Tag: Clinical-Nursing

Brief overview of the nursing conceptual model selected. WATSON

Explanation of how the nursing conceptual model incorporates the four metaparadigm concepts.

Explain at least three specific ways in which the nursing conceptual model could be used to improve nursing practice. Elaborate, explain, or defend each point mentioned.

Provide current reliable sources to establish credibility for the presentation.

Requirements for PowerPoint are as follows:

6 slides for content.

1 slide for references.

APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines.

Kurt Lewin’s Change Theory in Nursing Essay

Health care organizations are continuously immersed in change from the emergence of new policies, to promote quality care and improve patient safety to keeping pace with the rapid growth in knowledge and best practices. Establishing a solid framework for planning and implementing change is a wise move, as it provides a foundation for the extensive coordination that will be needed to successfully facilitate the change.

For this Kurt Lewin’s Change Theory in Nursing Essay Assignment, you propose a change at the department or unit level and develop a plan for guiding the change effort.

To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s change theory, and contrast it with other classic change models and strategies.

Reflect on problems, inefficiencies, and critical issues within a specific department, unit, or area in your organization or one with which you are familiar. Select one issue as a focal point for this assignment, and consider a change that could be made to address the issue.

Think about how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

Using one of the change models or strategies discussed in Chapter 8, begin formulating a plan for implementing the change within the department/unit. Outline the steps that you and/or others should follow to facilitate the change effort. Align these steps to the change model or strategy you selected.

Determine who should be involved in initiating and managing the change. Consider the skills and characteristics that are necessary to facilitate this change effort.

To complete:

Write a 3- to 5-page Kurt Lewin’s Change Theory in Nursing Essay paper that addresses the following:

Identify a problem, inefficiency, or issue within a specific department/unit.

Describe a specific, realistic change that could be made to address the issue.

Summarize how the change would align with the organization’s mission, vision, and values as well as relevant professional standards.

Identify a change model or strategy to guide your planning for implementing the change. Provide a rationale for your selection.

Outline the steps that you and/or others would follow to facilitate the change. Align these steps to your selected change model or strategy.

Explain who would be involved in initiating and managing this change. Describe the skills and characteristics that would be necessary to facilitate the change effort.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Writing Center provides an example of those required elements. All papers submitted must use this formatting.

Note: This Kurt Lewin’s Change Theory in Nursing Essay Assignment will serve as your Portfolio Assignment for this course.

What is a research proposal?

The purpose of the research proposal is to identify and formulate questions that arise from

nursing practice and to design a research project to study the identified problem. The goal of

a research proposal is to present and justify a research idea you have and to present the

practical ways in which you think this research should be conducted. Research proposals

contain extensive literature reviews and must provide persuasive evidence that there is a need

for the proposed research study. In addition to providing rationale for the proposed research,

a proposal describes detailed methodology for conducting the research consistent with

requirements of the professional or academic field and a statement on anticipated outcomes

and/or benefits derived from the study.

Directions:

You will be required to write a research proposal to be submitted in week 7. This may be

either a qualitative or quantitative research proposal. The proposal should be a 6–10 pages

plus appendices, cover page, and reference page. In week 8, you will present your proposal to

your classmates via video presentation.

This week, you will submit a topic for your research proposal and presentation as well as the

research questions you will be utilizing for your proposal and presentation. Your instructor

must approve your research questions and topic for your proposal.

Submit your journal assignment and include the following:

Research topic for the proposal and presentation

Research questions for the proposal and presentation

Note: Once approved, any changes to your topic or research questions should be approved by

your instructor.

Part II: Research Proposal Paper—Due Week 7

Directions

Write a research proposal using your clinical question formulated earlier in the course that was

approved by your instructor. This may be either a qualitative or quantitative research proposal.

Your proposal must include APA formatting. The proposal should be a 6–10 in length plus

appendices, cover page, and reference page.

Introduction

Clearly stated problem and purpose of the study

Independent and dependent variables

Definition of terms

Assumptions, hypothesis, or questions (depending on research type)

Theoretical Framework

Description of the theoretical framework to be utilized

Identification of the concepts to be explored

Rationale for choosing framework

Review of the literature

At least 4 scholarly sources included

Appropriateness of the review and the proposal focus

Inclusion of primary or secondary sources

Methodology

Description of study type (quantitative or qualitative)

Description of study design

Rationale for the use of the selected design

Inclusion of sample size, type, sampling method, inclusion/exclusion criteria,

setting, data collection method (instrument), and data collection process

Method for Protection of Human Subjects (consent)

Questionnaire and consent forms must be included as appendices

Data Analysis

Data analysis method is appropriate for study design.

Method of data analysis is clearly stated.

Method for displaying findings is stated.

Applicability to Nursing

Research focuses on a problem significant to nursing.

Research would contribute to nursing knowledge.

Proposal is complete so that another researcher could replicate the study.

Statement about areas of nursing that would benefit from this study.

Part III: Research Proposal Presentation—Due Week 8

Directions:

This week, you will submit your presentation using the Kaltura recording tool within

Blackboard. See the Getting Started with Kaltura link listed under the Resources area in

your course menu to learn how to use this tool. Record a 6–8 minute presentation to give a

summary, explanation, and rationale of your research proposal. In your presentation, be sure to

include the following:

Introduction

Theoretical framework

Review of the literature

Methodology

Data analysis

Applicability to nursing

Conclusion

References slide

Your presentation must include both audio and visual components and be professional in nature

Part I: Submit Topic and Research Questions—Due Week 2 What is a research proposal?

Directions:

Part II: Research Proposal Paper—Due Week 7

Directions

Introduction

Theoretical Framework

Review of the literature

Methodology

Data Analysis

Applicability to Nursing

Part III: Research Proposal Presentation—Due Week 8 Directions:

PICOT question and Literature review

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

· Review the steps for conducting a literature review and for compiling your findings.

· Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.

· Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary.
 

· Prepare to summarize and synthesize the literature using the information on writing a literature review.

To complete:

Write a 3- to 4-page literature review that includes the following:

· A synthesis of what the studies reveal about the current state of knowledge on the question that you developed

o Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.

· Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry

· Your literature review summary table with all references formatted in correct APA style

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

· Review the steps for conducting a literature review and for compiling your findings.

· Using the question you selected in your Week 2 Project (PICOT Question), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Library databases.

· Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the 
Literature Review Summary. 

· Prepare to summarize and synthesize the literature using the information on writing a literature review.

To complete:

Write a 3- to 4-page literature review that includes the following:

· A synthesis of what the studies reveal about the current state of knowledge on the question that you developed

o Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.

· Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry

· Your literature review summary table with all references formatted in correct APA style

Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies.PICOT Question.

Identify health care policies that use cost shifting. Argue the benefits of cost shifting. How might the Affordable Care Act decrease cost shifting within hospitals?

APA Style, minimum of 200 words, times new Romans, font 12, No plagiarism  3 References, scholarly.

Risk Management and Natural Disasters Discussion Questions

1.What type of disaster is your local hospital likely to face?

2.Has this occurred in the past?

3. Was the hospital prepared to respond appropriately?

4. As a risk manager, what questions might you have about the hospital’s response plan?

 

Risk Management and Natural Disasters Reading

Disasters are not routine, but the ways to deal with them must be integrated into routine activities.

Though certain indications are available regarding an impending disaster, healthcare organizations may not be the first ones to know about them. For instance, initial information about a possible terrorist attack may reach the law enforcement and other government security agencies first. The meteorological service will know about a natural disaster first. There are standard responses such that information will flow to healthcare organizations. This may take a few minutes or a few hours depending on the nature of the disaster.

Emergencies are handled many times as codes, such as a code red for a fire. Conducting mock codes helps to prepare for these emergencies. Facilities now conduct emergency drills that prepare their staff for the threat of terrorism. Drills are very important, especially for those who do not have any experience with similar situations. Simulations go a long way in preparing providers for the situations they will encounter. Joint disaster drills conducted by hospitals and local agencies ensure that there will be a coordinated response to the emergency.

Advance warning about a threat quite often includes an estimate of the scale of the problem. For example, according to a news report, the United Nations bird flu coordinator has said that if precautionary measures are not taken, the death toll from the disease could be anything between five million and 150 million. Countries with sound healthcare infrastructure have already initiated measures to counter the threat (ABC News, 2005).

There is medical speculation (Columbia Center, 2011) that exposure to various toxic products and gases in the air around of the WTC after the attack may have negative effects on fetal development. Due to this potential harm, a notable children’s environmental health center is currently analyzing the children whose mothers were pregnant during the WTC collapse, and were living or working near the WTC towers. This study assesses the children every year using psychological testing and interviews the mothers every six months. The purpose of the study is to determine whether there is significant difference in development and health progression of children whose mothers were exposed versus those who were not exposed after the WTC collapse.

What does this mean for disaster management? Disaster management will have to include identification of pregnant women, application of preventive measures if any are available, and monitoring to detect signs of fetal damage or developmental problems.

Disasters have financial consequences, too. While the government steps in with emergency aid, rebuilding the economy takes time. There is fallout for the healthcare industry. Reimbursements may not be immediately affected. However, insurers, including health insurers, suffer losses.

Columbia Center for Children’s Environmental Health. (2011). 
10 years later, understanding the environmental health effects of 9/11
. Retrieved from  
http://ccceh.org/

ABC News. (2005, October 1). UN coordinator mulls avian flu threat. 
ABCNews
. Retrieved from 
http://abcnews.go.com/GMA/Flu/story?id=1175727

Disasters are not routine, but the ways to deal with them must be integrated into routine activities.

Though certain indications are available regarding an impending disaster, healthcare organizations may not be the first ones to know about them. For instance, initial information about a possible terrorist attack may reach the law enforcement and other government security agencies first. The meteorological service will know about a natural disaster first. There are standard responses such that information will flow to healthcare organizations. This may take a few minutes or a few hours depending on the nature of the disaster.

Emergencies are handled many times as codes, such as a code red for a fire. Conducting mock codes helps to prepare for these emergencies. Facilities now conduct emergency drills that prepare their staff for the threat of terrorism. Drills are very important, especially for those who do not have any experience with similar situations. Simulations go a long way in preparing providers for the situations they will encounter. Joint disaster drills conducted by hospitals and local agencies ensure that there will be a coordinated response to the emergency.

Advance warning about a threat quite often includes an estimate of the scale of the problem. For example, according to a news report, the United Nations bird flu coordinator has said that if precautionary measures are not taken, the death toll from the disease could be anything between five million and 150 million. Countries with sound healthcare infrastructure have already initiated measures to counter the threat (ABC News, 2005).

There is medical speculation (Columbia Center, 2011) that exposure to various toxic products and gases in the air around of the WTC after the attack may have negative effects on fetal development. Due to this potential harm, a notable children’s environmental health center is currently analyzing the children whose mothers were pregnant during the WTC collapse, and were living or working near the WTC towers. This study assesses the children every year using psychological testing and interviews the mothers every six months. The purpose of the study is to determine whether there is significant difference in development and health progression of children whose mothers were exposed versus those who were not exposed after the WTC collapse.

What does this mean for disaster management? Disaster management will have to include identification of pregnant women, application of preventive measures if any are available, and monitoring to detect signs of fetal damage or developmental problems.

Disasters have financial consequences, too. While the government steps in with emergency aid, rebuilding the economy takes time. There is fallout for the healthcare industry. Reimbursements may not be immediately affected. However, insurers, including health insurers, suffer losses.

Columbia Center for Children’s Environmental Health. (2011). 
10 years later, understanding the environmental health effects of 9/11
. Retrieved from  
http://ccceh.org/

ABC News. (2005, October 1). UN coordinator mulls avian flu threat. 
ABCNews
. Retrieved from 
http://abcnews.go.com/GMA/Flu/story?id=1175727

Choose a contemporary moral issue in our society and apply the ethical principle of Utilitarianism to approve and be in favor of this moral issue. You must pick a moral issue that you strongly agree with and apply the utilitarian claims to back up your arguments. In addition, you must apply Bentham’s Felicific Calculus. The paper must be done in MLA format with a minimum of 500 words (quotes are not included in the word count). You must read Chapter 2 and watch the Week 3 Lectures before you do this paper. You must use at least 3 sources from LIRN, in our library. This assignment is due on September 17TH. Not applying Utilitarianism or the Felicific Calculus results in an automatic F. Utilitarianism is the ethical theory that the moral worth of an action is only determined by its contribution to overall utility . It is thus a form of consequentialism , meaning that the moral worth of an action is determined by its outcome-the ends justifies the means.

HMO Models

Use  the Internet to conduct your research.  In 250-300 words, explain the  various HMO Models.  Properly cite your references in APA format.

TRICARE Referral/Authorization Form

Create a TRICARE Referral/Authorization Form.  Complete the form for a fictitious patient in your medical clinic.