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2023 In a reflection of 450 600 words explain how you see yourself fitting into the
by adminNursing 2023 Assignment
In a reflection of 450 600 words explain how you see yourself fitting into the 2023 Assignment
In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:
Identify your options in the job market based on your educational level.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
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2023 APA format 2 pages long 3 references 1 from walden university library Due
by adminNursing 2023 Need Response to below discussion
APA format 2 pages long 3 references 1 from walden university library Due 2023 Assignment
APA format 2 pages long 3 references 1 from walden university library
Due 3/20/19 at 7pm
Impact of Internal Factors on Development and Approval of Curriculum
Impact of Internal Factors
As a bone marrow transplant (BMT) coordinator, education of our patients and their caregivers is our most important role. When we prepare a patient for their admission for their BMT, we plan a family conference that includes discussing and signing consents as well as going over general restrictions that will be required when the patient is discharged. As the number of autologous transplants increased for Multiple Myeloma (MM) patients, we found we had less and less time to go over educational materials. About two years ago, we decided to develop a MM school to help rectify this problem. This would be a once a month class (in the beginning) and patients and their caregivers would attend.
Internal Factors
We pitched it to administration as a need justified by the increasing patient population as well as the idea that a better prepared patient and caregiver could equate to a decreased length of stay (LOS) as an inpatient. As our first internal factor, decreasing inpatient LOS is and had been a goal of the hospital related to initiatives by CMS (CMS.gov, 2017). We were given the go-ahead by administration.
The second internal factor that affected if we could start the school was related to resources (Keating & DeBoor, 2018). Having a conference room with AV equipment available once a month could be a struggle since there was always issues with lack of space. We were able to find an appropriate room at an odd time that would be big enough for 20 or more patients and caregivers. Having enough coordinators to teach the class was our third internal factor (Keating & DeBoor, 2018). There were two coordinators who were willing to teach the class and I was the back-up.
The actual curriculum was a power point presentation adapted from our BMT patient manual. Having the visual aid was important to us to encourage interest in the material and retention of the information by the patient and caregiver (Shabiralyani et al., 2015). We presented it to our MM physicians for input and critique and it was enthusiastically accepted. Having the class would help the physicians – they would not have to go over basic instructions and could focus on the more complicated information.
Summary
Internal factors that impact starting a program can be daunting. But if the need is justified without negative implications, it can be approved quicker than may be expected. In the case of MM school, it would be good for the patients and caregivers, good for administration and their goal, and good for the providers in giving them more time to discuss other issues with their patients.
Note: MM school is going strong with good attendance. It is now twice a month, with the second class being offered on Saturdays. The curriculum is revised annually with input from patients, caregivers, social workers, and the inpatient staff. We are now working on a poster presentation of how it was started and how well it has worked for a future nursing conference.
References
CMS.gov (2017). Outcome Measures. Retrieved from https://www.cms.gov/medicare/Quality-
Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/outcomeMeasures.html
Keating, S.B. & DeBoor, S.S. (Ed.). (2018). Curriculum, Development, and Evaluation in
Nursing (4th Ed.). New York, NY: Springer.
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2023 Measuring expected change outcomes is crucial in research to ascertain effectiveness of
by adminNursing 2023 DB Response to Marie with 2 new references in APA format
Measuring expected change outcomes is crucial in research to ascertain effectiveness of 2023 Assignment
Measuring expected change outcomes is crucial in research to ascertain effectiveness of planned change into real-world clinical practice. Outcome evaluation is important at all levels including patient, clinician, and organization level. Outcomes need to be measured throughout the process including at the beginning, short-term, and long-term (Melnyk & Fineout-Overholt, 2015). Cultivating change mentors and champions can help improve outcomes and provide ongoing training with clinicians including “circulate information, encourage peers to adopt the innovation, arrange demonstrations, and orient staff to the innovation” (LoBiondo-Wood & Haber, 2014, p. 434).
Expected Change Outcomes
The expected outcome from this change will be a decrease in surgical site infections (SSI) with postoperative patients. Many factors come into play when measuring outcomes which include measurement tools, validity of instruments and tools to measure outcomes, as well as accurate self-reporting in regard to clinician compliance (Melnyk & Fineout-Overholt, 2015). Outcomes can be measured by tracking statistics on postoperative patients regarding type of preoperative bathing solution used prior to surgery, the incidence of postoperative SSI, clinician compliance with intervention at point-of-care, 30-day hospital readmission data as well as patient satisfaction surveys (HCAHPS) over a 6-month period. The results will determine if the change will be translated into practice.
Implementation Process Outcomes
Utilizing EBP leaders (mentors) can help with all aspects of the change process. Mentors give guidance, encouragement, help foster self-confidence in clinicians as well as reinforce values to the team. The ARCC change model stresses the importance of utilizing change mentors and champions to improve quality of care as well as patient outcomes. Assigning a change leader and unit champions will help to provide support such as ongoing organizational assessment, conduct EBP workshops and provide ongoing education, encouragement with clinicians and staff focused on a culture of EPB, institute EBP implementation strategies (EBP rounds, newsletters, journal clubs, etc.), assess for and focus on overcoming barriers, facilitate involvement of staff and point-of-care clinician compliance, and implement a culture of multidisciplinary collaboration to promote and sustain EBP (Melnyk & Fineout-Overholt, 2015, p. 378).
References
LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier.
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Retrieved from Amazon Kindle App
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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.
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2023 In this discussion we will talk about out expected change outcomes and implantation
by adminNursing 2023 DB Response to Sage with 2 new references in APA format
In this discussion we will talk about out expected change outcomes and implantation 2023 Assignment
In this discussion we will talk about out expected change outcomes and implantation process outcomes. We will focus on our outcome’s management. “The principles supporting outcomes management (OM) ascribed by Ellwood included emphasizing practice standards that providers can use to select interventions, measuring patient functional status, well-being, and disease-specific clinical outcomes, pooling outcome data on a massive scale, analyzing and disseminating outcomes, in relation to the interventions used, to appropriate decision makers and stakeholders” (LoBiondo-Wood, Haber, 2014, pg. 225)
Expected Change Outcomes
Our expected outcome would be patients with COPD who practice relaxation techniques versus not using relaxation techniques would see an improvement in their dyspnea and anxiety in a years’ time. Our goal would to be better control our patient’s COPD and decrease exacerbations and dyspnea. Also, to decrease the scores on the patients PHQ-9 and GAD-7 questionnaires. In doing so we would have less re-admissions to hospitals and a better quality of life. Our measurable goal would to have a decrease in admission to the hospital for COPD exacerbations. This would be measured by looking at how many times a patient was admitted to the hospital in the previous year and try to decrease this number. Then we would compare it to how many times she was hospitalized after educating them on relaxation techniques to see if the number of admissions decreased
Implementation Process Outcomes
The implementation process will be that every nurse will be doing both the education and screenings by the first week once we make the change in practice. The nurse manager will ensure that all nurses are educated on the relaxation techniques and screenings, and that they are being done with every COPD admission. By the second appointment for the COPD patients, our patients will be screened on performing the relaxation techniques correctly, PHQ-9, GAD-7 questionnaires, and if the patient has been to the hospital for a COPD exacerbation. We will continue to do these screenings at every appointment. We will see our COPD patients every 3 months to evaluate. We will see them at the end of the year and compare their current numbers to their numbers in the beginning of the year. Our nurses will have quarterly meetings to ensure everyone is teaching their relaxation techniques correctly and are doing their questionnaires. Specific barriers that we could run into is nursing staff rushing through the demonstration of the relaxation techniques and rushing the patients during their PHQ-9 and GAD-7questionsairs. This will be eliminated by giving the nurses more time when checking in COPD patients.
Reference
LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier. ISBN-13: 978-0-323- 10086-1
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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.
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