Nursing  Week2 roles of advance nursing

Week 2 ProjectThis week we will focus on Transformational Leadership.For this assignment, you will research your advanced nursing practice role and summarize your findings in a 2-4 page paper (excluding the title page and references):Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop. The master’s prepared nurse demonstrates leadership in the four domains: the profession of nursing, clinical practice arena, health policy arena, and systems level. The impact could be found in health promotion, disease prevention/management, quality improvement and/or within management of a health system. In order to complete this assignment, you will first complete an assessment about your leadership style. Choose one of the topics below and respond to the question asked. Assure your leadership style is evident in your response.These are:Cherry, K. (2016). What’s Your Leadership Style? Learn more about your strengths and weaknesses as a leader.How to Become a Better LeaderTopics:Domains: health promotion, disease prevention, quality improvement and health systemsHealth Promotion: Healthy People 2020 have identified Metabolic Syndrome as a major health concern. Sara, lives and works as an A/GNP in rural America. Several local faith organizations have asked if she can organize a Health Fair that will address health promotion, specifically DM. What AP roles, core competencies and support are needed to make this happen?Disease Prevention: Obesity in school age children is a significant problem. Melissa, a former elementary school teacher, is a new CNL who has recently joined her state nursing association and is passionate about the 30% or more of the students being over-weight. The local nursing association is looking for a community project to address disease prevention. Melissa has approached the officers with her concern. What AP roles, core competencies and support are needed to make this happen?Quality Improvement:Nancy, FNP, is the clinical director of a nurse managed health center that is connected to a School of Nursing. The center’s staff members includes of all advance practice nurse providers, a nurse educator, a nursing informaticists, 2 RNs, and paraprofessional staff. The team wants to determine patient satisfaction and capture data on patient experiences both for QI and as a learning experience for students studying nursing. What AP roles, core competencies and support are needed to make this happen?Health Systems: Daniel, a DNP prepared ED NP identified that patients seen in the ED for various reasons had undiagnosed HTN. He observed that the patient’s chief compliant was well addressed but the HTN was not. He has approached the hospital system about the problem and suggested an outpatient clinic adjacent to the ED to address the HTN and other coincidentally found problems. What AP roles, core competencies and support are needed to make this happen?Submission Details:Support your responses with examples.Cite any sources in APA format.

 
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Nursing  NUR4667 – Lesson 4 – Assignment: Cultural Competence

Instructions:Choose one of the numerous partners involved in global health (clinical care providers, governmental agencies, private foundations, corporations, intergovernmental groups, public-private partnerships, nonprofit organizations, the defense sector, universites, the media, and many others.Select a health related topic for which you want to advocate for. Request help from the agency/ entity of your choice in order to help the problem at hand.  Example: Request Apple to donate $1.00 for every iPhone they sell to provide clean water for the community in Bangladesh.Create a 5 to 10 slide PowerPoint presentation to deliver your message to the agency/ entity of your choice about the health related issue you want help with.Your slides should:first slide (after title slide) should explain at least three (3) objectives of your request.clearly state purpose of request to agency/ entity.show relevant and up to date statistic on the problem you are trying to advocate for. (include references)use references according to theAPA Style Guide.be original work, and will be checked for plagiarism.

 
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Nursing  Assessment 2 Instructions: Quality Improvement Initiative Evaluation

Deliver to the interprofessional team a presentation (20 minutes; 12-15 slides) that analyzes an existing workplace quality improvement initiative related to a specific disease, condition, or public health issue of interest. The presentation’s purpose is to inform and get buy-in from the interprofessional team.IntroductionToo often, discussions about quality health care, care costs, and outcome measures take place in isolation—various groups talking among themselves about results and enhancements. Nurses are critical to the delivery of high-quality, efficient health care. As a result, they must develop their skills in reviewing and evaluating performance reports. They also need to be able to communicate outcome measures related to quality initiatives effectively. Patient safety and positive institutional health care outcomes mandate collaboration among nursing staff members to ensure the integration of their perspectives in all quality care initiatives.In this assessment, you will have the opportunity to analyze a quality improvement initiative in your workplace. You will then present your analysis to a group of nurses and other health care professionals. The purpose of your presentation is to inform and enlist support for the initiative from your audience.PreparationQuality Initiative SelectionIn this assessment you will deliver an analysis of an ongoing quality improvement initiative in your workplace. The initiative you analyze must relate to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of your analysis is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Your audience consists of nurses and selected health care professionals with specializations or interest in your selected condition, disease, or issue. You hope to inform and garner support for the initiative from your audience.Recording Your PresentationTo prepare to record a voice-over for your presentation:Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.Practice using the equipment to ensure the audio quality is sufficient.ConsultUsing Kalturafor guidance on how to record your presentation and upload it in the courseroom.Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your slides.Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services at[email protected]to request accommodations.InstructionsThe optionalQI Initiative Evaluation Presentation Template [PPTX]is provided to help you prepare your slides. If you choose to work without the template, consider referring toGuidelines for Effective PowerPoint Presentations [PPTX].In your presentation, you will:Analyze a current quality improvement initiative in a health care or practice setting according to strategic organizational initiatives.Explain the rationale behind the QI improvement initiative. What prompted the initiative?Detail problems that were not addressed and any issues that arose from the initiative.Evaluate the success of a current quality improvement initiative according to recognized national benchmarks.Analyze the benchmarks used to evaluate success. Which aspects of the initiative were most successful? What outcome measures are missing or could be added?Incorporate one appropriate supporting visual (such as a graph or chart) that showcases the most critical aspect of this presentation.Incorporate interprofessional perspectives related to initiative functionality and outcomes.Integrate the perspectives of interprofessional team members involved in the initiative. Who did you talk to? What are their professions? How did their perspectives impact your analysis?Recommend additional indicators and protocols to improve and expand outcomes of a quality initiative.Identify specific process or protocol changes as well as technologies that would improve quality outcomes.Ensure slides are easy to read and error free. Provide detailed speaker notes. Also ensure audio is clear, organized, and professionally presented.Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).

 
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Nursing  Reply to my peers

Reply to my peersPeer 1What medication would you first prescribe to this patient?SSRI’s are commonly the initial drug of choice for patients with depression and many of the anxiety disorders (Woo et al., 2020). These drugs demonstrate equal efficacy to the nonspecific SNRI’s with a safe and lower side effect profile (Woo et al., 2020). Sertraline (Zoloft) would be the treatment of choice. Angela would be started on Zoloft 50mg PO daily. The medication must be started in low doses and the doses must be titrated, depending on the response and the side effects experienced (Grover et al., 2017).She comes back in 2 weeks and states she has not noticed and change in her mood since starting on the medication. What would be your response?Educating Angela on Zoloft and how long it may take to see results is key and should be initiated prior to starting any Antidepressant and re-educated throughout visits. During acute treatment phase of depression, it is important to monitor the patient’s response to ensure the treatment has been given for a sufficient duration, frequency and dose (Woo et al., 2020). A patient needs about 4 to 8 weeks of optimal dosing of medication to appropriately evaluate whether there is a partial response or no response at all (Woo et al., 2020). If there is some improvement in mood and symptoms, increasing the dose is may be effective.What are the possible problems with the medication you prescribed?Zoloft is the most effective and safe of all SSRI’s. Of course, patient’s must be educated on the FDA Black Box warning for any antidepressant: possibility for increase thoughts of suicide. Zoloft can cause birth defects; women of childbearing age should be advised to use birth control to prevent pregnancy. Angela is 54 but should still be educated on this if she has yet to go through menopause.How long should you continue the treatment regimen?Patients taking SSRI’s like Zoloft start to see improvement in mood/symptoms after 4 to 8 weeks of treatment (Woo et al., 2020). At times longer if the dose has to be titrated up. Patients show not stop treatment quickly after symptoms improve due to having depression return. It is recommended for patients to stay on their antidepressants after symptoms improve for 6 months to a year. Discussing tapering off any antidepressant is extremely important. Discontinuation syndrome may occur when a patient takes an NNSRI or an SSRI for more than 5 weeks and the dose is sharply reduced or stopped suddenly (Woo et al., 2020). Symptoms include agitation, anxiety, balance problems, nightmares, dizziness, diarrhea, nausea, vomiting, electric shock-like sensations, and flu-like symptoms (Woo et al., 2020).Reference:Grover, S., Gautam, S., Jain, A., Gautam, M., & Vahia, V. N. (2017). Clinical practice guidelines for the management of Depression. Indian Journal of Psychiatry, 59(5), 34. https://doi.org/10.4103/0019-5545.196973Woo, T. M., Wynne, A. L., & Robinson, M. V. (2020). Pharmacotherapeutics for Advanced        Practice Nurse prescribers. F.A. Davis Company.Peer 2Medication Prescribed for the PatientThe patient would be prescribed serotonin reuptake inhibitors (SSRIs) to manage her depression. SSRIs are effective antidepressants that work by improving the mood of the patient appetite (Godlewska et al., 2016). Their mechanism of action involves prevention or serotonin reuptake, thus increasing its levels in the brain. Serotonin also called a feel good hormone, which helps improve the mood of the patient. Fluoxetine would be the prescribed SSRI. The patient would be started on a low dose of 20mg, taken orally once daily (Micheli et al., 2018).  The helps improve mood, increase appetite, and improve her sleep cycle. The dose can be increased after a few weeks if the patient does not show any improvement of her depression symptoms.Response to Delayed Medication EffectsIt would be important to inform the patient that the medication can take between 4-6 weeks before its therapeutic effects are achieved. The patient would be advised to continue taking the medication for a few more weeks. A follow up would be scheduled in 2-4 weeks to assess the response and effectiveness of the medication Micheli et al., 2018). Absence of improvements at that point would necessitate dose increment or change of medication.Possible Problems with The Medication PrescribedOne possible thing that could be the problem of the medication is its side effects. Possible side effects of Fluoxetine include insomnia, headache, dizziness, anxiety, feeling tired, nausea, loss of appetite, and hot flashes. These effects may worsen her depression symptoms including sleeping disorders, fatigue, and loss of appetite (Godlewska et al., 2016). Additionally, Fluoxetine may interact with the current NSAIDs being taken by the patient, which can increase the risk of gut bleeding. Caution should be taken especially when taking the drugs. There should be a reasonable time interval to avoid drug interactions (Woo & Robinson, 2016).Duration of Treatment RegimenThe patient would take the current Fluoxetine dose of 20mg for 4-6 weeks. A maintenance dose of 20-60mg would be prescribed depending on the patient’s response Micheli et al., 2018). The maintenance would last 6 months to one year for effective depression management, and to ensure the patient would not go back to depression.ReferencesGodlewska, B. R., Browning, M., Norbury, R., Cowen, P. J., & Harmer, C. J. (2016). Early changes in emotional processing as a marker of clinical response to SSRI treatment in depression. Translational psychiatry, 6(11), e957-e957.Micheli, L., Ceccarelli, M., D’Andrea, G., & Tirone, F. (2018). Depression and adult neurogenesis: positive effects of the antidepressant fluoxetine and of physical exercise. Brain research bulletin, 143, 181-193.Woo, T. M., & Robinson, M. V. (2016). Pharmacotherapeutics for advanced practice nurse prescribers with davisplus resources (4th ed.).

 
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Nursing  Crisis Intervention DQ 2 week 4

Joyce is a 34-year-old woman who has been married 10 years. She has three children, all less than 10 years old: Sheena (age 9), Jack (age 6), and Beth (age 2). Her husband is a prominent attorney. They present an ideal picture of an upper-middle-class family. They live in a fashionable suburb. The husband has been successful to the extent that he has been made a full partner in a large law firm. The family is very active in church, the country club, and various other social organizations. Joyce is an active member of several charitable, civic, and social groups. Joyce’s initial call to the abuse center was vague and guarded. She expressed an interest in inquiring for “another woman” in regard to the purpose of the center. After she had received information and an invitation to call back, a number of weeks elapsed. Joyce’s second call occurred after receiving a severe beating from her husband.Joyce tells the crisis worker in the phone:”Well, last night he beat me worse than ever. I thought he was really going to kill me this time. It had been building up for the past few weeks. His fuse was getting shorter and shorter, both with me and the kids. It’s his work, I guess. Finally he came home late last night. Dinner was cold. We were supposed to go out, and I guess it was my fault . . . I complained about his being late, and he blew up. Started yelling that he was gonna teach me a lesson. He started hitting me with his fists . . .knocked me down . . . and then started kicking me. I got up and ran into the bathroom. The kids were yelling for him to stop and he cuffed Sheena . . . God, it was horrible! (Wracked with sobs for more than a minute. CW waits.) I’m sorry, I just can’t seem to keep control.”As the crisis worker:1-What typical dynamics did you see occurring—denial, guilt, fear, rationalization, withdrawal, and so on—in the victim? How would you as the crisis worker handle them?What are some of the domestic violence intervention strategies? Pick one and how would you apply it to the scenarioPlease remember to use references and APA style.

 
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Nursing  Discussion: Evaluating Research Questions and Qualitative Research Designs

Post a critique of the research study in which you1-Evaluate the research questions and hypotheses.2-Identify the type of qualitative research approach used and explain how the researchers implemented the design.3-Analyze alignment among the theoretical or conceptual framework, problem, purpose, research questions, and design.

 
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Nursing  Professional Capstone and Practicum Reflective Journal. DUE BY 1/19

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.New practice approachesInterprofessional collaborationHealth care delivery and clinical systemsEthical considerations in health carePractices of culturally sensitive careEnsuring the integrity of human dignity in the care of all patientsPopulation health concernsThe role of technology in improving health care outcomesHealth policyLeadership and economic modelsHealth disparitiesWhile APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation 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.ANSWER QUESTION # 9 —– Health policy

 
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Nursing  Environmental Factors and Health Promotion: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants

The growth, development, and learned behaviors that occur during the   first year of infancy have a direct effect on the individual   throughout a lifetime. For this assignment, research an environmental   factor that poses a threat to the health or safety of infants and   develop a health promotion that can be presented to caregivers.Create a 10-12 slide PowerPoint health promotion, with speaker   notes, that outlines a teaching plan. For the presentation of your   PowerPoint, use Loom to create a voice over or a video. Include an   additional slide for the Loom link at the beginning, and an additional   slide for references at the end.Include the following in your presentation:Describe the selected environmental factor. Explain how the     environmental factor you selected can potentially affect the health     or safety of infants.Create a health promotion plan that     can be presented to caregivers to address the environmental factor     and improve the overall health and well-being of infants.Offer recommendations on accident prevention and safety     promotion as they relate to the selected environmental factor and     the health or safety of infants.Offer examples,     interventions, and suggestions from evidence-based research. At     least three scholarly resources are required. Two of the three     resources must be peer-reviewed and no more than 6 years old.Provide readers with two community resources, a national     resource, and a Web-based resource. Include a brief description and     contact information for each resource.In developing your     PowerPoint, take into consideration the health care literacy level     of your target audience, as well as the demographic of the     caregiver/patient (socioeconomic level, language, culture, and any     other relevant characteristic of the caregiver) for which the     presentation is tailored

 
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Nursing  Ques/6 Ph

Instructions: Response must be at least 510 words, written in current APA format with at least two academic references cited. References must be within the last five years. Response must extend, refute/correct, or add additional nuance.J.R. is a 36-year-old white, middle-class woman who has been sexually active with one partner for the past 2 years. She and her partner have no history of STIs, but her partner has a history of fever blisters. She reports genital pain, genital vesicles and ulcers, and fever and malaise for the last 3 days. Examination reveals adenopathy and vaginal and cervical lesions.What drug therapy would you prescribe? Why?What are the parameters for monitoring the success of the therapy?Discuss specific education for J.R. based on the diagnosis and prescribed therapy.

 
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Nursing  NURSING RESEARCH

This week’s assignment is STEP 1 – Introduction and Problem Statement.First, the student will select a clinical question from the Approved List of PICOt/Clinical Questions or seek approval for a question from the course professor only for Nurse Educator and Health Care Leadership MSN majors who wish to tailor their research question to their specialized major. The student will select an approved topic from the list (or with faculty approval as previously stated) and will customize the question to meet his or her interest.Next, the student will use the outline below and submit via a Word doc to the assignment link.1. Provide a title that conveys or describes the assignment.2. Introduction – Provide an introduction to your topic or project. The introduction gives the reader an accurate, concrete understanding what the project will cover and what can be gained from implementation of this project.3. Overview of the Problem – Provide a synopsis of the problem and some indication of why the problem is worth exploring or what contribution the proposed project is apt to make to practice.4. References – Cite references using APA 7th ed. Manual.Expectations· Due: Sunday, 11:59 pm PT· Format: Completed Word doc with references in APA 7th ed. FormatMy Topic is : The Prevalence of Pressure ulcer on elderly patients and other at risk patient  in Acute hospital and Skilled nursing facilities using EBP implementing the use of Braden Scale, repositioning, and the use of optifoam dressing on bony areas of these patients.

 
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