Tag: Clinical-Nursing

MP is a sixty-five-year-old male who has recently retired. He is coming in today for a complaint about pain in his back, knees, and hips. He reports that he has been experiencing this pain for the past six months, and he has been able to control the symptoms with OTC Advil. He describes the pain as stiffness and occasional shooting and aching pains radiating all over. He denies any swelling of his joints. However, the OTC medications are not working well, and he is here to see whether there are any other options he might try. On physical exam, he has tenderness on palpation on the right and left hips and both knees are positive for crepitus. All blood work is within normal limits. Answer the following questions in a 2 pages Word document:

• What additional information would ask him? Does MP need any additional testing?

• What possible issues could contribute to his symptoms? (arthritis) What would your treatment plan be? For medications, include dosages and schedules

• He asks about injections to both knees to increase his comfort. How would you respond to that?

• Include highlights of patient teaching and/or lifestyle alterations. Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication

Rationale:

Nursing engagement is linked to critical safety, quality, and patient experience outcomes.Nurses and the medical profession must understand the intricacies of engagement to improve patient care and move the practice to higher levels of professional interaction.

Proposed Topic:

The proposed
qualitative
research topic examines and analyzes
emergency room nurseburnout and retention
. Burnout is a problem in most professions.  This is especially true with the rigors of nursing.Career aspirations and dreams represent the motivation to enter the profession. These are present at the beginning of a career and present an anticipatory set of ideal working conditions.  The actual experiences of day-to-day working conditions, workload, expectations, treatment, management, and environment represent a reality which determines the level of possible burnout or satisfaction for the nurses. The relationship of anticipated aspirations and dreams versus experience can lead to exhaustion and burnout as described by Aiken, Clarke, Sloan, Sochalski, and Silber (2002).The study will
sample 25 emergency room nurses with one to five years of experience
, who will be administered a
survey
to collect data. The survey will have respondents
answer Likert Scale items
indicating the level of satisfaction with various aspects of their current position, along with their career dreams and aspirations at the beginning of their career. The survey will also ask respondents to respond to a series of items which will indicate levels of burnout and likelihood to be retained within the profession. In addition to the survey, ten separate nurses will be
interviewed
to better assess their engagement and opinions on the practice

Independent Variable-
Career dreams/aspirations and job satisfaction elements

Dependent Variables-
Level of burnout/engagement, and the likely retention of emergency room nurses.

Research Question:

What are the key differences between emergency room nurse career dreams/aspirations and their actual experience in the practice?

What are the key factors leading to emergency room nurse burnout and possible exit from the nursing practice?

Nursing Care Plans for Pregnancy Essay Discussion: Care Plans for Pregnancy. After confirming and dating a pregnancy, you must collaborate with patients to develop a personalized care plan. These pregnancy care plans are integral to prenatal care as they help to ensure the mother and child’s well-being throughout the entire pregnancy. Pregnancy can be a wonderful, yet difficult time for women as a woman’s body goes through many physical, mental, and emotional changes that might be challenging or even overwhelming for some. Whether or not these women share their concerns, as the advanced practice nurse, you must routinely watch for signs and symptoms of any developing physical or mental health issues. By collaborating with patients and discussing concerns, you can modify care plans and often address potential issues before they become a significant health problem. For this Discussion, consider pregnancy care plans for the women in the following case studies:Case Study 1:On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.

Nursing Care Plans for Pregnancy Essay

To prepare:

Review Chapter 30 of the Schuiling and Likis text and Chapter 2 of the Tharpe et al. text.

Review and select one of the two provided case studies. Analyze the patient information.

Consider how to date the pregnancy and estimate the date of delivery for the patient in the case study you selected.

Based on the dating of the pregnancy, reflect on the appropriate clinical guidelines for procedures and screenings. Think about the implications of any missed procedures or screenings.

Determine a plan of care for the patient. Identify procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments (if appropriate), management strategies, and patient education.

Post the estimated date of delivery for the patient (EDD), in the case study. Include an explanation of how you dated a pregnancy and which of the patient’s factors led to your estimated date of delivery.

Then, based on the dating of the patient’s pregnancy, explain the appropriate clinical guidelines for procedures and screenings.

Explain implications of any missed procedures and/or screenings.

Finally, explain a plan of care for the patient, including procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments, management strategies, and patient education.

Here are some recommended references for Nursing Care Plans for Pregnancy Essay:

1.Schuiling, K. D., & Likis, F. E. (2017). 
Women’s gynecologic health
 (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

2.Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). 
Clinical practice guidelines for midwifery & women’s health
 (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

3. 
Centers for Disease Control and Prevention. (2012b). 
Women’s health
. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). 
Office of Research on Women’s Health
 (ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). 
Womenshealth.gov
. Retrieved from http://www.womenshealth.gov/

Reflect on the DNP projects Dr. Beechinor and Dr. Stefan discussed in this week’s media presentation, as well as the DNP Scholarly Project specifications outlined in the AACN Essentials.

Consider your professional experiences in light of new information you may have encountered in this course. With this in mind, identify a need or change related to a practice environment. Please note that the objective of this activity is to increase your awareness of potential DNP projects; you are not committing to a project idea at this time.

To complete: (Professional Organization I belong to is: AANP –American Association of Nurse Practitioners)

Write 2-pages paper describing a need or change related to a practice environment or a problem that is suitable for research.

Include your rationale for why this situation or topic warrants attention.

Outline your plans for participation in the professional nursing organization, and describe how this will help you to meet your professional goals.

Also, consider how the organization may correlate with or support the development of your DNP Scholarly Project  in the future.

Include documentation of your membership at the end of your Major Assessment as an Appendix. (You may copy and paste the e-mail verification of your membership, or copy your membership receipt and paste it into your Word doc.) Be sure to observe proper APA style for including appendices.

References

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

Chapter 10, “A Template for the DNP Scholarly Project”

nine steps that should be incorporated into the structure of a DNP Scholarly Project.

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author. Retrieved from https://www.aacn.nche.edu/publications/position/DNPEssentials.pdf

“Final DNP Project” (p. 20)

Forsyth, D. M., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21.

GIVE A POSITIVE COMMENT BASED ON THIS CLINICAL NURSE
LEADER 
(CNL)  ARGUMENT

Identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.

Clinical nurse leader (CNL) was proposed American Association of Colleges of Nursing, an effort to improve patient safety and quality of care (Graduate Nursing Edu.org). CNL is a generalist clinician who have education at master’s degree level or higher (Graduate Nursing Edu.org), upon graduation must sit for Clinical Nurse Leader Certification Examination by the Commission on Nurse Certification (University of Pittsburgh). A CNL has an advanced knowledge, not just in one area or discipline, but on general medicine, which is helpful for coordinating the care provided by the interdisciplinary teams.

CNL has roles different from other advanced practice clinicians, they are responsible for designing patient care, implementing, and evaluating the care provided to the patients, making sure that the patients receive the right care, while coordinating, delegating, and supervising the care provided by other health care teams clinically.

ORDER YOUR QUALITY PLAGIARISM-FREE PAPER NOW

CNL can influence patient care by the use evidence-based practice and the latest innovated technology to improve patients’ care, they work with physicians, pharmacists, nurse practitioners and other health care teams to provide the most effective medical care (Graduate Nursing Edu.org). It is important to know that CNL serve as mentors to nursing staff, oversee the environment to ensure it is safe for the patients.

CNL can act like a patient’s advocate; they serve as a middle person between the patients and they physicians or healthcare providers. For example, a patient in the community who is not sure what and where to go for help, a CNL would use his/her expertise to inform or teach the patients and family members, the disease condition, and its management, and refer them to the appropriate places for best care.

References

Graduate Nursing Edu.org. (2017) Retrieved on October 2nd. From https://www.graduatenursingedu.org/clinical-nurse-leader/

University of Pittsburgh (2017) Clinical Nurse Leader (CNL). Retrieved October 2nd from http://www.nursing.pitt.edu/degree-programs/master-science-nursing-msn/msn-program-majors/clinical-nurse-leader-cnl-onsite

Disparities  in Hypertension in predominately African American Communities versus a more diverse community

African Americans have the highest population of people diagnosed with hypertension.

Research Question:
  Does the development of community programs and providing health education, reduce Disparities  in Hypertension in predominately African American Communities versus a more diverse community?

 

Begin your discussion by sharing your problem statement and research question. Next, discuss your sampling plan. In addition, discuss your research design. Consider the following as you craft your response.

Sampling

How will the sample be selected?

What type of sampling method is used? Is it appropriate to the design?

Does the sample reflect the population as identified in the problem or purpose statement?

Is the sample size appropriate? Why or why not?

To what population may the findings be generalized? What are the limitations in generalizability?

Research design

What type of design will be used?

Does the design seem to flow from the proposed research problem, theoretical framework, literature review, and hypothesis?

Cultural Group and One Socio-Cultural Group

Each student will choose no later than Week  2 of class, one cultural group and one socio-cultural group from the list provided below and set up a PowerPoint presentation (APA style) Minimum of 16 slides.

Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources. Students will provide a minimum of 5 references.

The presentation will address the following:

A brief history of the cultural/socio-cultural group

Values

Worldview

Language and communication patterns

Art and other expressive forms

Norms and rules

Lifestyle characteristics

Relationship patterns

Common rituals

Degree of assimilation or marginalization from mainstream society

Health behaviors and practices.

 

The presentation must include a comparative and contrast analysis of common characteristics and distinguishing traits between the cultural group and the socio-cultural group. As well as a brief explanation of differential approaches needed by health care professionals.

Grades will also be based on overall quality of the professional presentation including handouts and references. The presentation is due by the end of Week 8.

 

Cultural Groups:

Socio-cultural group

African American & African

African American Heritage, Haitian Heritage

Asian American, Asian, & Pacific Islander

Chinese Heritage, Japanese Heritage, Korean Heritage, Filipino Heritage, Russian Heritage, Thai Heritage, Indian Heritage, Vietnamese Heritage

Native American

Apache Heritage, Navajo Heritage, Yakama Heritage, Cherokee Heritage

Hispanic & Latino Americans

Mexican Heritage, Brazilian Heritage, Cuban Heritage, Puerto Rico Heritage, Guatemala Heritage

European  American

Jewish Heritage, Polish Heritage, Baltic Heritage, Greek Heritage, Turkish Heritage, Irish Heritage, Italian Heritage

Respond to the following argument;

In 2007, the American Association of Colleges of Nursing introduced the Clinical Nurse Leader (CNL) role as a response to the increasing concerns regarding the safety and quality of nursing care. The educational preparation of the CNL requires a Master’s Degree that encompasses both clinical and theoretical experiences and results in competencies that develop strong clinical leadership traits (Stavrianopoulos, 2012).

The CNL influences and enhances patient care both at inpatient and outpatient healthcare environments. CNLs’ duties involve assuming a leadership role among team members, evaluating how the present system is working, and identifying changes that need to take place (University of San Francisco). In general, CNLs affect patient care in the following ways: as an interdisciplinary care team leader, as outcomes manager, as patient educator and advocate, as information manager, and as an advanced clinician (Stavrianopoulos, 2012).

Strategies for Nurse Managers
(2017) reports that currently there are an estimated 900 CNLs in the USA. Statistics show that hospitals who employ CNLs have fewer readmission rates, shorter “length of stays”, decreased infection rates, fewer falls, and less RN turnover. The Veterans Health Administration (VA) not only applauds CNLs, but initiated a plan to have at least three CNLs employed at each of its hospitals by 2016. Many organizations have offered scholarships to advance this much-needed nursing career.

Create a presentation of 10- to 12-slides in Microsoft PowerPoint that addresses any one of the following topics of Healthy People 2020. Explain how it benefits the individual and the community.

Please select any one topic from the given list:

• Access to health services

• Educational and community based programs

• Environmental health

• Maternal, infant and child health

• Mental health and mental disorders

• Older adults

Note: The title slide and reference slide will be in addition to the twelve slides required.

You are asked to deliver a twenty minute keynote address to an audience consisting of health care, managed care, and government health professionals. You will focus on one topic of the Healthy People 2020 and address the interests of each audience members. Include the actual speech in the speaker notes below the actual slides of the above presentation.

Also, address the following in your presentation:

• Provide the outlook of the chosen subject and how the health will be affected if requirements are not met by 2020.

• What current public and private agencies provide assistance to the consumer to help

them make health changes to meet the requirements of the chosen subject’s objectives?

• What current issues are perceived or real barriers to attain the objectives of 2020?

• What roles do health care professionals from all areas (healthcare, managed care, and government) need to provide to the consumer to help reach specific objectives in 2020?

• What role does public health contribute to meeting one or two objectives?

• What specific health promotion or wellness program will you suggest to help reach the 2020 objectives? If no programs are available, what type of program will you develop?

• How can communities help reduce issues and risks so objectives can be achieved?

• What types of financial support is needed by organizations to make the objectives

attainable? Who should support the program financially and if the government is involved, what other program should be cut to be able to meet the needs of this program?

• What health risks will continue to develop if the objectives are not achieved by 2020?

• How will technology advancement help track data, provide resources for individuals, or monitor progress to stay on task for successful implementation?

• What disparities for minorities are apparent to impede progress and not achieve the objectives? Does socioeconomic status factor in to a successful result?

• Conclusion slide: Summarize findings and prediction if the objective(s) are on track to meet the 2020 timeline.

Note: Please add additional content in the Notes section. Provide title slide and reference slide (reference slide should include three scholarly references) in the presentation.

Support your responses with examples.

Cite any sources in APA format.

Respond to the following discussion;

Identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community
.

Clinical nurse leader (CNL) was proposed American Association of Colleges of Nursing, an effort to improve patient safety and quality of care (Graduate Nursing Edu.org). CNL is a generalist clinician who have education at master’s degree level or higher (Graduate Nursing Edu.org), upon graduation must sit for Clinical Nurse Leader Certification Examination by the Commission on Nurse Certification (University of Pittsburgh). A CNL has an advanced knowledge, not just in one area or discipline, but on general medicine, which is helpful for coordinating the care provided by the interdisciplinary teams.

CNL has roles different from other advanced practice clinicians, they are responsible for designing patient care, implementing, and evaluating the care provided to the patients, making sure that the patients receive the right care, while coordinating, delegating, and supervising the care provided by other health care teams clinically.

CNL can influence patient care by the use evidence-based practice and the latest innovated technology to improve patients’ care, they work with physicians, pharmacists, nurse practitioners and other health care teams to provide the most effective medical care (Graduate Nursing Edu.org). It is important to know that CNL serve as mentors to nursing staff, oversee the environment to ensure it is safe for the patients.

CNL can act like a patient’s advocate; they serve as a middle person between the patients and they physicians or healthcare providers. For example, a patient in the community who is not sure what and where to go for help, a CNL would use his/her expertise to inform or teach the patients and family members, the disease condition, and its management, and refer them to the appropriate places for best care.