Category: Nursing

Ethical dilemmas in healthcare essay assignments

1-which of the following behaviors may be (1) ethical but illegal, (2) legal but unethical, (3) illegal and unethical, and (4) legal and ethical.

A. Working in a clinic that performs abortions

b. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on “breathing machines”

c. Respecting the health surrogate’s wishes regarding termination of life support of her friend

d. Observing a coworker take out two tablets of oxycodone as ordered for pain management for his patient but keeping one for himself, administering only one tablet to the patient.

2-differentiate among the following: deontological theories, utilitarianism, and principlism.

3-what do you think about health-care professionals disclosing information to clients about a poor prognosis, even though the information may cause severe distress.

4-What do they think about health-care professionals disclosing information to clients against family wishes?

5. You see a colleague use another nurse’s password to access the medication administration system and take out a narcotic. What would you do?

6.Your colleague’s child fell and was brought to the emergency department. She comes back up to the unit and tells you that they cleaned and debrided the wound, and she needs to change the dressings twice a day using a wet to dry method. You see her go into the supply system and remove the dressings and saline using a patient’s identification number. What would you do?

7. You are caring for a patient who has a terminal disease. He asks you if he is dying. Would you tell him? If yes, how? If no, what might you say? .

8-You are administering hydromorphone to a patient. The patient asks you what you are administering. Would you tell the patient about the medication?

Ethical dilemmas in healthcare essay assignments

Values and Ethics

Questions of Values and Ethics

Introduction

In the Beginning…

There were no antibiotics.

There were no ICUs.

There were no CT scanners or MRIs.

There were just physicians and nurses who cared for people in sickness and in health.

1960s

Technological advances allowed for the development of the ICU.

New biomedical developments

Advances in surgical techniques, such as open heart surgery

New Questions

The advances created new questions for health-care professionals regarding the use of technology.

The concepts of life and death

Bioethics

A subdiscipline of ethics

The study of medical morality

Concepts of Ethics

Values

Belief systems

Morality

Value Systems

A set of related values

Intrinsic values

Extrinsic values

Personal values

Professional values

Value Formation

Values are learned.

Values change with maturity and experience.

The number of values an individual holds is not as important as what values he or she consider important.

Values Clarification

Choosing

Prizing

Acting

Belief Systems

These are organized ways of thinking about why people exist within the universe.

Their purpose is to explain such concepts as

Ethical dilemmas in healthcare essay assignments

–Life and death

–Good and evil

–Health and illness

Ethics and Morals

Morals

Morals are an individual’s own code for acceptable behavior.

They arise from an individual’s conscience.

They act as a guide for individual behavior.

They are learned.

Ethics

Ethics deals with the “rightness” or “wrongness” of human behavior.

Concerned with the motivation behind the behavior

Bioethics is the application of these principles to life-and-death issues.

Ethical Theories

Deontological

Teleological

Principalism

Ethical Principles

Autonomy

Nonmaleficence

Beneficence

Justice

Fidelity

Confidentiality

Veracity

Accountability

Autonomy

The freedom to make decisions about oneself

Nurses need to respect clients’ rights to make choices about health care.

Nonmaleficence

Requires that no harm be caused to an individual, either unintentionally or deliberately.

Requires nurses to protect individuals who are unable to protect themselves.

Beneficence

This principle means “doing good” for others.

Nurses need to assist clients in meeting all their needs.

–Biological

Ethical dilemmas in healthcare essay assignments

–Psychological

–Social

Justice

Every individual must be treated equally.

This requires nurses to be nonjudgmental.

Fidelity

Loyalty

The promise to fulfill all commitments

The basis of accountability

Confidentiality

Anything stated to nurses or health-care providers by clients must remain confidential.

The only times this principle may be violated are

–If clients indicate harm to themselves or others

–If the clients give permission for the information to be shared

Veracity

This principle implies “truthfulness.”

Nurses need to be truthful to their clients.

Veracity is an important component of building trusting relationships.

Accountability

Individuals need to be responsible for their own actions.

Nurses are accountable to themselves and to their colleagues.

Ethical Codes

These are formal statements of the rules of behavior for a particular group of individuals.

Ethical codes are dynamic.

Most professions have a “code of ethics” to guide professional behavior.

Virtue Ethics

Focus on virtues or moral character.

View helping others as charitable or benevolent.

Organizational Ethics

Focus on the workplace.

Ethical culture makes a difference.

Senior leadership must promote an ethical culture.

Ethical dilemmas in healthcare essay assignments

Ethical Dilemmas

Occur when a problem exists between ethical principles

Deciding in favor of one principle usually violates another.

Both sides have “goodness” and “badness” associated with them.

Resolving Ethical Dilemmas

Using the Nursing Process

Assessment

Planning

Implementation

Evaluation

Approach to Ethical Dilemmas

Current Ethical Issues

Issues to Consider

Assisted suicide

Technology issues

Gene therapies

“Designer babies”

Organizational climate

Conclusion

An issue is not an ethical issue for the nurse unless he or she has been asked.

Always gather the facts prior to decision making.

Consider your personal beliefs and values.

Ethical dilemmas in healthcare essay assignments

NSG-502. Advanced Nursing Research Essay Assignment Discussion Papers

Module I Discussion

Compare and contrast the steps taken to conduct a study from a quantitative and qualitative perspective.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. NSG-502. Advanced Nursing Research Essay Assignment Discussion Papers

Module II Discussion

Create a problem statement based on a clinical issue (one short paragraph). Next, develop a purpose statement. Critique each other.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

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Module III Discussion

Choose a nurse theorist and state why the theorist has made the most valuable contributions to nursing research.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. NSG-502. Advanced Nursing Research Essay Assignment Discussion Papers

Module IV Discussion

Compare and contrast the use of objectives, questions, or hypotheses used in quantitative and qualitative articles.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

Module V Discussion

Conduct a literature search and provide an example of an ethical violation or research misconduct. Describe the event, supply the reference, and discuss what should have been done to prevent the problem from occurring.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. NSG-502. Advanced Nursing Research Essay Assignment Discussion Papers

Module VI Discussion

Spend fifteen minutes in a busy environment (mall, park, shopping market, etc.) observing the surroundings. In the role of participant as observer, write your observations from a qualitative data collection perspective.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

Module VII Discussion

Select a quantitative research design and formulate a research question that is congruent with that design. Explain your choice.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. NSG-502. Advanced Nursing Research Essay Assignment Discussion Papers

Module VIII Discussion

Construct a research question and select a sampling method. Explain why you selected the specific sampling method and discuss strengths and weaknesses.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

Module IX Discussion

Select a concept you wish to measure.Develop a five-item questionnaire based on the criteria in the chapter. Critique each other.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

Module X Discussion

Explain how performing a power analysis reduces the possibility of making a Type I and Type II Error.

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

Module XI Discussion

Construct a quantitative research question and state the appropriate statistical test that should be conducted and why. NSG-502. Advanced Nursing Research Essay Assignment Discussion Papers

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

NSG-502. Advanced Nursing Research Essay Assignment Discussion Papers

People of Egyptian Heritage PowerPoint presentation

Prepare a PowerPoint presentation. Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources.

This presentation should address the following: History, values and worldview, language and communication patterns, art and other expressive forms, norms and rules, lifestyle characteristics, relationship patterns, rituals, degree of assimilation or marginalization from mainstream society, and health behaviors and practices. In addition to describing the these characteristics, the presentation must include (a) a comparative and contrast analysis of common characteristics and distinguishing traits between the groups,(and (b) a discussion of differential approaches needed by health care professionals. Grades will also be based on overall quality of the professional presentation including handouts and references.

People of Egyptian Heritage PowerPoint presentation

Sub Sternal Chest Pains Essay Assignment – nsg530

3. Mr. B is a 70-year-old man who developed sub sternal chest pains radiating down his left arm while at home. He was taken to the ER via ambulance. His breathing was labored, pulses rapid and weak, and his skin was cold and clammy.An ECG was done which revealed significant “Q” waves in most leads. Troponin level was elevated. Arterial blood was draw with the following results:

Ph 7.22

PCO2 30 mm

Hg pO2 70 mm

Hg O2 sat 88%

HCO3 22 meq/liter

1. Aside from the obvious diagnosis of MI, what is Mr. B’s acid base status and what caused this disturbance?

Sub Sternal Chest Pains Essay Assignment – nsg530

Variables to utilize for evidence based research practices

When determining the appropriate variables to utilize for evidence based research practices, the researcher must take into account the aim of the study or what the study was seeking to define or hypothesize, the participants within the study, etc. (N.A., 2018). In the end, the study must ensure that it has reached the necessary variables that will allow it to propose the most optimal values and preferences for effective implementation from research to practice within the healthcare organization

The way you design your evaluation research will have a lot to do with how accurate and reliable your results are, and how well you can use them to improve your program or intervention. The design should be one that best addresses key threats to internal validity (whether the intervention caused the change) and external validity (the ability to generalize your results to other situations, communities, and populations) (Fawcett, 2017).

•Independent variables are the program itself and/or the methods or conditions that the researcher – in this case, you – wants to evaluate (Fawcett, 2017) They’re called variables because they can change – you might have chosen (and might still choose) other methods.  They’re independent because their existence doesn’t depend on whether something else occurs: you’ve chosen them, and they’ll stay consistent throughout the evaluation period. For my project, the independent variable would be the readmission rates of heart failure patients with in thirty days of discharge.

•Dependent variables are whatever may or may not change as a result of the presence of the independent variable(s) (Fawcett,2017). In an evaluation, your program or intervention is the independent variable.  (If you’re evaluating a number of different methods or conditions, each of them is an independent variable.)  Whatever you’re trying to change is the dependent variable.  (If you’re aiming at change in more than one behavior or outcome, each type of change is a different dependent variable.)  They’re called dependent variables because changes in them depend on the action of the independent variable…or something else. The dependent variables for my project would be increased discharge teaching, and follow up care for four weeks post discharge.

Reference:

N.A. (2018). Professional Capstone and Practicum. Brain Mass. Retrieved from: https://brainmass.com/health-sciences/evaluation-measurement-and-research-methods/professional-capstone-practicum-627869

Fawcett, S. (2017). Selecting an Appropriate Design for the Evaluation. Community Tool Box. Retrieved from: http://ctb.ku.edu/en/table-of-contents/evaluate/evaluate-community-interventions/experimental-design/main

Variables to utilize for evidence based research practices

Cystic Fibrosis Paper – nsg530

Melissa, a 12-year-old girl with cystic fibrosis comes to the primary care office with complaints of increased cough and productive green sputum over the last week. She also complains of increasing shortness of breath. She denies sore throat or nasal congestion. On physical examination her temperature is 101 and she has inspiratory wheezes bilaterally. Negative lymphadenopathy noted. Posterior pharynx is pink without exudate. BP 112/72 HR 96 RR 28.

1. In cystic fibrosis, the airway microenvironment favors bacterial colonization. In a minimum of 150 words explain the pathophysiological reason for this occurrence.

Cystic Fibrosis Paper – nsg530

Ventilator associated pneumonia (VAP) care bundles evidence based practice (EBP) project

This evidence based practice (EBP) project involves implementing ventilator associated pneumonia (VAP) care bundles at least eighty percent of the time in order to reduce the incidents of VAP. Dependent variables are variables that are not changed or manipulated (Helmenstine, 2017). In this EBP, the dependent variable that would be collected will be the incidents of VAP in patients that are mechanically ventilated longer than 48 hours and do not receive at least 80 percent compliance with VAP bundles. This will be the baseline to compare the effectiveness of the VAP bundles. The independent variable is the variable that is changed or manipulated (Helmenstine, 2017). The independent variable that will be collected is the number of patients that develop VAP after having been mechanically ventilated longer than 48 hours and received at least 80 percent compliance with VAP bundle care. Comparing these two variables will show the effectiveness of VAP bundles. This method of evaluation poses a problem because it relies heavily on the nurses and other staff members to accurately document when interventions are or are not carried out. Time constraints and heavy workloads can cause nurses to miss interventions or simply forget to chart them. One way to overcome this challenge is to give every ventilated patient a paper checklist that can be passed along with the SBAR during change of shift. It provides both a reminder and a record of the interventions that were completed, making collecting the information easier. The charge nurse will then take that check list and ensure that the data is plotted on the unit goals board so that everyone can see the progress being made as well as when the unit is lacking.

Helmenstine, T. (2017, August). Understand the Difference Between Independent and Dependent Variables. Retrieved January 17, 2018, from https://www.thoughtco.com/i-ndpendent-and-dependent-variables-differences-606115

Ventilator associated pneumonia (VAP) care bundles evidence based practice (EBP) project

NSG-530. Advanced Pathophysiology modules discussions

Module 1: Discussion

3. Mr. B is a 70-year-old man who developed sub sternal chest pains radiating down his left arm while at home. He was taken to the ER via ambulance. His breathing was labored, pulses rapid and weak, and his skin was cold and clammy.An ECG was done which revealed significant “Q” waves in most leads. Troponin level was elevated. Arterial blood was draw with the following results:

Ph 7.22

PCO2 30 mm

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Hg pO2 70 mm

Hg O2 sat 88%

HCO3 22 meq/liter

1. Aside from the obvious diagnosis of MI, what is Mr. B’s acid base status and what caused this disturbance?

Module 2: Discussion

Melissa, a 12-year-old girl with cystic fibrosis comes to the primary care office with complaints of increased cough and productive green sputum over the last week. She also complains of increasing shortness of breath. She denies sore throat or nasal congestion. On physical examination her temperature is 101 and she has inspiratory wheezes bilaterally. Negative lymphadenopathy noted. Posterior pharynx is pink without exudate. BP 112/72 HR 96 RR 28.

1. In cystic fibrosis, the airway microenvironment favors bacterial colonization. In a minimum of 150 words explain the pathophysiological reason for this occurrence. NSG-530. Advanced Pathophysiology modules discussions.

Module 3: Discussion

Mr. B, a 40-year-old avid long-distance runner previously in good health, presented to his primary provider for a yearly physical examination, during which a suspicious-looking mole was noticed on the back of his left arm, just proximal to the elbow. He reported that he has had that mole for several years, but thinks that it may have gotten larger over the past two years. Mr. B reported that he has noticed itchiness in the area of this mole over the past few weeks. He had multiple other moles on his back, arms, and legs, none of which looked suspicious. Upon further questioning, Mr. B reported that his aunt died in her late forties of skin cancer, but he knew no other details about her illness. The patient is a computer programmer who spends most of the work week indoors. On weekends, however, he typically goes for a 5-mile run and spends much of his afternoons gardening. He has a light complexion, blonde hair, and reports that he sunburns easily but uses protective sunscreen only sporadically.

Physical exam revealed: Head, neck, thorax, and abdominal exams were normal, with the exception of a hard, enlarged, non-tender mass felt in the left axillary region. In addition, a 1.6 x 2.8 cm mole was noted on the dorsal upper left arm. The lesion had an appearance suggestive of a melanoma. It was surgically excised with 3 mm margins using a local anesthetic and sent to the pathology laboratory for histologic analysis. The biopsy came back Stage II melanoma. NSG-530. Advanced Pathophysiology modules discussions

1. How is Stage II melanoma treated and according to the research how effective is this treatment?

Module 4: Discussion

Mrs. K is a 60-year-old white female who presented to the ER with complaints of her heart “beating out of my chest.” She is complaining that she is having increased episodes of shortness of breath over the last month and in fact has to sleep on 4 pillows. She also notes that the typical swelling she’s had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she’s been experiencing fatigue and decreased urine output. Her past history is positive for an acute anterior wall myocardial infarction and coronary artery bypass surgery. She was a 2 pack a day smoker, but quit 8 years ago.

On physical examination, auscultation of the heart revealed a rumbling S3 gallop and inspiratory crackles. She has +3 edema of the lower extremities.

1. Discuss the pathophysiology of an S3 heart sound and include causes for an S3 gallop?

Module 5: Discussion

Brian is a 7-year-old boy who presents to the primary care office with his mother. His mom has noticed that Brian has been coughing frequently and seems to have shortness of breath at times. She reports that Brian had a “cold” with a low grade fever and runny nose about 2 weeks ago and the symptoms seem to appear after the cold.

On physical examination, Brian appears in moderate respiratory distress, with suprasternal and intercostal retractions. His vital signs include a temperature of 100 A°F, a respiratory rate of 32 breaths per minute, heart rate of 120 beats per minute, and pulse oximetry of 95% on room air. Lung exam is notable for diffuse symmetrical expiratory wheezes. His nasal mucosa is erythematous with boggy turbinates and clear mucus. The remainder of the exam is unremarkable. NSG-530. Advanced Pathophysiology modules discussions

1. Based on this case, discuss the differences in the pathophysiology for asthma vs pneumonia. Include your thougths as to the diagnosis for this case.

Module 6: Discussion

Mike is a 23-year-old white male admitted for severe depression. He has a history of bipolar disorder and is currently taking valproate (Depakote) 500 mg XR daily. His psychiatrist ordered LFT’s to follow the valproate therapy. LFT’s were abnormal: ALT 1178 u/L, AST 746 u/L. the patient was asymptomatic. He denies fever, abdominal pain, nausea, vomiting or jaundice. He denies using other medication or alcohol but admits using illicit IV drugs starting about 8 weeks ago and continuing to present. He never had a blood transfusion. Aside from Depakote he is presently taking clonazepam 1 mg prn and fluoxetine (Prozac) 40 mg qd.

Other blood work: Direct bili 1 mg/dL, alkphos 188 u/L, anti-HCV negative on hospital day 1, positive on day 3. HCV-RNA PCR positive. Hep A, B, and D markers negative. NSG-530. Advanced Pathophysiology modules discussions

Patient diagnosis: Acute Hepatitis C.

1. List some clinical manifestations typically seen in Hepatitis C and major treatment strategies.

Module 7: Discussion

A nurse practitioner (NP) is talking with a 70-year-old patient who asks if she could discuss a problem that she is embarrassed to talk about with her physician. She states she has been having increasing problems with incontinence. Every time she coughs or sneezes, she notices a loss of urine. She has not had any fever or chills or pain with urination. She asks the NP if this is just a sign of getting older?

1. Discuss the etiology associated with incontinence in the aging adult.

Module 8: Discussion

Ann is a 32-year-old married female who presents to her nurse practitioner reporting lower abdominal pain, cramping, slight fever, and dysuria of 3 days duration. NSG-530. Advanced Pathophysiology modules discussions

History includes:

LMP 2 weeks ago (regular)

Reports oral contraceptive use

Reports pain in lower abdomen with cramping and pain on urination for 3 days

Denies any GI problems, reports regular bowel movements.

Denies vaginal discharge

Ann is married and in a monogamous relationship. Has one child age 2

Reports no use of condoms/sexual intercourse 2-3 times per week

Denies any history of STDs

Physical Exam reveals:

Temp 100.6, P 80 BP 100/62 Wt. 125 Ht. 5’3’’

HEENT WNL

No CVA tenderness

Pain in lower quadrants with light palpation.Positive inguinal lymphadenopathy

External genitalia without lesions or discharge

Pelvic exam reveals minimal cervical mucopus

Bimanual exam reveals uterine and adnexal tenderness and cervical motion pain. Uterus anterior, midline, smooth, not enlarged

1. Based on the above case the diagnosis is PID, What is an appropriate CDC-recommended therapeutic regimen for this patient?

Module 9: Discussion

A 38-year-old African-American woman was admitted for arthroscopic knee surgery. Her hematocrit was 25%, blood pressure was 140/94 mm Hg, and pulse was 112 beats/minute. She had a history of joint and bone pain, jaundice, and abdominal pain.

Due to the presenting symptoms (joint and bone pain, abdominal pain, and jaundice) a diagnosis of Sickle Cell Disease was considered.

1. Provide a brief discussion of the pathophysiology of sickle cell disease and discuss the clinical manifestations and the etiology associated with each manifestation of this disease. NSG-530. Advanced Pathophysiology modules discussions

Module 10: Discussion

A 28-year-old male presents to the primary care office for evaluation of left calf pain, swelling, and redness. He reports that this started one day ago and worsened today. He ran a 27-mile marathon 2 days ago and traveled for 3 hours in a car today. He reports slight pain on walking and a swollen red calf. He took Ibuprofen 600 mg twice today without relief. Patient reports being an experienced runner, running 3-5 miles daily. He trained for the marathon for 4 months. Patient also reports a history of exercise induced asthma and uses albuterol sulfate HFA as needed.

On physical exam patient appears in good health T 99 P 68 R 18 BP 118/78 wt. 175 lb, height 72 in. BMI 23.1. Heart rate is regular without murmurs, rubs, or gallops. Lungs clear bilaterally. HEENT WNL.Strength lower extremities +5 and DTRs + 2.Left calf erythematous, edematous, warm and tender on palpation.Pulses 3+.

Two possible diagnoses were considered: deep vein thrombosis (DVT) and rhabdomyolysis.

Stat ultrasound of left leg to rule out DVT was ordered and read as normal

CBC WNL

Creatine Kinase (CK) 23,000 U/L (normal 24-170 U/L)

BUN and Creatinine WNL

A diagnosis of rhabdomyolysis was made.

1. Discuss the pathophysiology of acute renal failure in rhabdomyolysis.

Module 11: Discussion

Bob, a 38 year old male, has been experiencing severe intermittent headaches for about 10 years. When they occur, he experiences intense burning pain on one side of his head, tearing in his eye, congestion and a runny nose. These headaches generally occur several times a day and last approximately one hour. The headaches are episodic; Bob can be headache free for several months but then experience an attack.

1. Based on the case scenario, provide a diagnosis for Bob. Provide the pathophysiology for this type of headache and discuss current treatment options. NSG-530. Advanced Pathophysiology modules discussions

Module 12: Discussion

How will your clinical practice improve with the integration of the course content?

In a minimum of 150 words, provide a main discussion to the questions above by Wednesday at midnight. Respond to one of your classmates on a separate day of the week from your original posting.

NSG-530. Advanced Pathophysiology modules discussions

Capstone Project: Practice Issue and Evidence Summary – NR451

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes – Capstone Project: Practice Issue and Evidence Summary – NR451

This Capstone Project: Practice Issue and Evidence Summary – NR451 assignment enables the student to meet the following course outcomes:

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CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)

CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets called the.courselearn.net/lms/content/1500/50031/NR451/NR451_W3_Milestone1_Evidence_Worksheet2.docx”>Practice Issue and Evidence Summary Worksheets. (Links to an external site.)Links to an external site.Complete both worksheets and submit the form by Sunday, 11:59 p.m. MT at the end of Week 3. Capstone Project: Practice Issue and Evidence Summary – NR451

Points

Milestone 1 is worth
175 points
(75 points for the Practice Issue and 100 points for the Evidence Summary).

Practice Issue Worksheet Directions

A tutorial with tips for completing this Capstone Project: Practice Issue and Evidence Summary – NR451 assignment may be viewed at.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a”>https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a (Links to an external site.)Links to an external site..webex.com/mw3200/mywebex/nbrshared.do”> (Links to an external site.)Links to an external site.

Choose the
ONE
systematic review topic that is of most interest to you, or most relevant to your practice situation, from the.courselearn.net/lms/content/1510/51067/NR451/NR451_List_Systermatic_Reviews_Capstone_Project6.docx”>List of Approved Systematic Reviews (Links to an external site.)Links to an external site..

Follow the grading criteria below to formulate your practice issue,
which must be based on the topic of the systematic review you have selected
.

Use the worksheet to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

Your practice issue will be the same for all three Milestone assignments in this course.

Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

Develop an evidence summary by following the grading criteria below.

Document this on the evidence summary portion of the worksheet.

You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

Please type your answers directly into the worksheet.

Academic Integrity Reminder

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this Capstone Project: Practice Issue and Evidence Summary – NR451assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

List of Approved Systematic Reviews

NR451 Capstone Project

Directions:
Please choose
ONE
topic and its corresponding systematic review that is of most interest to you, or most relevant to your practice. This systematic review will be the basis for your capstone project. Please refer to the guidelines for each milestone for more details.

Obstetrics/Delivery

Gupta, J. K., Sood, A., Hofmeyr, G. J., & Vogel, J. P. (2017). Position in the second stage of labour for women without epidural anaesthesia.
Cochrane Database of Systematic Reviews,
Issue 5, Art. No.: CD002006. doi:10.1002/14651858.CD002006.pub4.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD002006.pub4/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD002006.pub4/full

Strobel, N. A., Arabena, K., East, C. E., Schultz, E.M., Kelaher, M., Edmond, K. M., … Chamberlain, C. (2017). Care co-ordination interventions to improve outcomes during pregnancy and early childhood (up to 5 years) (Protocol).
Cochrane Database of Systematic Reviews
, Issue 8. Art. No.: CD012761. doi:10.1002/14651858.CD012761. Capstone Project: Practice Issue and Evidence Summary – NR451

Chamberlain Library Permalink:

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Health-Associated Infections (HAI)

Verbeek, J. H., Ijaz, S., Mischke, C., Ruotsalainen, J. H., Mäkelä, E., Neuvonen, K., … Mihalache, R. C. (2016). Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.
Cochrane Database of Systematic Reviews
, Issue 4. Art. No.: CD011621. doi:10.1002/14651858.CD011621.pub2. Capstone Project: Practice Issue and Evidence Summary – NR451

Chamberlain Library Permalink:

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Dumville, J. C., Gray, T. A., Walter, C. J., Sharp, C. A., Page, T., Macefield, R., … Blazeby, J. (2016). Dressings for the prevention of surgical site infection.
Cochrane Database of Systematic Reviews
, Issue 12. Art. No.: CD003091. DOI: 10.1002/14651858.CD003091.pub4. Capstone Project: Practice Issue and Evidence Summary – NR451

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Wound Care

Walker, R. M., Gillespie, B. M., Thalib, L., Higgins, N. S., & Whitty, J. A. (2017). Foam dressings for treating pressure ulcers.
Cochrane Database of Systematic Reviews
, Issue 10. Art. No.: CD011332. DOI: 10.1002/14651858.CD011332.pub2. Capstone Project: Practice Issue and Evidence Summary – NR451

Chamberlain Library Permalink:

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Childhood/School Health

Hodder, R. K, Stacey, F. G., Wyse, R. J., O’Brien, K. M., Clinton-McHarg, T., Tzelepis, F., … Wolfenden, L. (2017). Interventions for increasing fruit and vegetable consumption in children aged five years and under.
Cochrane Database of Systematic Reviews
, Issue 9. Art. No.: CD008552. DOI: 10.1002/14651858.CD008552.pub3.

Chamberlain Library Permalink:

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Parab, C. S, Cooper, C., Woolfenden, S., & Piper, S. M. (2013). Specialist home-based nursing services for children with acute and chronic illnesses.
Cochrane Database of Systematic Reviews
, Issue 6. Art. No.: CD004383. DOI: 10.1002/14651858.CD004383.pub3.

Chamberlain Library Permalink:

.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD004383.pub3/full”>http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1002/14651858.CD004383.pub3/full

Hospital Readmissions

Hall, K. K., Chang, A. B., & O’Grady, K.F. (2016). Discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness (Protocol).
Cochrane Database of Systematic Reviews
, Issue 8. Art. No.: CD012315. DOI: 10.1002/14651858.CD012315. Capstone Project: Practice Issue and Evidence Summary – NR451

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 Capstone Project: Practice Issue and Evidence Summary – NR451

Nursing Care Models Paper – NR447: RN Collaborative Healthcare

Nursing Care Models Paper Guidelines

Purpose

The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.

Course Outcomes

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Completion of this Nursing Care Models Paper – NR447: RN Collaborative Healthcare assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)

CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Nursing Care Models Paper – NR447: RN Collaborative Healthcare

Due Dates

Submit by Sunday, 11:59 p.m. MT, end of Week 5.

Rubric

Click to view and download the 
NR447 Nursing Care Models Paper Rubric (Links to an external site.)Links to an external site.
.

Points 

This Nursing Care Models Paper – NR447: RN Collaborative Healthcare assignment is worth 200 points.

Directions

Read your text, Finkelman (2016), pp- 111-116.

Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

Write a 5-7 page paper that includes the following:

Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

Review and summarize two scholarly resources (not including your text) related to a nursing care model that is 
different
from the one you observed in the practice setting.

Discuss your observations about how the current nursing care model is being implemented. Be specific.

Recommend a 
different
nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

Write your paper using APA format using Microsoft Office 2010 or later. Nursing Care Models Paper – NR447: RN Collaborative Healthcare

 

Nursing Care Models Paper – NR447: RN Collaborative Healthcare

NR447 Nursing Care Models Paper Rubric

 

Criteria

Ratings

Pts

Nursing Care Model in Practice

(Identifies Nursing Care Model for delivery of nursing care.  Provides specifics.)

After an introduction paragraph, thoroughly identifies Nursing Care Model in practice including all the specifics about who, what when, where, etc.

60.0 pts

After an introduction paragraph, generally identifies Nursing Care Model in practice including most of the specifics about who, what when, where, etc.

53.0 pts

After an introduction paragraph, briefly identifies Nursing Care Model in practice including minimum specifics about who, what when, where, etc.

48.0 pts

After an introduction paragraph, briefly identifies Nursing Care Model in practice, but describes only one or two specifics.

23.0 pts

Does not provide an introduction paragraph. Fails to identify a Nursing Care Model. Does not include any specifics.

0.0 pts

60.0 pts

Scholarly Sources Related to Nursing Care Model

(In addition to Finkelman, locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper.)

Thoroughly reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, thoroughly reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.

40.0 pts

Generally reviews and summarizes two scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also, generally reviews and summarizes two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed.

35.0 pts

Briefly reviews only one resource (besides the course textbook) related to nursing care model observed in practice setting. Also, briefly reviews only one resource (besides text) related to a nursing care model that is different from the one you observed.

32.0 pts

Reviews only one resource (besides the course textbook) related to the nursing care model observed in practice, and fails to review a resource (besides the course textbook) related to a nursing care model that is different from the one you observed.

15.0 pts

Fails to provide any resources related to the nursing care model that was observed and that was different.

0.0 pts

40.0 pts

Implementation and Recommendations

(Describe implementation of current Nursing Care Model and recommend a
different
model that could be utilized to improve quality of nursing care, safety and staff satisfaction.)

Thoroughly describes implementation of current Nursing Care Model and recommends a different model that could be utilized to improve quality of nursing care, safety and staff satisfaction

60.0 pts

Generally describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits quality or safety or staff satisfaction.

53.0 pts

Briefly describes implementation of current Nursing Care Model and recommends a different model that could be utilized but omits two of the following (quality/safety/staff satisfaction). Nursing Care Models Paper – NR447: RN Collaborative Healthcare

48.0 pts

Minimally describes implementation of current Nursing Care Model but does NOT recommend a different model that could be utilized. Various elements are missing related to improving quality of nursing care, safety and staff satisfaction.

23.0 pts

Does NOT describe a Nursing Care Model or a different model that could be utilized. Elements are missing related to improving quality of nursing care, safety and staff satisfaction.

0.0 pts

60.0 pts

Conclusion and summary

(Summarize what you learned about this experience including new knowledge about nursing care models.)

Includes conclusion paragraph and thoroughly summarizes what you learned about this experience including new knowledge about nursing care models.

20.0 pts

Includes conclusion paragraph and clearly summarizes what you learned about this experience including new knowledge about nursing care models.

18.0 pts

Includes conclusion paragraph but briefly summarizes what you learned about this experience or includes new knowledge about nursing care models but not both.

16.0 pts

Conclusion/ summary is present but difficult to find in closing paragraphs of paper.

8.0 pts

Does not Include a conclusion paragraph.

0.0 pts

20.0 pts

Clarity of writing

(Content is organized, logical, and with correct grammar, punctuation, spelling, and sentence structure are correct.  APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious.)

Content is organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Less than three errors are noted.

20.0 pts

Content is mostly organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check is obvious. Four to six errors are noted.

18.0 pts

Content is somewhat organized, logical and grammar, punctuation, spelling, and sentence structure are correct. Minor APA formatting errors exist. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check are not obvious. Seven to 10 errors are noted.

16.0 pts

Content is somewhat organized, but may lack logic. Several errors occur in grammar, punctuation, spelling, and sentence structure. Major APA formatting errors exist. Reference page does not match up with in-text citations, i.e., references may be missing for in-text citations, or references appear with no comparable in-text citation. Eleven to 15 errors are noted.

8.0 pts

Nursing Care Models Paper – NR447: RN Collaborative Healthcare. Content is disorganized and writing has numerous grammar, spelling, or syntax errors. APA formatting was not used. Spell check and grammar check are not obvious. More than 15 errors are noted.

0.0 pts

20.0 pts

Total Points: 200.0. Nursing Care Models Paper – NR447: RN Collaborative Healthcare

 

 

Nursing Care Models Paper – NR447: RN Collaborative Healthcare