Tag: Clinical-Nursing

Go to the Discussion Area and post responses to one discussion question as assigned by the facilitator. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

Discussion Questions:

Review the Centers for Medicare and Medicaid Innovation. Identfiy the massive innovation funded by the Affordable Care Act and discuss a model that relies on technology to promote optimal patient centered outcomes.

Review the National Quality Forum measures that can be accessed and used in the Electronic Health Record (EHR) to ensure quality metrics from an EHR endorsed by the Centers for Medicare and Medicaid Services.

By Wednesday, September 27, 2017, comment on at least two of your peers’ responses. You can ask technical questions or respond generally to the overall experience of attempting the question. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

Kotter and Cohen’s Model of Change Discussion 

Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

To Comment:

In order for change to be successfully accomplished, vision, belief, strategic planning, action, persistence, and patience must all be present.  According to Kotter and Cohen’s Model of Change, there are eight steps for successful change.  Those steps are:

1. Increase urgency

2. Build the guiding team

3. Get the vision right

4. Communicate for the “buy-in”

5. Empower action and remove barriers

6. Create short term wins

7. Don’t let up

8. Make change stick

The key to organizational change lies in help people feel differently.  People can change their behaviors less if they are given facts or analysis that change their ways of thinking when they are shown truths that influence the way that they feel (Melnyk and Fineout-Overholt, 2015).

Cardiopulmonary resuscitation (CPR) is a lifesaving technique which is useful in emergency situations, including heart attack or near drowning, in which someone’s breathing or heartbeat has stopped.    The American Heart Association recommends that everyone-untrained bystanders or medical personnel begin CPR with chest compressions.  When the heart stops beating, the lack of oxygenated blood can cause brain damage within eight to ten minutes.  CPR beginning with chest compressions can keep the oxygenated blood flowing to the brain and vital organs until a more definitive medical treatment is able to restore normal heart rhythm (Mayo Clinic, 2017).  As of 2005, the CPR guidelines emphasized the ABCD approach for acute cardiopulmonary arrest.  This emphasized that airway, breathing, circulation, and defibrillation were the recommended guidelines and the algorithm for CPR followed the following sequence:

· Call for help and an AED

· Open the airway, check for breathing and give two breathes if not breathing

· Start cycles of 30 compressions and two breaths (100 compressions/minute)

· Check for shockable rhythm upon arrival of AED

· Give one shock if indicated

· Resume CPR for another five cycles, or if no shock indicated continue CPR before rechecking rhythm (Cayley, 2006).

In 2015, the CPR guidelines were changed with emphasized the sequence for CPR to be CAB, or compressions, airway, breathing.  There should be a delay of no more than ten seconds when starting chest compressions, by simultaneously checking pulse and providing a breath for the patient (NREMT, 2015).  The guidelines for chest compressions also changed with the sequence change.  In 2005, is was advised to perform 100 compressions per minute.  When the sequence changed, the rate of compressions changed to 100-120 compressions per minute.  All of the eight steps as described above can be seen in this change in scenario.

 

Cardiopulmonary resuscitation (CPR): First aid. (2017, January 05). Retrieved September 21, 2017, from 
http://www.mayoclinic.org/first-aid/first-aid-cpr/basics/art-20056600

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-Based Practice in Nursing & Healthcare (3rd ed.). Philadelphia: Wolters Kluwer.

Nation Registry of EMTs Implementation of the 20154 AHA Guidelines for CPR and Emergency Cardiovascular Care. (2015). Retrieved September 21, 2017 from 
https://www.nremt.org/rwd/public/document/news-aha-8-22-16

This week you will submit the Literature Review section of your proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.

The following resources will help guide you (in addition to our course textbooks):

http://writing.wisc.edu/Handbook/ReviewofLiterature.html

http://www.duluth.umn.edu/~hrallis/guides/researching/litreview.html

http://writingcenter.unc.edu/handouts/literature-reviews/

Writing the Literature Review: Step-by-Step Tutorial for Graduate Students: 

Writing the Literature Review (Part Two): Step-by-Step Tutorial for Graduate Students: 

Assignment 2 Grading Criteria Maximum Points

Literature reviewed represents current scholarly literature.5

Literature reviewed represents a comprehensive review of the research topic.5

Review of the literature is a critical, analytical summary. 5

Review of the literature illustrates a synthesis of the current knowledge of research topic.10

Followed APA guidelines for writing style, spelling and grammar, and citation of sources.5

Distracted Driving Discussion 

For this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

To Comment:

Our teenagers are our most valuable resource.  Although they are still children, they are our future.  A growing epidemic in the United States is distracted driving.  It is estimated that traveling at 55 miles per hour with your eyes off the road for 5 seconds, you travel a football field (CDC, 2017).  Every day there are more than 9 people killed and over 1000 injured in distracted driving accidents (CDC, 2017).  It is essential that our children have the education that involves the dangers of distracted driving (Adeola, Omorogbe, Johnson, 2016).

Teenagers are not experienced and hindered by their limited driving experiences (Adeola, Omorogbe, Johnson, 2016).

Cell phone use amongst teens is the highest than any other age group at a whopping 75%. (Adeola, Omorogbe, Johnson, 2016).  Although there have been many advances in driver and vehicle safety throughout the years, distracted drivers are still causing accidents (Overton, Rives, Hecht, Shafi, and Gandi, 2013).  An advanced practice nurse needs to have the knowledge on how to reach multiple age populations.  The NTSB reported in 2015, 5474 people were injured and 448,000 injured due to distracted driving accidents (Overton, Rives, Hecht, Shafi, and Gandi, 2013).

As an advanced practice nurse, you have to be able to reach all age groups.  For the teenage age group, visual references may be the best way to go.  To evaluate your program, you could have the students fill out a survey and then do a demonstration after the demonstration have the students take the same survey and see if their answers change.  The demonstration would consist of a staged car accident that involved students as the victims.  They would be moulaged up to look injured.  Have the fire department involved, maybe the local air ambulance, trauma center, nurses, and any other emergency services.  Record it and also have it as a live demonstration around an event like prom.  This event would include extricating a patient and a simulated death of a peer.  Where I am a flight nurse we do these programs every year and can see the impact that the demonstration has on the students.  Nothing gets the point across like pulling a fellow student out of a car with simulated injuries that appear lifeless and putting them in a body bag and the coroner’s van.

 

References

Adeola, R. (2016). Get the message: A teen distracted driving program.
 Journal of Trauma Nursing, 23
(6), 312-320. doi:10.1097/JTN.0000000000000240

Bergmark, R., Gliklich, E., Guo, R., & Gliklich, R. (2016). Texting while driving: The development and validation of the distracted driving survey and risk score among young adults.
 Injury Epidemiology, 3
(1), 1.

Centers for Disease Control and Prevention. (2017). 
Distracted Driving
. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/motorvehiclesafety/distracted_driving/index.html

Overton, T. L., Rives, T. E., Hecht, C., Shafi, S., & Gandhi, R. R. (2015). Distracted driving: Prevalence, problems, and prevention.
 International Journal of Injury Control & Safety Promotion, 22
(3), 187-192. doi:10.1080/17457300.2013.879482

The Impact Of Neglect And Maltreatment On The Developing Child

Please consider what you know about Bronfenbrenner’s ecological model, risk and protective factors at different levels of the model, AND attachment theory. 
Please cite your textbook (
Berger, Kathleen S. (2011). The Developing Person through the Lifespan. Worth Publishers: NY, NY. 9 th Edition ISBN: 9781429283816
), course readings, and any other sources you use in APA-style and provide a reference page. 
(I will upload 2 course reading you may need)

THINK:

You are a student of child development and a family member has asked your advice about adopting a three-year-old child out of the foster care system.  She does not know very much about the child’s history, except that she was removed from her mother as an infant and has been in 3 different foster care situations.  Primarily, this potential adoptive mother is concerned that the child may not form a bond with her.

REVIEW: THE READINGS & LECTURE

WRITE:

Provide advice to a potential adopter from a developmental point of view.  You must include the following:

1. What should a potential adopter understand about how early trauma or neglect impacts child development? How can they best support the child’s development? (Worth up to 15 points based on how well your advice is grounded in the reading and lecture.)

2. In the course of your paper, clearly explain one level of Bronfenbrenner’s Ecological model and why it is a relevant way to think about development in this situation (up to 5 points)

3. In the course of your paper CLEARLY DEFINE & DESCRIBE Attachment Theory (up to 5 points)

Each week you will complete a Practicum Journal entry and Time Log that prompts you to reflect on and document your Practicum Experiences.

Practicum Journal

Continue documenting your Practicum Experiences in your Practicum Journal. Reflect on your practicum experiences and relate them to your Professional Goals and Self-Assessment of Clinical Skills that you identified in Week 1.

Follow journal entry format and choose any illness or patient…..

E.g

Reflect on a patient who presented with a disease. Describe key signs and symptoms that were consistent with this disease. If you diagnosed the patient with the disease, describe your experience in telling the patient that she had the disease, as well as the patient’s reaction to the diagnosis. Explain how the diagnosis might impact the patient’s life short-term and long-term. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient with this background during the last four weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

Advanced Nursing Practice Translation Science Project Report

APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headings (upper and lower case, centered, boldface):

Note: Introduction – Write an introduction to a selected advanced nursing practice translation science topic, but do not use “Introduction” as a heading in accordance with the rules put forth in the
Publication manual of the American Psychological Association
(2010, p. 63).APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

PLACE YOUR ORDER FOR A ZERO-PLAGIARISM PAPER HERE

Description of selected advanced nursing practice translation of evidence into practice (both integrative and systematic review of evidence)

Presentation of selected advanced practice translation of evidence analysis with proposed management (structure-process-outcomes) for information systems change

Conclusion

 Preparing the Advanced Nursing Practice Translation Science Project Report

The following are best practices for preparing this Advanced Nursing Practice Translation Science Project Report:

When introducing the selected advanced practice translation science topic, be sure to include pertinent background information regarding the evidence (who, what, where, when, and why).

When describing the selected translation of evidence topic, be sure to fully identify and address evidence using a synthesis (integrative review citing areas of agreement and disagreement among authors) approach for the written summary and attach an evidence table (systematic review citing leveling and grading of evidence) using the template found in Course Resources.

When presenting the selected advanced nursing practice translation of evidence analysis, be sure to fully address proposed management (structure-process-outcomes) for information systems change and the informatics role of the DNP-prepared nurse in evaluation and sustainability.

 Advanced Nursing Practice Translation Science Project Report Directions and Grading Criteria

Category

Points

%

Description

Introduction to selected advanced nursing practice translation science topic

20

8

Introduces the selected advanced nursing practice translation science topic and includes pertinent background information regarding the evidence (who, what, where, when, and why).

Description of selected advanced nursing practice translation of evidence topic

100

40

Identifies and addresses all aspects of selected evidence using a synthesis (integrative review citing areas of agreement and disagreement among authors) approach for the written summary and attach an evidence table (systematic review citing leveling and grading of evidence) using the template found in Course Resources.

Presentation of selected advanced practice translation of evidence analysis

100

40

Addresses proposed management (structure-process-outcomes) for information systems change and the informatics role of the DNP in evaluation and sustainability. Uses examples from current evidence that support assertions and relevant examples from advanced practice.

Conclusion

10

4

An effective conclusion identifies the main ideas and major conclusions from the body of your report. Minor details are left out. Summarize the benefits of the translation science project to advanced practice nursing information systems change.

Clarity of writing

15

6

Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers.

APA format

5

2

All information taken from another source, even if summarized, must be appropriately cited in the report (including citation of interview) and listed in the references using APA (6
th
ed.) format:

1.   Document setup

2.   Title and reference pages

3.   Citations in the text and references.

Total:

250

100

A quality report will meet or exceed all of the above requirements.

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

The impact of the IOM report on nursing education.

The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.

The impact of the IOM report on the nurse’s role as a leader.

Cite a minimum of three references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

https://lc-.gcu.edu/learningPlatform/externalLinks/externalLinks.html?operation=redirectToExternalLink&externalLink=http%3A%2F%2Fwww.nationalacademies.org%2Fhmd%2FReports%2F2010%2FThe-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

Answer both of the following discussion questions for your discussion response.

Anemia of chronic disease is a common occurrence in elderly patients. What is the pathophysiological mechanism behind this disease process?

Virchow’s triad refers to states that can produce hypercoagulability. What are the three categories? Give an example for each and explain the pathophysiological changes seen.

at least 250 words total. reference with no older than 5 years and intext citation

IOM Report Review

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

The impact of the IOM report on nursing education.

The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.

The impact of the IOM report on the nurse’s role as a leader.

ORDER A PLAGIARISM-FREE PAPER HERE

Cite a minimum of three references.

Prepare this

ORDER A PLAGIARISM-FREE PAPER HERE
 

assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

https://lc-.gcu.edu/learningPlatform/externalLinks/externalLinks.html?operation=redirectToExternalLink&externalLink=http%3A%2F%2Fwww.nationalacademies.org%2Fhmd%2FReports%2F2010%2FThe-Future-of-Nursing-Leading-Change-Advancing-Health.aspx. IOM Report Review.