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2025 Post a description of the healthcare organization website you reviewed Describe where if at all EBP appears e g
by adminEvidence based practice 2025
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
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2025 Word cloud generators have become popular tools for meetings and team building events Groups or teams
by adminDiscussion 2: The Role of the RN/APRN in Policy-Making 2025
Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role. What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud? Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation. To Prepare: Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making. Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process. By Day 3 of Week 8 Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making . Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples. By Day 6 of Week 8 Respond to at least two of your colleagues’ * posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues. *Note: Throughout this program, your fellow students are referred to as colleagues. Everything should be in APA 7 formart. At least 3 references all with DOI number and at least 3 paragraphs for mainpost and 2 for replies.’ Discussion for reply one (Guy) RNs and APRNs have crucial roles in health care to inform decisions of policy making. There are many opportunities that exist for nursing professionals to participate in policy making. According to Burke (2016), “It’s essential that policies exist that define and integrate appropriate standards for delivery of care and address conditions necessary for that care to occur. Through policy work, nurses can and should influence practice standards and processes to assure quality of care. Nurses who influence policy help share the care that will be provided today and tomorrow. Policies also impact resource allocation to support delivery of healthcare”. One opportunity that exists for nurses to become active in policy making is to become a member of the American Nurses Association. According to Catallo, Spalding, & Haghiri-Vijeh (2014), “Policy products that the ANA offers include a “policy activist took kit”. As part of this took kit, RNs are provided with resources that include how to get involved in a political campaign, writing letters to the editor, how to engage politicians and carry out lobbying activities”. The article “Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy?” discusses how nurses can become engaged in health policy activities and how to address policy issues. Another opportunity that exists for nurses to become active in policy making is to advance their education by becoming an APRN. According to Regis College (n.d), “Nurse practitioners have an opportunity to serve as advocates for patients, families, communities, other nurses, and health care organizations. Through this advocacy, nurse practitioners can influence health care policy. By gaining a comprehensive understanding in particular areas of health care, nurse practitioners are uniquely situated to support positions that will benefit out communities”. Becoming an APRN prepares your ability to participate in advocacy of health care policy making. A strategy that can be used to promote nursing professionals involvement in policy making is to do so through nursing employers. For example, I would propose to create and implement a “Policy Committee” through my hospital organization to discuss the potential nurse advocacy benefits we can offer to policy making. In addition, as mentioned by Catallo et al,. (2014), to convey “Political awareness and understanding of the importance of being involved in nursing organizations, time to engage in policy development outside of nursing work, and resources to develop skills in policy participation”. Another strategy that can be implemented to overcome to barriers of nursing involvement in policy making is to do so through nursing education. According to Short (2008), “The foundations for a professional understanding of health care policy should be well laid in formal education and synthesized with practice and work environments. Without time to promote synthesis of policy concepts related to the practice environment, nurses have no basis for further exploration and may remain naive to the influences of policy throughout their career”. If nursing students (RN or APRN) were exposed to health care policy and the influence their roles can have on policy making during their nursing education, there would be much more nursing involvement in health care policy that is needed today. References Burke, A. (2016). Influence Through Policy: Nurses Have a Unique Role. Retrieved October 18, 2020 from https://nursingcentered.sigmanursing.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role. Catallo, C., Spalding, K., & Haghiri-Vijeh, R. (2014). Nursing Professional Organizations: What Are They Doing to Engage Nurses in Health Policy? SAGE Open . https://doi.org/10.1177/2158244014560534 Regis College (n.d). How Does Nursing Influence Health Care Policy? Retrieved October 18, 2020 from https://online.regiscollege.edu/blog/how-does-nursing-influence-health-care-policy/ Short N. M. (2008). Influencing health policy: strategies for nursing education to partner with nursing practice. Journal of professional nursing: official journal of the American Association of Colleges of Nursing. 24(5), 264–269. https://doi.org/10.1016/j.profnurs.2007.10.004 Discussion for reply two(Megan) “The design phase of the policy process is the point at which the original intent of a solution to a problem is understood and the appropriate tools are employed to achieve policy success” (Milstead, 2019). The creation of policies, or presenting your idea, is how nurses can participate in policymaking. Actively working in the nursing field can help nurses see problems that arise and a better solution to patient needs. Bringing these ideas to congress to make changes will benefit the need of the patients. “Nurses’ influence in health policies protects patient safety, increases quality of care, and facilitates their access to the required resources and promotes quality health care” (Arabi et al., 2014). Advocacy is another way that nurses can participate in policymaking. “We have been patient advocates in our interactions with doctors and administrators, why not with Congress“ (L. Phillips, 2020). Nurses should feel excited and empowered that they get to have a voice in the political world to make healthcare changes. Advocating for our patients is our duty, and I cannot think of a better way to do this than policy creation or changes. “As a component of professional nursing, active participation in the policy process is essential in the formulation of policies designed to provide quality health care at sustainable costs to all individuals” (Milstead, 2019). Some of the challenges nurses face when getting involved with policymaking are getting push back from legislators and finding the evidence-based practice to support ideas. Nurses must band together and fight for what we know is right and what our patients need. Becoming an active member of a nursing organization can help support new policies or change old policies. Support strength comes in numbers. Having multiple people that share the same ideas will decrease pushback. Finding evidence-based practice to support our ideas may pose a problem, but putting in work to find or create research will be worth it, in the end, to help our patients with new or changed policies. Also, becoming a member of a nursing association can assist with finding or creating evidence-based practice. The strategies I think will help advocate for these opportunities is being involved in a nursing association and providing courses like this to nurses. I know I spoke of nursing associations already, but I cannot think of a better way to come together and share our similar experiences and ideas to improve processes and policies to assist our patients. Providing courses like this to help educate nurses and get them involved in politics helps drive home the importance of our voices. References Arabi, A., Rafii, F., Cheraghi, M., & Ghiyasvandian, S. (2014, May 19). Nurses’ policy influence: A concept analysis. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061635/ Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Pg. 97 Phillips, R. (2003). Health Care Policy: The Nurse’s Crucial Role. American Academy of Ambulatory Care Nursing. https://www.aaacn.org/volunteer/teams/legislative/health-care-policy-nurses-crucial-role
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2025 Work Breakdown Structure WBS Within reason is there such a thing as a
by adminWork Breakdown Structure 2025
Work Breakdown Structure (WBS) Within reason, is there such a thing as a project that is too complex to complete? Consider the Space Shuttle. One of the most complex machines ever built, the Space Shuttle had over 2.5 million parts, each of which had to be accounted for by someone. How did anyone manage to track and properly assemble these parts? The answer is through the application of a work breakdown structure (WBS). A WBS is a fundamental tool that project managers use to organize and divide the work of a project. A WBS focuses on breaking down a project’s scope into individual deliverables that may be created by assigned team members. There are multiple work breakdown structure formats and each has its own advantages and disadvantages. Project managers select a type of WBS based upon the specifics of the project they are managing. Each WBS format emphasizes different aspects of a project. These varied perspectives may each be appropriate, depending upon what information a project manager needs. In this Discussion, you analyze different WBS formats and evaluate whether they meet basic criteria for clarity. To prepare: Explore the Work Breakdown Structure Formats document included in this week’s Learning Resources. The document presents a scenario and three corresponding WBS formats that pertain to the scenario. (SEE ATTACHED PDF FILE) Consider the advantages and disadvantages of each WBS format included in the document. Think about the level of detail dedicated to task information in each WBS format. Evaluate the formats based on the following criteria for clarity: The task has a measurable status or completion. The task has defined start and end events. The task has a deliverable. The task’s time and cost are easily estimated. The task can be completed without interruption and additional input after its start. Post by tomorrow 10/04/16 a minimum of 550 words essay in APA format with 3 references. Based on the Work Breakdown Structure Formats document attached in the file area, address the level one headings as numbered below: 1) An analysis of the advantages and disadvantages of each work breakdown structure format. 2) Provide an analysis of whether (and how) the work breakdown structures meet the assigned criteria for clarity. 3) Provide a rationale for your response. Required Readings Biafore, B. (2010). Microsoft Project 2010: The missing manual . Sebastopol, CA: O’Reilly. Chapter 4, “Breaking Work Into Task-Sized Chunks” (pp. 77–100) This chapter explains how to create a work breakdown structure and how to import a work breakdown structure into Microsoft Project. Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill. Chapter 3, “Project Management” “Prepare Work Breakdown Structure and WBS Dictionary” (pp. 53–56) This section of Chapter 3 reviews the core processes of preparing a work breakdown structure (WBS). The chapter provides an example of a WBS and details its essential components. Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author. Chapter 5, “Project Scope Management” 5.3, “Create WBS” (pp. 125–132) This section of Chapter 5 reviews the process of creating a work breakdown structure. Specifically, the chapter examines how to determine inputs, WBS tools and techniques, and outputs. Kendrick, T. (2009). Identifying & managing project risk: Essential tools for failure-proofing your project (2nd ed., Ebrary version). New York, NY: AMACOM. Retrieved from the Walden Library databases. Chapter 3, “Identifying Project Scope Risk” (pp. 40–69) This chapter examines methods of identifying scope risks and the types of scope risks pertaining to project deliverables. The chapter highlights a variety of sources of scope risk as well. Shirey, M. R. (2008). Project management tools for leaders and entrepreneurs. Clinical Nurse Specialist , 22 (3), 129–131. Retrieved from the Walden Library databases. The author of this article introduces project management tools that clinical nurse specialists may use to coordinate team work. The article highlights the usage of one such tool, the Gantt chart. Thomas, M., Jacques, P. H., Adams, J. R., & Kihneman-Wooten, J. (2008). Developing an effective project: Planning and team building combined. Project Management Journal , 39 (4), 105–113 . Retrieved from the Walden Library databases. This article analyzes project planning and control and the process of developing a project plan. The article also reports the results of research that sought to determine 137 organizations’ approaches to establishing projects. U.S. Government Accountability Office. (2009, March 2). Work breakdown structure. GAO Reports, 65–78. Retrieved from the Walden Library databases. This article examines the importance of a work breakdown structure (WBS) in project management. The chapter demonstrates how a WBS assists in resource identification, cost estimation, and risk determination. Wu, Z., Schmidt, L. P., & Wigstrom, M. S. (2010). Product development workflow management based on work breakdown structure. IIE Annual Conference. Proceedings, 1–5. Retrieved from the Walden Library databases. The authors of this article highlight the usage of WBS in managing complex product development projects. The authors examine how a WBS helps represent and manage the intricacies of tasks and activity relationships. Mathis, M. (n.d.). Work breakdown structure: Purpose, process and pitfalls. Retrieved March 13, 2013, from http://www.projectsmart.co.uk/work-breakdown-structure-purpose-process-pitfalls.html This article provides a general review of the WBS. The author focuses on the purpose, process, and pitfalls of a WBS. Document: Work Breakdown Structure Formats (PDF) (See ATTACHED PDF IN FILE AREA) This document presents a scenario and three corresponding work breakdown structures that you will use for your Discussion this week . Required Media Laureate Education (Producer). (2013c). Planning, part I: Defining project scope and activities [Video file]. Retrieved from https://class.waldenu.edu Note: The approximate length of this media piece is 6 minutes. In this presentation, the participants discuss defining project scope and project activities, using the work breakdown structure, and managing project risk through SWOT analysis.
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2025 It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of the pathophysiological
by adminCase Study: Mrs. J. 2025
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the 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. PLEASE FOLLOW RUBRICS Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived Evaluation of appropriateness of nursing interventions at the time of admission is thoroughly discussed. A well-supported explanation for each of the medications listed is presented. Strong and compelling rationale is provided. signs and symptoms. Four cardiovascular conditions that may lead to heart failure are clearly described. Medical and nursing interventions to prevent the development of heart failure in each condition are discussed. Overall, the discussion demonstrates insight into medical and nursing interventions used to prevent heart failure. Four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients are discussed. The discussion fulfills the assignment criteria and strong rationale for the interventions is provided. A well-developed health promotion and restoration teaching plan for the patient is presented. Multidisciplinary resources for rehabilitation and any modifications that may be needed are clearly discussed. An strong explanation for how rehabilitation resources and modifications assist patient transition to independence is presented. The overall discussion is well-supported. A method for providing education to the patient for the maintenance of prescribed medications that prevents future hospital admissions is thoroughly described. The method is clearly appropriate for the client and prevents readmission. Strong rationale is provided for support. All appropriate COPD triggers exacerbating return visits are clearly outlined. Strong options for smoking cessation are detailed and are highly relevant to the patient. All appropriate COPD triggers exacerbating return visits are clearly outlined. Strong options for smoking cessation are detailed and are highly relevant to the patient. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
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