Minimum of 25 words with peer review reference

 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information. 

During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.

To Prepare

• From the list below, select a disorder of interest to you:
  • Alzheimer’s disease
  • Asthma in children
  • Chronic obstructive pulmonary disease (COPD)
  • Congestive heart failure
  • Hepatic disease (liver disease)
  • Hypertension
  • Hyperthyroidism and hypothyroidism
  • Seizures
  • Sepsis
• Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. 
• Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

• Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
• Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
• Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.

4 references not more than 5 years

APA format3 pages 3 references Can you use one of  the references from the discussion Please have done by Saturday November 2, 2019 @ 7pm EST

 

Main Discussion.  Examination is the most standard method for assessing a student’s learning. Online examinations are developed two ways. First, it can be created in a Microsoft Word document and uploaded to the course or secondly, the test questions can be generated within a learning management system (LMS) using the provided means (Bristol, 2011). The challenge in writing multiple choice questions is creating a reasonable measure of the learner’s knowledge while not providing clues within a question as opposed to its content. The use of deception as the way to increase difficulty should be avoided. One thing about multiple-choice questions is that the answer is present for the learners to decipher. (Dickinson, 2019). The lesson plan that I used to create multiple choice questions covers the different colors that are used to identify IV catheter gauges and the contents of an IV start pack.  I have never created multiple choice questions for a test or used the technology needed to do so. It was difficult at first to create queries that covered the objectives at the same time and not to include the answer to the question within the question. I also had to make a conscious effort not the put the correct answer to the questions in the C or D position. Another challenge was finding a website that I was comfortable with using and one that I could easily navigate to create my multiple-choice test. Survey monkey is a free online survey that has the capability for quizzes. The survey tool is used frequently on my job to poll employees on current issues.

Link to quiz.

https://www.surveymonkey.com/r/ZGV6J88

References

Bristol, T. J., & Zerwekh, J. (2011). Essentials of e-learning for nurse educators. Philadelphia, PA: F. A. Davis Company.

Dickinson, M. (2019). The thing about multiple-choice tests. Learning Solution Magazine. Retrieved from http://www.learningsolutionsmag.com/articles/861/the-thing-about-multiple-choice-tests

Survey Monkey. (n.d). Retrieved October 29, 2019, from http://www.surveymonkey.com

Name:

Michelle Frierson

Screencast Title:

Intravenous needle catheter selection and IV therapy guidelines

Environment:

(on-site, online, or hybrid)

This lesson is intended for the hybrid environment. Student nurses and novice nurses will watch this screencast before engaging in on-site intravenous (IV) needle selection for IV starts

Screencast Goal:

This screencast will increase the awareness on the importance of IV catheter size selection depending on the intended use and/or patient population and IV therapy guidelines.

Description of Screencast lesson:

This screen cast is directed toward nursing students and novice nurses. The different sizes of IV catheters based on color and the supplies needed will be reviewed. The participants will participate by watching a short video immediately after screencast on IV catheters and therapy guidelines, answer 10 questions at the end of the lesson, print certificate of completion and bring certificate to skill lab for competency checkoff.

Learning Objectives

At the end of this lesson students and nurses will be able to

• Identify the different sizes of IV catheters based on color
• Verbalize uses for different catheter sizes
• Identify supplies needed for IV starts
• Document appropriately
• Demonstrate at least 80% competency on post test on IV catheter sizes, usage, and therapy guidelines
• Demonstrate an IV start in an on-site skills lab

,

Quiz

1. Match the gauge IV catheter with the appropriate color

          _____24-gauge                         pink

          _____22-gauge                         yellow

          _____20-gauge                         blue

          _____18-Gauge                        green

     2. What two gauges of IV catheters are commonly used during           

    for rapid fluid administration?

1. 24 gauge and 22 gauge
2. 18 gauge and 20 gauge
3. 20 gauge and 24 gauge
4. 22 gauge and 20 gauge

           3. Select the appropriate list of supplies found in an IV start Kit.

               A. extension set, tape, and 20-gauge catheter

               B. Sterile dressing, tape, tourniquet, gauze pad, extension set, and

                    chlorhexidine swab

               C. extension set, chlorhexidine swab, tape, and gauze pad

               D. tourniquet, sterile dressing, and extension set

Identify at Least One in Each Area

Pre-Licensure QSEN Competencies

Integrated Processes

Clinical Relationships

1. Patient-centered care  

2. Teamwork and collaboration  

3. Evidence-based practice (EBP)

4. Quality Improvement (QI)

5. Safety

6. Informatics 

1. Nursing process

2. Caring

3. Communication and documentation

4. Teaching/ Learning

1. Varied sources of data

2. Similar options

3. Prioritization

4. Teaching

5. Notes: ­­­­­­­­­­­­ ______________

Rationale:

Rationale:

Rationale:

It is important to understand the evidence behind the appropriate size selection of IV catheters to decrease the number of IV infiltrations.

When initiating an IV therapy nursing staff must asses the patient appropriately, the intended use of the IV, select the appropriate size of the IV catheter, and document appropriately.

Nursing staff must prioritize  care to include assessing the IV site or sites for redness and/or swelling

Script

Actions on Screen

Audio/Narrative

Power Point: Title Screen

Introduction of the Lesson on IV catheter selection and therapy guidelines

Power Point: Question

Why is it important to select the appropriate size IV catheter?

• Give rationale

Power Point: Learning Objectives

State learning objectives

Power Point: Different IV Catheter Sizes

Show pictures of the different catheters

Power Point: Starting an IV

Power Point: Documenting

Identify supplies needed to start an IV

What to document after starting an IV

Power Point: Final thoughts on IV catheter selection and IV supplies

Explain the main point of the lesson

Power Point: Points to Remember

• Have students to watch the video on starting an IV
• Remind students to print certificate of completion and sign up for skill lab checkoff

Evaluate and Revise

If I were to recreate my Screencast, I would: 

First, I would make sure that the slides correspond with the lesson as it is discussed. I would include a slide for the 14-gauge catheter, 16- gauge catheter, and the supplies inside the IV start kit. The slide for the IV catheters would include the front of the packaging along with the backside of the packaging. The time of the screencast would not exceed five minutes.

 DIS 3

Topic 1  Because of the pain medication, Gladys Gwynn may not be able to speak for herself. Since she has no relatives to help, is it appropriate for Dr. Johnstone to make the decision about surgery for her? Under the circumstances, is it possible that when Gladys moved into Sunny Meadows they had her sign a Health Care Power of Attorney to someone at the facility?

Topic 2  Because the accident happened when Sheri Smith was helping Mrs. Gwynn, do you think Sheri should be held responsible for the accident? Given that Sheri is an employee of Sunny Meadows, should that facility be held responsible?

Topic 3  The recovery time for internal fixation surgery is shorter than that following a total hip replacement. The surgery is also less expensive and has a less strenuous recovery period; however, Mrs. Gwynn probably will not be able to walk again. Given the patient’s condition, and the limited dollars available for health care, which procedure should be performed?

Topic 4  Would you have answered Question 3 differently if Mrs. Gwynn were your mother?

ESSAY

After visiting the Media Links for this chapter, complete this assignment by writing a 2 to 3 paragraph essay about something you learned from one or more of the web sites. Enter the essay in the submission box and submit it.

http://orthopedics.about.com/mlibrary.htm  

http://www.nof.org/ 

http://www.arthritis.org/

DIS 4

Topic 1  On what basis do you think Aifreight determined that this was a safety violation?

Topic 2  Use lay terms to explain Sandor’s injury and the treatment that was required.

Topic 3  Sandor knows how to handle heavy loads safety; however, the crate may have slipped because he was busy thinking about his daughter’s birthday party and not about his work. Could the responsibility for this accident be considered negligence on Sandor’s part? Do you think Sandor should be held responsible or is blameless in this situation?

Topic 4  It was determined that Airfreight was not responsible for the accident. Therefore, do you think the company should take away Sandor’s job if he does not return in 30 calendar days?

ESSAY

SAME AS ABOVE DIS 3