Nursing  Picot Question

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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.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.You are not required to submit this assignment to LopesWrite.

 
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Nursing  MD2-11_Reflection

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DUE 10/25/2021

 
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Nursing  qualitative research

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What is the impact in USA of your selected topic (substance abuse) as a burden disease.When appraising qualitative research, why is the concept of data saturation important?what are the benefit and the limitation of qualitative research?Instructions:Use anAPA style and a minimum of 200 words. Provide support from  scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 year), and 4) an in-text citation.citations and references are included when information is summarized/synthesized and/or direct quotes are used, in whichAPA 7 stylestandards apply.• Textbooks are not considered scholarly sources.• Wikipedia, Wikis, .com website or blogs should not be used.

 
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Nursing  Nursing 304

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NEEDING HELP WITH WEEK THREE JOURNAL. THE ASSIGNMENT IS ASKING FOR THE STUDENT TO INTERVIEW PEOPLE AND THEIR REACTIONS TO COVID 19 AND HOW THEY ARE STAYING HEALTHY IN THE WAKE OF THE SCARCITY OF PPE MATERIALS AND FOOD ITEMS IN THE STORES.

 
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Nursing  project charter for your workflow redesign

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Assignment:Determine a work area in your organization that you would like to use for assignments in this course. Focusing on one area will help you organize your work for any future assignment.Construct a presentation using PowerPoints® with voice over and create a twelve-step project charter for your workflow redesign. This should be about a health care system component (Example of a system component could be the admission process into an emergency room) and frame the project in a quality-improvement modality by establishing a plan for improvement. In your text book page 228-229 list the twelve questions that must be answered for this assignment.Construct a PowerPoint® presentation of a workflow design for the same health care system component using appropriate Yourdon symbols and conventions.Include these steps to create your workflow redesign:identify process to be mapped;identify and involve individuals who perform the tasks;map the current state; assess current state workflow;identify opportunities for improvement;identify data to measure redesign outcomes;map future “to be” process; test new workflows and processes;train on new workflows and processes;go live with the new workflows and processes;and analyze data and refine workflows and processesThe PowerPoints® should include a title page, the twelve-step project charter and then your workflow redesign for the same health care component, then a reference page.

 
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Nursing  Servant Leadership in Practice

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How does your work environment help employees find meaning and purpose in their work?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  analysis of local, state, or federal health policy.

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Select a state health policy reform innovationDiscuss the rationale for the policy, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. ethical outcome based on evidenceExamples of state innovations include Maryland’s hospital rate setting, Vermont’s single payer system, and Massachusetts’ health reforms

 
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Nursing  follow up discussion

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Respond one paragraph with intext citation and reference for the following post1. Discuss what the nurse should have done to effectively control this situation and limit the risks of wrongful delegation? Give a detailed response and reference 2 evidenced based resources.According to the American Nurses Association (ANA) and the National Council of State Board of Nursing (NCSBN) jointly published the Position Statement on Delegation (2017) which states:Delegation is a process that, used appropriately, can result in safe and effective nursing care. Delegation can free the nurse for attending more complex patient care needs, develop the skills of nursing assistive personnel and promote cost containment for the healthcare organization. The RN determines appropriate nursing practice by using nursing knowledge, professional judgment and the legal authority to practice nursing. RNs must know the context of their practice, including the state’s Nurse Practice Act and professional standards as well as the facility/organization’s policies and procedures related to delegation (ANA & NCSBN, 2017).Based on the scenario, I think the nurse should have told the assistive personnel to call 911 and insisted to take the patient to the ER even though the family members did not want to take her there. Relying on the UAP statement where she said she has re-inserted several GI tubes in her previous job was the wrong thing to do because the RN has never assessed the competency of the UAP, so she shouldn’t have relied on that statement. The nurse should have known immediately that GI tube insertion is out of the scope of practice of the unlicensed assistive personnel (UAP). I believe the nurse should have taken a moment and go through the five rights of delegation and that would have helped her not to allow the UAP to perform such task. I understand that nursing can be very stressful for RN but it is pertinent that when practicing to always think of the patient’s safety first (NCSBN, 2016).Even though the nurse instructed the UAP not to resume feeding, that information was not properly communicated with all the people taking care of that patient such as her daughter. The best thing the RN would have done was to call the patient’s daughter after she was done talking with the UAP. In the phone call, she would have explained to the client’s daughter what the whole situation is and give specific instructions of what she wants them to do. In that light, the miscommunication would have been avoided.2. Identify 3 to 4 risk control recommendations that were learned from the required video that could have been utilized in this case.some risk control recommendations that would have helped prevent such error are as follows. Jennifer Flynn recommended that the nurse;1. Assess the patient first to have a better understanding of the degree of illness and then make a judgement if it is safe to delegate any task to UAP on that patient.2. If the nurse decide to delegate the task to the UAP, she must ensure that the UAP has been properly trained for such task. After letting the UAP perform the task, the nurse must supervise to ensure that the task was properly done.3. Another thing that the nurse could have done to prevent any risk, was to check the Nurse State Practice Act and the facility policy on delegation. Using the five rights of delegations. That would have given the RN a better understanding about what task are permitted and make a better judgement.References:American Nurse Association, & National Council of State Board of Nursing. (2017). Joint statement on delegation.Flynn, J., & Health Professional Radio. (2019, January 13). Nursing Risks of Wrongful Delegation. Retrieved January 12, 2021, from https://www.youtube.com/watch?v=f0wq5tvd_lQNational Council of State Board of Nursing. (2016). National Guidelines for Nursing Delegation. Journal of Nursing Regulation, 7(1), 5-12.ReplyReply to CommentCollapse SubdiscussionMeredith GrantMeredith GrantYesterdayJan 12 at 10:53amManage Discussion EntryHi, Vanesia,I agree that the CNA and nurse should have made more of an effort to encourage the patient and family to travel to a nearby emergency department. The patient’s death could have been avoided had the nurse instructed the CNA to give the phone to the family so she herself could educate them about the importance of immediate and proper reinsertion, including the risk of peritonitis, sepsis, and even death with improper reinsertion (Feil, 2017). The nurse could have also given them the option of contacting their primary care physician to see if he or she was available for a last-minute appointment to replace it, but then restress the necessity of going to the hospital if that was not possible. The nurse could also explain to the family that improper reinsertion is even more dangerous that the dislodgement itself, which most patients with long-term tubes experience at least once (Feil, 2017).ReferenceFeil, M. (2017). Dislodged gastrostomy tubes: Preventing a potentially fatal complication. Pennsylvania Patient Safety Authority, 14(1), pp. 9-16.http://patientsafety.pa.gov/ADVISORIES/documents/201703_dislodgedGI.pdf

 
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Nursing  concepts of healthcare informatics

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Concepts of Healthcare Informatics – Week 3 Assignment 1Agency for Healthcare Quality and Research Part IThe US Department of Health and Human Resources has established theAgency for Healthcare Quality and Research(AHRQ). AHRQ is a major resource for health care professionals in multiple areas.HCUPnetwas designed for use by professionals needing to analyze data. Review theHCUPnethomepage to find out more about the Healthcare Cost and Utilization Project.Learning to use this tool is an important skill.First, watchthis tutorial videoand instructions on how to use the tool. Now it is your turn.Design a comparative analysis of health care data using a standardized tool.Include the following aspects in the assignment:Ø  Explore the steps to ensure data integrity. Refer to the chapter book for systemic approach and steps to ensure data integrityØ  Using theAgency for Healthcare Research and Quality(AHRQ) website, access setup to create an analysis of your choice for two different consecutive years.Ø  In one or two paragraphs, summarize your findings. Be sure to specify the criteria selected in your analysis: (specify)Ø   there is no minimal length. Each bullet much be thoroughly explored. At all times, proper sentence structure, grammar, and spelling is required.Grammarlyis a free tool to assist you. All references must be placed

 
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Nursing  HEALTHCARE DELIVERY

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What are your thoughts about the emerging accountable care organizations? In what ways do you think they will affect the current health care delivery system? How do you think the practice patterns of primary care physicians will change under the new models of health care? What are the biggest problems that this could bring to primary care practices? BE SURE TO ADD IN-TEXT CITATION AND REFERENCE

 
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