Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

(Note: The citations below are provided for your research convenience. Students should always cross reference the current APA guide for correct styling of citations and references in their academic work.)

Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning.
ISBN: 9781284021028
Chapters 11 and 12

Online Materials & Resources

1. Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s locate and read the article(s) below:
   • Arritt, T. (2014). Caring for patients of different religions. Nursing Made Incredibly Easy, 12(6), 38-45.
   • Hudson, C.C., Adams, S., Lauderdale, J. (2016). Cultural expressions of intergenerational trauma and mental health nursing implications for U.S. health care delivery following refugee resettlement: An integrative review of the literature. Journal of Transcultural Nursing, 27(3), 286-301. doi: 10.1177/1043659615587591.
2. View the videoss below:
   • TEDx Talks. (2014, May 30). Decoding the unique medical needs of the Amish | Kevin Strauss | TEDxLancaster [Video file]. Retrieved from Decoding the unique medical needs of the Amish | Kevin Strauss | TEDxLancaster (Links to an external site.)
   • Page, R. (2014, July 16). PIER-Meeting the Healthcare Needs of American Muslims [Video file]. Retrieved from PIER-Meeting the Healthcare Needs of American Muslims (Links to an external site.)

Respond to the Case Study presented in Chapter 12 (p. 286) about direct-to-consumer advertising of prescription drugs. What impact have you observed in the populations you serve in your nursing practice? Comment on the ethics of this practice, in terms of autonomy, beneficence, non-maleficence, and justice.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. YRead

 An 18-year-old  Primigravida presents to Labor and delivery with what appears to be active labor.  Upon questioning you discover that she has received no prenatal care.  In obtaining some history while placing her on the fetal monitor you learn she is a smoker, approximately 1 pack per day, occasional marijuana for  stress,, and denies any support system.  The Father of the baby (FOB) has no knowledge of the pregnancy.  She does not take prenatal vitamins.  She states “They were too hard to swallow”.  She has no idea when her LMP was and she relates always being irregular.  * remember LMP is to ask the first day of her Last Menstrual not when the bleeding stopped. 

 

What other questions are essential for her safe care?

What lab values do you need to obtain?

What exam findings should you obtain at this time?

What education will you provide for her?

She asks you how long this will take to have the baby- what is your best response?

 

Part 2 

Objective information:
fetal heart tones are 130 with minimal variability.  

Vaginal exam reveals 4 cm dilated, 90% effaced , -1 station

She is complaining of pain 8/10 on a numeric scale. 

An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 cc/hour in the left forearm.

How can you provide non-pharmacological comfort to this patient?

What are the pharmacological methods to use?

Without prenatal records or history GBS is unknown, What must you provide?

Contractions are 5 minutes apart and you receive an order to augment labor- what non-pharmacological methods can you provide or  ask the provider to provide?

Pitocin is ordered please include at what rate you will start Pitocin and how  often you titrate. What equipment is necessary to run and hang Pitocin?

Minimum 500 words including intext citations, 500 words does not include citations and cover page and use APA style  

Assignment: Workplace Environment Assessment

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review the Work Environment Assessment Template.
• Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.
• Select and review one or more of the following articles found in the Resources:
  • Clark, Olender, Cardoni, and Kenski (2011)
  • Clark (2018)
  • Clark (2015)
  • Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

• Review the Work Environment Assessment Template you completed for this Module’s Discussion.
• Describe the results of the Work Environment Assessment you completed on your workplace.
• Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
• Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

• Briefly describe the theory or concept presented in the article(s) you selected.
• Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
• Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

• Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
• Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

  

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.

You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.I

Examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and 

b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? 

That is, does this run chart have some predictive ability?

Does the run chart support the nursing unit’s decision to celebrate? 

To what extent can the leadership be confident that the trend will continue?

Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.

Respond in 4-5 paragraphs 450-550 words 

Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level 

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

• Chapter 4, “Evaluating      Performance” (pp. 79-118)
• Chapter 5, “Continuous      Improvement” (pp. 119-142)
• Chapter 6, “Performance Improvement Tools”      (pp. 143-174)

Note: Although Chapter 4 is previously assigned reading, please review it in preparation for this week’s material.

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

• Chapter 19, “Building Effective Teams” (pp.      335-356)

Microsoft. (2016). Use charts and graphs in your presentation. Retrieved from https://support.office.com/en-gb/article/Use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51

 

To prepare:

• Read the case study I am Feeling Like I’m Going Crazy
• Post an explanation of the most likely DSM-5 diagnosis for the client in the case study.

Be sure to link those behaviors to the criteria in the DSM-5. Then, explain group therapeutic approaches you might use with this client. 

Explain expected outcomes for the client based on these therapeutic approaches. 

Finally consider legal and ethical implications of counseling children and adolescent clients with psychiatric disorders. 

Support your approach with evidence-based literature with at least three references no more than five years old .