Tag: Clinical-Nursing

Leadership style by health care leaders to improve the patient care quality

Describe at least one leadership style that can be used by health care leaders to improve the quality of patient care and support the organization’s mission, vision, and strategy. Which models of team leadership can be used to further the organization’s quality agenda?

Part 2: Describe how health care leaders, providers, and patients can collaborate to improve patient outcomes. Discuss interventions that can be used to promote collaboration and goal attainment.

Middle-aged adult, exercise

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Management By Walking Around

Management By Walking Around

Write a 2 page paper addressing the following elements in your paper:

Discuss and Explain the managerial tool of management by walking around (MBWA) and its impact on creating a strategy ready culture.

Include a title page and 3-5 references. Only one reference may be from the internet (not Wikipedia). The other references must be from the Grantham University online library. Please adhere to the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.

Part 2

Your final exam consists of 2 essay questions. Each essay question is a 2 page paper.

Each essay question is worth 50 points for a combined score of 100.

In Essay Question #1 – Address the following:

Discuss the 5 P’s of strategy.

In Essay Question #2 – Address the following:

Evaluate the eight managerial tasks and how they are used to help guide overall organizational strategy.

Include a title page and 3 – 5 references (per question). Only one reference (for both essays) may be from the internet (not Wikipedia). The other references must be from the University online library. Please adhere to the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.

Growth of managed care that began in the 1980s

Explain the growth of managed care that began in the 1980s. As a result, how has health care delivery evolved? Based on the literature, what does the future hold?

The Difference Between Evidence-Based Practice nursing ( EBP) and Clinical Research

Evidence-Based Practice

Within a busy healthcare environment, it can be difficult to recognize the influence of theory; yet theory plays a critical role in nursing practice as well as nursing research. The ultimate purpose of learning about theory in this course, and throughout the DNP program, is to strengthen your ability to promote evidence-based practice. Consider what you have learned in this course about the relationships among philosophy, science, theory, and practice; how could the insights you have gained help you to facilitate the application of evidence-based practice in a health care setting? How can an EBP model support this application?

For this Discussion, you will consider the various EBP models as well as the difference between EBP and clinical research.

To prepare:

Reflect on the EBP models presented in the Learning Resources and their application in clinical practice.

Recall the clinical practice problem you identified for Application #5, and consider which EBP model would best support investigating that problem.

Also, contemplate the difference between the application of research in evidence-based practice and clinical research and the role of the DNP-prepared nurse in both.

By tomorrow Wednesday 8/9/17, write a minimum of 550 words essay with a minimum of 3 references that include the level one headers as numbered below:

post a cohesive response that addresses the following:

Which EBP model would best support the exploration of the practice problem you utilized for Application #5? Include a brief summary of your practice problem and the rationale for your EBP model selection.

Provide a summary of how evidence-based practice differs from clinical research, and include your perception of the role of DNP-prepared nurses in both.

The Difference Between Evidence-Based Practice nursing ( EBP) and Clinical Research Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

Chapter 19, “Application of Theory in Nursing Research”

Chapter 19 delves into the application of theory to nursing research and provides examples of its importance and use.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

Review Chapter 1, “Discovering the World of Nursing Research”

Review Chapter 1 focusing on how theory is applied to nursing through evidence-based practice.

Chapter 19, “Evidence Synthesis and Strategies for Evidence-Based Practice”

This section of Chapter 19 presents strategies for transitioning the nursing profession toward EBP.

Fitzpatrick, J. (2010). Connecting or disconnecting the dots between research and evidence-based practice. Applied Nursing Research, 23(1), 1. doi:10.1016/j.apnr.2009.10.001

This brief editorial calls for practitioners to be aware of the difference between research and evidence-based practice.

Ganz, F., Fink, N., Raanan, O., Asher, M., Bruttin, M., Nun, M., & Benbinishty, J. (2009). ICU nurses’ oral-care practices and the current best evidence. Journal of Nursing Scholarship, 41(2), 132–138. doi:10.1111/j.1547-5069.2009.01264.x

This article explores the use of evidence-based practices in the ICU.

Kenny, D. J., Richard, M. L., Ceniceros, X., & Blaize, K. (2010). Collaborating across services to advance evidence-based nursing practice. Nursing Research, 59. S11–S21.

This article discusses the implementation of EBP through the collaborative efforts of nurses at two medical facilities.

Krom, Z., Batten, J., & Bautista, C. (2010). A unique collaborative nursing evidence-based practice initiative using the Iowa model: A clinical nurse specialist, a health science librarian, and a staff nurse’s success story. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 24(2), 54–59. doi: 10.1097/NUR.0b013e3181cf5537

This article discusses the efforts of a clinical nurse specialist, a health science librarian, and a staff nurse to heighten staff nurse awareness of the evidence-based practice process.

University of Iowa Hospitals and Clinics (2010). The Iowa model of evidence-based practice. Retrieved from http://www.uihealthcare.org/otherservices.aspx?id=1617

This website provides numerous resources that explain and support the Iowa Model of EBP.

Required Media

Laureate Education (Producer). (2011). Theoretical and scientific foundations for nursing practice: An evidence-based practice model [Video]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 10 minutes.

In this media presentation, Dr. Kathleen White discusses the Johns Hopkins model for evidence-based practice. Dr. White presents how the model was developed and provides examples of how each stage of the model is applied in nursing practice.

The Difference Between Evidence-Based Practice nursing ( EBP) and Clinical Research Optional Resources

Dufault, M. (2004). Testing a collaborative research utilization model to translate best practices in pain management. Worldviews on Evidence-Based Nursing, 1. S26–S32. doi:10.1111/j.1524-475X.2004.04049.x

Fineout-Overholt, E., & Johnston, L. (2005). Teaching EBP: Asking searchable, answerable clinical questions. Worldviews on Evidence-Based Nursing, 2(3), 157–160.

Maramba, P., Richards, S., Myers, A., & Larrabee, J. (2004). Discharge planning process: applying a model for evidence-based practice. Journal Of Nursing Care Quality, 19(2), 123–129.

Newhouse, R.P. (2007). Diffusing confusion among evidence-based practice, quality improvement, and research. JONA: The Journal of Nursing Administration, 37(10), 432–435. doi:10.1097/01.NNA.0000285156.58903.d3

Newhouse, R., Dearholt, S., Poe, S. Pugh, L., & White, K. (2005). Evidence-based practice: Practical approach to implementation. Journal of Nursing Administration, 35(1), 35–40.

Differences between non-parametric and parametric tests

Part I: Discuss the differences between non-parametric and parametric tests. Provide an example of each and discuss when it is appropriate to use the test. Next, discuss the assumptions that must be met by the investigator to run the test.

Part II: Conclude with a brief discussion of your data analysis plan. Discuss the test you will use to address the study hypothesis and which measures of central tendency you will report for demographic variables.

Application of Concept Analysis to Clinical Practice

Benchmark Assignment – Application of Concept Analysis to Clinical Practice

Select a peer-reviewed concept analysis article of your choice and write a response of 1,000–1,250 words. Use the following guidelines:

Include an introduction.

Describe the method of analysis, using the article and Chapter 3 of Theoretical Basis for Nursing.

Describe the steps of process and the results for each step.

Apply the concept to a practice situation.

Include a conclusion.

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

This 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 Application of Concept Analysis to Clinical Practice assignment to Turnitin. Refer to the directions in the Student Success Center.

Life cycle of an insurance claim

Discuss the life cycle of an insurance claim. For example, where does this cycle begin? How does it begin? In your discussion, demonstrate your ability to discuss claims submission, clearinghouse, VAN, and EDI.

Grand Nursing Theorist

Collaborative Learning Community, Grand Nursing Theorist Assignment, Theorist Identification and Rationale

This is a CLC assignment.

The purpose of this assignment is to have a clear understanding of the elements of a theory and to apply a theory to practice. The CLC group must use a grand theory or a high-level mid-range theory.

The group will create a report for a practice committee at a health care institution. The objective is to convince your peers of the value of using a specific theory to guide practice and evaluate care.

Since the text does not provide adequate information on any one theory for the purpose of this assignment, further research through nursing theory websites (general and specific), as well as theory texts specific to individual theories, will be required.

Begin the assignment by identifying a theorist and providing the rationale for the group’s selection.

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

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

Diabetic

Thank you for getting this discussion started. You made a valid point about the dangers of Ms. G, a diabetic, applying an external heat source to her affected extremity. She may have decreased sensation due to diabetic neuropathy which is common in the diabetic population. Therefore, Ms. G’s altered sensation may affect her ability to recognize burns, such as from the heating pad, or pain, such as the open wound that is on her left lower extremity. The prevalence of neuropathy in diabetics is alarmingly high as “neuropathy produces symptoms in 60% to 70% of individuals with diabetes and is responsible for 6.8 per 1000 diabetic population hospitalizations”.

You listed great ways for the nurse to educate the patient on preventing the complications of neuropathy such as examining the feet daily and contacting a healthcare provider about any breaks in the skin. In the teachings, you may find it relevant to include additional information such as keeping the feet clean and dry, assuring shoes have a proper fit, and not walking barefoot. It is important for diabetics to actively attempt to avoid foot injury. Any break in the skin or wound puts them at risk for infection and the ensuing complications since “diabetes alters the host’s ability to resist infection. Overall, I found your post very educational.