Category: Nursing

Medication Errors Paper

For this discussion post, you MUST read and reference this article:

Cohen’s 2015 article, “Medication Errors,” from Nursing, volume 45, issue 3, page 72.

http://journals.lww.com/nursing/Citation/2015/01000/Medication_Errors.21.aspx

Medication Errors

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One important responsibility nurses have is the administration of medications to patients. Nurses must know and understand the principles involved in the delivery of medications for the treatment of both physical and psychological diseases.

For this discussion:

•Refer to the journal articles you read for this unit, as you explain what are considered medication errors and what can be done to prevent them.

Medication Errors Paper

Evidence-Based Practice Paper in Pediatrics

Nurses must be able to understand the application of evidence-based research in their nursing practices. This type of research requires nurses to evaluate outcomes while using evidence-based practices. The readings in this unit demonstrate that evidence-based practice is part of nearly everything we do in nursing and they are meant to have you think about it from many angles. After reading about the use of evidence-based research in nursing:

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•Describe an example of how you currently use evidence-based practice in your workplace. •Offer a rationale for this practice.

I work as a pediatric (kids) nurse, so this post needs to be about evidence based practice, especially within the pediatric population.

Evidence-Based Practice Paper in Pediatrics

Pharmacological Protocols and Guidelines Essay Assignment Paper

For this discussion:

1. Consider the different groups of patients to whom you provide nursing care, and the setting in which you generally work—telemetry, orthopedics, medical-surgical floor, ICU, et cetera.

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2.Identify the setting and the groups of patients in this setting.

3. Identify a specific disease or condition you have worked with in the past and discuss the current pharmacological treatments used. ◦Is it an evidence-based therapy? ◦If not, describe the possible medication errors, as outlined in the Drach-Zahavy et al. article or the information on the AHRQ Web site.

•Describe the protocols, guidelines, and evidence-based practices that are in place in your current or past work place (be sure to maintain confidentiality of your work place) to assist nurses in evaluating quality patient outcomes.

Pharmacological Protocols and Guidelines Essay Assignment Paper

Pharmacological intervention Essay Assignment

Pharmacological Treatments  For this Pharmacological intervention Essay Assignment, you will select and examine a disease or health condition that requires a pharmacological intervention. You may choose any disease or health condition you wish, but the disease or health condition must be relevant to nurses in a variety of settings (for example, the E.R., pediatrics, public health). Once you have selected and identified a disease or health condition, identify the areas where nurses are likely to see the disease or health condition.

Pharmacological intervention Essay Assignment Instructions

•Identify the disease or health condition.

•Describe the health issues or symptoms associated with the condition.

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•Identify drugs most often used in the treatment of the condition.

•Explain the types of actions, side effects, indications, and contraindications that could be expected from this pharmacological treatment.

•Describe the treatment regime (including pharmacology) that is most often prescribed for this condition.

•Explain how this treatment regime, including pharmacology, impacts a client’s lifestyle (including financials, ease of administration – complexity, how hard are instructions to understand – frequency, length of medication).

◦Are there any controversies related to the medication? For example, is there a black box warning with this medication?

•Describe how a nurse should monitor a client being treated for this condition in order to obtain a quality patient outcome.

Additional Pharmacological intervention Essay Assignment Requirements

•Length of paper: Be as specific as possible, but try to limit this assignment to no more than 4 pages, not including title page and reference page.

•References: Support your plan with references to at least two resources, in which one resource should be outside the required readings for this course.

•Formatting: Follow proper APA style and formatting.

Pharmacological intervention Essay Assignment

Analyze nursing and counseling theories to guide practice in psychotherapy and Develop goals and objectives for personal practicum experiences

Create timelines for practicum activities

Ethics in Epidemiological Research Paper – Type 2 Diabetes Primary Prevention Experimental Study

Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease-free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high-risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

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Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

Post your initial Ethics in Epidemiological Research Paper – Type 2 Diabetes Primary Prevention Experimental Study response to at least two of the following questions:

1. What are the potential risks and benefits to be considered when designing this study?

2. When the side effects and long-term effects of a potential preventive measure are largely unknown, is it ethical to expose participants to these risks? Why or why not?

3. Is it ethical to deny the possible prevention benefits of high-fiber supplements to persons in the placebo group? Why or why not?

4. Do the potential benefits outweigh the potential risks to the participants and to society? Why or why not?

Ethics in Epidemiological Research Paper – Type 2 Diabetes Primary Prevention Experimental Study

Research information dissemination strategies

Give a good and positive comment on the following Research information dissemination strategies discussion post

The main goal of dissemination is to share the knowledge you learned from the research conducted, and the results of your findings, with stakeholder, and those not on your team (AHRQ, 2014). Dissemination is an integral part of the evaluation strategies, and should be thought about at the time of evaluation planning. There are many strategies methods to dissemination research information such as publishing program or policy briefs, publishing project findings in national journals and statewide publications, presenting at national conferences and meetings of professional associations, presenting program results to local community groups and other local stakeholders, creating and distributing program materials, such as flyers, guides, pamphlets and DVDs, creating toolkits of training materials and curricula for other communities, sharing information through social media or on an organization’s website are all ways in which you can share you e results (Rural Health Information Hub, 2011).

Steps in developing dissemination strategies could involve reviewing past efforts, devis objectives, determine your audience, developing a message, deciding on your approach, review resources, consider timing, and then evaluate the efforts (AHRQ, 2014). In determining your audience some examples could be State associations of county and city health officials, State Offices of Rural Health (SORH), hospital associations, public health associations, rural health associations, universities and charitable foundations, federal agencies, community groups, faith-based organizations, state and county extension offices, and schools (Rural Health Information Hub, 2011). The internal method use in my EBP would be to share the findings and results with administration, and stakeholders, and post results in nurse’s office for review, and the external method the results could be reported to an public health association, or National School Nurse association.

 

 

Agency for Healthcare Research and Quality [AHRQ]. (2014). Quick-start Guide to Dissemination for Practice-based Research Networks. Retrieved from
https://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/planningtool.html

Rural Health Information Hub. (2011). Methods of Dissemination. Retrieved from
https://www.ruralhealthinfo.org/community-health/rural-toolkit/6/dissemination-methods

Research information dissemination strategies

Evaluating the Effectiveness of EBP

Give a good and positive comment on the following Evaluating the Effectiveness of EBP discussion post

Implementing an EBP project will increase the likelihood that student’s health, and performance will improve (VPC, 2017). This is why it is important to monitor the effectiveness of your changes, and whether students involved in the EBP are improving with these changes (VPC, 2017). With progress monitoring on a regular basis to ensure EBP is being implemented as intended, which will improve student outcomes, would be the first steps in understanding if the project made a difference in practice (VPC, 2017). Another way in determining the effectiveness of my change, and whether my EBP made a difference in practice, is to examine the relation between two sets of data, as to the effectiveness of change with whom I am working with (VPC, 2017).

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                Collecting baseline data and current levels of perception, along with possible barriers at the beginning of the project, will give an estimate of the individuals performance to the interventions, at the end of the project, and whether EBP changes where effective (VPC, 2017). Identify goals for each participant in the EBP project, and plot how they are responding over a period of weeks (VPC, 2017). Some variables used in the comparison can be weight loss, increase in activities, proper diet changes with correct carbohydrate in-take, and even the ability to identify lifestyle changes that would prevent diabetes with culturally appropriate interventions (Ackermann, Liss, Finch, Schmidt, Hays, Marrero, Saha, 2015). Evaluating the Effectiveness of EBP.

Ackermann, R. T., Liss, D. T., Finch, E. A., Schmidt, K. K., Hays, L. M., Marrero, D. G., & Saha, C. (2015). A Randomized Comparative Effectiveness Trial for Preventing Type 2 Diabetes. 
American Journal of Public Health
, 
105
(11), 2328-2334. doi:10.2105/AJPH.2015.302641

Vanderbilt Peabody College [VPC]. (2017). What is the Process for Evaluating the Effectiveness of an EBP with your Students. Retrieved from https://iris.peabody.vanderbilt.edu/module/ebp_03/cresource/q1/p01/. Evaluating the Effectiveness of EBP

Journal Assignment: From Problem to Persuasion Essay Paper

In this  journal assignment, select two potential problems that a) have two  logical sides to the issue (your viewpoint and an opposing viewpoint);  b) are researchable; and c) are related to your career or degree.

For your submission, write a fully developed paragraph for each  problem (5-8 sentences each) explaining two sides to the issue (how is  it argumentative?), how you plan to approach it in your project (what  side are you going to take?), and why you’re personally interested in it  (of all the potential problems in your field or degree, why did you  choose this?).

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When writing the paragraphs, feel free to express any other thoughts or concerns you may have about the topic choices.

After exploring the argumentativeness of your problems, take a moment  to consider the bigger picture. Then, in one to two paragraphs, briefly  reflect on the importance of persuasion with the potential topic you  are most likely to write about. Why is it important that people consider  your side with your selected topic? Who is your audience, and why is it  important to convince them that your view on your topic is the better  (or more correct) view? Remember to try to be specific in your entry, as  this information will help guide you as you work on your project in the  coming weeks.

Journal Assignment: From Problem to Persuasion Essay Paper

Healthcare landscape paper

This week, you will describe the landscape in which the problem exists, including the key stakeholders in the issue and the political climate.

Stakeholders in a health services problem include:

Consumers (patients and their families)

Clinicians (individuals in a variety of disciplines, practice groups, and hospitals)

Payers (insurers)

Businesses (e.g., pharmaceutical or medical device manufacturers)

Policymakers (e.g., medical organizations and government)

Advocacy and education groups (e.g., patient advocacy groups, societies devoted to a specific health issue, such as the Leukemia and Lymphoma Society or the March of Dimes).

Others

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In an environmental problem, the same general categories of stakeholders are represented, although the members of the consumer and other groups are specific to the environmental problem.

The political climate can be loosely defined as the combination of past and present public stances, often conflicting, of the key stakeholder groups as well as the prior attempts to solve the problem.

When planning to begin a program or to conduct an intervention to address a public problem, a certain intervention may be effective from a technical standpoint but unpopular with stakeholders. If stakeholders’ needs and concerns are not addressed, the program will fail on various levels.

For this assignment:

Review the following example of stakeholder involvement in addressing an environmental concern—the Amchitka Island site:

A military airbase was established on this Alaskan island during World War II and underground nuclear bomb testing was conducted during 1965–1971 (Giblin, Stahl, & Bechtel, 2002). These events and subsequent stakeholder participation are summarized by Rutgers University faculty members in the abstracts of several journal articles.

Using the South University Online Library, review the following two abstracts:

Burger, J., Gochfeld, M., & Pletnikoff, K. (2009). Collaboration

versus communication: The Department of Energy’s

Amchitka Island and the Aleut Community. 
Environmental

           Research
, 
109
(4), 503–510.

Burger, J., & Gochfeld, M. (2009). Changes in Aleut concerns

following the stakeholder-driven Amchitka independent

science assessment. 
Risk Analysis
, 
29
(8), 1156–1169.

One of the stakeholder involvement activities was participation in sampling of wildlife and other biota at the site during an independent external scientific assessment of the site by the Consortium for Risk Evaluation with Stakeholder Participation (CRESP) (access photos at 
http://www.cresp.org/amchitka_photos/amchitka_phase2/apia/index.html
).

An advocacy group involved in the controversy was GreenPeace. GreenPeace was founded in 1971 during a voyage to protest nuclear weapons testing on Amchitka (accessible at 
http://www.greenpeace.org/international/en/

about/history/amchitka-hunter/
).

Write a 3- to 5-page landscape paper in a Microsoft Word document addressing the following:

State the 2- to 3-sentence problem statement that you submitted in Week 2.

Identify and describe key stakeholders and the factors that must be considered when analyzing your project’s environmental problem. Include the public, business, government, and scientific stakeholders and, if applicable, stakeholder groups of workers and other nations (landscape). Determine if other stakeholder groups should be included and describe them.

Justify briefly why each of your listed groups may be considered stakeholders. The tone of this section should be neutral, even if you disagree with a stakeholder group’s position.

Summarize the political landscape of your environmental problem, including public stances of key stakeholder groups, conflicts between stakeholder groups, and past attempts to resolve the environmental problem.

Provide and justify your conclusions about how stakeholder groups and political issues should guide the development of solutions to your problem.