Tag: Clinical-Nursing

  • Ethical Aspects

    1. What are the choices and trade-offs, Dr. Solomon has to make between medical care and his own financial survival? 2. Should he be concerned with his ‘duty’ to his patients as a physician and the financial ‘consequences’ of his actions to himself and the hospital, why or why not? 3. There was this patient that recieved a CABG. The insurance company paid the hospital a flat fee for this surgery of $30,000. He was discharged from the hospital in 72 hours. 4 days later he is admitted again with a staph infection and is hosptalized for three more weeks because they had to open his chest and clear up the infection. Who had to absorb the major part of the cost of his additonal visit? 4. At Joslin , they say the mission of doctors and the hospital is “to take care of the patient”. But it is felt that the hospital may have to cut back on some of its mission and drop services. At Joslin Clinic there was this diabetic pregnant women and she recieved optimal care, doctors, nurses, dieticians, ultrasounds about 33 vistis to control the mother’s glucose and bring the baby to term. The baby was born healthy and full term with no complications. Would it be a good thing for Joslin Clinic to cut back on its mission and reduce services to pregnant diabetic women? why or why not? What might be the financial and health consequences for cutting back the mission? 5. Do you think a patient that has a heart attack and is very ill should stay in the hospital and run up $600,000? Who will pay for his care? Who should pay for it and why? Should there be a limit to the care we provide to patients like him?

  • Key Attributes for Successful Communication Essay

    Key Attributes for Successful Communication Essay

    One of the major challenges in nursing and healthcare is learning to communicate effectively and safely with other nurses, staff, the interprofessional healthcare teams, patients, and patients’ families. Nurses and other healthcare workers are often stressed and overworked as they deal with major complexities moment-to-moment during their work hours. Nurses and nurse leaders need to have difficult conversations with staff and patients. For example, part of being an accountable nurse or leader is being a good communicator and having critical conversations even when the conversations involve giving bad news or feedback for improvement. Communication is a powerful skill and a competency that is an integral part of every nurse leader’s role. It is not enough just to communicate; the challenge in a twenty-first-century healthcare organization is to communicate effectively in written words, through body language, and by being mentally and emotionally present during every conversation. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe the key attributes of successful communication and relationship management strategies. Describe the role of the nurse leader in improving communication to enhance nursing professionalism. Identify two challenges you face when communicating during a conflict. Discuss communication strategies you would use as a nurse leader to terminate an employee who has violated the organizational policy. Describe how being emotional during a communication involving conflict can be ineffective and compromise successful communication. Comment on the postings of at least two peers. Evaluation Criteria: Described the key attributes of successful communication and relationship management strategies. Described the role of the nurse leader in improving communication to enhance nursing professionalism. Identified two challenges you face when communicating during a conflict. Discussed communication strategies you would use as a nurse leader to terminate an employee who has violated the organizational policy. Described how being emotional during a communication involving conflict can be ineffective and compromise successful communication. Justified your answers with appropriate research and reasoning. Commented on the Key Attributes for Successful Communication Essay postings of at least two peers.

  • Ethical Dilemmas

    What are the ethical dilemmas arising from inadequate provision of health care to certain groups?

  • Performance Appraisals and the Nursing Leader Essay

    Performance Appraisals and the Nursing Leader Essay

    Performance appraisal is a mechanism or strategy for sharing performance feedback with all employees based on a defined set of performance criteria. Nurses need feedback to flourish and grow as well as develop career goals and a career trajectory. Typically, there are organizational policies guiding time for and methods of performance appraisal. Performance appraisals must be conducted on a regular basis applying the organizational policy and performance appraisal guidelines. They should not be conducted as a punitive process but as a formative process to assist employees in learning and growing to become even more valuable to the healthcare organization. There are a variety of formal and informal processes for performance appraisal. The key purpose of a performance appraisal is to support and assist in professional growth. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe the role of the nursing leader related to coaching and guiding of staff during a performance appraisal. Describe the role of the nursing leader in determining performance appraisal criteria. Examine the need of the nursing leader to be a role model in giving performance improvement data for novice and experienced nurses. Comment on the postings of at least two peers. Evaluation Criteria: Described the role of the nursing leader related to coaching and guiding of staff during a performance appraisal. Described the role of the nursing leader in determining performance appraisal criteria. Examined the need of the nursing leader to be a role model in giving performance improvement data for novice and experienced nurses. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.

  • Misrepresentation of Celebrex and Vioxx by the drug industry

    Misrepresentation of Celebrex and Vioxx by the drug industry

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    How were Celebrex and Vioxx misrepresented by the drug companies in their clinical trials outcomes, the peer-reviewed published medical jounals’ articles, and the published articles in the popular press such as newspapers, magazines and drug advertisements? How do you think these misrepresentations affected physicians and patients?

  • Nurse Leader and Organizational Culture of Caring Essay

    Nurse Leader and Organizational Culture of Caring Essay

    Caring is the primary reason nurses enter the field of nursing, and the concept of caring is often thought of as the essence of nursing. Not only do nurses care for patients but they also have to care for each other. Sometimes, nurses tend to focus so much on patients and their families that they forget to care for themselves and one another. This is a major source of compassion fatigue causing nurses to leave the healthcare organization or, worse yet, to totally leave the nursing profession. Compassion fatigue is the cumulative impact of physical, emotional, and psychological exposure to trauma, stressful events, and the care for patients or nursing colleagues who face many challenges. Compassion fatigue can sabotage nurses in healthcare organizations as it is challenging, and nurses may be harmed by the very work to which they are so devoted. Nurses must be aware of what it means to create a community within the workplace and to offer support and resources to retain nurses the organization has worked so diligently to recruit. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe the role of the nursing leader in building a community and creating joy in the workplace. How does an effective leader create an organizational culture of caring, respect, and dignity for all? Identify one strategy you would use in your own healthcare organization. Describe two negative outcomes on recruitment and retention of nurses when a culture of community does not exist in the healthcare workplace. Comment on the postings of at least two peers. Evaluation Criteria: Described the role of the nursing leader in building a community and creating joy in the workplace. Explained how an effective leader creates an organizational culture of caring, respect, and dignity for all, and identified one strategy you would use in your own healthcare organization. Described two negative outcomes on recruitment and retention of nurses when a culture of community does not exist in the healthcare workplace. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.

  • Transformational nurse leader in the 21st century

    Transformational nurse leader in the 21st century

    What are the five qualities you believe that make one a transformational nurse leader in the 21st century? What do you perceive to be the human and financial supports most needed by nurse leaders need in the 21st century to create best practices for quality and safety initiatives? What are two challenges to nurse leaders trying to integrate quality and safety initiatives into a healthcare organization? How will you use information and technology to communicate, manage knowledge, mitigate error, and support decision making?

  • PICOT Statement Paper

    In this PICOT Statement Paper assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this PICOT Statement Paper project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

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    Students will develop a 1,250-1,500 word PICOT Statement Paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

    Background

    Problem statement

    Purpose of the change proposal

    PICOT

    Literature search strategy employed

    Evaluation of the literature Applicable change or nursing theory utilized

    Proposed implementation plan with outcome measures

    Identification of potential barriers to plan implementation, and a discussion of how these could be overcome

    Appendix section, if tables, graphs, surveys, educational materials, etc. are created

    Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

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

    This PICOT Statement Paper assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this PICOT Statement Paper assignment to Turnitin. Please refer to the directions in the Student Success Center.

  • Nursing Informatics Sample Essay Paper

    Nursing Informatics Sample Essay Paper. Do you need one?

    Unit 1 discussion What Is Nursing Informatics?

    Discuss ways that nursing informatics could be applied to all areas of professional nursing practice, including clinical practice, administration, education, and research. Provide examples of each. What do you see as the biggest significance of nursing informatics, and why?

    Unit 2 discussion Database Search

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    Choose a topic related to health that has meaning to your personal health, interests, and well-being. This may be a disease, such as diabetes, or a healthy fitness activity. Conduct a database search comparing one of the following database directories with Google Scholar. CINAHL and Google Scholar PubMed and Google Scholar Explain how you were able to narrow down the number of article hits you had initially, and present within your post a summary of the credible article you chose as your resource. How do you know your article choice is credible? Which database do you prefer and why? How will using a database search facilitate your scholarly work; nursing work (evidence-based practice); and personal self-development?

    Unit 3 discussion Healthcare Technology: Local, National, and Global Considerations

    Imagine that you are a public health nurse, and you and your colleagues have determined that the threat of a deadly new strain of influenza indicates a need for a mass inoculation program in your community. What public health data would have been used to determine the need for such a program? Where would you locate public health data? What data will be collected to determine the success of such a program? How might you communicate this to other communities or internationally?

    Unit 4 discussion Workarounds and Their Implications for Patient Safety

    What is a workaround? Identify a workaround (specific to technology used in a hospital setting) that you have used or perhaps seen someone else use, and analyze why you feel this risk-taking behavior was chosen over behavior that conforms to a safety culture in your Nursing Informatics Sample Essay Paper. What are the risks? Are there benefits? Why or why not? Discuss the current patient safety characteristics used by your current workplace or clinical site. Identify at least three aspects of your workplace or clinical environment that need to be changed with regard to patient safety (including confidentiality), and then suggest strategies for change.

    Unit 5 discussion From Data to Knowledge and Wisdom!

    How does data become knowledge and finally wisdom? Explain the relationship between knowledge acquisition, knowledge processing, knowledge generation, knowledge dissemination, and wisdom in a Nursing Informatics Sample Essay Paper. Then, provide examples from your clinical practice (or past work experiences) according to the following. Examples of knowledge acquisition Examples of knowledge generation Examples of knowledge processing Examples of knowledge dissemination Examples of the use of feedback

    Unit 6 discussion Informatics and the Development of Standards

    Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare.

    Unit 7 discussion Technology: Benefits and Future Trends

    What technology do you find most beneficial to use in your work or school setting? Least beneficial? Why do you find this tool useful or not? Then, using your imagination, look to the future and think about how this tool could be enhanced even further. Describe your dream technology, with consideration for patient care and safety.

    Unit 8 discussion Team Presentation

    This week, one member of your team will be responsible for posting your team presentation to this discussion thread under the color-coordinated thread below that corresponds with your team. This must be posted by Monday of Unit 8 by 11:59 p.m. Critique a team presentation other than your own, and include what the presentation taught you and what you see as far as its effect on patient safety and healthcare technology. What changes in the presentation would you recommend, and why? Ask questions! Each team is responsible for responding to questions asked of its presentation! Remember to include sources of literature in your Nursing Informatics Sample Essay Paper posts to back up the statements you make! Remember, we are all about evidence-based practice!

  • Nursing Informatics & Technology Essay Assignments

    Nursing Informatics & Technology Essay Assignments

    Unit 1 discussion:What Is Nursing Informatics?

    Discuss ways that nursing informatics could be applied to all areas of professional nursing practice, including clinical practice, administration, education, and research. Provide examples of each. What do you see as the biggest significance of nursing informatics, and why?

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    Unit 2 discussion: Database Search

    Choose a topic related to health that has meaning to your personal health, interests, and well-being for your Nursing informatics & technology essay assignments. This may be a disease, such as diabetes, or a healthy fitness activity. Conduct a database search comparing one of the following database directories with Google Scholar. CINAHL and Google Scholar PubMed and Google Scholar Explain how you were able to narrow down the number of article hits you had initially, and present within your post a summary of the credible article you chose as your resource. How do you know your article choice is credible? Which database do you prefer and why? How will using a database search facilitate your scholarly work; nursing work (evidence-based practice); and personal self-development? Nursing Informatics & Technology Essay Assignments.

    Unit 3 discussion:Healthcare Technology: Local, National, and Global Considerations

    Imagine that you are a public health nurse, and you and your colleagues have determined that the threat of a deadly new strain of influenza indicates a need for a mass inoculation program in your community. What public health data would have been used to determine the need for such a program? Where would you locate public health data? What data will be collected to determine the success of such a program? How might you communicate this to other communities or internationally? use this in your nursing informatics & technology essay assignments.

    Unit 4 discussion: Workarounds and Their Implications for Patient Safety

    What is a workaround? Identify a workaround (specific to technology used in a hospital setting) that you have used or perhaps seen someone else use, and analyze why you feel this risk-taking behavior was chosen over behavior that conforms to a safety culture. What are the risks? Are there benefits? Why or why not? Discuss the current patient safety characteristics used by your current workplace or clinical site. Identify at least three aspects of your workplace or clinical environment that need to be changed with regard to patient safety (including confidentiality), and then suggest strategies for change.

    Unit 5 discussion:From Data to Knowledge and Wisdom!

    How does data become knowledge and finally wisdom? Explain the relationship between knowledge acquisition, knowledge processing, knowledge generation, knowledge dissemination, and wisdom. Then, provide examples from your clinical practice (or past work experiences) according to the following. Examples of knowledge acquisition Examples of knowledge generation Examples of knowledge processing Examples of knowledge dissemination Examples of the use of feedback.  Nursing informatics & technology essay assignments

    Unit 6 discussion: Informatics and the Development of Standards

    Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare in your Nursing informatics & technology essay assignments.

    Unit 7 discussion Technology: Benefits and Future Trends

    What technology do you find most beneficial to use in your work or school setting? Least beneficial? Why do you find this tool useful or not? Then, using your imagination, look to the future and think about how this tool could be enhanced even further. Describe your dream technology, with consideration for patient care and safety.

    Unit 8 discussion Team Presentation

    This week, one member of your team will be responsible for posting your team presentation to this discussion thread under the color-coordinated thread below that corresponds with your team. Critique a team presentation other than your own, and include what the presentation taught you and what you see as far as its effect on patient safety and healthcare technology. What changes in the presentation would you recommend, and why? Ask questions! Each team is responsible for responding to questions asked of its presentation! Remember to include sources of literature in your posts to back up the statements you make! Remember, we are all about evidence-based practice! You still must have at least two posts on 2 different days this week. The course ends on Wednesday of Unit 8. Nursing Informatics & Technology Essay Assignments.

    ATI Nurse’s Touch – Nursing Informatics & Technology

    PURPOSE

    Nurse’s touch provides interactives that will enhance students’ knowledge, skills, and attitudes with important topics and scenarios in nursing practice. Each module provides case studies along with a practice and proctored assessment of content comprehension.

    COURSE OUTCOMES Nursing informatics & technology essay assignments enables the student to meet the following course outcomes. 1. Describe patient?care technologies as appropriate to address the needs of a diverse patient population. 2. Analyze data from all relevant sources, including technology, to inform the delivery of care. 3. Define standardized terminology that reflects nursing’s unique contribution to patient outcomes. 4. Investigate safeguards and decision?making support tools embedded in?patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. 5. Identify patient care technologies, information systems, and communication devices that support safe nursing practice. 6. Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. 7. Examine the use of information systems to document interventions related to achieving nurse?sensitive outcomes. 8. Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. DUE DATE Refer to Course Calendar for details. The Late Assignment Policy applies to these Nursing informatics & technology essay assignments. TOTAL POINTS POSSIBLE ? Actual points earned will be based on the highest percentage score earned on the test multiplied by the total points possible. ? (ie. If the assignment is worth 20 points, and you get 50% of the questions correct, you will earn 10 points). ? While you may retake the assessment, there may be a time delay of between retakes. Check with your instructor for more information on Nursing informatics & technology essay assignments. REQUIREMENTS ATI ACCESS NR360 Information Systems in Healthcare NR360 Nurses Touch Guidelines.docx 2 PREPARING THE ASSIGNMENT Log into your MY ATI Account and Select the “Learn” tab. Go to the ” NURSE’S TOUCH: NURSING INFORMATICS AND TECHNOLOGY” tutorial. Listed below are the specific assigned modules under this tutorial and units they are due. Please complete module lesson, case studies and post?test. Each module ranges from 1.5 to 2 hours for completion. UNIT 2? INFORMATICS?80 POINTS UNIT 4? LITERACY SKILLS AND CONSUMER EDUCATIONAL NEEDS?80 POINTS UNIT 5? INFORMATION MANAGEMENT SYSTEMS?80 POINTS UNIT 7? VIRTUAL SOCIAL NETWORKS?80 POINTS

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    We Can, but Dare We?

    As healthcare providers, we look more and more to technology to improve patient outcomes, streamline operations, and lower costs. Sometimes, technology can be used in ways that have ethical, moral, and legal considerations too. You will be writing about the use of personal devices and social media and its use in healthcare in your nursing informatics & technology essay assignments. We can do it, but dare we? This is a “think outside the box” assignment in which there is not necessarily only one right answer. Still, you are required to find sources that support your opinions. Be sure to cite and reference them in your paper. Download the We Can, but Dare We guidelines (Links to an external site.)Links to an external site.. The assignment template can be found in the Assignment Resources folder in the Files area. Please use the template when completing your paper. Submit the assignment by the due date, as instructed by your faculty member. Nursing Informatics & Technology Essay Assignments.

    Assignment

    PURPOSE The purpose of Nursing informatics & technology essay assignments is to (a) explore and present an information technology used in the healthcare system that supports the patient care experience and (b) develop the skills of team communication, collaboration, and production. Course Outcomes This assignment enables the student to meet the following course outcomes. ? CO 1: Describe patient?care technologies as appropriate to address the needs of a diverse patient population. (PO 1) ? CO 5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO 5) ? CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6) ? CO 8: Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. (PO 8) DUE DATE See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity. TOTAL POINTS POSSIBLE This assignment is worth a total of 240 points. Requirements 1. For this team project, students will be assigned by faculty into teams of three to five individuals depending upon class size. 2. Teams will receive a project grade based on assessment by the project rubric, which will then be applied to each individual’s grade for the project minus points for lack of participation in the development or presentation of the project. 3. The team leader will make all dropbox submissions for the course so that the a. TURNITIN similarity index will not pickup inadvertent self?plagiarism from another team member’s submission b. Course faculty will have only one submission to review and grade. 4. Use Microsoft PowerPoint 2007, 2010 or higher for systems’ compatibility. NR360 Technology Presentation Guidelines V1.docx Revised for SEP17 tz/css/slp 2 a. Follow the best practices for PowerPoint construction & presentation Preparing the Nursing informatics & technology essay assignments Presentation 1. Prepare a PowerPoint presentation with speaker notes between 25?30 slides, NOT including the title and reference slides. a. Speaker Notes i. Outline and “script” the presentation for online students. ii. Online students’ speaker notes should include the name of the student who researched and presented the slide information. iii. Campus students follow the guidelines of your course instructor. b. Scholarly writing and APA 6th Edition guidelines should be followed as applicable to PowerPoint slides. c. Cite sources in APA format in the applicable slides and include the APA formatted reference in your reference list slide(s) ? Minimum 6 references d. Spelling, grammar, and punctuation apply even in bullet points and speaker slides (e.g., quotation marks, italics, verb tense, etc.) e. Copyright and plagiarism rules apply 2. Each team will be assigned a healthcare information systems technology (e.g., Computerized Physician Order Entry, Electronic Health Record, Electronic Medical Record, etc.) by the course instructor. For that technology, include the following discussions in the presentation: a. Introduce the technology & the team i. Title slide should identify the assigned technology and introduce team members ii. Provide an introduction 1. Describe the technology 2. Purpose for the technology in healthcare. 3. Establish the professional tone for the presentation. b. History & Current Use i. Describe significant findings that prompted the development of the technology. Nursing Informatics & Technology Essay Assignments.

    In your Nursing informatics & technology essay assignments, discuss the history and current use of the technology in healthcare iii. Describe three goals of this technology’s implementation. c. Impact on healthcare and nursing i. Impact on professional nursing practice. ii. Patient safety impact (including statistical justification) iii. Impact on patient care delivery, quality care measures/monitoring, and risk management (privacy, confidentiality, and security) as applicable. 1. Ethical & legal considerations. 2. Infrastructure/operational consequences (e.g., budget, costs, etc.) 3. Impact on a population and/or geographic region 4. Provide examples & statically significant data to support examples. d. Three advantages and disadvantages i. Patient’s vantage point or perspective (e.g., patient outcomes, safety, patient/family satisfaction). ii. Nurse’s vantage point (improves/hinders job efficiency/safety) iii. Healthcare organization’s vantage point (regulatory compliance, financial, etc.) e. Controversy/Issues/Challenges/Regulatory implications i. How might issues surrounding the chosen technology be addressed/solved? ii. Provide statically significant data or evidence to support your findings. f. Summary NR360 Technology Presentation Guidelines V1.docx Revised for SEP17 tz/css/slp 3 i. Key points ii. Discoveries/surprises iii. Lessons learned by the team 3. Team Project Evaluation (40 points) a. Place & discuss the following questions and responses in the slides(s) following the summary slide and prior to the reference slide(s). i. How did the team function well? (e.g., team strengths, team balance, Nursing informatics & technology essay assignments etc.) ii. What problems did you have interacting as a team? (e.g., team weaknesses, outside challenges, technology, etc.) iii. What specific actions would you recommend to future teams to help them interact, function, and collaborate successfully? Nursing Informatics & Technology Essay Assignments.