week 4 discuss 6051 – 2025 Discussion Big Data Risks and Rewards When you wake in the morning you may reach for your

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week 4 discuss 6051 – 2025

Discussion: Big Data Risks and Rewards

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
By Day 3 of Week 4

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535)
Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551)

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/

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf 

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.
Note: You will access this article from the Walden Library databases.

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

Topaz, M. (2013). The hitchhiker’s guide to nursing theory: Using the Data-Knowledge-Information-Wisdom framework to guide informatics research. Online Journal of Nursing Informatics, 17(3).  
Note: You will access this article from the Walden Library databases.

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.
Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Laureate Education (Producer). (2018). Health Informatics and Population Health: Analyzing Data for Clinical Success [Video file]. Baltimore, MD: Author.

Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Vinay Shanthagiri. (2014). Big Data in Health Informatics [Video file]. Retrieved from https://www.youtube.com/watch?v=4W6zGmH_pOw.
 

Discus

Nursing Discussion- Reply to my peers – 2025 Reply to my peers responses Begin reviewing and replying to peer postings responses Participate in the

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Nursing Discussion- Reply to my peers – 2025

Reply to my peers’ responses

Begin reviewing and replying to peer postings/responses. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources.

Task

Consider one of the nursing theories, conceptual frameworks, or mid-range theories presented in the textbook and class.

·  Which philosophy/conceptual framework/theory/middle-range theory describes nursing the way you think about it?

·  What is your rationale for selecting this theory/framework?

·  Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.

Peer #1

 

Hildegard Peplau’s Interpersonal Relations Theory

Peplau’s interpersonal relations theory is the mid-range theory that captures what nursing ought to be. In this regard, it is the assertion that nursing is a therapeutic interpersonal process where nurses work with others to make health possible (Alligood, 2018, pg. 45). It is, therefore, the expectation that nurses work together with their patients, understand their health needs, and work together to ensure that the patients go back to their health status.

           The rationale for the choice of this theory is because it appreciates that nursing is an interpersonal process; an assertion that is coherent with what the principle of evidence and patient-centered care expects from nurses. The exchange between the nurse and the patient is what allows a nurse to access critical information which in turn helps a nurse to realign the care towards securing better care for the patient. Moreover, the interpersonal relations theory also expects the nurse-patient relationship should be a learning experience (Smith, 2019, pg. 78). This is a phenomenon that is coherent with the fact that nursing skills need to be constantly improved. As a result, the nurses must keep on learning about health needs as this ultimately helps improve relevant skills by nurses.

           Consequently, Peplau’s interpersonal relations theory demands that a nurse ensure that securing of health for the patient is done in a manner where the patient is an active party to the treatment process decisions. Therefore, my critical thinking will be comprised of both professional expertise together with the insights collected from the patient. This will ensure that the final decision is sensitive to both the principle of evidence-based practice and the patient’s taste and preferences when it comes to health services. As a result, from this approach to critical thinking, the final decision-making process will also be sensitive to the basic expectation of a nurse prioritizing the interest of the patient and the special needs and expectations that the patients have issues in terms of medical attention he or she needs.

References

Alligood, M. R. (2018). Nursing theorists and their work. St. Louis, Missouri: Elsevier.

Smith, M. (2019). Nursing Theories and Practice. Philadelphia: F.A. Davis Company.

Peer #2

I think of nursing mostly in ways similar to Hildegard Peplau’s “Theory of Interpersonal Relations in Nursing” (Black, 2017, p. 185).  Her theory was initially designed for psychiatric patients.  However, her work has become applicable to all nurse-patient relationships.  The basis of this theory is divided into four phases, orientation, identification, exploitation, and resolution.  The orientation phase includes defining the problem and the individual roles.  The identification phase is about clarifying the expectations of the relationship.  For example, when a patient arrives in the hospital, the problem needs to be identified and then the patient needs to be aware of what needs to be done.  The exploitation phase occurs when the patient takes complete use of his or her available services offered by the nurse.  The final stage is the resolution phase.  This phase consists of the problem being resulted and the end of the relationship; the patient is discharged from the hospital.  These phases do not occur without the previous one; they are interdependent, overlapping, and must be completed in a proper nurse-patient relationship (Peplau, 1991, pgs. 18-42).

I chose this theory because it is a full cycle of the nurse-patient relationship.  I believe we all must be aware of the situation, be educated, and utilize all available personnel to properly complete a hospital stay.  This theory can also be relevant to other hospital staff, not solely nurses.  For example, a case manager is assigned to this patient’s case.  The case manager will inform the patient of what his or her job will entail, the two will formulate a plan for discharge, the patient has the ability to take advantage of what the case manager is offering, and then the patient is discharged and can call back if they have questions. 

Hildegard Peplau’s “Theory of Interpersonal Relations in Nursing” is a wonderfully coordinated set of roles and processes for the nurse-patient relationship.  From admission to discharge, this theory speaks to me as a nurse.  If we are able to understand the patient’s background and other influencing factors during the orientation phase, we can modify how we respond during the identification phase.  By doing so, the patient will be able to better utilize the exploitation phase.  Thus, the care of the patients is better and the outcomes are improved (Gonzalez, 2019).

References

Black, B. P. (2017).  Professional nursing: Concepts & challenges (8th ed.). St. Louis, 

            MO: Elsevier.

Gonzalez, A. (2019, August 24). Hildegard Peplau: Interpersonal Relations Theory Guide. Retrieved June 23, 2020, from https://nurseslabs.com/hildegard-peplaus-interpersonal-relations-theory/

Peplau, H. E. (1991). Interpersonal relations in nursing  : A conceptual frame of 

            reference for psychodynamic nursing (Reprint). Springer Pub Co.

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement – 2025 Assignment Legislation Comparison Grid and Testimony Advocacy Statement As a nurse how often have you thought

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Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement – 2025

 

Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

  • Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

  • Determine the legislative intent of the bill you have reviewed.
  • Identify the proponents/opponents of the bill.
  • Identify the target populations addressed by the bill.
  • Where in the process is the bill currently? Is it in hearings or committees?
  • Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

  • Advocate a position for the bill you selected and write testimony in support of your position.
  • Describe how you would address the opponent to your position. Be specific and provide examples.
  • Recommend at least one amendment to the bill in support of your position.

W5- Foundations Of Nursing Research – 2025 Instructions Using the Week 5 research template identify the research components listed on the template Select a nursing

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W5- Foundations Of Nursing Research – 2025

Instructions

Using the Week 5 research template identify the research components, listed on the template. Select a nursing research article from the list below and address each of the following criteria: 
If a component is not present in the article, its absence should be discussed.

·  Identify the research problem.

·  Identify the research purpose.

·  Summarize the review of literature.

·  Identify the nursing framework or theoretical perspective. 

·  Identify the research questions and hypotheses.

·  Identify the variables.

·  Identify and discuss the appropriateness of the design.

·  Describe the procedures for data collection

·  Discusses the validity and reliability of the instruments, tools, or surveys.

·  Describe the final sample.

·  Summarize the results including statistical analysis used or other method of analysis.

·  Discuss the significance of the study. Did it resolve the question?

·  Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.

·  Describe any cultural aspects of the study.

·  Describe how the results of the research may affect future nursing practice.

·  Apply the research to your nursing practice.

NOTE: If a component is not addressed, the student receives a zero for that component.

Sousa, J.P., & Santos, M. (2019). Symptom management and hospital readmission in heart failure patients. A qualitative study from Portugal. Critical Care Nurse Quarterly 42(1), 81-88.

Nurses’ Preparedness and Perceived Competence in Managing Disasters

The Lived Experiences of People with Chronic Obstructive Pulmonary Disease: A Phenomenological Study

Zaken, Z.B, Maoz, E., Raizman, E. (2018). Needs of relatives of surgical patients: Perceptions of relatives and medical staff. MEDSURG Nursing 27(2), 110-116.

Cite all sources in APA format.

research m3l9 – 2025 Scenarios A researcher wonders how well the sense of smell functions during sleep In general we know that

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research m3l9 – 2025

Scenarios:

A researcher wonders how well the sense of smell functions during sleep. In general, we know that our sensory systems operate at a higher threshold during sleep. That is, a more intense stimulus is required to elicit a response during sleep than during wakefulness. Furthermore, we are less responsive during some stages of sleep than during others. Experiments using sounds suggest that we are less responsive during stages 3 and 4 sleep (deep sleep) than during stages 1, 2, or REM sleep (lighter sleep). Thus, the 4 – 16 researcher predicts that research participants will be less responsive to odors during stages 3 and 4 sleep than during the other stages of sleep. The researcher devises a system for delivering odors while college students sleep in the laboratory. Peppermint fragrance is delivered at specific times through a modified oxygen mask that the students wear while they sleep. Electrodes are attached to each student’s scalp, face, and chin to determine sleep staging. Electrodes are also attached to each student’s chest to record heart rate. A change in heart rate following presentation of the odor is used to indicate that the participant detected the odor.

  1. Read the scenario above and answer the following questions:
    1. What is the research hypothesis?
    2. What is the independent variable?
    3. Is the independent variable a qualitative variable or a quantitative variable?  Explain. 
    4. Why might the researchers want to use multiple dependent variables?
    5. Describe one limitation of this study.

Create a Memory Matrix – 2025 Create a memory matrix for Italy by listing two three complete sentences for each of the eight factors

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Create a Memory Matrix – 2025

Create a memory matrix for Italy by listing two-three complete sentences for each of the eight factors and using the format in Table 3.1, which is on page 34 of Lovett-Scott and Prather (2014). The United States is used in the example. The authors chose to use words and short phrases as memory joggers. In this assignment, you are required to use complete sentences with correct grammar and punctuation. If you use information from any resource other than your textbook, you will need to provide citations and references in correct APA format. If you use your textbook, you do not need to provide citations or a reference. Your grade will be based on the accuracy and completeness of your sentences as related to each factor.

Evidenced Based Nursing – 2025 In this Assignment you will use an appraisal tool to conduct a critical appraisal of published research You will

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Evidenced Based Nursing – 2025

  

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

· Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.

· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

· Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Articles reviewed. Topic: Falls & prevention of falls in our healthcare setting

Bechdel, B., Bowman, C., & Haley, C. (2014). Prevention of Falls: Applying AACN’s Healthy Work Environment Standards to a Fall Campaign. Critical Care Nurse, 34(5), 75–79. https://doi-org.ezp.waldenulibrary.org/10.4037/ccn2014987 . 

(November 9, 2015 Monday). TJC: Time to curb patient falls in healthcare settings. ED Management. Retrieved from https://advance-lexis-com.ezp.waldenulibrary.org/api/document?collection=news&id=urn:contentItem:5HBV-SJB1-JBDY-B361-00000-00&context=1516831.

Quigley, P. A. (2016). Evidence Levels: Applied to Select Fall and Fall Injury Prevention Practices. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses, 41(1), 5–15. https://doi-org.ezp.waldenulibrary.org/10.1002/rnj.253

Robey-Williams, C., Rush, K. L., Bendyk, H., Patton, L. M., Chamberlain, D., & Sparks, T. (2007). Spartanburg Fall Risk Assessment Tool: a simple three-step process. Applied Nursing Research : ANR, 20(2), 86–93.

Changing Maladaptive Behaviors in Nursing – 2025 In your reading assignment there are two sections on chemical dependency and codependency which are maladaptive behaviors

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Changing Maladaptive Behaviors in Nursing – 2025

In your reading assignment, there are two sections on chemical dependency and codependency, which are maladaptive behaviors nurses may become “emotionally and physically” trapped in. Discuss your feelings about these behaviors affecting nurses in their careers and home life. If you were the unit manager, how would you try to help these nurses who have become chemically dependent or codependent in their practice?

Nursing Theory – 2025 Questions Think of a patient you have cared for lately What pattern changes did

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Nursing Theory – 2025

Questions

  1. Think of a patient you have cared for lately. What pattern changes did you see that told you the patient was getting better or worse?
  2. What do you think “a pandimensional view” means?
  3. Can you see a similarity between “strengthening the integrity of the human field “this and Neuman’s concept of “strengthening lines of defense”? Explain
  4. In the area where you work, what are some behaviors you look for that tell you your patient has a “change in their curve”? How do your follow up on these changes?

Budgeting and Timeline Tools – 2025 Describe the budgeting tool s you will use and the steps you plan

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Budgeting and Timeline Tools – 2025

· Describe the budgeting tool(s) you will use and the steps you plan to take in order to identify the financial resources necessary for your Strategic Plan issue. Explain your rationale for your selected tool(s) and plans.

· Explain your plans for outlining the timeline for implementation of your proposed change. Explain which timeline tool(s) you will use and how they will represent the activities needed to successfully plan and implement your project.

· Explain how your timeline can allow leeway for variance.