As an art and a science, how has your personal nursing philosophy unfolded?

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Question description

As a final review, polish your philosophy of nursing based on your newly acquired knowledge.

Also, write a summary reflection answering the following questions based on the readings and discussions throughout the course:

  • As an art and a science, how has your personal nursing philosophy unfolded?
  • Have there been ideas that have challenged your personal values or assumptions?
  • Have there been ideas that have caused you personal conflict and may lead to deconstructing those dispositions in a critical manner?
  • What actions have you taken that illustrate your personal nursing philosophy?
  • Describe your own definition of the concepts involving the meta-paradigm of nursing.
  • Has your first written philosophy of nursing changed? In what ways?

Your paper that includes both your philosophy and reflection together should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately.

 
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Legal Risks of Nurses

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Legal Risks of Nurses
Analyze the case of Mrs. Ard on page 215 of Legal Aspects of the textbook.  Answer the  following questions:

  1. What happened?
  2. Why did things go wrong?
  3. What were the relevant legal issues?
  4. How could the event have been prevented?
  5. What is your verdict?

CHANCE OF SURVIVAL DIMINISHED
On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseous. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr. Ard did not survive the code. There was no documentation in the medical records, on May 20 between 5:30 P.M. and 6:45 P.M., that would indicate that any nurse or physician checked on Ard’s condition. This finding collaborated Mrs. Ard’s testimony regarding this time period.
A wrongful death action was brought against the hospital, and the district court granted judgment for Mrs. Ard. The hospital appealed.
Ms. Krebs, an expert in general nursing, stated that it should have been obvious to the nurses from the physicians’ progress notes that the patient was a high risk for aspiration. This problem was never addressed in the nurses’ care plan or in the nurses’ notes.
On May 20, Ard’s assigned nurse was Ms. Florscheim. Krebs stated that Florscheim did not perform a full assessment of the patient’s respiratory and lung status. There was nothing in the record indicating that she completed such an evaluation after he vomited. Krebs also testified that a nurse did not conduct a swallowing assessment at any time. Although Florscheim testified that she checked on the patient around 6:00 P.M. on May 20, there was no documentation in the medical record.
Ms. Farris, an expert in intensive care nursing, testified for the defense. She disagreed with Krebs that there was a breach of the standard of care. However, on cross-examination, she admitted that if a patient was in the type of distress described by Mrs. Ard and no nurse checked on him for 1.25 hours, then that would fall below the expected standard of care.1
WHAT IS YOUR VERDICT? (Pozgar 215-216)
Pozgar, George D.. Legal Aspects of Health Care Administration, 11th Edition. Jones & Bartlett Learning, 2011-01-27. <vbk:9781449643850#outline(9.1)>.
Discussion Question 1
Discuss how physician malpractice suits can be decreased. How can a doctor be sued for malpractice? What current practices do doctors perform in order to avoid law suits? What are the impacts of these practices? How can one check for any malpractice suit against a doctor?
Discussion Question 2
Evaluate why prescribing, control, and administration of medications is a major area of legal concern for health care providers. What is the impact of medication errors to the patient and the health care provider? Discuss ways doctors make mistakes in prescribing medication.  What kinds of errors do nurses make regarding the administration of medications? Review the documentary Chasing Zero and, in addition to conducting your own research, address the methods or practices that you feel would be most effective in reducing medication/prescribing errors.

 
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Describe the clinical documentation system including its intended use and function.

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Describe the clinical documentation system including its intended use and function.

As a nurse leader, you have been asked to assess how a clinical documentation system called point click care(PCC)functions in your nursing workplace setting. For this written assignment, address each of the elements noted below. This assignment is limited to 6-8 pages (excluding the title page, abstract and references), must be in the form of a scholarly paper, and reflects APA format. This scholarly paper addresses the elements noted below: Use this as one of your sources: McGonigle, D. & Mastrain, K. (2012) Nursing Informatics and the Foundation of Knowledge, Sudbury, MA: Jones & Bartlett Publishers 1.System and Setting Description (10 points) 1.Describe the clinical documentation system including its intended use and function. 2.Describe the type of the setting the system is used in and the clients served. 2.Data Collection and System Analysis (10 points) 1.Describe how and when is the data collected? . 2.Identify who uses the data and how is it retrieved? . 3.Analyze if the system functions as intended?

 

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Nursing Research Critique Essay

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Nursing Research Critique Essay

In a 1000-1,250-word nursing research critique essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Refer to the “Nursing Research Critique Essay Guidelines”  below for suggested headings and content for your Nursing Research Critique Essay paper. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This nursing research critique essay assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this nursing research critique essay assignment to Turninit

Nursing Research Critique Essay Guidelines

Nursing Research Critique Essay – Qualitative Study

Background of Study:

  • Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes?This gap in knowledge is the research problem.
  • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

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  • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
  • List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
  • Were the purpose and research questions related to the problem?

Method of Study:

  • Were qualitative methods appropriate to answer the research questions?
  • Did the author identify a specific perspective from which the study was developed? If so, what was it?
  • Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?
  • Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study.
  • Did the author evaluate or indicate the weaknesses of the available studies?
  • Did the literature review include adequate information to build a logical argument?
  • When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

 

Results of Study

  • What were the study findings?
  • What are the implications to nursing?
  • Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing?

Ethical Considerations

  • Was the study approved by an Institutional Review Board?
  • Was patient privacy protected?
  • Were there ethical considerations regarding the treatment or lack of?

Conclusion

  • Emphasize the importance and congruity of the thesis statement.
  • Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
  • Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
  • Integrate a summary of the knowledge learned in the nursing research critique essay.

Nursing Research Critique Essay – Quantitative Study

Background of Study:

  • Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes?This gap in knowledge is the research problem.
  • How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.
  • Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.
  • List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.
  • Were the purpose and research questions related to the problem?

 Methods of Study

  • Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?
  • Was informed consent obtained from the subjects or participants?
  • Did it seem that the subjects participated voluntarily in the study?
  • Was institutional review board approval obtained from the agency in which the study was conducted?
  • Are the major variables (independent and dependent variables) identified and defined? What were these variables?

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  • How were data collected in this study?
  • What rationale did the author provide for using this data collection method?
  • Identify the time period for data collection of the study.
  • Describe the sequence of data collection events for a participant.
  • Describe the data management and analysis methods used in the study.
  • Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis?
  • What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?

Results of Study

  • What is the researcher’s interpretation of findings?
  • Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?
  • What limitations of the study were identified by researchers?
  • Was there a coherent logic to the presentation of findings?
  • What implications do the findings have for nursing practice? For example, can the findingsof the study be applied to general nursing practice, to a specific population, or to a specific area of nursing?
  • What suggestions are made for further studies?

Ethical Considerations

  • Was the study approved by an Institutional Review Board?
  • Was patient privacy protected?
  • Were there ethical considerations regarding the treatment or lack of?

Conclusion

  • Emphasize the importance and congruity of the thesis statement.
  • Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.
  • Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.
  • Integrate a summary of the knowledge learned in the nursing research critique essay.
 
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Identify your members of Congress (AACN 2010 p. 11) 2. Research you chosen member and identify the committees political views bills they support 3. Have they supported any bills which directly impact nurses?

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Identify your members of Congress (AACN 2010 p. 11)
2. Research you chosen member and identify the committees political views bills they support
3. Have they supported any bills which directly impact nurses?

Health Care Policy-Reform Congressional Letter Assignment
Week 6 Health Care Policy-Reform Congressional Letter Assignment
__________________________________________
According to AACN (2010) ?As nurses you already possess significant expertise regarding the profession however understanding the issues related to federal policy is key to being an effective advocate? (p.8) .
In this assignment you will create a letter to a congressman to share your expert *researched policy statement. The US government is divided on the Affordable Care Act and your opinion counts. ?Because a member of Congress? constituents serve as the ?boss? it is especially important that they hear from nursing ? constituents in their district-?on policy matters impacting nursing?? (p. 9).
Assignment Guidelines:
1. Identify your members of Congress (AACN 2010 p. 11)
2. Research you chosen member and identify the committees political views bills they support
3. Have they supported any bills which directly impact nurses?
4. Review Letters E-mails and Phone Calls (AACN 2010 p. 13)
5. Using the Guide and Template provided by AACN write a letter to congress (AACN 2010 p. 14).
6. Mail *Fax or Email the letter to Congress (For purposes of this assignment do not use an electronic letter however compose your own personal policy statement letter in your own words)
American Association of Colleges of Nursing (AACN). (2010). From patient advocacy to political activism: AACN?s guide to understanding healthcare policy and politics. Retrieved from https://www.aacn.nche.edu/government-affairs/AACNPolicyHandbook_2010.pdf
HEALTH CARE POLICY REFORM CONGRESSIONAL LETTER GRADING RUBRIC
Comments:
*Points will be deducted according to syllabus for late submission.
CRITERIA Excellent (30) Good (24-29) Fair (18-23) Poor (0) Earned
IDENTIFY MEMBER OF CONGRESS IN YOUR AREA
(30 Points) Chooses one congressional representative in nurses demographic area Chooses one congressional representative outside of nurses demographic area Chooses a member of local politics in nurses demographic area Does not address the letter to any member of congress or political leader
RESEARCH CONGRESSIONAL INDIVIDUAL
(30 Points) Provides a one to two page SUCCINCT summary of the chosen congressman?s political viewpoint Affordable Care Act voting history and other relevant information related to nursing issues (include references) Provides a one page summary of chosen congressman?s viewpoint which does not pertain to their view of the Affordable Care Act. References provided. Provides a paragraph or less reporting on the Congressman?s views or political persuasion Does not include references and does not share his voting history or political stance. Does not provide any summary of the chosen Congressman?s political views or activity
CREATE AND SEND A LETTER TO CONGRESS
(30 Points) Follows the Guidelines according to AACN and creates an original letter to a chosen congressman in nurse?s district regarding the Affordable Care Act.
Faxes Emails or Mails Letter to Addressee. Remarks brief & concise. Thank the member if notable. Follows the Guidelines according to AACN and creates an original letter to chosen congressman which does not define nurse?s political view of the Affordable Care Act but covers another issue. Faxes Emails or Mails letter to Chosen Congressman. Follows the Guidelines according to AACN and creates an original letter to chosen congressmen. Nurse?s view of the Affordable care act is not brief and concise well defined or clear. Nurse does not fax email or mail letter to Chosen Congressman. Does not follow the guidelines of AACN and letter created is one which is electronically generated or copied from a source.
Quality of writing
(10 Points) Excellent (10) Good (8-9) Fair (6-7) Poor (0-5)
Writing is polished and free of mechanical errors. APA formatting is used correctly. Writing has minor errors or minor APA formatting errors that do not interfere with understanding. Writing has minor errors or minor APA formatting errors that interfere with understanding. Writing has major mechanical errors or major APA formatting errors that interfere with understanding.
TOTAL

 

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Public Health

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Public Health

Question descriptionAs a public health leader, it is important to understand your own personal mission, vision, and values statement.

Your leadership philosophy and style will be reflected to those you work with.

Use the bullets below to develop your leadership philosophy:

  • Identify three examples of personal success (e.g., at work, in your community, at home). Is there a pattern or theme to your successes?
  • Develop a list of five core values that you believe in. Which value is most important to you?
  • How do you want to make a difference? How do you contribute to your employer, your family, and/or the world?
  • What are your short- and long-term goals? Prioritize them.
  • Write your mission, vision, and values statement (can be placed either in the body of the paper or in the Appendix section).
  • In your conclusion paragraph, describe the process of writing this mission statement. Did you learn anything new about yourself? How can you use this mission statement in the future?

Your assignment can either be written in Word (2–3 pages in length, excluding title and reference pages) or you can use PowerPoint or any other presentation software. Use current APA formatting to style your paper/presentation and to cite your sources. Integrate your sources into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources.

 
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Suggest a key action that senior health care leadership could take in the community in which you live to push the boundaries of information technology management.

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IDENTIFY AND ANALYZE WHAT YOU BELIEVE TO BE THE MOST SIGNIFICANT NEW TECHNOLOGY REQUIREMENTS FOR THE HEALTH CARE INDUSTRY.

Write a four to five (4-5) page paper in which you:

 

  1. Identify and analyze what you believe to be the most significant new technology requirements for the health care industry. Indicate how providers should approach the implementation of this new technology requirement that you have identified. Provide support for the response.
  2. Analyze the basic technology underlying health care information systems. Argue that the need for technological innovation and / or modification is most pressing. Support the argument with examples.
  3. Recommend an innovation / modification, and explain how the recommendation could improve the overall level of health care in your own community. Include specific example(s) using local hospitals or other health care providers to support the response.
  4. Suggest a key action that senior health care leadership could take in the community in which you live to push the boundaries of information technology management. Next, speculate on the effect to the community as a result of the improvement to the health care technology.
  5. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
 
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Discuss at least one major theoretical approach to explaining and resolving the life span development situation (i. e., mental or developmental disorder, psychosocial change or trauma, or a moral dilemma).

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Psychology 2070:
“Your Lot in Life” Assignment
Please create 40 power point slide
Directions: Your group will be provided with a list from which to choose your “lot in life” condition. Your task as a group is to prepare a 40 minute oral presentation. As a group you must divide tasks according to topic such that each member has a unique contribution to understanding the condition. Individual group members are responsible for presenting a 10 minute Power Point/Prezi (to be merged with the larger group presentation) that must include the following elements:
(1) Introduction of your unique segment of group topic.
(2) Brief contribution to the description and definition of the condition.
(3) Discuss at least one major theoretical approach to explaining and resolving the life span development situation (i. e., mental or developmental disorder, psychosocial change or trauma, or a moral dilemma).
(4) Share the research findings from one professional journal article, one national organization Website, one governmental agency, and one additional source to reference in the presentation. References must be done APA style.
(5) Discuss the research method used in the journal article to study the condition.
(6) Discuss your individual recommendations that you believe will best resolve/alleviate this condition based on research and the ethics and values as expressed in the “standard of care” practiced in this community.
(7) Discuss the impact of this condition on the physical, cognitive, and psychosocial development of those affected by this condition.
(8) Identify local community resources, and or national resources, such as phone numbers and contact information, and program details that are available to support an individual or family in your “lot in life” situation.
(9) Any additional information relevant to the topic for informational purposes (i.e., brief video clip, brochure, classroom demonstration) may be included.
Suggested Topics
· Your spouse of fourteen years says he wants a divorce because he no longer loves you. He wants to start a “new life” with his student.
· Your spouse of twenty nine years says she wants a divorce because she is a lesbian and she can no longer pretend to be a “good wife and mother.”
· Your 7-year-old son has been diagnosed with ADHD.
· Your sweetheart is of a different race and culture. Your parents do not approve of the upcoming marriage.
· Your fourteen year-old son/daughter wants to begin preparation for gender reassignment surgery.
· Your partner has been diagnosed with colon cancer· Your partner has been diagnosed with multiple sclerosis· Your child was born normal, but at age 3 he has been diagnosed as having autism.· You and your spouse are 4 months into your first pregnancy and you learn you are having quadruplets You and your spouse of ten years are having difficulty conceiving a child. You both desperately want to have a biological offspring.· Your 17-year-old son has been arrested for a DWI last Saturday night on the Beltway. Your 65-year-old mother/father was recently diagnosed with dementia.· Your baby’s father is no longer paying you the monthly non-court ordered amount he agreed to pay you after your baby was born.· You are pregnant. You have been living with your boyfriend for the past 7 months, but you are not sure about your baby’s paternity.Your 17 year –old son/daughter wants to carry a gun to college this fall because he is fearful of being shot on campus by a random shooter.
 
 
 
 
 
 
 
 
 
 

 
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In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution

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Evidence Based Project

PLEASE READ INSTRUCTIONS. THANKS FOR YOUR ASSISTANCE.Details:

In 500-750 words (not including the title page and reference page), provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval form(s) in Topic 5 with the narrative, the consent or approval form(s) should be placed in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, the timeline should be placed in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, the resource list should be placed in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, the instruments should be placed in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, the data collection tools should be placed in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, the budget plan should be placed in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
 
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You must provide an original example of a research question and clinical question.

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Overview
For this discussion, you will be defining research in nursing and evidence-based practice in nursing. Along with your definitions, provide one example of each. Provide a sample research question and a sample clinical question. You may use questions you found in reviewing the literature as a guide, but may not use them as your own example. You must provide an original example of a research question and clinical question. Examples from the readings cannot be used as the example for clinical/research questions.
Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
Objectives

  • Compare and contrast research and evidence-based practice

References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

Words Limits

  • Initial Post: Minimum 200 words excluding references (approximately one (1) page)
discussion_board_rubric_1.pdf
 
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