Select ONE of the CBRN categories, then pick ONE particular agent from that category and based on our readings this term, place yourself in the role of a terrorist and offer your perspective of how a terrorist event could be conducted in your hometown, then provide your perspective on how to prevent such an attack and support your work by a variety of academic material to give your opinion more validity. 

Your poster presentation should have the following components: 

Title Page

This should be the title of the project along with a listing of the authors of the project with identifying information (i.e.: Valparaiso University, College of Nursing).

PICOT Question

What is the PICOT question being answered by the project? Provide some background information about why this is important.

Review of the Literature

Outline the method for finding evidence. What key terms were identified in the literature search? How were articles chosen and critiqued? What criteria were used to determine inclusion in the review? Who critiqued the articles?

Synthesis of Research Findings

Make some comparisons across the evidence. What levels of evidence are present? What kinds of samples and designs were used by the researchers? Do the researchers measure the variables in the same manner? What were the overall findings in relationship to the PICOT question? 

Decision to Change Practice

What is the decision for practice based on the research in light of the PICOT question?

If there is sufficient evidence for practice:

Best Practice 

Describe the policy that has been created for this project.

Implementation/Evaluation

Describe a process for implementing the change (who would be involved, how much time, etc).  Identify an indicator and describe how that would be measured to show if the outcome improves.

If there is not sufficient evidence for determining practice:

Bridging the Gap

Describe what action needs to be taken to create evidence to answer the research question. For instance, does a study need to be developed or does an intervention need to be piloted. 

Generating New Knowledge

Describe the manner in which the research question could be answered. If a study is indicated, then discuss the sample, design, data collection instruments, and procedure that would be used to gather data.  

 

1. Mr. Smith, a 52-year old patient, is admitted to the coronary care unit with the diagnosis of acute inferior myocardial infarction. The patient has a history of smoking two packs per day of cigarettes for 35 years, and he drinks a six-pack of beer on weekend nights, but does not drink the rest of the week. He is the sole financial support for his family. He is a consultant for a company and is out of town during week days. Over the past year, Mr. Smith has gained 20 pounds. He is 5 foot 6 inches, weighing 200 pounds. His diet consists mostly of fast food. He rarely exercises. His wife cares for their three teenage children. The eldest son, 17 years of age, totaled the family car when drinking and driving 2 days ago and he is in the local children’s hospital in the intensive care unit in critical condition. Mr. Smith developed chest pain and slumped over in his chair during an argument with his wife about their teenage daughter, who is 15 years of age and wanted to get birth control pills. The wife is in the waiting room while the nurses settle Mr. Smith into his room. The youngest son, 13 years of age, is at a friend’s house. The teenage daughter is staying at the bedside of the critically ill eldest son. The wife blames her eldest son for her husband’s heart attack and told the emergency department nurse that she does not care to see her son at all. 

1. What maladaptive responses to stress may have contributed to Mr. Smith’s development of an illness?
2. Based on the case study, what family assessment data may be used to determine coping strategies being currently used by the family in crisis?
3. What nursing interventions should be used to promote effective coping for the patient and his family?

2. Mary Turner stepped on a nail 5 days ago and sustained a puncture about 1 inch deep. She immediately cleaned the area with soap and water and hydrogen peroxide, and applied triple antibiotic ointment to the site. Today she comes to the clinic with complaints of increased pain and swelling in her foot. On assessment, the nurse notes that the puncture site is red and edematous, and has a moderate amount of yellowish drainage. 

1. Describe the sequence of events that caused the local inflammation seen in Mary’s foot.
2. What is the role of histamine and kinins in the inflammatory process?
3. Which of the five cardinal signs of inflammation does Mary exhibit?
4. Because Mary’s injury occurred 5 days ago, the nurse should assess for what systemic effects?

1. Describe how your attitude of including aspects of health literacy changed during this course.

2. Describe your approach to incorporating evidence-based literature in health teaching.

3. Describe one theory of teaching or learning that you applied it to your power point presentation.

4. Describe two ways that you have grown as a health educator by taking health promotion course

Substantial cross posts to peer response.

-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. 

-Be sure to include at least one reference from Substantial cross posts peer response.(No not use the same reference from the original post

-This cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. 

-Be sure to include at least one reference from a scholarly source. APA formatting with reference citations. References should be timely, published within the previous five (5) years.

-Discussion cross posts should elaborate upon the ideas and content found in the readings/keynotes by adding details, examples, a different viewpoint, or other relevant information. 

-The cross posts should provide original insights or responses which integrates multiple views. (Just saying ditto, I agree, or restating the original post is not considered elaboration.) 

-There should be evaluation and feedback which assesses the accuracy, reasonableness, or quality of idea, and provides constructive feedback to classmates.

-Listed below is the discussion post you must respond to in 300-350 words max. APA formatting with reference citations. References should be timely, published within the previous five (5) years. And please check for grammatical errors.

Make sure the cross post is a response and not a whole new discussion. Try to engage in a conversation while stating a new point of view that relates to the original discussion.

ORIGINAL DISCUSSION POST YOU MUST REPLY TO

The Background and Significance of the CNIO

            Healthcare is a field that is constantly changing, facing new challenges, and overcoming problems with patient care; which is why technology is becoming one of the most important aspects of healthcare. Nurses are at the forefront of patient care as they spend the most time with the patient, chart, and care for patients over a twelve-hour period. The CNIO, short for the Chief Nursing Informatics Officer, is a role that was introduced to healthcare facilities directly to overlook the electronic medical record, and to better optimize its use and functionality (McCleerey, 2019). The role was meant to solely manage healthcare providers use of the EMR, but new research is showing the need for a paradigm shift from the CNIO’s focus on its own EMR, to working with developers and vendors to create better programs and change weak links in the current EMR. (McCleerey, 2019).

How the CNIO Relates to Healthcare Informatics

            The Chief Nursing Informatics Officer directly relates to healthcare as the forefront of health care is based off the development of new technology (McCleerey, 2019). Documentation, research, education, and evidence-based practice have all shifted to using software, computers and cloud data storage. The CNIO overlooks the technology adopted by facilities to better optimize patient care and time management in healthcare and will soon move on to helping developers create better software that focuses on patient care rather than time optimization (McCleerey, 2019). Because CNIO’s directly overlook hospital technology, they have a strong relationship with today’s healthcare system.

The Opportunities and Challenges CNIO’s Face

            CNIO’s, just like other nursing specialists, face many opportunities and challenges, but CNIO’s have a rapidly evolving job description, allowing for a variety of rewards and problems to come up. CNIO’s can change nursing for the better by implement systems that give patients better and safer care. The challenges that CNIO’s face directly relate to the new role that the must adopt: relaying information to developers and working with vendors to change and create better software and technology (McCleerey, 2019). Both the opportunities and challenges allow for a rewarding and exciting career as a nurse.

The Benefits of the Electronic Health Record on Quality and Safety in Patient Care

            The EHR help health care providers access patient’s medical history: which is an important aspect of treatment. From the EHR alone, nurses and doctors can see allergies, past procedures, scans and x-rays, and other important patient history and problems. By accessing this, providers can help to make the best decisions using evidence-based practice to give the highest quality care to patients (Sewell, 2019).

References

McCleerey, M.  (Winter 2019). Vendor support of the expanded role of the CNIO.  Online Journal of Nursing Informatics (OJNI), 23 (1), Available at http://www.himss.org/ojni