Create a 7-9 minute video that reflects upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations?

The presentation should be a simulation of what you would present to your unit staff in an effort to gain buy-in as you initiate the practice change in your area of practice.

 If PowerPoint is used: Include a title slide, objective slide, content slides, reference slide in APA format

Create a power point between 8-10 slides

My area of Nursing is HOSPICE. 

Module 1 answer

Under nursing research as accessed from the National Institute of Nursing commonly referred to as the NINR, various priorities have been accessed which normally provide a bridging point to all the practices in nursing that are associated with knowledge acquisition and access.  One of the major concepts given priority is the intention and efforts to end the diseases and disabilities inhibited by the patients. The second priority relates to the efforts and improvements to provide a significant and appropriate scientific revolution (foundation) that will help improve the clinical and medical health care service delivery. The third priority from the research refers to the effective management and elimination of the systems caused by illnesses (Adam.et.al, 2017). Finally, the last priority refers to the enhancement of prevention of life under all situations which normally collaborates with the palliative health care provision. 

I totally agree with the nursing research which normally relates with the daily encounters and foundation of fundamental clinical services in the field of nursing and health care. The priorities are comprehensive and accommodating in the field of health care. I agree with the priorities since they are essential and usable in the field of quality health care provision. According to the priorities, health care provision normally concentrates on the welfare of the patients (George.et.al, 2020). The research on understanding the effectiveness of health care provision and its effectiveness normally concentrates on increasing the quality of services provided to the patients. Palliative care for patients normally injects significant impact in the delivery of services as well as implementation of strategies and measures to save lives (Urden.et.al, 2019). The four priorities play a significant role in securing timely and effective health care provision. It is important for all nursing facilities and personnel to implement good strategies that will prioritize the welfare of the patients. 

 It is the responsibility of all health care professionals to provide quality and substantial services that completely obey the requirements desires of individuals who tend to access the health care services. Obeying and meeting the guidelines and requirements of the National Institute of Nursing Research (NINR) will have more positive impact on the quality of the services provided. The priorities are inclusive and comprehensive as they operate within the accommodating nature of life which will in turn mean that they are able to prevent spread of diseases and delays in service delivery (Melnyk, B. M. & Fineout-Overholt, 2015). The development of knowledge has played a pivotal role in the development of an enhanced and manageable clinical and health care provision. 

References

Adam, S., Osborne, S., & Welch, J. (Eds.). (2017). Critical care nursing: science and practice. Oxford University Press. Retrieved from https://doi.org/10.1093/med/9780199696260.001.0001 

George, M., Hernandez, C., Smith, S., Narsavage, G., Kapella, M. C., Carno, M., … & Happ, M. B. (2020). Nursing Research Priorities in Critical Care, Pulmonary, and Sleep: International Delphi Survey of Nurses, Patients, and Caregivers: An Official American Thoracic Society Workshop Report. Annals of the American Thoracic Society, 17(1), 1-10.  Retrieved from https://doi.org/10.1513/annalsats.201909-705st

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 1, 2, and 3.

Urden, L. D., Stacy, K. M., & Lough, M. E. (2019). Priorities in Critical Care Nursing-E-Book. Elsevier Health Sciences. Retrieved from https://doi.org/10.1097/00003465-199611000-00008

Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8 PM. Shelly’s daycare class includes many children her age and she enjoys playing outside with them. Although snack times are planned, Shelly would rather play and does not always finish her beverages. 

Shelly’s mother calls the clinic and tells the nurse practitioner that Shelly has been “running a fever of 101 F for the past 2 days” and although her temperature decreases to 37.2 C (99 F) with Tylenol, it returns to 38.4 C (101 F) within 4 hours of each dose. Further, her mother says that Shelly complains that “it hurts when I pee-pee”. Shelly’s mother also has noticed that her daughter seems to be in the bathroom “every hour”. She makes an appointment to see the nurse practitioner this afternoon.

The potential diagnosis is UTI.

1. What other assessment data would be helpful for the nurse practitioner to have?

2. What are the organisms most likely to cause an UTI?

3. What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

4. What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
3. With what people or agencies would you work in facilitating the proposed interventions and why?

250 WORDS CITATION AND REFERENCES

View “Diary of Medical Mission Trip.”

URL:https://lc.gcumedia.com/nrs427v/diary-of-medical-mission-trip/v2.1/

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.