2023 1 Why is the subject of workplace health and safety of concern

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Nursing 2023 Substance misuse

1 Why is the subject of workplace health and safety of concern 2023 Assignment

1. Why is the subject of workplace health and safety of concern to nurses?

How are these concepts related to patient safety and patient outcomes?

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work?

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety?

• Latex allergies

• Needlestick injuries

• Violence

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.”

Which concepts discussed in these sections are particularly important to the beginning RN? Why?

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation

• Quality of work life within the organization

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2023 Policy Regulation and Organizational Behavior PLEASE USE AVISTA ADVENTIST HOSPITAL 100 health park dr louisville Colorado 80027 In this

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Nursing 2023 U9A1

Policy Regulation and Organizational Behavior PLEASE USE AVISTA ADVENTIST HOSPITAL 100 health park dr louisville Colorado 80027 In this 2023 Assignment

Policy, Regulation, and Organizational Behavior

PLEASE USE:

AVISTA ADVENTIST HOSPITAL

100 health park dr

louisville, Colorado 80027

In this assignment, you will investigate your organization’s compliance rate with one specific core measure of your choice. You must be able to explain the financial implications associated with the measure, as well as its importance in terms of policy, regulation, and finance. This is another good opportunity to consult with a key stakeholder within the organization. Talking to someone who works closely with the organization’s finances can help you develop a deeper understanding of the financial aspects of compliance. You also need to suggest ways your organization can improve compliance and how you would implement changes and overcome obstacles.This may seem like an enormous undertaking, but you should approach it as if you would present this information to your supervisor or manager. Keeping in mind that people in these positions do not have time to read a 10–12 page report, you would typically give them only an executive summary of your analyses and recommendations. That means that you will need to be very clear and very concise with the information you choose to include in the executive summary. Say as much as possible with as few words as possible. This component will measure your proficiency in Program Outcomes 4, 6, and 9:Program Outcome 4: Policy, Finance, and Regulations: Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.Program Outcome 6: Organizational and Systems Management: Apply knowledge of organizational behavior, nursing theory, and systems (micro and macro) as appropriate for the scope and role of one’s own practice.Program Outcome 9: Professional Role: Incorporate the qualities, skills, behaviors, and knowledge required to function as a patient advocate, practice high quality care, assess and evaluate patient outcomes, and provide leadership in improving care.Assignment DescriptionFor this assignment, you will write a 2–3-page executive summary that analyzes the financial and regulatory impact of organizational compliance with a specific core measure of your choice, and includes recommendations for improving performance on the measure.Select a core measure and investigate your organization’s compliance rate with the measure. In your executive summary be sure to address the following:Compare the compliance rates of your organization with other organizations.Identify the financial implications associated with the measure.Explain why the measure is important in terms of policy, regulation, and finance.Describe changes that could be made that would improve compliance with the measure.Identify the people who would be affected by the changes.Outline a plan to implement the changes within the organization.Identify obstacles you would expect to encounter.Explain your strategies for overcoming obstacles.You must still reference scholarly resources to support your work, but this is an executive summary; it should not be formatted in APA style (you must include a title page reference page). It may be helpful for you to review the documents used in your organization. How do they look? What kind of language is used in memos? These can help guide your development of this executive summary. And certainly feel free to use bullet points as appropriate.

Requirements

The executive summary should be no more than 2–3 pages (not including title and reference page).Include a title page and reference page.At least 3 current scholarly or professional resources. Times New Roman font, 12 pt.

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2023 In the Discussion for this module you considered the interaction of nurse informaticists with other specialists to ensure successful

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Nursing 2023 DO NOT POST

In the Discussion for this module you considered the interaction of nurse informaticists with other specialists to ensure successful 2023 Assignment

 

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

 

Here are 2 references if you want to use them (not mandatory) I attached the others.

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

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2023 Review the Institute of Medicine IOM report The Future of Nursing Leading Change Advancing Health focusing on the

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Nursing 2023 Professional Development of Nursing Professionals

Review the Institute of Medicine IOM report The Future of Nursing Leading Change Advancing Health focusing on the 2023 Assignment

 

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

  1. The impact of the IOM report on nursing education.
  2. The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.
  3. The impact of the IOM report on the nurse’s role as a leader.

Cite a minimum of three references.

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 assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.

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

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2023 As a professional nurse you are expected to apply your expertise to patient care

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Nursing 2023 Policy/Regulation Fact Sheet

As a professional nurse you are expected to apply your expertise to patient care 2023 Assignment

 

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

  • Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
  • Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
  • Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

ZERO PLAGIARISM

FIVE REFERENCES NOT MORE THAN FIVE YEARS

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2023 To prepare Consider the outcomes of your project or other evidence based projects with

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Nursing 2023 Implications of an Evidence-Based Project

To prepare Consider the outcomes of your project or other evidence based projects with 2023 Assignment

To prepare:

  • Consider the outcomes of your project or other evidence-based projects with which you have been involved. Were your findings as anticipated? What unexpected outcomes, if any, arose?
  • Apply the concepts you have studied in previous courses to the data you gathered for your project or for other evidence-based projects. Consider social, political, technological, and financial factors as well as factors related to quality and your area of specialty.
  • How does your analysis of the project outcomes inform the discussion and implications of your project? What impact could your findings have as they ripple out through multiple systems?
  • Have you identified any ethical implications that require attention? If so, what are they?

Post a cohesive response that addresses the following:

  • Discuss the implications of your project outcomes or the outcomes of other evidence-based practice projects. Integrate concepts from previous courses to explain the significance of your findings, and be sure to address ethical implications.

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2023 1 According to Huber Reengineering is a radical redesign of business processes Huber 242 The nurse manager plays a

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Nursing 2023 1-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

1 According to Huber Reengineering is a radical redesign of business processes Huber 242 The nurse manager plays a 2023 Assignment

  

1-According to Huber, “Reengineering is a radical redesign of business processes.” (Huber 242) The nurse manager plays a big role in health care in general, as the nurse manager allocates available resources, coordinate activities, facilitate interactive management, and have major responsibility for implementing the vision, mission, philosophy, goals, plans, and standards of the organization and nursing services. (Huber 34)

Now that we defined these two items, how do they co-relate? Well, nurse managers are on the front lines with the staff serving in front line roles. These nurse managers have a hand both on what goes on in the day-to-day and are a link to administration. Nurse managers are coordinating what happens on the front lines with patients and with administration to make things run as smooth as possible. These are the people who are a voice in administration for direct care providers.

Teamwork designs have become popular in healthcare organizations. Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown. Future research should investigate middle managers’ role in healthcare innovation implementation. Findings may aid top managers in leveraging middle managers’ influence to improve the effectiveness of healthcare innovation implementation. (Birken)

Resources

Birken, S. A., Lee, S. D., & Weiner, B. J. (2012). Uncovering middle managers role in healthcare innovation implementation. Implementation Science,7(1). doi:10.1186/1748-5908-7-28

Huber, Diane. Leadership and Nursing Care Management, 5th Edition. Saunders, 10/2013. VitalBook file.

 

2-there are so many changes happening in healthcare today, I agree nurse leaders are important. In the recent years we have seen the insurance companies and the healthcare providers unite, to provide a more efficient system with the focus on cost-effectiveness. These mergers dissolve the traditional building blocks of the healthcare system (Kacik, 2016). The changes will improve patient care and decrease healthcare spending. This relationship will provide evidenced based care and create a more integrated full-service provider. These deals are happening because the consumer is the top priority in healthcare. (Kacik, 2016).

As a case manager in the emergency department, I find people do not know how to navigate the healthcare system appropriately. The emergency department is often used for minor issues, that are not emergencies. The rise of urgent care centers and Walgreens clinics has not deterred people from using the ED for minor, non-urgent care. I recently saw a person come with an irritated cuticle on their finger. I saw a mother bring a toddler with a small rash on his leg. Only a few examples that shock me. This is a huge cost for the health care system that we are currently, tactfully trying to address. There are so many more cost-efficient alternatives in health care. We cannot deny care to anyone, yet education regarding improper use of the emergency department is becoming a top priority.

References;

Kacik, A. (2016, December). Healthcare mega-mergers dominate 2017 – Modern Healthcare. http://www.modernhealthcare.com/article/20171226/NEWS/171229957

3-I agree, nurse leaders have taken on the role of negotiator and conflict manager. We have seen many changes recently in healthcare and I believe it is going to continue. I think nurses are resilient, we have faced many changes and managed to carry on. I also feel the delivery of the information is the most important aspect. The staff needs to be gently guided into the changing status. We usually hear about the upcoming changes before they actually occur, which gives us time to process everything. When the changes happen, there are multiple personalities and each individual has their own way of dealing with change. The role of the nurse leader has been an important addition in the hospitals. There is a person to talk to and offer support, answer questions and clarify the changes. Often mangers and administration are not approachable, having a nurse leader is an important asset in our field.

 

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2023 Please answer the following Discussion Question Please be certain to answer the

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Nursing 2023 ETHICS IN NURSING WK 12

Please answer the following Discussion Question Please be certain to answer the 2023 Assignment

 

Please answer the following Discussion Question.  Please be certain to answer the two questions on this week DQ and to provide a well-developed and complete answer to receive credit.  

Case Study, Chapter 19, Technology in Health Care: Opportunities, Limitations, and Challenges

Technology has already dramatically transformed health care, shaping both consumer and provider expectations. With advances in technology, however, have come new opportunities, limitations, and challenges. Technology can cut costs, improve patient outcomes, streamline workflow, and improve information accessibility. It can also be costly, require almost limitless ongoing training, and continually bring about new ethical dilemmas, including the need to assure the “human element” is not lost in patient care. Determining what technology should be developed and how it should be used in an era of limited resources, with vulnerable populations, raises multiple ethical questions. 

Faculty at a college of nursing present a seminar for their students on the use of technology in today’s health care system.

1.  Describe technology advances that are used in health care today. 

2.  The nursing faculty concludes the presentation by stating that decisions should be made about what technology can best be used in each individual setting and how it should be used. Describe some points to consider in implementing technology in health care.

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2023 Report Issue Using WORD write an ORIGINAL brief essay of 300 words or

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Nursing 2023 q1

Report Issue Using WORD write an ORIGINAL brief essay of 300 words or 2023 Assignment

Report Issue

Using WORD, write an ORIGINAL brief essay of 300 words or more:

Find a DoS attack that has occurred in the last six months

You might find some resources at www.f-secure.com.

Note how that attack was conducted.

Write a brief explanation of how you might have defended against that specific attack

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2023 APA format MSN 2 pages 3 references 2 from walden university library Multiple

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Nursing 2023 Need a response for discussion post below

APA format MSN 2 pages 3 references 2 from walden university library Multiple 2023 Assignment

APA format MSN 2 pages 3 references 2 from walden university library

 

Multiple Sclerosis 

Multiple sclerosis (MS) is thought to affect more than 2.3 million people worldwide. While the disease is not contagious or directly inherited, epidemiologists have identified factors in the distribution of MS around the world that may eventually help determine what causes the disease (nationalmssociety.org, 2018). It is a chronic, progressive, degenerative neurological disease, associated with immune system deregulation, culminating in demyelination and axonal damage within the central nervous system and is one of the most common neurological diseases in young adults and the leading cause of non‐traumatic disability in young and middle‐aged adults (Gold & Wolinsky, 2010).

Pathophysiology of Multiple Sclerosis

MS is a chronic, heterogeneous and complex disease. Autoreactive T‐cells in the periphery are activated by unidentified mechanism, possibly involving molecular mimicry or bystander activation. Activation of these T cells gives them the potential to migrate across the blood–brain barrier (BBB) via an interaction of integrins on the T‐cell surface with adhesion molecules on the endothelium of the BBB, followed by the degradation of the BBB via the secretion of matrix metalloproteases. Once in the central nervous system (CNS), T cells are reactivated on encountering local CNS antigens via an interaction with antigen‐presenting cells such as macrophages or microglia, or B cells. T cells secrete proinflammatory cytokines, and plasma cells secrete antibodies against myelin, leading to the destruction of the myelin sheath. Ongoing inflammation in the CNS promotes the recruitment of additional inflammatory cells. Activated microglia release free radicals, nitric oxide and proteases, which further contribute to tissue damage and axonal loss (Gold & Wolinsky, 2010).

Prescribed Medications to Modify Progression

Beta interferons: these medications are among the most commonly prescribed medications to treat MS. They are injected under the skin or into muscle and can reduce the frequency and severity of relapses.

Ocrelizumab (Ocrevus): humanized immunoglobulin antibody medication which is the only DMT approved by the FDA to treat both the relapse-remitting and primary progressive forms of MS. Clinical trials showed it reduced relapse rate in relapsing disease and slowed worsening of disability in both forms of the disease.

Glatiramer acetate (Copaxone): helps block the immune system’s attack on myelin and must be injected beneath the skin. 

Dimethyl fumarate (Tecfidera): reduces relapses. Side effects may include flushing, diarrhea, nausea and lowered white blood cell count.

Fingolimod (Gilenya):  reduces relapses. 

Teriflunomide (Aubagio):reduces relapses.

Natalizumab (Tysabri): designed to block the movement of potentially damaging immune cells from your bloodstream to your brain and spinal cord. It may be considered a first line treatment for some people with severe MS or as a second line treatment in others. 

Alemtuzumab (Lemtrada):reduce relapses of MS by targeting a protein on the surface of immune cells and depleting white blood cells. This effect can limit potential nerve damage caused by the white blood cells, but it also increases the risk of infections and autoimmune disorders.

Mitoxantrone: immunosuppressant drug can be harmful to the heart and is associated with development of blood cancers. As a result, its use in treating MS is extremely limited, therefore, is usually used only to treat severe, advanced MS.

Treatments for MS Attacks

Corticosteroids (oral prednisone and intravenous methylprednisolone: reduce nerve inflammation. Side effects may include insomnia, increased blood pressure, mood swings and fluid retention.

Plasma exchange (plasmapheresis). The liquid portion of part of your blood (plasma) is removed and separated from your blood cells. The blood cells are then mixed with a protein solution (albumin) and put back into your body. Plasma exchange may be used if your symptoms are new, severe and haven’t responded to steroids.

Controlling Negative Side Effects of Corticosteroids

Insomnia: evaluate if total dose can be taken in the morning. Establish a regular hour for getting into bed and small rituals that help you prepare for sleep. Make sure the bedroom is cool and dark and free of noise. 

Mood Changes: with doses over 30 milligrams per day, steroids can affect your moods. Some people can feel depressed, some extremely “up” and others go up and down for no apparent reason.  Medications can be taken to help with these mood changes.

Fluid Retention and Elevated Blood Pressure: because cortisone is involved in regulating the body’s balance of water, sodium, and other electrolytes, using these drugs can promote fluid retention and sometimes cause or worsen high blood pressure. It is important to maintain a low sodium diet to reduce fluid accumulation in turn controlling blood pressure. If hypertension persists, diuretics may be prescribed (Fields, 2017). 

MS and Genetics

Genetic factors are thought to play a significant role in determining who develops MS.For first-degree relatives of a person with MS, such as children, siblings or non-identical twins, the risk rises to approximately 2.5-5% — with the risk being potentially higher in families that have several family members with the disease.The identical twin of someone with MS (who shares all the same genes) has a 25% chance of developing the disease. If genes were solely responsible for determining who gets MS, an identical twin of someone with MS would have a 100% chance of developing the disease; the fact that the risk is only one in four demonstrates that other factors, including geography, ethnicity and the elusive infectious trigger, are likely involved as well.Research has demonstrated that MS occurs in most ethnic groups, including African-Americans, Asians and Hispanics/Latinos, but is most common amongst Caucasians of northern European ancestry. Susceptibility rates vary among these groups, with recent findings suggesting that African-American women have a higher than previously reported risk of developing MS (nationalmssociety.org, 2018).

References

Who Gets MS? 2018. Retrieved from https://www.nationalmssociety.org/What-is-MS/Who-Gets-MSGold, R., Wolinsky, J.S. 2010.

Pathophysiology of multiple sclerosis and the place of teriflunomide. Acta Neurologica Scandinavica. Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0404.2010.01444.x

Fields, T. 2017. Steroid Side Effects: How to Reduce Corticosteroid Side Effects. Retrieved from https://www.hss.edu/conditions_steroid-side-effects-how-to-reduce-corticosteroid-side-effects.asp

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