Nursing  Puty

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Open the attachment andfollow directions very carefully, POINTS ARE EASILY DEDUCTED and paper will no be accepted.Should you have any questions regarding the instructions given, contact me immediately for guidance. NO PLAGIARISM, this will result in a ZERO for grade. APA Style and references (minimum four 4). Thanks!

 
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Nursing  PICOT

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PICOT EBP

 
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Nursing  Module 2

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Based on your professional role, identify strategies that you have seen implemented in your practice area that promote interprofessional clinical experiences with students and other members of the healthcare team.

 
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Nursing  NR534 week 8 SR2

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respondEXPERIENCE:The Reduction in workforce paper explored the knowledge and the decision making process required to plan and execute the organizational changes at Roxboro Medical Center. The job of restructuring and reducing the workforce of an organization will always significantly impact the staff. In the setting that we were given, the CNO was tasked with reducing nursing leadership by 30%. Human resources provided guidelines and additional information to assist in the decision making process. It is especially important for key stakeholders to be involved from the outset of the process to assure organizational policy and procedure are adhered to.The model that was chosen for this organizational staff reduction is Kotter’s change model which relies on stepwise planning and implementation of a strategic plan on a short timeline while also promising ownership for employees. Faced with the development of a plan to reduce the organization’s workforce, it is the responsibility of management to use an approach that strengthens the organizational mission and values. Transparency, sensitivity, and open communication are essential and will allow staff members to better understand the decision making process during this challenging time. To assure the buy-in of the staff, the change model that is used to research and plan for the staff reduction must incorporate proven rationales and reassurance of an improved work-life balance along with increasing autonomy and ownership. The organization must remain transparent and communicate openly and often identifying details of the plan and timeline while identifying strategies in order to execute the plan and gain facility-wide acceptance and support.REFLECTION:During the time that I was doing research and writing this paper, the Covid-19 pandemic was surfacing and I actually was faced with making some similar decisions at my own organization. I am a manager in perioperative services and when the Governor placed a moratorium on elective surgeries our caseload decreased by about two thirds. Hospitals face many financial obstacles today and are often forced to use an approach such as staff layoffs to maintain their financial viability (Daniels & Ritter, 2018). The first wave of cuts that I had to make was dismissing all travel staff giving them two weeks’ notice. At this time, I also took all non-benefitted employees off the schedule. Ten days later I realized that we were still overstaffed and cut everyone’s FTE by 25%. Another week passed and our CEO and CNO tasked all managers with cutting our staffing budget by another 20%. Emotions and feelings may affect the initial acceptance of the change due to misconceptions about the process of the reduction in force and when issues of trust exist (Walker & Karau, 2016). This was gut-wrenching for me, I knew how devastating this would be to many of my staff members. Feelings of guilt and being at fault is quite common for managers who are faced with making staff reduction decisions. This paper was the most difficult I have ever written, but one of the best because I was living through exactly what I was writing about.IMPLICATIONS:This assignment helped me through the reductions that I had to make as I was researching for the assignment I was also researching for the real task at hand. I am so thankful that this class happened to coincide with the real-life situation that I found myself in. I had never even considered that I would ever be faced with such decisions in my organization, we are a giant 1100 bed level one trauma center with four sister hospitals within 100 miles of us. Florida is extremely fortunate to have been minimally impacted by the pandemic so far, but I will never forget this experience and carry with me what I have learned through this. Open communication, sensitivity, and transparency are a few of the most important things that a manager should remember to use when faced with a task such as this. When faced with a substantial reduction in staffing the decisions for termination must always be based on measurable metrics to keep the decisions equitable with supported rationales (Perry, 2016).

 
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Nursing  for the grAde ONLY

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Pro-Con position paper on Opioid Crisis· Length: 4-5 pages (not including title page or references page)· 1-inch margins· Double spaced· 12-point Times New Roman font· Title page· References page (minimum of 5 scholarly resources)

 
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Nursing  Case study 1 and 2

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In a short essay (500-750 words).

 
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Nursing  PICOT Question and Literature Search

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The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.Use the “Literature Evaluation Table” to complete this assignment.Picot question created( Do obese patients (P) who receive nutritional education, diet and exercise (I), in comparison to those who do not (C), have improved health outcomes and weight loss (O) in a year’s time limit (T)?)Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).The PICOT question will provide a framework for your capstone project.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.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.

 
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Nursing  Cardiorespiratory Complexities

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Discuss what resources are often necessary for nonacute care for cardiorespiratory issues. Explain how they support patient independence and decrease readmission.

 
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Nursing  Advance Role Discussion 7

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Please Choose One of the follow questions:Based on your professional role, identify strategies that you have seen implemented in your practice area that promote interprofessional clinical experiences with students and other members of the healthcare team.Based on your advanced professional nurses role, describe the credentialing process at the state and national level.Please post your initial response and respond to one student, both responses must be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references each post, other than your text, is required. Please refer to grading rubric for online discussion.

 
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Nursing  qualitative and quantitative designs

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Discuss the characteristics or attributes that should be appraised when evaluating qualitative and quantitative designs in relation to rigor or quality of its type? How do the characteristics or attributes of greatest importance in qualitative or quantitative type differ? Give an example.

 
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