to a prom and having pig’s blood dumped on him, having a rabid dog, or owning a car that would kill people like the subject of a few of his books. In the section called, “What Writing Is” talks about how much the written word adds to the lives of people
Most schools in the United States are set up for sessions to begin in the middle of August or first part of September and then run until late May into mid-June. Then there is a twelve-week break during the summer. The school year was initially set up that way because the majority of parents were farmers and needed their children home to help with the growing and harvesting the crops during the summer months. That is no longer a consideration, yet the same school schedule exists.
Stephen Crane, author of The Red Badge of Courage and Ben Fountain, author of Billy Lynn’s Long Halftime Walk, provide two examples of the way trauma novels represent the experience of trauma. Henry Fleming and Billy Lynn, their respective protagonists, are similar characters in trauma novels. They are both young American men who are engaged in war for the United States military. Both are considered war heroes, and both have their own misgivings about that. Henry and Billy are influenced by their culture to view their military service in a particular way, but their views are different. For Henry, serving in the U.S. military makes him a man; for Billy, serving in the U.S. military makes it possible to avoid felony charges. Henry also believes in th
Communication and information technology has advanced rapidly in the last decade. From computers and cell phones to what some feel may be the intelligence that will someday destroy humans. That is artificial intelligence or AI. AI simulates human intelligence with machines—mainly computer systems. AI’s applications include expert systems, speech recognition and machine vision. When AI is combined with robotics, the result is machines that can do the work that humans currently do. This may be good for business but bad for workers since businesses may be able to operate without workers in the future leaving many people with no method of generating income and putting the future of their survival in jeopardy
Communication and information technology has advanced rapidly in the last decade. From computers and cell phones to what some feel may be the intelligence that will someday destroy humans. That is artificial intelligence or AI. AI simulates human intelligence with machines—mainly computer systems. AI’s applications include expert systems, speech recognition and machine vision. When AI is combined with robotics, the result is machines that can do the work that humans currently do. This may be good for business but bad for workers since businesses may be able to operate without workers in the future leaving many people with no method of generating income and putting the future of their survival in jeopardy
1. Always treat other people as you would like to be treated by them.
2. Welcome, support and include everybody regardless of their background, experiences or identity including: people of all sexual orientations, gender identity and expression, race ethnicity, culture, national origin, social and/or economic class, education level, color, immigration status, sex, age, size, family status, political belief, religion, and mental or physical disability.
The section, “Introduction to Emotional Intelligence coaching and Assessment,” taught that emotions are important in coaching. Mark McGuinness, author of Creative Management for Creative Teams says, “In addition to their core coaching skills, many external coaches have specialist expertise that makes them particularly suited to certain coaching assignments. Specialisms can include leadership, sales, negotiation, mediation, presentation skills, creativity, psychology and emotional intelligence” (McGuinness 16). Richard Boyatzis of Case Western University talks about a person who inspired us because they gave us a positive feeling about what we could achieve. That is a good coach with emotional intelligence as their specialty, the type of coach I hope to be. It was inspiring just learning that it was okay to be a positive coach rather than a negative one always criticizing.
Coaching should have a positive objective of getting the person being coached to perform their best. McGuinness says that coaching is goal-focused, and the goal is getting the person to do their best (McGuinness 26). While constructive criticism that is negative can be helpful, it should be balanced with more that is positive so that the person being coached feels good about themselves and looks forward to being coached rather than dreading it. I would rather inspire people in a way that they look forward to being coached than in a way that they dread it.
Coaches can achieve this emotionally intelligent coaching by listening to their coachees and looking at them to see what is going on with them. This develops empathy (McGuinness 27). Having empathy involved will always bring up emotions. One goal of coaching should be to get an emotional response. When emotions are involved, the coachees are more committed to the objectives (McGuinness 40). That is important to success for them and for me as the coach.
The section, “Introduction to Emotional Intelligence coaching and Assessment,” taught that emotions are important in coaching. Mark McGuinness, author of Creative Management for Creative Teams says, “In addition to their core coaching skills, many external coaches have specialist expertise that makes them particularly suited to certain coaching assignments. Specialisms can include leadership, sales, negotiation, mediation, presentation skills, creativity, psychology and emotional intelligence” (McGuinness 16). Richard Boyatzis of Case Western University talks about a person who inspired us because they gave us a positive feeling about what we could achieve. That is a good coach with emotional intelligence as their specialty, the type of coach I hope to be. It was inspiring just learning that it was okay to be a positive coach rather than a negative one always criticizing.
Coaching should have a positive objective of getting the person being coached to perform their best. McGuinness says that coaching is goal-focused, and the goal is getting the person to do their best (McGuinness 26). While constructive criticism that is negative can be helpful, it should be balanced with more that is positive so that the person being coached feels good about themselves and looks forward to being coached rather than dreading it. I would rather inspire people in a way that they look forward to being coached than in a way that they dread it.
Coaches can achieve this emotionally intelligent coaching by listening to their coachees and looking at them to see what is going on with them. This develops empathy (McGuinness 27). Having empathy involved will always bring up emotions. One goal of coaching should be to get an emotional response. When emotions are involved, the coachees are more committed to the objectives (McGuinness 40). That is important to success for them and for me as the coach.
Jews arrived in England after the Norman conquest around 1066. For the first century, they lived peacefully and apparently without much oppression. They flourished financially even though they were forbidden to practice some occupations. One they could practice was money lending, which Christians could not practice. Jews also were involved in the coining of money and one of Oxford’s earliest colleges, the Merton College, was financed by a wealthy Jewish family. The king protected Jews, but also taxed them heavily—more heavily than Christians. In the twelfth and thirteenth centuries, the taxes became even heavier and material goods were confiscated from Jews to help pay for the crusades in the Holy Land. When John became king, he taxed the Jews even more and imprisoned whole communities if they could not come up with the money to pay the taxes. By the middle of the twelfth century, physical attacks and other types of oppression and abuse came about because of the furor over the crusades and continuing stereotypes about Jewish people.
Globalization is the process of contact, collaboration and assimilation with people, companies and governments of other nations. Globalization is done mainly for the purposes of international trade and investment. Information technology made globalization possible on a wide scale, but people have participated in trade, communication and collaboration with people of other nations for thousands of years. The main features of globalization include an economy that is dominated by investments all around the globe, multiple production locations and processes, low costs for transportation, the information and communication technology revolution, deregulation of national economies, and the relevance and ubiquity of major transnational economies.
The Tucson Convention Center is an interesting place. It houses the Tucson’s Musicians Museum. Latinx people make music and are interested in music in the same way people of all ethnic groups are, so it is possible the exhibits at the museum will appeal to them. Latinx people may also want to attend one of the many shows or conventions that the Convention Center holds every year. For instance, several holiday events are schedule throughout December that anybody, including Latinx people, may be interested in. There are sure to be aspects of these events such as the “Shop Local Mingle and Jingle” on December 7 and the Southwest Nutcracker on December 14th and 15th that will appeal to the Latinx culture as well as to other cultures. If in no other way, then they will appeal commercially, which is what marketers, manufacturers and retailers are hoping for. They want to appeal to all ethnic groups. Jose Alamillo asks, “How have marketers and advertisers used Latino/a culture to sell products? Has increased Latino/a consumer power contributed to increased attention of Latino/a cultural traditions?” (Alamillo 218). The answer to the first of Alamillo’s question is marketers and advertisers appeal to the things they believe Latinx people like such as certain types of food and music. Both of these things make up a great deal of the events that occur at the Tucson Convention Center. The second question is a rhetorical question it seems and the answer is yes: Latinx in recent years have become a big segment of the consuming population because they have become a large portion of the population of the United States. Alamillo says, “Latino/a buying power is expected to increase from 5.2% in 1990 to 9.6% in 2008. Another report estimated that Latino/as currently spend $400 billion annually in the United States” (Alamillo 219).
The general perspective behind the organizational analysis is to simply appraise the development, growth, operations, performance, personnel, and work environment of a specific organization. Employing organizational analysis is beneficial, as it enables top management, leaders, and subordinates to identify various areas of weakness, strength, and opportunities and then discover strategies and actions for eliminating potential challenges and threats. For this paper, our main objective is to conduct an organizational analysis based on Collin’s framework, Edgar Schein's Model, and Polarity Theory to analyze a specific organization that renders mental health services to a larger community. Our paper would also include the analysis of leadership styles, the culture of the organization, and complex adaptive systems. Furthermore, it will also demonstrate how the Hedgehog concept, Flywheel concept, and disruptive innovation have been applied to the organization under study. Complex Adaptive Systems Complex adaptive systems (CAS) concerning healthcare organizations are notable a composite of a dynamic network of interactions or agents, which is adaptable to a
The instruction of the assignment is to choose a fictional character from TV, movies or books that you believe meet the criteria for a personality disorder. Then to answer the following questions.
Related to:
HM is taking a number of medications, not all of which are compatible with each other. Some of them are also not compatible with some foods and beverages. Warfarin, Metformin, and Glyburide all have a moderate level of interaction with alcohol, so it should be avoided when taking any of them let alone all three of them. Mayo Clinic (2018) lists other foods and beverages that should be avoided when taking Warfarin include cranberries, cranberry juice, foods high in vitamin K such as soybean and canola oils, spinach and broccoli, garlic and black licorice (Mayo Clinic, 2018). These foods can cause problems such as increased or reduced medication effectiveness. According to Harvard Medical School (2013) the foods listed can cause arrhythmia which could account for HM’s atrial fibrillation (Harvard Health Publishing, 2013). But it is not just in his diet that HM must be cautious with the medications he is taking.
One rarely hears the term “third world” anymore. When it was used, it was used in a pejorative sense or as an insult. One cannot claim that the term is descriptive because there are not three worlds. The term came about because Western countries, no doubt led by the United States, after World War II, considered themselves the “first world.” They thought they were the most sophisticated, the most advanced, and, therefore, the “first” in everything. The second world was the Soviet nations. They too were sophisticated and advanced, but were also the enemy.
Communication and information technology has advanced rapidly in the last decade. From computers and cell phones to what some feel may be the intelligence that will someday destroy humans. That is artificial intelligence or AI. AI simulates human intelligence with machines—mainly computer systems. AI’s applications include expert systems, speech recognition and machine vision. When AI is combined with robotics, the result is machines that can do the work that humans currently do. This may be good for business but bad for workers since businesses may be able to operate without workers in the future leaving many people with no method of generating income and putting the future of their survival in jeopardy.
Medication errors may have tragic consequences for patients. While that is bad enough, they also damage the reputations of healthcare organizations, the nursing profession and the cost is quite expensive. A good portion of adverse drug events (ADEs) are preventable. They can occur during the ordering, administration, transcription or dispensing stages, but a good share of ADEs are committed at the point of administration. With bar-coded medication administration (BCMA) systems, the likelihood of committing a medication administration error is decreased because the system checks all of the aspects of the medication and verifies that each of them are correct. Unfortunately, even though BCMA systems have been around for over 3
Telehealth is not really a new phenomenon because nurses have been using the phone to check in with patients for many years. However, the concept of telehealth is to use the new smart phones and electronic devices to do more than check with patients verbally. Telehealth allows nurses and other healthcare providers to use electronic communications and telecommunications technologies to perform long distance clinical health care with data sent over the smart phone. For instance, some of the telehealth technologies allow providers to check a patient’s vital signs from a remote location
2. Farrow clearly thought that his ideas of helping poor people, women and Jews, who were unable to bank in the other banks that were around at the time his was, was such an ethical thing to do that his methods did not matter. He allowed an untrained bookkeeper to keep the books without outside audit for decades. When the bookkeeper retired, his son who had no experience in accounting took over. It was only the two of them who managed the books for all of Farrow’s bank branches (Hollow, 2014, pp. 8-9). If Farrow had been as clever and as good of a business person as he claimed to be, and that in his hubris he thought he was, he would never have allowed such an unprofessional practice to occur. However, he actions show utter disregard for the safekeeping of his customer’s money.
For this assignment, read the case study, The 1920 Farrow's Bank failure: a case of managerial hubris.
Thomas Farrow had been evaluated as having been inflicted by managerial hubris at the time of the bank's collapse in 1920. With this in mind, address the following questions, with thorough explanations and well-supported rationale.
How did corporate culture, leadership, power and motivation affect Thomas' level of managerial hubris?
Relate managerial hubris to ethical decision making and the overall impact on the business environment.
Madonna and Child, ca. 1290–1300, Duccio di Buoninsegna
The Madonna and Child painted by Duccio di Buoninsegna is one of numerous paintings of the two figures created by painters over hundreds of years. However, it is a remarkable one because it is one of the first that depicts the Madonna and Child as humans rather than iconic figures. In the late Middle Ages, the era in which this painting was made, most religious figures were iconic rather than realistic. In other words, they were used as images to look at when worshipping and not as humans that actually once existed in the flesh.
Shilpa Gupta, an international contemporary Indian artist, based in Mumbai, uses unconventional objects, many of the found objects, to create works of art. Gupta uses several different mediums also including video, computer based installation and peformance art, and other more traditional and tangible materials to convey the usually political messages in her artwork. Gupta’s interests include politics which fascinate her. Born and educated in Mumbai, her art is themed with the politics of India and one of its next door neighbors, Pakistan. She has included excursions to the border area between the two countries in several of her works. She explores human perception and the way one can understand a work of art in layers of varying perceptions based on the varying experiences that different people have.
Since 2011 Nike ran the ad for Kaepernick. Spellings (2018) of The Cut says, “Nike has done bang-up job of reversing that image. Business of Fashion and Morgan Stanley have both hailed the company for its sustainability efforts. Nike has an entire site dedicated to its social impact with stories, stats, and pictures of happy people working in its factories. Now, by aligning itself with Kaepernick, Nike stands for a new kind of activism and has new power” (Spellings, 2018). Spellings (2018) goes on to say that there is a glaring omission in Nike’s new CSR image, and that is workers rights. She specifically says that it is transparency problem in the product chain for Nike. Nike will not say what it pays the factory workers, and no effort to try to raise the wages so that the workers can have at least a slightly better life. When workers protest and try to unionize to protect their rights and put up a united front, Nike has them beaten and jailed.
1. Trying to get the workers in Indonesia fair wages is not really inflicting Western values on them. Perhaps it is inflicting justice and fairness, but those are not just Western values. Every human wants to be treated fairly. It is a universal desire. Nike brought the Western values of greed and sweatshop slavery to the people of Indonesia. Perhaps they did not have jobs before Nike came, but Nike exploited their poverty and desire to have an income by not paying them a living wage. Nobody believes that they would be paid minimum wage by Western standards, but they should be paid a living wage that does not require them to work hours overtime just to survive. That is not a job; it is slavery.
1. Trying to get the workers in Indonesia fair wages is not really inflicting Western values on them. Perhaps it is inflicting justice and fairness, but those are not just Western values. Every human wants to be treated fairly. It is a universal desire. Nike brought the Western values of greed and sweatshop slavery to the people of Indonesia. Perhaps they did not have jobs before Nike came, but Nike exploited their poverty and desire to have an income by not paying them a living wage. Nobody believes that they would be paid minimum wage by Western standards, but they should be paid a living wage that does not require them to work hours overtime just to survive. That is not a job; it is slavery.
Nike tried to deny that they were using sweatshop labor in the 1990s, but if they had nothing to hide then they should have allowed the Americans in who wanted to see what it was like inside the factories. Instead, Nike denied them access, sent security to threaten them and then follow them to their homes. This does not sound like a company with nothing to hide. Nike has the social responsibility to ensure that their workers are being treated fairly and not being threatened. Yet, when a worker tried to unionize, she was beaten and illegally jailed for doing something that every worker should have the right to do and that is seek a better work standard than below poverty wages, long hours and terrible conditions (Nike Sweatshops: Behind the Swoosh, 2011). Phil Knight acts as if he is a philanthropic person, but he does not show much kindness or caring to his own workforce. He is the one imposing the Western habit of greed rather than showing the universal trait of love and caring about one’s fellow human beings especially those who work to make their boss wealthy.
2. The case referenced in the YouTube video had to do with the sweatshop conditions in Nike factories in Indonesia in the 1990s. Today, there is more concern over the same issues. Bain (2017) of Quartz explains, “Nike contract factory in Hansae, Vietnam, suffered wage theft and verbal abuse, and labored for hours in temperatures well over the legal limit of 90 degrees . . . . Nike is also accused of cutting jobs at the Hansae factory and pulling production from a factory in Honduras with a strong union presence, resulting in hundreds of workers losing vital jobs (Bain, 2017). Nike also will not let an independent group called the Worker Rights Consortium inspect their factories. This makes not sense unless they have something to hide. This leads one to ask, what are Nike’s ethical standards?
Nike aligns itself with companies that share the same values. If they did not, the companies would not want to work with them. Someone who contracts with Nike either does not know or care how Nike makes so much money by not paying living wages or making sure their factories are not below the standards expected by basic human rights. Nike should be boycotted by both consumers and collaborators until they get their ethical house in order and stop exploiting workers in poor countries who are just trying to make a living. Nike tries to put on a face of corporate social responsibility, but where the rubber meets the tennis shoe, they do not demonstrate social responsibility even if in the Western world they have tried very hard to seem as if they do. For instance, they recently created an ad with Colin Kaepernick citing him as a courageous person, and he is, but it seems as if the Kaepernick ad says that people should see that Nike supports Kaepernick’s efforts at justice for African Americans. However, justice for the people of Indonesia, Honduras or Vietnam is not a concern, and it should be
1. Trying to get the workers in Indonesia fair wages is not really inflicting Western values on them. Perhaps it is inflicting justice and fairness, but those are not just Western values. Every human wants to be treated fairly. It is a universal desire. Nike brought the Western values of greed and sweatshop slavery to the people of Indonesia. Perhaps they did not have jobs before Nike came, but Nike exploited their poverty and desire to have an income by not paying them a living wage. Nobody believes that they would be paid minimum wage by Western standards, but they should be paid a living wage that does not require them to work hours overtime just to survive. That is not a job; it is slavery.
Almost immediately after the terrorist attacks on the United States on September 11, 2001, transportation safety became an important focus for the government. The Department of Homeland Security (DHS) and the Transportation Safety Administration (TSA) were created. Now, these two agencies work together to prevent further terror attacks using the nation’s transportation system in conjunction with transportation systems of other countries. This is done in many different ways from establishing and maintaining a terror watchlist to inspecting the luggage of passengers. While there have been some near misses, there have not been any other aviation associated terror attacks in the United States since 2001
Read the following: Grudem, W. (2003). Business for the glory of God: The Bibles teaching on the moral goodness of business. Wheaton: IL: Crossway. ISBN: 9781581345179. You will submit a book review of 1,000 words in current APA format. Choose 1 chapter and write an in-depth review of the chapter you choose. Discuss 1 or 2 main points with which you agree and 1 or 2 with which you do not agree, supporting your thoughts with well-reasoned arguments. Your analysis must also be supported by at least 3 sources other than the Grudem book, and by biblical principles. Each additional source must be cited in-text and in a reference list in current APA format. Grudem, W. (2003). Business for the glory of God: The Bibles teaching on the moral goodness of business. Wheaton: IL: Crossway. ISBN: 9781581345179.
Sometimes I am so busy studying now that I am in college, and working to pay the bills, that I forget to exercise. If I were to start a business that allowed me to get exercise, then I could feel as if I were not wasting my time while I was exercising. Since I am no personal trainer, I thought I would start a dog walking business. I have a dog and I walk him every day so both of us get exercise. There is no reason why I could not walk a few more dogs—or maybe a whole lot more dogs—and get my exercise. That might allow me to give up my other low-paying job and just work for myself. Since I love dogs, this is the perfect business for me, and the business is located in California where the weather is almost always nice.
To start the business I do not really need anything but a leash and some reliable poop bags for cleaning up after my charges. I can advertise on Facebook and on bulletin boards of local pet stores, vets and grooming facilities. I may even get enough business that I have to contract some of my walks out to other people.
Sometimes I am so busy studying now that I am in college, and working to pay the bills, that I forget to exercise. If I were to start a business that allowed me to get exercise, then I could feel as if I were not wasting my time while I was exercising. Since I am no personal trainer, I thought I would start a dog walking business. I have a dog and I walk him every day so both of us get exercise. There is no reason why I could not walk a few more dogs—or maybe a whole lot more dogs—and get my exercise. That might allow me to give up my other low-paying job and just work for myself. Since I love dogs, this is the perfect business for me, and the business is located in California where the weather is almost always nice.
To start the business I do not really need anything but a leash and some reliable poop bags for cleaning up after my charges. I can advertise on Facebook and on bulletin boards of local pet stores, vets and grooming facilities. I may even get enough business that I have to contract some of my walks out to other people.
Starting a new technology company may be difficult but it is easier than trying to create an innovative culture in an established company. Established companies have institutions and a company culture that may be difficult to navigate and/or to overcome. When an entrepreneur starts a tech company, it means s/he gets to select employees that will help to make the company the way the they want it to be. They can hire people with proven successes in leadership, innovation and enthusiasm. That way, the entrepreneur can create a company with the culture of their choosing.
In recent years, Ireland has become a magnet for many foreign direct investments (FDIs). The leader in those investments is the United States, followed by Germany, the UK, and Russia. Ireland has many attributes that draw the foreign investments, and they have cultivated these attributes carefully to draw tech companies to their shores. However, with the looming Brexit rapidly approaching, the careful work that has gone into making Ireland an attractive place for foreign investors could suffer some damage, but the extent of the damage is difficult to predict
In recent years, Ireland has become a magnet for many foreign direct investments (FDIs). The leader in those investments is the United States, followed by Germany, the UK, and Russia. Ireland has many attributes that draw the foreign investments, and they have cultivated these attributes carefully to draw tech companies to their shores. However, with the looming Brexit rapidly approaching, the careful work that has gone into making Ireland an attractive place for foreign investors could suffer some damage, but the extent of the damage is difficult to predict. The opposite effect is also a possibility as Ireland could benefit from companies wanting to invest but not in a UK that is not part of the EU. However, Ireland is prepared for either possibility.
Business Advanced Communication 301
Instructions:
Create a business plan that you will be able to use to present your new business to prospective shareholders, financial institutions, legal firms, or whoever may need information to support your business.
In this section, I learned that having emotional awareness is important for anybody regardless of their profession, their interests, or their lifestyle. One way to think about emotions according to Chris Delaney of Employment King is by how much heat they generate, the color they represent, or the part of the body that they effect. Delaney suggests that a counselor ask their clients to draw a human body and then use one of those three methods to describe the emotion (Delaney 11). So, some people may feel sorrow, for instance, as blue, cold or located in the heart, where others may see it as black, hot, and located in the eyes that shed tears when there is sorrow.
Readings and Assignments: https://wordpresstestblog2.fil....
Part 1
Emotional awareness of others:
The skill of perceiving and understanding others emotions
- Greater understanding of others, how to engage, respond, motivate and connect with them effectively.
Part 2
Emotions Reasoning:
The skill of utilizing emotional information in decision-making
- Enhanced decision-making where more information is considered in the process
- Greater buy-in from others into decisions that are made
Readings and Assignments: https://www.bkconnection.com/s... we will discuss in class.
Part 3: Open ended Questions and the Socratic Method
Part 4:
Emotional Self Management:
The skill of effectively managing one’s own emotions
- Improved job satisfaction and engagement
- Improved ability to cope with high work demands
- Enhanced productivity and performance
This chapter is about engaging with customers and forming a relationship with them. Gathering information about customers helps a business owner offer what customers want. Meyer (2006) says, “The more information you collect, the more frequently you can make meaningful connections that can make other people feel good and give you an edge in business” (Meyer, Turning Over the Rock, 2006, p. 81). Often it is obvious that a customer is unhappy or well-pleased and it is written on their face. Meyer (2006) also says that the standard “the customer is always right” mantra is no longer the case. He likes to tell people they are wrong while still keeping them happy and engaged.
The many suggestions Meyer (2006) offers about how to pull off the fact that the customer not always being right and still keep the customer can be helpful in a tense situation. However, customers are wise to the way businesses no longer consider them “always right.” Having a code that alerts co-workers to a potentially bad situation is good, but customers do not go out to eat or to go shopping to be told that what they want is wrong. It might be better if one were to make them feel right even if they are wrong. That would be the true measure of management perfection, but it is difficult. It might be best to practice scenarios before they occur.
Carucci (2016) of the Harvard Business Review explains why business people violate ethics. He basically says that the reason for this is that these people have good intentions but their bosses expect them to do certain things and doing them may not be ethical. Carucci (2016) says that progress has been made in business ethics, partly because of laws that control some of the unethical practices of yesteryear. However, he also says, “Despite progress, 41% of workers reported seeing ethical misconduct in the previous 12 months, and 10% felt organizational pressure to compromise ethical standards” (Carucci, 2016). He uses the recent Wells Fargo scandal as an example. In that issue, 5300 employees fraudulently opened over 1 million accounts without client permission to do so. This indicates a systematic issue rather than an employee ethics issue.
Carucci (2016) then goes on to list 5 ways that business organizations cause their employees to make unethical choices. These include making it unsafe to speak up against unethical practices, putting excessive pressure on employees to reach unrealistic performance standards, having conflicting goals that come off as unfairness, leaders not controlling employees behavior, and having no good examples to follow (Carucci, 2016). If a company has ethical policies that are upheld and there is an ethical culture, employees may not be so tempted to violate ethical standards to meet goals.
Monster Energy is an energy drink manufactured by a company once called Hansen Natural Company. It changed its name to Monster Energy in 2002. According to Investopedia (2019), in 2015, Coca-Cola bought Monster Energy and now it sells all the energy drink labels while Coke sells non-energy drinks including Hansen Natural Sodas (Buehler, 2019). Monster Energy produces 34 different beverages including its Monster Energy line. Some reports say that energy drinks contain the equivalent of 4 cups of coffee in one beverage, but Monster claims its drinks have between 160 mg to 188 mg. of caffeine per 16 oz beverage. However, the website, Caffeine Informer (2019) cites Consumer Reports who tested Monster Energy drinks and fo
Monster Energy knows that there have been many incidents of people becoming ill from their products. In 2013 they were sued because of the harmful effects of their drinks, often on young people and/or associated with the Monster Energy drinks being consumed in association with exercise or participation in sports activities. Despite this, at the Monster Energy website under the heading “Social Responsibility,” there is no mention of the ethics of the contents of their beverages. The do mention fair trade, avoiding human slavery, environmental sustainability, having control over their supply chain, human rights policies, and philanthropy, but nothing about how their beverages can harm or kill people (Monster Energy, 2019). According to Class Action.com (2019), Monster Energy settled three lawsuits for the deaths of three people related to the consumption of their beverages. They currently have another lawsuit making its way through the judicial process (Class Action.com, 2019). The remaining unsettled lawsuit involves a man who had a series of strokes after consuming four Monster Energy drinks in one day.
Because Monster Energy settled with the families of people who died from consuming their beverages, it seems as if they are admitting that their products can be harmful to consumers. However, they have not pulled them from the market. They also have not attempted to improve them. They have added additional warnings to the labels, which may be all they are required to do by the FDA. Clearly, Monster Energy does not really care much about the harm that their products do to the consumer. They have deep pockets since they are owned by Coca Cola and they can stop any settlements they make with those who sue them from being disclosed. This takes the issue out of the public consciousness. Meanwhile, people continue to work hard, not sleep enough and cram more activities into their days than most humans are physically capable of. That means they want energy drinks.
Better leadership of Monster Energy would be useful to improve their social and ethical reputations. Not only has the company been sued several times because of the harm their beverages cause, they have also been sued for sexual harassment and discrimination among their female employees and one department head was under felony criminal indictment. Peck (2018) of Huff Post says, “Even as he awaits a criminal trial for allegedly strangling his girlfriend during a business trip in 2016, Brent Hamilton is still the head of music marketing at Monster Energy . . . . John Kenneally is a vice president at Monster despite three women accusing him of bullying, harassment and retaliation” (Peck, 2018). From the sounds of it, changing leadership would solve many of the problems Monster Energy has.
Better leadership of Monster Energy would be useful to improve their social and ethical reputations. Not only has the company been sued several times because of the harm their beverages cause, they have also been sued for sexual harassment and discrimination among their female employees and one department head was under felony criminal indictment. Peck (2018) of Huff Post says, “Even as he awaits a criminal trial for allegedly strangling his girlfriend during a business trip in 2016, Brent Hamilton is still the head of music marketing at Monster Energy . . . . John Kenneally is a vice president at Monster despite three women accusing him of bullying, harassment and retaliation” (Peck, 2018). From the sounds of it, changing leadership would solve many of the problems Monster Energy has.
In the film White Like Me, Tim Wise talks about how American society is centered around race and racism. He explains that white people do not think about being white because they are the majority, and they have developed policies and institutions that benefit them and not minorities. This is where the concept of white privilege comes from. Beginning with the Constitution, the white male founders of the United States included privileges for white people that other people who also lived in the country did not have. Since then, racism and racial identity has played a major role in the way American society has developed. Now the racial biases that are built into American society are so common that white people do not even realize how they affect people of color.
The hypothalamus is a small region of the brain near the pituitary gland that functions as a gland also. Saper and Lowell (2014) of Current Biology say that the hypothalamus is the earliest parts of the brain to form. It is also the smallest, weighing in at about 4 gm of the average 1400 gm of the adult human brain (Saper & Lowell, 2014, p. 1111). Despite its small size, the hypothalamus has several important functions including releasing hormones, regulating body temperature, maintaining biological functions, controlling appetite, managing sexual behavior and controlling emotional responses. According to Han (2018) of Healthline, the hypothalamus is divided into three regions each with its own nuclei, which is a cluster of neurons that perform the vital functions listed above (Han, 2018). Each section of the hypothalamus secretes hormones that have specific functions.
Of course, the IOM report has a direct influence on nursing education and nursing leadership. It highlights the key points people in this profession should keep in mind and, therefore, implement in their career paths. One of them refers to the benefits and opportunities for BSN-prepared nurses that cannot be understated. Anbari (2019) refers to the recommendation from The National Academy of Medicine and leading nursing organizations that 80% of registered nurses should receive a bachelor’s degree so they will be able to contribute to patient outcome improvements. Individuals who receive a hi
B). Significance of the IOM “Future of Nursing” Report
B). Significance of the IOM “Future of Nursing” Report
Nursing profession comprises over 3 million practitioners making it the largest segment of the United States’ health care delivery workforce (IOM, 2010). Nurses work on the front-line in health care system and contribute a direct impact on patient care. The proximity to patients and scientific knowledge of processes across the continuum of care, make nurses the most potent healthcare staff in effecting significant transformation in the health care delivery system. Implementation of the provisions of the report would enable nurses to be better equipped for leadership, diversity of patient needs, and scientific research capacity. implementation of the IOM future of nursing report essay assignment paper example.
A). Role of the Robert Wood Johnson Foundation Committee
In 2008, the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) launched a 2-year initiative in response to the need to evaluate and transform the United States’ nursing practice (IOM, 2010). The Institute of Medicine instituted a committee on the Robert Wood Johnson Foundation Initiative on the future of nursing.
Personal Nursing Leadership Philosophies NURS 6053 Essay Assignment
Personal Leadership Philosophies
Leadership is essential in healthcare. A leader is one who serves to benefit the people they lead (American Nurses Association, 2016). A leader is always eager to invest time and resources into learning the needs of the people, identifying the best ways to meet those needs, and devising action and steps that incorporate the human and material resources available to them (Soh, 2017). Being a nursing leader is characterized by various traits and values, some of which are related to personality traits, learned, or adapted over time (Dodson, 2017). Being a great example to a team
Personal Nursing Leadership Philosophies NURS 6053 Essay Assignment
Personal Leadership Philosophies
Leadership is essential in healthcare. A leader is one who serves to benefit the people they lead (American Nurses Association, 2016). A leader is always eager to invest time and resources into learning the needs of the people, identifying the best ways to meet those needs, and devising action and steps that incorporate the human and material resources available to them (Soh, 2017). Being a nursing leader is characterized by various traits and values, some of which are related to personality traits, learned, or adapted over time (Dodson, 2017). Being a great example to a team
Describe two essential behaviors that you want to improve.
A growth plan that shows how you intend to improve on the two important behaviors you choose, as well as how you intend to attain your personal goal. Provide specifics and instances.
Include your colleagues’ feedback on your Clifton Strengths Assessment from Module 2 Discussion.
Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750‐1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:
The workplace is replete with various issues that require careful assessment, diagnosis and treatment. Incivility in nursing is a persistent issue that require careful management by the leadership so as to improve the workplace environment. Tools such as the Clark Healthy Workplace Inventory play a fundamental role in providing the assessment results. Thus, based on the results of the Work Environment Assessment Template, the present paper will describe the above results, analyze a theory presented in a selected article, and recommend strategies that will lead to the presence of interprofessional teams within the current writer’s workplace setting.
This paper is being written to explain the pathology of cystic fibrosis. I personally have a friend who has this disease and have learned from her. The topics that will be covered are, how cystic fibrosis is created at a cellular level, genetics role in cystic fibrosis, the reasoning for the symptoms that the patient presented with, the description of the cells involved in cystic fibrosis, and how other characteristics would change the child’s response to cystic fibrosis. In short what I remember from nursing school is that cystic fibrosis is a genetic disorder which is an autosomal recessive gene that is carried by both the mother and the father. The abnormality occurs in chromosome 7 which is where creates an inability to transport small molecules across the cell’s membrane, which in turn, dehydrates the cells of the epithelium and this then creates dry secretion. This is a broad overview of what this disease is, but I will go into further detail below.
Genetics play an important role in this disease, according to an article published in PubMed titled Cystic fibrosis genetics: from molecular understanding to clinical application states that due to a defective epithelial cell that is defective, this cell is inherited and is an autosomal recessive gene. The genetic information that is in the cell, which is the recipe for the cell to make proteins (Cutting, 2015). According to Pathophysiology of disease: An introduction to clinical medicine, if a person receives a cystic fibrosis transmembrane conductance regulator gene (CFTCR), or a person can receive two copies of the CFTCR gene. This copy has a mutation of the cystic fibrosis gene, furthermore these two copies of the CFTR gene have stored a mutation which is the on chromosome seven. So, when the recipe is being presented to the cell to be made, the genetic information is then stored into the deoxyribonucleic acid which is known as DNA. This is part of the twenty-three pairs of chromosomes, but on the seventh chromosome, the cystic fibrosis recipe is stored in that chromosome. In the DNA, where the CFTCR gene recipe lives, if there is one copy of the recipe than the gene will not show up in the person but will be a carrier but if there are two copies of the recipe being stored in the chromosome than the cystic fibrosis gene than the person will have cystic fibrosis (McCance at el., 2019)
Statement: The goal of the safety management system is to maintain the health and improve the safety of employees. To do this we must establish a safety culture that begins with leadership that encourages and empowers employees at all levels to reduce unsafe actions, expose hazards, and report accidents and injuries.
This means that each employee must be personally responsible for t
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
Looking Ahead
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
Looking Ahead
ANALYSIS OF A PERTINENT 1
Module One Assignment: Analysis of a Pertinent Healthcare Issue
Interprofessional Organizational and Systems Leadership
NURS 6053
Assignment: Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue
To Prepare:
Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue
DQ2 The underlying principle of servant leadership is that leaders address the needs of the team before their own and serve others before serving the self. After reviewing the topic materials and conducting your own research on servant leadership, describe how the vocation of the nurse is similar to the goals of a servant leader. Identify any examples you have seen in your practice, and the best way you can demonstrate servant leadership in nursing practice.
DQ2 Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.
Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models, such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based proposal in clinical practice. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
Explore the pivotal role of NURS FPX 4040 Assessment 4 in leveraging informatics and nursing-sensitive quality indicators to enhance healthcare outcomes.
The well-justified adoption of telestroke technology significantly reduces intervention time and improves patient outcomes in stroke care. Remote neurology consultations contribute to timely decision-making, lowering mortality rates and disability, and increasing patient satisfaction. Seamless integration into healthcare workflows fosters interdisciplinary collaboration, overcoming geographical barriers for specialized care. Telestroke aligns with patient-centered principles, positively impacting organizational factors and justifying its implementation as a transformative tool for elevating stroke care standards
Monitoring this indicator ensures that healthcare providers are proactive in preventing falls, promoting a safe care environment, and providing high-quality care (Jones et al., 2019).
Encouraging legislative reforms to increase the accessibility and cost of rheumatoid arthritis therapy requires revolutionary management. One may use leadership that transforms to push for change in the role of Josephine’s doctor. This entails using idealistic power, personalized attention, stimulation of thinking, and inspiring motivation for politicians. The nurse may arrange one-on-one sessions with lawmakers to share Josephine’s experience
Improvement Plan with Evidence-Based and Best-Practice Strategies
Patient safety and quality care are two of the most significant challenges faced by health care facilities, nurses, physicians, writing services and other health care professionals. Poor quality and issues to patient safety will lead to morbidity, mortality, increased cost of care and hospital stay, lower patient satisfaction, and job satisfaction, and other issues. Some of the most common patient safety issues are medication administration errors, poor patient handling, delayed care, hospital-acquired infections, patient falls, and other issues. The purpose of this paper is to analyze the medication administration issue relating to patient safety, best evidence-based practices, and analyze coordination between nurses and stakeholders.
Discuss your options in the job market based on your educational level. Currently, the best professional practice in nursing
Review the IOM Future of Nursing Recommendations for achieving higher levels of education. The IOM recommendations insist on having nursing staff who are well educated with a BSN degree improved by the year 2020 up to 80%. Thus, the author will gain a lot from getting a baccalaureate degree, enabling the author to fit in the ever-changing nursing
Review the IOM Future of Nursing Recommendations for achieving higher levels of education. The IOM recommendations insist on having nursing staff who are well educated with a BSN degree improved by the year 2020 up to 80%. Thus, the author will gain a lot from getting a baccalaureate degree, enabling the author to fit in the ever-changing nursing
In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:
Implementing any change in a healthcare organization or facility entails several aspects that require one to develop an implementation as is the most important part of any evidence-based practice (EBP) project proposal. Implementation entails the actualization of the ideas developed in the proposal EBP projects are broken into several identifiable steps (Boehm et al., 2020). The implementation plan will focus on hand hygiene measures in pediatric setting among healthcare workers to reduce hospital acquired infections (HAIs). The implementation plan will consist of the setting where the project will take place, time, resources, methods and instruments, intervention of delivery process, and data collection plan. The plan also includes management of barriers, facilitators and challenges and the feasibility of the plan.
Palliative and end-of-life care is a specialized field of medicine that focuses on providing compassionate and supportive care to patients with life-limiting conditions. It entails a multidimensional approach that addresses the patients’ and their families’ physical, psychological, social, and spiritual requirements. Palliative and end-of-life care seeks to enhance the quality of life, alleviate distress, and provide support to individuals and their families throughout the voyage toward death. Here is a comprehensive description of palliative and end-of-life care:
Heart Failure is a chronic, progressive condition where the heart muscles are unable to pump sufficient amounts of blood to meet the body’s need for blood and oxygen causing the heart to overwork. This patient population is at a higher risk of hospital readmission compared to
It will be critical to conduct measurements of the progress to link the evidence on both individual and group anti-stress techniques and adjust the strategy on the fly. The Maslach Burnout Inventory questionnaire, the Professional Quality of Life Scale questionnaire, and similar tools must be employed during the sessions for continuous assessment of stress levels among personnel (Suleiman-Martos et al., 2020). Practice change may require significant structural changes, as the current state of the hospital’s work environment leaves nursing personnel in a vulnerable state. Feedback from the participants shall be used by a psychotherapist involved in the process, as well as the HR team, to assess the need for adjustments in the nurses’ schedules
Literature review is an essential part of any work. Whitehead and colleagues (2019) studied factors that make nursing certification attractive for those who undertake this qualification. In their study, the authors examined 41 articles to measure the value of intrinsic and extrinsic rewards, that is to say personal and professional gains they get from certification. The results showed that the main intrinsic gains were “feeling of personal accomplishment, […] personal satisfaction, and specialized knowledge”. Among extrinsic values, “recognition from peers, […] health professionals, and employers” were named as the main factors that make certification attractive (Boyle & Thompson, 2020, p. 231). Salary issues were found irrelevant with regard to certification process.
The growing availability of information resources has led to distance learning being used more often, especially for postgraduate education. It is especially relevant in those areas characterized by regular updating of knowledge, which includes health care. Therefore, the highest quality, at the current level of world knowledge, training, and continuous professional development of medical workers of all levels and areas of activity, including nurses, are needed. Distance learning and vocational training programs allow to acquire practical skills and abilities that correspond to the modern level of professional competencies, based on already mastered educational nursing education programs. However, there is some concern about the effectiveness of this type of nursing training.
Artificial intelligence has been in place since the year 1956, but considering the recent momentous acceleration in the accounting and finance industry it has become the vital topic in business. It plays a foremost role in the way the functions are performed in an organisation. Recently, Artificial Intelligence has revolutionised the efficiency, quality and time taken to accomplish these functions in contrary to manual performance. In fact, the very same difference has sparked controversial debates.
Motherhood is a joy cherished through natural conception and in case of infertility accomplished by substituted reproduction called as Assisted Reproductive Technology (ART). One such ART technique in begetting a genetic child is through Surrogacy[footnoteRef:2]. Though in India, infertility rate is increasing at an alarming speed, the Country as a matter of Public Policy has taken a rigid approach in banning Commercial Surrogacy and allowing only Altruistic form of Surrogacy.
Artificial intelligence is being used to make decisions in your life whether you like it or not. Artificial intelligence is a major part of life that can be a good part of humanity. What is Artificial Intelligence or as some people might say AI? Well, the CEO of DataRobot started his speech by saying: “AI is a computer system able to perform tasks that ordinarily require human intelligence... Many of these artificial intelligence systems are powered by machine learning, some of them are powered by deep learning and some of them are powered by very boring things like rules”.
While intelligence collection plays a major role in the intelligence cycle, it is significant in today’s global warfare as it provides knowledge about what adversaries may be doing or predicts plans of our enemies. Though the intelligence process is a significant issue such as information or data scalability, data collection, and information analysis need to be addressed. With the amount of data collected and it is difficult to extract relevant information within a small amount of time. Additionally, with different sources used in the collection of data, translating and processing it make it unbearable due to different languages and cultural backgrounds of some information. Analysts are overwhelmed when massive data are collected and need to be processed and analyzed. Thus mistakes or failures may arise when analysts are sorting through huge data to find the relevance to issues that need to be addressed.
Can a machine replace the position of an editor? In part, it does seem to be possible thanks to GPT-3 technology, which is nothing more than an artificial intelligence (AI) model whose main utility is the generation of texts from a seed text. “Although a priori it can be a threat to humans, GPT-3 is usually used more as an inspiration tool to generate a base and for the editor or content creator to improve it”, comments José Gabriel García Ortega, CEO of La Caja Company. Although many companies are reluctant to incorporate it, GPT-3 technology is one of the first systems to show the possibilities of general artificial intelligence and, therefore, it could become a great discovery of the 21st century. Thus, García Ortega has developed five keys on the GPT-3 and analyzes how it is revolutionizing the content generation ecosystem. In my essay, I want to highlight them.
As many of you know a new subject in our day by day is artificial intelligence. Many of us would like to know if this is a threat or an aid to the future of the humanity. There is a lot debate about the intrinsic proper or badness of AI. Yet perhaps the higher hazard in the brief to medium time period is our human dispositions to malicious intent. In any case we need to increase the governance that permits us to have self belief in the safety of AI.
Is artificial intelligence really helpful to humanity or is it a threat, that we just don’t see? Artificial intelligence is the theory and development of computer systems able to perform tasks that are normally require human intelligence, such as visual perception, speech recognition, decision making and translation between languages. It truly has lots of advantages in the advancement of our daily living. However, contradicting the advantages, disadvantages also outgrow through it.
Machines, computer and other highly technical things are disseminated and used by most people nowadays. But aren’t we too focused on those? We are forgetting the old life that we used to have. A simple, full of laughter life, and just natural things, that we are contented with. Then advancements came, which makes costs of the living expensive.
Is artificial intelligence really helpful to humanity or is it a threat, that we just don’t see? Artificial intelligence is the theory and development of computer systems able to perform tasks that are normally require human intelligence, such as visual perception, speech recognition, decision making and translation between languages. It truly has lots of advantages in the advancement of our daily living. However, contradicting the advantages, disadvantages also outgrow through it.
Machines, computer and other highly technical things are disseminated and used by most people nowadays. But aren’t we too focused on those? We are forgetting the old life that we used to have. A simple, full of laughter life, and just natural things, that we are contented with. Then advancements came, which makes costs of the living expensive.
Streptococcal Pharyngitis
Strep throat is also known as streptococcal pharyngitis.It is an infection of the throat, pharynx, and tonsils caused by a bacteria called Group A streptococcus (GAS) or streptococcus pyogenes. It is commonly diagnosed with a rapid strep test or throat culture (Cohen, Bertille, Cohen,
The resources required are rather few and will facilitate stakeholder communication. Each team member discussing the change intervention will receive an appreciation token of $1000 after the care bundle is ready to be implemented. Costs of the care bundle will be determined as the team discussions continue and the specific care interventions are agreed upon. Other resources include utilities such as electricity, snacks and electric gadgets to facilitate the meetings.
I had no idea that there were so many “levels” of HIPAA and patient rights. All the different rules and regulations for the special topics, the depth of the Patient Safety Rule, the involvement of the OCR. Even though there was an overwhelming amount of information to research through, a lot of it seemed somewhat familiar. This paper discusses some points I found that I actually learned about.
The healthcare business is continually developing to meet federal prerequisites for electronic PHI upkeep, transmission, and capacity. The present healthcare organizations are picking HIPAA-compliant partners that diminish the risk of PHI breaches, decrease network unpredictability, counterbalance capital expenses, and upgrade network nimbleness to convey better patient care and healthcare service conveyance at a lower cost. As these healthcare organizations coordinate their data and business structures in the virtual space, they have to constantly put resources into hardware-improved security technologies and software arrangements that ensure personalities, data, and frameworks. Somebody from the C-Suite needs to trust in the inborn advantages of HIPAA, for required consistency as well as a positive impact to improve the client experience and upgrade the brand esteem. Healthcare organizations and their partners need to grow best practices, measures, and administration models to guarantee HIPAA-compliant procedures and policies are incorporated with their operational models, instead of being an insignificant idea in retrospect.
It is said that the United States is the land of freedom and opportunity, but it is rarely ever mentioned that it is also the land that has the most expensive healthcare system in the world. By which, many cannot possibly afford. Many countries have been transitioning to free healthcare systems, but the United States seems to not be following that lead any time soon. I believe that government should provide free health care to everyone in the United States because it is a human right, it could potentially save a lot of lives, and reduce overall healthcare spending.
In December 2017, Congress passed the Tax Cuts and Jobs Act, which eliminated the individual mandate penalty, effective January 1, 2019. The tax bill included a provision that revoked the individual mandate that was part of the 2010 Affordable Care Act (ACA). The individual mandate requires most Americans (other than those who qualify for a hardship exemption) to carry a minimum level of health coverage. Under the ACA, individuals can purchase healthcare insurance that meets the minimum healthcare coverage standards required by law from licensed agents or on or offline directly from insurance companies regardless of pre-existing conditions. Section 6055 of the Internal Revenue Code, adopted through the ACA, requires employers with 50 or more full-time employees and government programs to offer 'minimum essential coverage' and report proof of health insurance coverage for anyone employed with that company or who is in a government program.
“Give people what they need: food, medicine, clean air, pure water, trees and grass, pleasant homes to live in, some hours of work, more hours of leisure. Don't ask who deserves it. Every human being deserves it” (Howard Zinn, ‘Marx in Soho: A Play on History’). Health is considered as one of the major rights of humans and thus all people should have access to resources needed for health care. “Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease and infirmity” (WHO, 1947). Health systems are complex entities with many different stakeholders, including patients, clinicians, health care providers, purchaser organizations, regulators, the government and the broader public.
2 Changes To Reform The U. S Healthcare System Outline A Current Or Emerging Health Care Law Or Federal Regulation Introduced To Reform Or Restructure Some Aspect Of The Health Care Delivery System. Describe The Effect Of This On Nursing Practice And The Nurse's Role And Responsibility.
With the current laws and regulations governing the U.S healthcare system, insurance companies have been benefiting while patients have been receiving substandard services from various institutions. It is important to note that these kind of inefficiencies have resulted in the wastage of resources yet citizens are not getting quality treatment. The U.S. healthcare system has faced ongoing political debate. Reforms have been enacted in recent years, including the Affordable Care Act (ACA), to improve quality, accessibility, and affordability. The ACA addresses critical issues, requires insurance coverage for all, and creates marketplaces for consumers to compare and buy policies (U.S. Centers for Medicare & Medicaid Services, 2022”). This has increased access to health insurance and quality healthcare services for many individuals and families.
Healthcare reform continues to be a highly charged and contentious topic in the United States. A significant portion of the American population holds the view that healthcare is a fundamental necessity that should be available to all individuals, regardless of their race, religion, gender, economic circumstances, or any other demographic characteristic. Nevertheless, crafting legislation that outlines the means by which such care should be funded remains a significant challenge. According to Le Blanc et al., (2020), the Sustaining Excellence in Medicaid Act of 2019, introduced by Michigan Representative Debbie Dingell and signed into law on August 6, 2020, represents a recent federal healthcare reform in the United States. The bill introduced several reforms. One of the major changes involved extending Medicaid appropriations through the fiscal year 2024, ensuring continued funding for the program. I
Leadership Diversity
The quality of patient care is dependent on several factors including the need for better and critical decision making among the leadership of the facility. In this regard, leadership diversity plays one of the most important roles in the proper functioning of an organization, the absence of diverse leadership can have numerous consequences on the overall patient care. Lack of diverse leadership leads to possible bias in decision making as there lacks of multiple points of view regarding a subject matter (Bowles et al., 2018).
Week 4: Discussion Question – Leadership Strategies for Minimizing Dysfunctional Behaviors
Discussion Prompt
Identify at least four contemporary leadership principles you could apply as a nurse leader to minimize dysfunctional behaviors among people in your healthcare organization. Discuss one specific example to illustrate each of the four chosen leadership principles.
Week 1: Discussion Question – Traditional Leadership vs. Complexity Leadership
Contrast the key characteristics of traditional leadership with the key features of Complexity Leadership. Describe the skill sets needed by nurse leaders in today’s complex healthcare organizations.
A major effect of the covid-19 crisis in my region is the straining of health resources such as oxygen ventilators and health personnel. To correct the situation in the place of a public safety leader, one would have to identify all the relevant bodies to work with, such as the American Red Cross association, which would help in the health aspects of the managing the challenge.
In a time when the healthcare sector is constantly evolving, more and more issues emerge, which calls for a thorough analysis of those issues and available solutions to be reached to improve the level of services offered. One of the issues observed is the disconnect and contentious relationship between public health efforts and private medicine. The two ideally should be working in tandem with one another, to better the health outcomes of the public.
The challenge of reducing the number of medical errors, which has been cited as one of the leading causes of disability and mortality, is one that has also received public limelight and should be addressed. Another emerging issue has been the single approach used by the government to healthcare instead of the prescribed triple aim model. This paper will analyze the three issues in detail with the aim of providing insight and direction on how to improve the delivery of healthcare services going forward.
Metabolic syndrome is an increasing issue in the US. What factors contribute to development of the syndrome, who is more at risk for this syndrome, and how does this syndrome intersect for higher rates of obesity and the development of increase risks of heart disease, stroke and type 2 diabetes? What pharmacology intervention and interprofessional input may help control aspects of metabolic syndrome?
Locate at least one scholarly source that addresses this topic in support of your perspective in a 250-word initial post. Two peer response posts should include at a minimum 100 words, to extend the discussion.
To: Joe Mos
From: Alex Brandon
CC: Jar Rodgers
Dear Mr Craig Wicheal,
The cloud services industry is growing rapidly. Many businesses find it cheaper, easier and more reliable to use cloud services than to run their in-house servers. There are two main types of cloud service providers: in-house and hosting. In-house providers are usually large companies with their own data centres and staff. Hosting providers are usually smaller companies that lease space in data centres from other companies. In-house providers usually have more resources and can provide more features than hosting providers. However, they also tend to be more expensive. Hosting providers are often a good choice for small businesses that do not need all the features of an in-house provider. They can be less expensive and provide more flexibility.
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
The US healthcare system has experienced a lot of changes in terms of medical care methods and treatment protocols and financing. In terms of treatment, the US health system has been positively impacted by technologies such as electronic health records among other healthcare technologies (Sultz & Young, 2017). These technologies have allowed healthcare professionals to provide quality and safe care. In terms of financing, the US health system has experienced huge reimbursement changes.
Genes play a significant role in diseases associated with throat diseases, especially in children. Stefano, Challenger & Kream (2016) report that a combination of immunoglobin and genetic factors improves susceptibility for some kids to contract bacteria that cause a sore throat or strep throat. The researchers argue that certain genes reduce the immune system of children and expose them to throat bacteria.
Expert Answer and Explanation
Kidney Transplant Issues
Causes of the Presented Symptoms
The patient experience the presented symptoms due to the following reasons. First, he experienced weight gain because he had a kidney problem. The function of healthy kidneys is to remove excess waste from the body in terms of fluid. Kalantar-Zadeh et al. (2017) note that people with kidney problems often gain weight because their kidneys are not healthy enough to excrete excess body fluid. In other words, the patient in the case gained weight because he has a lot of waste fluid on his body.
The ERP system would provide a competitive advantage for the company as it would offer the opportunity of automation of processes that would lead to less bulk operations. The use of integrated operations provided by the ERP system would also help the company to avoid the occurrence of problems such as information silos which could otherwise lead to a backlog in the growth of the company compared to its competitors (Jagoda & Samaranayake, 2017).
The increasing healthcare costs have always become one of the major barriers of accessing the right levels of healthcare in the US. Healthcare insurance comes in handy in reducing this burden, and ensuring that individuals receive subsidized healthcare services through the financial aid such as Medicare and Medicaid (Sohn & Timmermans, 2017). The increased demand for healthcare services, especially among the aging populations, however, has led to a significant drain in Medicare and Medicaid resources, creating questions as to whether these insurance services would be able to serve in the coming years.
Introduction: Problem Statement
The American government has done a lot to ensure that people have clean air with US jurisdiction. Taucher et al. (2018) argue that the government has also contributed to the improvement of air quality across the globe by funding some of the UN’s environmental protection programs. In 1963, the US legislature passed an act known as the Clean Air Act. This act was enacted to regulate all practices in the US to ensure that all practices within the US soil do not pollute the air.
NURS FPX 4010 Assessment 2, The interview process is a means of gathering data via a personal talk with an individual or a collection of individuals. It is a common technique in many fields, including personnel management, studies, and media. During the conversation, the interviewer will provide questions to elicit details and perspectives from the subject. Interdisciplinary issue identification finds and fixes complex problems requiring expertise from several fields.
Introduction
The neonatal intensive care unit is undoubtedly one of the most critical and significant sectors of any nation’s health system. Any possible critical situation involving a neonate automatically translates to a situation or condition which has a high probability of disabling or immediately life-threatening consequences and which requires immediate intervention. It is significant to realise that such situations are of utmost importance for the whole medical environment and that neonate intensive care management is a very significant aspect of general health-care. Especially, when a neonate is presented to the intensive care unit, this can present a challenge to even the most experienced clinician. The purpose of this paper is to review and critically evaluate the resource management of the intensive care unit relevant to care offered to neonates. The main theme of this paper will be centred around the issue of how resources can and should be effectively utilised in the intensive care unit, in order to provide the most effective treatment/care possible to the neonate.
QUALITATIVE RESEARCH
Nurses play a critical role in improving the well-being of the patient. In this regard, these healthcare professionals ensure the quality of healthcare services are appropriate by incorporating substantial assessment of the patient to encompass priorities while treating the latter based on the biopsychosocial factors that may alter their care. Therefore, this section will include nursing assessment and preferences for treatment of Mr. Doyle whose has been diagnosed with chronic obstructive pulmonary disease.
After Batista was overthrown in 1959, Castro assumed military and political power and became the First Secretary of the Communist Party of Cuba. Adopting a Marxist-Leninist model of development, Castro converted Cuba into a one-party communist state, the first in the Western Hemisphere. Communism is a philosophical, social, political and economic ideology whose ultimate goal is the establishment of a communist society. Kurian (2011) argues that in a communist society the proletariat have been liberated, public ownership is advocated and there is communal control of the major means of production, distribution, transportation, and communication.
Lung cancer (LC) which is also referred as lung carcinoma, is characterised by a malignant tumour in the lung which is due to the uncontrollable tissue cell growth (1). LC has two main types, small cell lung carcinoma (SCLC) and non-small cell lung carcinoma (NSCLC), and similar to other cancers, LC, is typically initiated by the activation of oncogenes or tumour suppressor genes (1). It is thought that approximately 10-30% of adenocarcinomas are due to K-ras proto-oncogene mutations. Individuals with this condition most often experience symptoms of hemoptysis, chest pains, weight loss and finally shortness of breath (1). Furthermore, LC is also responsible for majority of cancer related deaths (fig. 1).
NURS FPX 4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan JJ
NURS FPX 4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan JJ
NURS FPX 6016 Assessment 1 Adverse Event or Near-Miss Analysis
Adverse events inevitably occur in healthcare and are actually common. An adverse event is an incident that occurs in a healthcare setting that results in an unintended clinical outcome (Liukka et al., 2020). They happen daily, even in the best of the best healthcare systems. How clinicians and hospital leaders respond to adverse event is vital to preventing or limiting them from happening in the future. Many people are impacted by an adverse event, not just the patient. It includes their family, the clinicians involved, and the organization where it occurred.
Administering medications at the time prescribed by the treatment plan is critical to the patient’s health. However, wrong-time medication administration errors (WTMAEs) are a common problem threatening people’s safety. The current paper presents root-cause analysis errors in administration time in the progressive care unit. The assessment proposes an improvement plan based on evidence-based strategies to change the current practice and prevent errors. The paper also analyzes resources that should be mobilized to address the WTMAEs problem successfully.
Professionalism and Social-Media Social media is taking over as the means for communication as the world moves away from the traditional mainstream media. Research indicates that, in most professions, the hiring team scrutinizes the applicants' activities on social media. Some people have failed to secure jobs because of their social media activities. In the nursing profession, privacy and confidentiality is critical. Additionally, nurses and healthcare professionals must be cautious of what they post on social media and the kinds of interactions they have. Various unethical and inappropriate conduct on social media can create legal problems for healthcare practitioners and nurses. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing. After reviewing my social media profiles, posts, and conversations, I have realized that some things I said and posted can create legal problems for me. According to Whitney, S. (2018), social media platforms give nurses and the public a space to air their views and opinions regarding various things in multiple ways. Various social media platforms such as Facebook, Twitter (now X), Instagram, and other platforms allow nurses to conversate with one another. Sometimes, when airing our opinions, we might be conversing with patients without knowing. After reviewing my social media profiles, I have realized that I once posted about my patients and colleagues. Although I did not disclose any private information on social media, I discussed a case I was handling with complete strangers on social media. Although the conversation started as an innocent engagement, I could not take control of the direction that the conversation took. Based on the professional standards of nursing practice, discussing an ongoing case is illegal and punishable by law. Although I deleted these posts, I realize it was wrong to discuss such on social media because my post invited opinions from unlicensed people
Assessing a family’s health is so essential in recommending a healthcare plan for the family. Nurses and other caregivers can use the information collected during the family health assessment process to provide quality health services to families suffering from certain diseases (Kaakinen et al., 2018). For many years, caregivers and nurses have used the assessment principle known as Gordon’s functional health patterns to conduct the process.
Whereas a nursing practice problem is identified during the nursing assessments conducted on a patient’s condition, medical practice problem is one which focuses on the pathology of the patient. Specifically, a nursing practice problem assesses the human response to the health conditions (Milner & Cosme, 2017).
Healthy People 2030 represents a visionary initiative that sets the stage for a healthier and more prosperous America. This ambitious program focuses on improving the well-being and health of all Americans, tackling various health challenges, and promoting health equity. In this article, we will delve into the details of Healthy People 2030, its objectives, goals, and the path it charts for a healthier nation.
When we talk about health, it’s not just about our physical well-being or the absence of illness. It’s a complex interplay of various factors that influence our overall quality of life. These factors are what we refer to as determinants of health, and among them, the social determinants of health (SDoH) play a particularly significant role. In this article, we will delve into the world of determinants of health, with a specific focus on the social determinants of health and the impact they have on our well-being.
Case Study on Death and Dying Sample Essay
Daily as health care provider, coming in contact with patients for different vast of life, ethnicity, race, culture and religion cannot be avoided.Case Study on Death and Dying Sample Essay Even as this is unavoidable, so also is the need to have basic knowledge about different religion cannot be underestimate.This paper uses the case study of George to complete a comparative ethical analysis and decision making while considering two religions which are Christianity and Buddhism
The field of nursing is in a constant state of flux, adapting and evolving to meet the ever-changing demands of healthcare. Over the past five years, the nursing profession has undergone significant changes that have reshaped the way nurses deliver care, collaborate with colleagues, and contribute to the overall healthcare ecosystem. In this in-depth article, we explore the transformative journey of nursing over the last half-decade, shedding light on the key shifts that have propelled the profession into a new era of healthcare excellence.
The success of a business entity is dependent on multiple variables that shape the existence of the business world. Different attributes need to be sourced together to ensure that the business meets its daily operations and beneficial qualifications (Ismael, & Okumus, 2017). For instance, the management aspect, employee support, and customer relations are all elements that have to be factored in when making business decisions. A clear understanding of the different modules within the business firm can form the basis of change and transformation.
Theories of social deviance and concepts about the causes of crime are some of the most important pieces of literature in today's society. Without these explanations for crime commission, there would be no way to try and prevent it. The theories of General Strain and Social Disorganization both seek to understand the reasoning behind deviance and delinquency. These concepts have certain similarities and differences in which they relate to each other. Agnew and Shaw/McKay agree on some aspects of explaining criminal deviance, but also conflict each other on other aspects criminal deviance. The best way to analyze this is to break these theories down to their core.
This paper will describe how custody conflicts have detrimental effects on children and it will create a link between psychopathic tendencies and juvenile delinquency when exposed to parental conflict.
Should public schools have school uniforms? This question has been discussed for many years. Usually, students are strongly against this policy. First of all, they explain this by the fact that the school uniform violates their rights, it prevents them from freely expressing their personality and showing their identity. However, I think school uniforms are good. Wearing a school uniform has a number of advantages that I want to highlight in my essay.
The shooting epidemic in America is a hot button issue. People on both sides of the aisle have strong opinions on what needs to be done in response to these acts of terror. Although the issue is made political, leaders from both Republican and Democratic parties have cited video games as one of the likely causes for an American mass shooter's decisions. In a statement following the shooting at Stoneman Douglas High School in 2018, President Trump suggested that the “gruesome and grisly video games that are now commonplace” could be encouraging the mass shootings that have like video game playing, grown in frequency every year. Many of the arguments made by politicians follow the logic that video games normalize violence and inadvertently encourage aggression among its player base, at times having a hand in driving them to commit mass crimes.
The shooting epidemic in America is a hot button issue. People on both sides of the aisle have strong opinions on what needs to be done in response to these acts of terror. Although the issue is made political, leaders from both Republican and Democratic parties have cited video games as one of the likely causes for an American mass shooter's decisions. In a statement following the shooting at Stoneman Douglas High School in 2018, President Trump suggested that the “gruesome and grisly video games that are now commonplace” could be encouraging the mass shootings that have like video game playing, grown in frequency every year. Many of the arguments made by politicians follow the logic that video games normalize violence and inadvertently encourage aggression among its player base, at times having a hand in driving them to commit mass crimes.
The criminal justice system, which is made up of law enforcement, attorneys, judges, courts of law, and prisons, was created with the intention of protecting the public by prosecuting and jailing, while also providing justice to those accused through defending and sentencing. Unfortunately, the criminal justice system is unable to work properly if members within the society are not provided with accurate and trustworthy knowledge. That being said, video games take a massive toll on the criminal justice system due to the negative attention towards law enforcement and bad influences regarding criminal behaviour within the games. Modern-day media feeds off of true crime and horror related stories. Everyone wants to learn more about the disappearance of others and the function of a serial killer. Video games are a prime example of how the youth of today being introduced to violence at such a young age. Games like Fortnite and Grand Theft Auto provide the necessary tools for young children to being their distrust towards law enforcement as well as their fascination with criminal behaviour. Video games are designed with the intention of reaching out to impressionable individuals who will open up their wallets, or the wallets of their parents, and payback into the industry.
Contrary to what a lot of people think, violent video games don’t cause violent behaviour that looks out of character from their kids. that’s because it doesn’t have any effect whether the play a violent one like Fortnite or just a round of Wii Golf with your family on the Saturday morning.
Contrary to what a lot of people think, violent video games don’t cause violent behaviour that looks out of character from their kids. that’s because it doesn’t have any effect whether the play a violent one like Fortnite or just a round of Wii Golf with your family on the Saturday morning.
In global terms, 94% of children aged from 6 to 15 and 90% of people aged between 16 and 25 play video games, while just above 95% of households with children under 18 years old own a device for playing video games (Jones et. al 2014, p. 1)
Video games are getting very popular and addictive. These games have positive and negative effects, both physically and mentally. Many experts believe that violence in video games increases violence in real life. While some experts believe contrary to it.
Violence is everywhere around us, from the rise of the ISIS empire to the advent of school and college shootings and the continuous attacks on the LOC, violence has become a daily part of our lives and leads us to the question why it actually happens. Whenever I flip the pages of the newspaper, I see hundreds of articles on road rage which very much highlight the prevalence of these kinds of behaviors in different ways. The rise in fights was on a different high when I entered high school where people cheered instead of trying to stop the alteration altogether. It always made me wonder why people are getting so excited when they know people can be hurt. I saw the same thing happening in the movies I used to watch at that time.
Roy’s Adaptation Model is a theoretical framework nurses use to guide patient care. The model is based on adaptation, which suggests that individuals adapt to changes in their environment to maintain physiological and psychological well-being. The goal of nursing care within this model is to facilitate patient adaptation to changes in their health status, environment, and social circumstances. In the case of Sgt. Eddie Johns, Roy’s Theory can guide the nurse’s actions in promoting his adjusted self-concept (Clares et al., 2021). The first step in promoting Sgt. Johns’ adjusted self-concept is to assess his current level of functioning. The nurse can gather information about his past experiences, coping mechanisms, and support systems to determine how he adapts to his current situation.
Roy’s Adaptation Model is a theoretical framework nurses use to guide patient care. The model is based on adaptation, which suggests that individuals adapt to changes in their environment to maintain physiological and psychological well-being. The goal of nursing care within this model is to facilitate patient adaptation to changes in their health status, environment, and social circumstances. In the case of Sgt. Eddie Johns, Roy’s Theory can guide the nurse’s actions in promoting his adjusted self-concept (Clares et al., 2021). The first step in promoting Sgt. Johns’ adjusted self-concept is to assess his current level of functioning. The nurse can gather information about his past experiences, coping mechanisms, and support systems to determine how he adapts to his current situation.
Roy’s Adaptation Model is a theoretical framework nurses use to guide patient care. The model is based on adaptation, which suggests that individuals adapt to changes in their environment to maintain physiological and psychological well-being. The goal of nursing care within this model is to facilitate patient adaptation to changes in their health status, environment, and social circumstances. In the case of Sgt. Eddie Johns, Roy’s Theory can guide the nurse’s actions in promoting his adjusted self-concept (Clares et al., 2021). The first step in promoting Sgt. Johns’ adjusted self-concept is to assess his current level of functioning. The nurse can gather information about his past experiences, coping mechanisms, and support systems to determine how he adapts to his current situation.
An 18-year-old is accompanied by her mother for her first visit to the gynecologist. She has never been sexually active. She has no concerns with her menses. Her mom reports that she brought her in “because she is 18 and when I turned 18, I had to get my first Pap smear.” Her mother requests the patient have a Pap smear and be tested for HPV “just in case.” The patient is up to date on all vaccines “mandatory for school” but has never had the HPV vaccine.
1. What are the recommendations on the HPV vaccine?
2. How would you counsel this patient about the HPV vaccine?
3. What are the current ASCCP guidelines for Pap smears and HPV testing?
4. How will you explain the rationale to the patient and the mother?
“Imagine experiencing flu-like symptoms such as fever, fatigue, and muscle aches, only to be told months later that what you have is a debilitating disease transmitted by ticks – this is the reality for many individuals diagnosed with Lyme disease, including the subject of this case study.” Lyme disease is a tick-borne illness caused by the bacterium Borrelia burgdorferi (Lucy et al. 40). A case study of Lyme disease involves a patient who may have been exposed to infected ticks during outdoor activities.
Precision in healthcare communication is critical, and standardized nursing terminologies provide a common language that ensures accurate interpretation of patient data across all healthcare settings. Standardized nursing terminologies refer to a common language and terms used in nursing practice to describe and communicate information about patient care (D’Agostino et al., 2020). These terminologies have been developed to improve nursing documentation’s accuracy and consistency and facilitate data sharing and interoperability among healthcare providers and systems
Precision in healthcare communication is critical, and standardized nursing terminologies provide a common language that ensures accurate interpretation of patient data across all healthcare settings. Standardized nursing terminologies refer to a common language and terms used in nursing practice to describe and communicate information about patient care (D’Agostino et al., 2020). These terminologies have been developed to improve nursing documentation’s accuracy and consistency and facilitate data sharing and interoperability among healthcare providers and systems. Using standardized nursing terminologies helps ensure that nursing assessments, interventions, and outcomes are recorded and communicated consistently,
The American Nurses Association (ANA) is a professional organization representing nurses’ interests across the United States. The ANA significantly impacts nurses in specialty areas, as it provides a range of resources and support to help them improve their practice, advance their careers, and advocate for their patients. One of the most significant ways the ANA benefits nurses in specialty areas is by providing high-quality education and training (Monroe, 2019).
Managing performance and developing teams
Module 6
1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.
2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
3. Consider the discussion and the any insights you gained from it.
4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.
5. Each essay part will require 400-500 words to address
Assignment:
Temporary Team Essay
Explain an ad hoc committee, task force and project team. Identify a situation from current events that you believe would warrant the use of these kinds of teams. Explain the situation and why such a team would be a good choice or not.
Explain the major tasks facing temporary teams. How do they play a key role into building relationships and establishing a supportive emotional climate?
Explain the four steps to designing a temporary team. If you were a team leader, how would you effectively implement these steps? Using a hypothetical situation from a current news story, explain each step and its importance.
Step four of designing a temporary team is broken down into seven subsets involving questions. Explain each of the subset questions and how each of them plays a key role in implementing guidelines for a temporary team.
MUST USE BOOK FOR REFERENCE
Dyer, W. G., Dyer, J. H., & Dyer, W. G. (2013). Team building: Proven strategies for improving team performance. Jossey-Bass A Wiley Imprint
Pediatric physical examination techniques are some of the most valuable skills a health practitioner can have. Understanding a child’s psyche accounts for a safety assessment, patient satisfaction, and more precise results. Since the process of physical examination includes a socioemotional aspect, a healthcare professional needs to be considerate about a child’s needs in regards to the developmental stage that he or she is going through. This paper will explain how physical examination needs to be adjusted to better meet the needs of children between the ages of five and 12 and describe the case of a child patient in relation to developmental theories.
Child abuse and maltreatment can unfortunately affect children of various age groups, including infants. Among infants, the most commonly seen types of abuse are physical abuse and neglect. Physical abuse may manifest as unexplained bruises, fractures, or burns on the infant’s body although these injuries may not be consistent with the child’s developmental stage and are often located on areas less likely to be accidentally injured, such as the back, face, or genital area (McCoy & Keen, 2022). Neglect can take the form of inadequate feeding, clothing, or hygiene, leading to failure to thrive or significant developmental delays.
Physical abuse of infants typically involves intentional actions that cause physical harm or injury (Crosson-Tower, 2019). Common signs may include unexplained bruises, burns, fractures, or head injuries. Infants are especially susceptible to abusive head trauma (shaken baby syndrome), which can lead to severe brain injuries. Neglect involves the failure to provide for the infant’s basic needs, such as nutrition, hygiene, and supervision (Crosson-Tower, 2019). Neglected infants may exhibit failure to thrive, malnutrition, dehydration, poor hygiene, and delayed developmental milestones.
Child abuse and maltreatment pose significant risks to children across various age groups, with preschool-aged children (3-6 years) being particularly vulnerable to different forms of abuse, including physical, emotional, and neglect. The preschool developmental stage is critical for establishing social and emotional skills, emphasizing the importance of identifying and addressing signs of maltreatment early on. In cases of physical abuse, preschoolers may display unexplained bruises, burns, or fractures. Caregivers offering inconsistent explanations for injuries, coupled with a child exhibiting fear or anxiety around specific individuals, serve as notable indicators. Emotional abuse in this age group involves a persistent undermining of a child’s self-worth, reflected in extreme behavioral changes, excessive aggression or withdrawal, and a noticeable lack of emotional attachment to caregivers. The Whole Child (2018) states that neglect, another concerning form of abuse, may manifest through poor hygiene, malnutrition, or inadequate supervision, resulting in delayed physical and emotional development. Early recognition of these signs is crucial for timely intervention to mitigate potential long-term consequences for the child’s well-bein
Cystic fibrosis affects the breathing system when the abnormal cystic fibrosis transmembrane conductance regulator protein leads to the production of the sticky mucus that blocks the airways, making it difficult for gas exchange hence leading to lungs complications and damage of lungs tissues, which eventually may lead to chronic disorders (Ghanem et al., 2020). The pathophysiology of complications of cystic fibrosis can be compound and complicated, where it germinates from the building of thick mucus in some organs. Cystic fibrosis interferes with the digestive system where the thick and sticky mucus accumulates on the pancreas, making it challenging to produce the digestive juice which is crucial in dige
Using the readings for the week, the South University Online Library, and the Internet, create a 15- to 20-slide Microsoft PowerPoint presentation with a separate title and reference slide. Include the following:
Using the readings for the week, the South University Online Library, and the Internet, create a 15- to 20-slide Microsoft PowerPoint presentation with a separate title and reference slide. Include the following:
Ethnicity can have a significant impact on the pathophysiology of alterations in hepatic disease. Several studies have shown that hepatic disease’s prevalence, incidence, and severity vary significantly among different ethnic groups. For example, chronic hepatitis B is more prevalent in individuals of Asian descent than in other ethnic groups, and this may be due to differences in genetic susceptibility and viral strain variations (Krisztina et al. 358). Similarly, non-alcoholic fatty liver disease (NAFLD) is more common in individuals of Hispanic and South Asian descent, which may be due to differences in metabolic and genetic factors. In addition to differences in disease prevalence, ethnicity can also affect the clinical course and outcome of hepatic disease
The liver is a vital organ in the human body that performs many functions, including detoxification, synthesis of proteins, and metabolism of drugs and toxins. Hepatic function alteration can lead to various diseases, including liver failure, cirrhosis, and hepatitis. Genetics plays a crucial role in the pathophysiology of hepatic disease, as specific genetic mutations can increase the risk of developing these conditions (José et al. 2). For instance, mutations in the HFE gene can result in hereditary hemochromatosis, a condition characterized by excessive iron accumulation in the liver and other organs.
The diagnosis of Gastroesophageal Reflux Disease (GERD), Peptic Ulcer Disease (PUD), and Gastritis can vary depending on the patient’s age. GERD is a condition where stomach acid flows back into the esophagus, causing discomfort and damage to the lining of the esophagus. PUD is a condition with a sore or ulcer in the stomach lining or small intestine. Gastritis is inflammation of the stomach lining. In younger patients, GERD is often diagnosed based on symptoms such as heartburn, regurgitation, and difficulty swallowing (Fass et al., 2021). These symptoms are often caused by lifestyle factors such as eating large meals, consuming spicy or acidic foods, or being overweight. The diagnosis may be confirmed by an upper endoscopy, which allows the doctor to visualize the esophagus and stomach and check for any damage. In older patients,
Video games can be defined as interactive electronic games that aim to entertain players. According to Quwaider et al. (2019), video games allow players to access virtual 2D or 3D environments within specific rules and conditions. There are different categories of video games ranging from action to sports games, strategy, shooting, racing or adventure. Recent years have shown an increase in what are termed violent video games. Quwaider et al. state that fighting games such as Tekken or Mortal Combat risk hostile and aggressive behavior, as do shooting games like Counterstrike or Hallo. Is this the case do violent video games make those who play them more violent?
Video games are now very popular for young teenagers, both male and female. Those teenagers are addicted to the video games so much that most of them do not focus on their future. As a result, they face many problems, such as health, poor performance, and personality. Therefore, there is no doubt that teenagers should avoid playing video games.
Despite the introduction of video game age ratings all the way back in the early 1990s, I have played violent video games for a fair portion of my life. These video games included titles like the Call of Duty, Grand Theft Auto, Left 4 Dead and Halo series and I even still play them today to an extent. Some people believe younger teens and older pre-teens should be able to play violent video games if they wish as there are actually many reasons it could benefit them.
As a one-of-a-kind interaction tool, digital games assist optimal care management program operation in all dimensions. In fact, a digital game is a realistic application of information and communication technology in the delivery of care that is cost-effective for many entities. Games are becoming a prominent kind of media, even greater than the film business, and are appreciated by people of all ages, genders, and cultures. Health games are a fun way to get people's attention and encourage them to modify their health and behavior. Over 300 health-related digital games have been created for consumers, patients
Why do people think that video games cause shootings? Video games have been around since the early 1970s. These massive shootings have only been happening for multiple years now. First Person Shooter (FPS) games were one of the first video games created. Video games don’t cause violence; Instead, they just help people escape the real world and just have fun. It can be for competitiveness, entertainment, or they are just bored and have nothing better to do. People in their right mind don’t play games to plan to hurt people, it’s just a getaway for kids or adults.
“You want to be a doctor, or a teacher, or a police officer? You want to be a nurse or an architect, a lawyer or a member of our military? You’re going to need a good education for every single one of those careers” (Obama) This quote means that if a good job, a stable job, or a job that comes with respect is desired to help the family or just for the living, then a college education is now needed. I believe that everyone should go to college because it can help people make more money, it can improve the likelihood of having a more stable job, and college can benefit families in the future.
“I don’t know about it”. When I think of college, new experiences and a sense of freedom come to mind. But a lot of worries come to mind too. I worry that I won’t be able to handle all the pressure. I worry that I will give up and I won’t be able to succeed. But I want to go to college, pursue a great job, and build a great career because of my mom. I want to pay her back for everything she has done and provided for me. I want to be able to give her everything to my ability and with that I have to be successful starting in high school.
It is recommended that when we graduate from high school we are supposed to go to college. We are told from a very young age that if we want a decent job then we must go to college and work towards it. Which, at a young age may seem intimidating since we have to figure out what we want to major in, how much will it cost us, would we have to relocate, and will there be scholarships or loans available. You have probably heard friends or family members ask the question ‘Why is a college education so important?’ many times throughout your life. Maybe you have even asked yourself this question.
[ One of the greatest debates of our time is the topic of college education: specifically, who should go to college and how important it is to attend. O’Halloran (2018) states, “Given the crises that public higher education is currently facing, we are in desperate need of creative solutions” (p. 33). Some contend that too many people are going to college, while others believe not enough are going to college. Nemko (n.d.) reports that “According to the U.S. Department of Education, if you graduated in the bottom 40 percent of your high school class and went to college, 76 of 100 won’t earn a diploma, even if given 8 1/2 years” (para. 2). “Yet,” he reminds us, “colleges admit and take the money from hundreds of thousands of such students each year!” Murray
My name is Ubah Hassan, I’m 18 years old, and I recently graduated from high school. I am the eldest and first person to go to college in my family. Honestly, a couple of reasons why I decided to go to Metro State was that it looked like a good - academically and visually- university. Metro is a pretty small school compared to the U of M and such. Also, Metro is very close- location-wise- and I really wanted to go somewhere close to home.
Introduction The significance of equality, diversity, and inclusion has become a priority in many organisations. Various researchers and scholars have defined diversity in numerous ways. Basically, diversity is all about how people or groups differ on gender, ethnicity, religion, sexual orientation, education, language, etc. (Hayles 1996). Equality pertains to fair treatment of all employees regardless of their gender, race, personality, culture, religion and sexual orientation, etc. Therefore, equality refers to the fair treatment of people from diverse backgrounds irrespective of their differences. Finally, inclusion involves creating and fostering a workplace environment where all employees feel valued, welcomed, and appreciated for their contribution to the organisation. Equality, diversity, and inclusion at the workplace provide several benefits. This paper seeks to explore five benefits that organisations gain from fostering Equity, Diversity, and Inclusion (EDI). First, diversity plays a critical role in driving an organisation's bottom line since employees who feel supported by their bosses tend to be more productive, which positively impacts the organisation's profitability and performance. Fostering diversity and inclusion allows all employees to contribute their thoughts, ideas, skills, and talents, ultimately driving the firm's profitability. Drawing employees from diverse backgrounds could also help global firms to understand the laws, cultures, and norms, which helps the organisations to understand and cope with the local cultures, regulations, and consumer preferences. This enhances productivity and reduces the chances of making errors and wastes, which impact a company's bottom line. Secondly, diversity and inclusion increase knowledge transfer and foster group cohesion and culture, thus creating a conducive work environment. Knowledge transfer also paves the way for smooth function and interdepartmental coordination, improving the business operations. Moreover, an improvement in group cohesion and a positive group climate may help create a team culture and inclusion, improving the organisation's overall performance. In addition to these, equity, diversity, and inclusion help organisations to win the talent war. This refers to their ability to attract, retain, and form diverse demographic groups. The future of any organisation depends on its ability to attract and retain competent and highly skilled talents to sustain its competitive advantage. Therefore, firms should strive to optimise their human resources.Organisations that attract, train, retain and promote employees from diverse backgrounds are likely to achieve and sustain a competitive edge over their rivals. Equal and fair and invest their productivity with the organisation
The problem of medical errors in healthcare is a pervasive issue characterized by preventable adverse events occurring during the delivery of medical care, resulting in harm to patients. These errors can manifest across various facets of healthcare, including misdiagnosis, medication mistakes, surgical errors, communication breakdowns, and healthcare-associated infections (Manias et al., 2020). Patients, who entrust their well-being to the healthcare system, bear the brunt of these errors. The gravity of the issue lies not only in the immediate harm caused but also in the erosion of patient trust in the healthcare system (Manias et al., 2020).
One of nurses’ many tasks includes medicating their patients around the clock. However, as seen in Assessment 2, patient safety can be severely compromised when medication errors occur. The rights of medication are in place for a reason, and when they are not followed, it directly impacts the patient. Medication errors occur for various reasons including knowledge-based mistakes, and personal factors such as burnout and fatigue. Nurses take an oath to cause no harm and are responsible for patients in their most vulnerable moments, therefore even the most experienced and most knowledgeable nurses, should take their time, and refer to the right of medication administration before every medication pass. This topic is of great importance to me as I am a new graduate nurse and though I am aware mistakes happen, I want to train myself to do everything in my power to prevent them. One of the first lessons taught in nursing school is the importance of patient safety, and medication errors compromise that core principle in health care.
Research demonstrates that medication errors continue stemming from factors such as the lack of knowledge about drugs being administered, as well as personal factors. Beginning with knowledge-based errors, nurses are required to demonstrate a certain level of competency within their specific unit and specialty. A medication should never be administered by a nurse without knowing what it does, the side effects it could cause, and should be aware of any contraindications. Author Escrivá Garcia (2019) found that nurses that are responsible for critically ill patients with heavy workloads are not fully educated on the medications that they are ordered to administer. According to Escrivá Garcia (2019), a study done on a specific intensive care unit, was designed to ask nurses a multiple-choice style questionnaire based on medications that would pertain to their unit and everyday practice. The results demonstrated that more than half of the nurses that participated in the study, were unable to answer more than half of the questions. This alarming number compromises the patient’s safety and speaks against the values that nurses have took an oath to abide by.
Patients in critical care situations often suffer from medication errors more than patients on other units. Their acute state of being can often result in high-risk situations, requiring nurses to administer medications they may not be familiar with. Working in stressful, fast-paced situations can lead healthcare workers to rush, placing patients at an increased risk for errors. Areas such as the intensive care unit see many medication errors, as many of the causation factors become compiled, again compromising patient safety.
Drug administration is an integral part of nursing. Medication errors can be pernicious to a patient’s health. Medicines are prescribed by the doctor and dispensed by the pharmacist but the responsibility of current administration rests with the nurse. Each nurse is responsible for their practice. The result of medication errors varies from mild to deadly. Medication errors have been an ongoing issue in all healthcare settings. Healthcare organizations should ensure and maintain effective measures to prevent medication errors.
According to National Coordinating Council for Medication Error Prevention and Analysis (NCCMERP,2021), a medication error is defined as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of a healthcare provider, patient or consumer”. Some of the factors associated with this cause are transcript errors, look -alike, sound -alike medication packages, and nurse- patient ratio. This assessment will expand upon mediation errors issue, analysis of the problem/issue, potential solutions for the problem, ethical considerations, and implementation of the solution.
Elements of the Problem/Issue
Medication errors can be detrimental to a patient’s health and they pose a serious threat to a patient’s safety. These errors can add significant harm or even death to patients. The data shows that in the United States more than 250,000 deaths per year are appertaining to medication errors (Dirik et.al, 2019). A medication error can increase the length of stay at the hospital and the cost of the treatment.
Personality development is an urgent problem in today’s social context because it not only brings good life opportunities to a person but also determines one’s happiness. How can one understand this term? The definition of personality development as a continual growth of personal qualities or characters creates interesting and attractive developments of personal traits, thus making a person become mentally powerful and, to some extent, generally assertive.