Nursing  Post Tami

Respond on two different days by making recommendations for how they might strengthen the leadership behaviors profiled in their CliftonStrengths Assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.Main PostLeadership ProfileLeadership of people begins with a leader who knows themselves and can cultivate the strengths in others.  Personal and professional growth occurs when time is spent reflecting on your strengths and weaknesses. Marshall (2011) states, “your daily reflection might include where you improved trust, how you promoted respect, where you feel pride, and what happened to instill joy.  From your reflection can also emerge your sense of direction” (p. 29). As a person and as a leader, it is essential to have a mission or purpose for your life.Assessment FindingsTaking the Gallup StrengthsFinder Assessment provided definitive insight into my personality. The top 5 signature themes of talent that were dominant in my life are learner, developer, input, empathy, and belief.  Each of these themes resounded with my observations and further enlightened my understanding of who I am.  As a lifelong learner, the goal has never been to finish but to be continually learning something new every day.  By being a life-long learner, it increases self-esteem, satisfaction with personal development, reduces negative emotions, and is part of a pursuit to a meaningful and better life (Lee, 2016).  This strength ties into my other strengths of input and developer.  Empathy, however, is a fundamental skill for getting through life that many individuals are never able to actualize.  For me, empathy is the ability I experience to share in and understand other’s lives (Cameron et al., 2019). This strength pairs well with belief.  I have a firm belief in people and in their ability to show resiliency and experience growth in their lives.  In order to have a belief, empathy has to be present.Values, Strengths, and CharacteristicsValues that are important in my life are deep relationships and being a life-long learner.  Being a person that pays attention to the thoughts and feelings of others; I find it easy to move past superficial conversations quickly to really get to know someone.  Working in the Emergency Department, I have found this skill very helpful.  By peeling away the small talk in order to help my patients, I can discover their thought patterns and help them better.  This skill helps with the value of being a life-long learner.  I believe you can learn something from everyone you meet.  These experiences help you to grow as an individual and professionally.Strengths are not necessarily skills.  Often, I heard it said that my strength is being able to start an IV.  That is a skill, whereas strength is something inherent to who I am.  I believe I have insight into people’s emotions and vulnerabilities.  I notice people, their body language, sense their moods, and adapt accordingly to help them feel comfortable.  This leads to my second strength, and that is an ability to make people feel comfortable and heard.  People are most comfortable around others who can relate with them and reassure them that their pain is real.Lastly, there are characteristics that I would like to strengthen in myself.  I have always been able to listen to others, but I desire to be more present in my daily life by working on being an active listener.  Actively looking to listen instead of talk or provide reassurance.  I also desire to have a lasting positive impact on people.  In order to do this, I need to be in a good place emotionally, physically, cognitively, and spiritually.  This means making time to be refreshed outside of the work environment.  It is said that empty people cannot help empty people.  As future nurse practitioners, I believe this is one of the hardest and yet most important things we can do to show others the value of rest.ReferencesCameron, C. D., Hutcherson, C. A., Ferguson, A. M., Scheffer, J. A., Hadjiandreou, E., & Inzlicht, M. (2019). Empathy is hard work: People choose to avoid empathy because of its cognitive costs. Journal of Experimental Psychology, 148(6), 962-976. doi:/10.1037/x.xge0000595Lee, S. (2016). Lifelong learning as a path to happiness? Adult Education & Development, 83, 68-73. Retrieved from https://ezp.waldenlibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=121879727&site=eds-live&scope=siteMarshall, E. (2011). Transformational Leadership in Nursing. New York, NY: Springer Publishing Company, LLC.

 
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Nursing  THIRD TRIMESTER

COMPLICATIONS THAT CAN HAPPEN THROUGHOUT YOUR THIRD TRIMESTER

 
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Nursing  Case study

RECOGNIZING YOUR EMOTIONS:Recognizing your emotions is the important first step toward dealing with them in healthful ways. Reflect on the past week and write a (1 page, typed, single-spaced, 12 font, and 1-inch margin) about the emotions you experienced.Name the emotions you felt.Determine what triggered these emotions.Think back to past times that you felt the same way.

 
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Nursing  Reengineering Health Care

Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

 
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Nursing  LITERATURE REVIEW

QUESTION:SEE ATTACHED FOR QUESTION, INSTRUCTIONS, AND RUBRICS

 
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Nursing  nursing

Theoretical foundation of nursing practice.Use APA reference citationAddress each component of each item1) identify how the development of nursing diagnosis and nursing therapeutic Taxonomies contribute to advancing nursing knowledge. identify how the support for evidence-based-practice is an indication of progress in the nursing discipline.2) Describe  grand nursing theory, Give 2 example of grand nursing theories.3)Discuss the impact of grand nursing theories on patient care.

 
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Nursing  Security and Integrity of Clinical Information Systems

Security and Integrity of Clinical Information SystemsEstablishing security standards that protect patient data is an important step in the database design process. Protecting the confidentiality of personal health information is not optional; it is mandated under the Health Insurance Portability and Accountability Act (HIPAA). HIPAA violations can result in both fines and legal consequences. Failing to protect private information can also damage a health care organization’s reputation as well as result in the loss of patients’ peace of mind.For this Discussion, you consider the clinical information systems presented in the case studies below and identify the security and integrity problems and risks that need to be addressed.Case Study 1:A busy academic hospital has grown rapidly and acquired multiple clinical information systems that interface with each other. Physicians and practitioners require access to each system and frequently have workflows that require access to multiple systems at the same time. In addition, practitioner responsibilities often require them to complete documentation or access clinical information at home and during off hours.Case Study 2:An increase in the number of clinical research studies and the use of undergraduate students as research assistants for subject recruitment was perceived as a risk for a medium-sized academic hospital. Students were enrolled at the hospital-affiliated university but still required a credentialing process to be able to access clinical areas of the hospital and clinical systems. The hospital wants to meet IRB and HIPAA research regulations, and to exceed HIPAA’s minimum necessary principle.Case Study 3:As a large multi-specialty academic medical practice, providers are often utilizing laptop computers and mobile devices in patient care and research-related activities. Tracking, securing, and managing the numerous devices to mitigate loss, theft, or other breaches is important to the enterprise.To prepare:Review the information in this week’s Learning Resources, focusing on the security and integrity of clinical information systems. Consider the importance of security and integrity, as well as the consequences of failing to address these aspects of database design.Select one of the case studies above to examine further for this Discussion.Determine the security or integrity problems in the clinical information system in the case study. What legal, ethical, and organizational risks do these issues pose?Begin to formulate a potential solution or strategy to address the security and integrity problems. How would this solution or strategy mitigate the security or integrity risks you identified?Post by tomorrow 07/19/16, 550 words in APA format with 3 references. Include the level one headings below:1) A description of the security and integrity problems identified with regards to the case study you selected.2) Select at least two specific risks (legal, ethical, or organizational) related to the case study and propose a solution or strategy to address each. Justify your responseRequired ResourcesReadingsCoronel, C. & Morris, S. (2015). Database systems: Design, implementation, and management (11th ed.). Stamford, CT: Cengage Learning.Chapter 15, “Database Administration and Security” (pp. 670–713)This chapter describes the role of the database manager and highlights responsibilities covered in the database administration process. These responsibilities ensure that data is protected and continually monitored to yield the most accurate information.Murray, M. C. (2010). Database security: What students need to know. Journal of Information Technology Education, 9, IIP61–IIP77.Retrieved from the Walden Library databases.Security is an important requisite of database design. This article describes the pitfalls of vulnerability in databases and the importance of data security methods.Forrest, M., Maclean, D., Towers, H. K., & Younes, H. (2012). The accuracy of real-time procedure coding by theatre nurses: A comparison with the central national system. Health Informatics Journal, 18(1), 3–11.Retrieved from the Walden Library databases.The authors compare the differences in real-time coding performed by clinical coders and non-clinical coders. They observed that complications arose during attempts to embed coding in clinical workflow.Imran, S.,&  Hyder, I. (2009). Security issues in databases. Future Information Technology and Management Engineering, 2009. FITME ’09. Second International Conference, 541–545.Retrieved from the Walden Library databases.This article explains discretionary and mandatory database security models, their implementation, and their efficiency. It also evaluates how these methods may be inefficient with regard to specific database designs.Gaff, B. M., Smedinghoff, T. J., & Sor, S. (2012). Privacy and security. Computer, 45(3), 8–10.Retrieved from the Walden Library databases.Privacy regulation and the protection of sensitive information are still inconsistently established and enforced. This article addresses the legal issues surrounding database security. It also evaluates protection methods that are the most effective

 
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Nursing  COMMENT THOMAS

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDSNow that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?My EBP is focused on preventing falls and keeping the patient safe. The number one thing nurses do is assess the patient and when it comes to fall risk we should slack off. The current fall risk scale is 4-5 questions and it isn’t very good. At first my EBP was more focus on the proper staffing to help prevent falls but as nurses we know we wont ever have that. So, I had to figure out a more likely plan. So, I thought about the assessment process. The top 80% of falls are people over the age of 65. (Natalie,2016) That being said the age should be one of the main fall risks. If the person scores high enough then we start implementing certain things depending on the risk category they fall in. Once the assessment goes to affect it will be pretty self-explanatory. Nurses will just have to follow a step by step process and depending on the score the nurse will start certain things. The staff will just have to be educated on the new process and when to start certain safety steps to keep the patient safe. Falls cost the hospital a lot of money each year and one fall could cost up to $20,000 depending on the injury that occurred. (Memtsoudis,2012) I had a family member in the hospital and she was older and slightly confused and she ended up falling and breaking her hip. After the surgery and the long healing process she ended up getting pneumonia and she passed away 3 months after falling. With that being said some falls are impossible to stop but other can be prevented if the right assessments are done.References:•             Callis, Natalie  (02/01/2016). “Original Article: Falls prevention: Identification of predictive fall risk factors”.  Applied nursing research (0897-1897), 29,  53.•             Burns, Elizabeth R.  (09/01/2016). “The direct costs of fatal and non-fatal falls among older adults—United States.”.  Journal of safety research (0022-4375), 58,  99.

 
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Nursing  boy who dies…

read the article and answer the questions

 
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Nursing  Epidemiology

Differentiate between bias and confounding. Discuss the criteria necessary to establish a factor as a confounder and provide an example applying these criteria. What is one way to adjust for a confounding relationship in the study design or the analysis?

 
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