Category: Nursing

Ethical Dilemma in Nursing Practice

Discuss an ethical dilemma that you have encountered in your nursing practice, or one that another nurse has encountered that you have heard about. Explain why it is an ethical dilemma. Analyze the situation step-by- step using Catalano’s (2009) ethical decision making algorithm. Catalano’s ethical decision making algorithm is discussed in Chapter 4 of your textbook. Illustrate possible solutions and how the dilemma was actually resolved. The paper should be no more than 4 pages in length, not including the reference and title pages, and in APA format. Grading Rubric Criteria Comments Possible Score Student Score 1. Describe the ethical situation, and why it is an ethical dilemma. 4 2. Analyze situation using Catalano’s ethical decision making algorithm. 16 3. Illustrate various solutions to the dilemma. 8 4. Discuss how the dilemma was actually resolved. 4 5. Writing Skillsgrammar, format, spelling, APA 8 Possible Score 40 Once you have completed the paper and saved as a Word document, you must submit the paper to your instructor via Turnitin

Statistics in Nursing

1. What are basic service classifications and how can understanding these classifications be important to data collection and statistics?

a. endometriosis

b. hemophilia

c. ventricular tachycardia

Your response should be at least 200 words in length.

2. What is the importance of Government Data Collection? What departments might be associated in the gathering of public data?

Your response should be at least 200 words in length.

3. What is ambulatory care and how does it differ from traditional residential care? Why are current trends in ambulatory care important to statistically monitor and evaluate? Please provide examples.

Your response should be at least 200 words in length.

4. What are descriptive statistics and inferential statistics? How do they compare and contrast? Provide examples of descriptive statistics and inferential statistics under Statistics in Nursing.

Your response should be at least 200 words in length.

Evaluation Plan for Evidence-Based Practice Project

develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

Describe the rationale for the methods used in collecting the outcome data.

Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.

Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.

Describe strategies to take if outcomes do not provide positive results.

Describe implications for practice and future research.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required for this Evaluation Plan for Evidence-Based Practice Project.

residential care

Article Review

For this assignment, choose a peer-reviewed article to review. Choose the article from one of the following topics:

statistics in health care

data collection related to health care

ambulatory care

residential care

The purpose of this assignment is for you to practice reviewing articles that contribute to the industry. The authors of these articles are researchers and professionals who have shared or experimented with ideas that demonstrate potential to improve the industry. As a professional in the industry, it is in your best interest to review the literature and trends. This provides you with the opportunity to read about what was successful and how it was accomplished. Plus, it allows you to analyze what was unsuccessful, how you can improve it, or at least how you can avoid repeating the mistakes of others. Use these skills to contribute to research papers and other scholarly writings. If you have not already, hopefully, you will contribute to the industry by publishing an article and sharing with your community of peers.

As you read the article you choose for this assignment, consider the following questions: How could the topic of this article apply to your personal or professional life? How could it apply to an organization you have observed?

The article you choose must meet the following requirements:

be peer reviewed, relate to the concepts within this course, and be at least ten pages in length.

The writing you submit must meet the following requirements:

Be at least two pages in length, identify the main topic/question, identify the author’s intended audience, and summarize the article, analyze the article, evaluate how the article is related to your topic, and explain what you learn from this article.

Format your Article Review using APA style. Use your own words, and include citations and references as needed to avoid plagiarism.

Healthcare Career Areas Reflection Paper

Compare/Contrast

This reflection paper will be written about two healthcare career areas or positions or subsets that you have chosen or will select or have an interest in. These should be career areas that you have considered, but not reviewed or written about. They can also be anything that you have an interest.

This is a comparison and contrast reflection in that you will look at both careers areas and compare and contrast the two careers with each other.

Reflection Requirement/Objectives(Healthcare Career Areas Reflection Paper)

1) Introductory paragraph Introduce the reader to the healthcare related career you will be job discussing, and the types of research you have completed (the internet, and a book other sources). You will also clearly establish what your reflection is about and provide a preview to the paper. Here you will explain the two careers that you are comparing and contrasting.

2) Career Description(Healthcare Career Areas Reflection Paper) – Describe each healthcare career you selected. Include the following information:

• Overview and title of career/position and setting/environment.

o Administration

o Managerial

o What field in healthcare: Hospital, clinic, supply chain, policy, specific department etc.—describe where this career is in healthcare.

• Common and specific work activities (what does the position/career entail)

• Skills and abilities required

o Early skills or beginning skills

o Middle level skills

o Advanced skills

• Preparation (training, qualifications)

• Outlook for the job (career)

o Expected growth

o Number of opportunities

3) Aspects of the career that interest you:

Why are you interested in these careers?

• Describe the parts of the career that interest you the most

o Do not do all—select a couple

How do the interests align with your assessments?

How do the careers align with your goals about a career in healthcare?

5) Compare/Contrast: (Healthcare Career Areas Reflection Paper)

Review both careers and compare and contrast them against your goals and or interests. Answer the basic question: In looking at these two careers, which one appeals to me more?

Compare and Contrast Questions to Guide You:

List the most significant point concerning these job? What makes this significant about the job?

Are the careers in the same field/setting: Example: Hospital or clinic.

If they are in the same discuss that. If they are in different, discuss the differences.

What are some key positive attributes of the positions?

What education and/ or training are required?

What is the outlook for these particular careers?

Compare the salaries at entry, middle and end career.

Describe the career entry into these positions. Is one easier to enter? Compare them.

What is the career growth, compare if there is a significant difference in growth?

What mentorship is available for you to succeed? Compare.

What education and/ or training are required? Compare.

What is the outlook for these positions and compare and contrast that outlook?

Compare and contrast what the daily work life experience will be:

Do you interact with people?

Is it routine or diverse?

Do you make decisions and act on them or do you take direction from others?

How much autonomy do you have?

What type of impact do the careers have?

What is the satisfaction level?

Reflection: Write the reflection.

Summative Reflection (Healthcare Career Areas Reflection Paper)

•After comparing and contrasting—determine what careers you are leaning toward. Explain your selection.

•What did you learn that surprised you about these careers?

•What skills are going to have to be built on to succeed in this position or career?

Evaluative Reflection

•What are the strengths and weaknesses your current education that you need to be aware of for this position.

•Reflect on a path to get this position: What might you do to best get this position.

Do your personal assessments fit the career choices? Explain.

Paper format must include the following:

1. Title page/

2. Introduction with clear purpose, preview and direction for the paper.

2. The body of the paper needs to be 5-7 pages (no more than 7) double spaced, typed pages in length. Include all sections of the above that requires reflection and content.

* Size 11-12 Ariel or New Times Roman font is required.

* No bold fonts

* 1″ margins on sides, top, and bottom of paper required.

3. Cite Sources on the final page, after the body of the paper.

4. College level writing expected.

Sources:

• Two sources are required.

o Must be sources that are established and reliable and validated sources.

o One source from any published hard-copy source.

Ambulatory Care

Unit I Article Review

For this assignment, choose a peer-reviewed article to review. Choose the article from one of the following topics:

statistics in health care

data collection related to health care

ambulatory care

residential care

The purpose of this assignment is for you to practice reviewing articles that contribute to the industry. The authors of these articles are researchers and professionals who have shared or experimented with ideas that demonstrate potential to improve the industry. As a professional in the industry, it is in your best interest to review the literature and trends. This provides you with the opportunity to read about what was successful and how it was accomplished. Plus, it allows you to analyze what was unsuccessful, how you can improve it, or at least how you can avoid repeating the mistakes of others. Use these skills to contribute to research papers and other scholarly writings. If you have not already, hopefully, you will contribute to the industry by publishing an article and sharing with your community of peers.

As you read the article you choose for this assignment, consider the following questions: How could the topic of this article apply to your personal or professional life? How could it apply to an organization you have observed?

The article you choose must meet the following requirements:

be peer reviewed, relate to the concepts within this course, and be at least ten pages in length.

The writing you submit must meet the following requirements:

Be at least two pages in length, identify the main topic/question, identify the author’s intended audience, and summarize the article, analyze the article, evaluate how the article is related to your topic, and explain what you learn from this article.

Format your Article Review using APA style. Use your own words, and include citations and references as needed to avoid plagiarism.

population-health oriented policies

Submit Section III of the case study, in which you will address the chosen organization’s financial incentives and quality improvement processes. Specifically, you will critique the organization’s population-health oriented policies, the organization’s approach to care and the extent to which it is patient-centered, and any strategies the organization uses in its population-health approach.

USE THIS for the chosen organization>>>>healthcare organization presented in the Integrated Safety-Net Health Care System case study using a population health approach. Please also read the supplemental Interpreting Services Program document to ensure that you have all of the information about the Montefiore Medical Center you will need to address the critical elements.

Specifically the following critical elements must be addressed in population-health oriented policies paper:

III. Financial incentives and quality improvement processes

a) Analyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims.

b) To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims.

c) What specific strategies (such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality?

d) Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning.

Guidelines for Submission: Milestone Three must be submitted as a two- to three-page Microsoft Word population-health oriented policies document with double spacing, 12-point Times NewRoman font, one-inch margins, with sources cited in APA format.

Comment on the following Pediatric Cardiac Surgery and PICOT Question;

When reviewing the case study there are a many key points that are discussed in regards recovering from a pediatric cardiac surgery and the risk for a cardiac tamponade after the removal of a pulmonary artery catheter. There are a few pieces of information in this case study that are critical in determining how one would find the evidence, that is most appropriate, to determine how a complication, such as a cardiac tamponade, could occur in an infant only four days after an operative procedure. The key clues include: an infant who is four days postoperative after a cardiac surgery, abnormal clotting profile, removal of a pulmonary artery catheter with drainage and ooze, followed by a deterioration in the patient’s status, which ultimately leads to a diagnosis

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of a cardiac tamponade (Melnyk&Fineout-Overholt, 2015). To enhance the likelihood of the most reliable evidence and helpful research, one would use a PICOT formation, to formulate a research question. The P in PICOT stands for the population at interest (Melnyk&Fineout-Overholt, 2015). In this case study, the population the study is aiming toward is an infant four days postoperative (Melnyk&Fineout-Overholt, 2015). The next searchable topic would be the I, C, and O, which would indicate the issue at hand, the comparison of that issue, and the affect this event would have on the outcome; this would include questioning the frequency of removing a pulmonary artery catheter, or not removing the catheter, and the affects this procedure has on influencing a cardiac tamponade (Melnyk&Fineout-Overholt, 2015). The next, and final step would be to determine the T, which delivers a timeline for an event to occur (Melnyk&Fineout-Overholt, 2015). In this case study, the timeline would be four days after surgery, which one would possibly be able to broaden to a week, to better serve research results. In a study conducted in 2012, the authors described the importance of formulating a comprehensive PICOT when researching a topic at hand (Riva et al.). This study discovered that the more detailed and specific a PICOT was, the more evidence and research was exposed to better enhance the topic of understanding (Riva et al., 2012). This study also concluded, the more likely the researchers used the PICOT formation, the more likely one would develop a more appropriate and specific research yield (Riva et al., 2012). With all this information, for a Pediatric Cardiac Surgery and PICOT Question, the most suitable PICOT formulated question, to determine the likelihood of an event similar to this would be: In an infant who recently had cardiac surgery, what is the frequency of cases regarding the removal of a pulmonary artery catheter, versus not removing the catheter within a week, have on the affect of developing a cardiac tamponade within the first week of surgery? This formation of questions and information would best suit the research topic at hand. Pediatric Cardiac Surgery and PICOT Question

American Cancer Society Information

The American Cancer Society can act as a resource to newly diagnosed cancer patients by providing unbiased information. Information is presented in non-medical terms and is easily accessible. Their website has information from prevention to treatment and all steps in between including side effects from treatment. The ACS website offers information on financial assistance as well as resources for family members who may be affected by the new diagnosis. The link for getting involved provides people with options to donate money or their time. Volunteering with an organization such as the ACS can be quite beneficial for those affected by cancer as well as connecting people who are facing the same diagnosis.

Factors that include incidence and mortality rate include poor diet, sedentary lifestyle, being overweight or obese, use of tobacco and/or alcohol, living a high-risk lifestyle, coexisting infections such as HIV and Hep C, and sun exposure. Changes that we are seeing to reduce incidence and mortality include increased education and awareness, access to screenings (colorectal and/or cervical), vaccines (HPV), and treatment of those coexisting infections.

The research topic that I found was related to the financial costs of smoking-related illnesses and their impact on society. It’s estimated that society faces a loss of $422 billion in health-related expenses. The importance of this particular study was the focus on low and middle-income countries, the first of its kind. These countries account for 40% of the cost mentioned. By bringing this to attention hopefully we can provide more education and resources to these areas.

American Cancer Society funds Clinical Cancer Research

Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?

The American Cancer Society helps patients, families and anyone that is involved in the care of a loved one or themselves while dealing with cancer. The American Cancer Society help people to understand what to expect and what might help to cope with this devastating diagnosis. They provide basic information about any cancer and its causes as well as detailed information on specific cancer types. The American Cancer Society also provide information about risk factors, early detection, diagnosis, and cancer treatment options. On their website, they provide information on how to stay healthy, treatment and support as mentioned before as well as how to get involved and their research.

A service from the American Cancer society that I would recommend is “Tools to Help you Navigate Treatment.” Being in shock and going through the grief stages from finding out someone has cancer is tough. Adding that to treatment options like choosing a treatment team, and insurance resources may make it more overwhelming for the patient and their loved ones. On their website, they help you understand the healthcare system. They have links where you can read about what questions to ask your healthcare provider, they explain the doctor-patient relationship and they also explain about healthcare professionals associated with cancer care. Under that same page, they will have information about directories of healthcare professionals, treatment centers, and how to choose a doctor and a hospital that fits your needs. For parents who have a young child with cancer, the American Cancer Society also has information about pediatric cancer centers that will be more appropriate for their care and age. One of the other things that they have under support is that they provide information about choosing home care agencies instead of hospital treatment. They also provide information about hospice care, which is one of the last resources when a patient is suffering from cancer.

According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time

Factors that contribute to yearly incidence and mortality rates in Americans are: diet, exercise, stress, tobacco, infectious agents, and environmental factors. For example, men who smoke are more than 20 times likely to develop lung cancer than men who don’t smoke (American Cancer Society, 2017). It is important to keep in mind that many other factors like age, gender, family history and lifestyle choices may increase the risk of someone getting cancer. Changes in policies like offering healthier meals at schools may help in lowering cancer statistics. Teaching children about healthy habits like eating healthy foods, and exercise might prevent them from smoking, lowering stress levels, and even if they are at risk, they will lower their chances of getting cancer.

Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.

The American Cancer Society funds the Clinical Cancer Research, Nutrition, and Immunology. In this program, scientists investigate new ways to identify and monitor cancer, explore how the immune system can be used to fight cancer, and increase our understanding of the effects of the environment on cancer, among other areas of research (American Cancer Society, 2017).