Comment 1

  Evidence-based practice is the conscientious integration of best research, evidence with clinical expertise and patients’ values and needs in the delivery of high-quality, and cost-effective healthcare (University of Illinois at Chicago, 2015).

Evidence-based practice (EBP) promotes quality, safe, and cost-effective outcomes for patients, families, healthcare providers, and the healthcare system. It evolves from the integration of the best research evidence with clinical expertise and patients’ needs and values (Grove, Gray & Burns, 2015. 6th ed).

        The treatment for acute muscle strain has changed over the years.  In the past, nurses learned to ice certain injuries for the first 24 hours and then apply heat to increase blood flow. Presently, evidence-based practice shows that only heat is beneficial (The university of New Mexico, 2016, Nov.30).

       Evidence-based practice has been developed to prevent healthcare–associated intravascular device–related bloodstream infections with the use of I-Care and the acronym stands for:

• I—IV device management
• C—Cleaning of hands
• A—Access: Use of alcoholic chlorhexidine to prepare the insertion site, and use of sterile alcohol swabs to clean the injection port before accessing.
• R—Reviewing the need for the IV device on a daily basis and remove when no longer required
• E—Education about I-Care given to: staff, patients, and other care-givers (The Joint Commission, 2013, Nov.20).

       I work in prison facility and we had several cases of flu infection during this last episode. Hand washing with soap and water and contact precaution was evidence-based practice used to prevent the spread, also screen and testing others in the same dorm help to control spread of infection.

Comment 2

Evidence-based practice (EBP) is the combination of using research and clinical expertise, and include the patients’ values when making decisions about the care of individualized patients (Rauen, Chulay, Bridges, Vollman, & Arbour, 2008). Research findings are a group of facts and they become evidence when the findings are relevant and useful in particular patient situations. One example of EBP is collecting an accurate measurement of blood pressure, and it starts with picking the correct cuff size according to the circumference of the patient’s arm. Positioning the arm is also important and that should be based on how the patient is positioned. The study also found that using an automatic cuff to measure blood pressure in patients with atrial fibrillation was interchangeable with checking the blood pressure manually (Rauen, Chulay, Bridges, Vollman, & Arbour, 2008).  

Another EBP used when assessing pain is to intervene appropriately in patients that are non-verbal or have dementia. Assess for pain and intervene with non-verbal and/or demented patients when they have conditions that typically cause pain (Flynn Makic, n.d.). Assess for facial expression, verbalizations, a change in activity, and rubbing of certain parts of the body. The nurse can also evaluate for restlessness, agitation, and combativeness. Nurses should use a valid, reliable tool for assessing pain and re-evaluate frequently (Flynn Makic, n.d.).

The first EBP on accurately measuring blood pressure is widely used in all settings of health care including home health where I work. We manually check blood pressure and are instructed on choosing the proper cuff size and proper positioning of the patient for the most accurate results. The EBP for pain assessment we use the Numeric Pain Rating Scale as well as the Wong-Baker Faces Rating Scale. The numeric scale can tell us the intensity of pain which can help guide the nurse’s choice for pain medication and for the non-verbal, limited cognitive ability, and/or patient with mild to moderate dementia we use the scale with pictures (Wong-Baker). Patients with advanced dementia will need behavioral observation to determine the presence of pain (Wells, Pasero, & McCaffery, n.d., Chapter 17).

Its very important I cover all the competencies…!

Overview 

A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence where you work. Write a 750–1,000-word article on workplace violence and prevention measures for the hospital employee newsletter.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria :

• Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.       
  • Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.
• Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.       
  • Identify the main components of OSHA’s workplace violence prevention guidelines.
  • Explain the American Nursing Association’s position on violence in the workplace.
  • Explain safety policies and protocols for preventing and responding to violence against health care workers.
• Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.       
  • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
  • Correctly format citations and references using APA style.
•  Assessment Instructions : 
•     Your workplace has experienced some serious problems with workplace violence that occurred between patients and caregivers. A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence. You have been asked to write an article on workplace violence and prevention measures for the hospital employee newsletter.
• Preparation
  Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on workplace violence. You will need at least five articles to use as support for your work on this assessment.
• Directions
  Write a 750–1,000-word article (3–4 pages) on workplace violence and prevention measures for the hospital employee newsletter. Address the following in your article:
   
  • Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings. Consider the types of patients that may be treated within a clinical or hospital setting.
  • Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.
  • Explain safety policies and protocols for preventing and responding to violence against health care workers.
  • Additional Requirements
    Your presentation should meet the following requirements:
     
  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Cite a minimum of five resources, with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 750– 1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Times New Roman, 12-point.
• I submitted a first paper and was non compliance; this is the professor’s feedback:

1-Non-Performance

Does not identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.

Faculty Comments:“

I did not see where you identified any political, legal, or legislative factors that may contribute to violence in health care settings.  What are the actual laws that may lead to workplace violence. Additionally, you could include real-world examples. This is required for a higher performance. Please incorporate the scoring guide criteria in the 2nd attempt revision. In addition, please remember to highlight any added information. Thanks! 

2-Non-Performance

Does not identify the main components of OSHA’s workplace violence prevention guidelines.

Faculty Comments:“

I did not see this area of the scoring guide addressed in the paper. Can you identify the main components of OSHA’s workplace violence prevention guidelines? Also, you could suggest benchmarks to determine if the guidelines are being followed. In addition, please remember to highlight any added information. Thanks! 

3-Non-Performance

Does not explain the American Nursing Association’s position on violence in the workplace.

Faculty Comments:“

I did not see this section of the scoring guide address in the paper.  Can you explain the American Nursing Association’s position on workplace violence? In addition, could you compare it to your organization’s policies.  This is needed for a higher performance score. In addition, please remember to highlight any added information. Thanks! 

4-Non-Performance

Does not explain safety policies and protocols for preventing and responding to violence against health care workers.

Faculty Comments:“

I did not see this section of the scoring guide address in the paper.  Can you explain the safety policies and protocols for preventing and responding to violence against health care workers? Additionally, can you examine the effectiveness of such policies on preventing violent cases.  This is needed for a higher performance score. In addition, please remember to highlight any added information. Thanks! 

5-Non-Performance

Does not format citations and references using APA style.

Faculty Comments:“

The paper was not in correct APA format. Next step, as you make your revisions, is to reach out to your tutor for assistance. Consider using the Smarthinking program link on the course room homepage. I hope that you will also use the supplemental resource link on the course room homepage to link you to many helpful APA resources. There is also a sample paper located in the instructions to this assessment that will be a good example to review for format. In addition, here’s a link to APA formatting that may be helpful: http://www.apastyle.org/learn/tutorials/basics-tutorial.aspx

Building upon the outline created for the Topic 3 assignment (Educational Program on Risk Management Part One: Outline of Topic), you will develop a 20-25 slide PowerPoint presentation to expand in further detail upon the risk management element you chose in Topic 3.

To successfully complete this assignment, include the following sections as per your outline from Topic 2. Include any additional sections you identified in your outline, as well:

1. Introduction

2. Objectives

3. Rationale

4. Supportive Data

5. Implementation Strategies

6. Evaluation Strategies

7. Challenges and Opportunities

For this, I only need 4-5 slides, my part is introduction and objective, this is in reference to the ulcer prevention, I will have attached it. And please in text citation and references is required and speaker note. Don’t do from 3- 7. It is not my part.

Power Point presentation on a health disparity

A health disparity is a difference in outcomes between different groups. This might be due to population genetics, gender, age or socioeconomic status

The Power Point will consist of

1. Introduction of the health disparity
2. Identify the objective of the PowerPoint
3. Define the health disparity
4. Epidemiology the health disparity
5. Use rates, incidence, prevalence and specific rate to describe the population
6. How would you plan for community change
   1. Health planning
   2. Community assessment
   3. Community partner
   4. Identify the intervention
   5. Identify the cost of the intervention
   6. How would you evaluate the community intervention

The Power Point cannot be less than thirty slides in total. 

books required  

Discovering Computers & Microsoft Office 2013: A Fundamental Combined Approach, 1st Enhanced Edition Author: Misty E. Vermaat ISBN: 978-1305409033 Publisher: Cengage Learning (2016)

Topic: Identify and briefly describe the steps required for web publishing.

• Write a 250-300 word paper using APA Format.
• Use at least THREE references
• References must not be less than FIVE years.