2023 Write a critical appraisal that demonstrates comprehension of two quantitative research studies Use the

Nursing 2023 Rough Draft Quantitative Research Critique and Ethical Considerations

Write a critical appraisal that demonstrates comprehension of two quantitative research studies Use the 2023 Assignment

 

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer‐reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

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

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2023 1 Case Study Chapter 43 Drugs Affecting Blood Pressure 50 points if all questions are

Nursing 2023 Pharmacology

1 Case Study Chapter 43 Drugs Affecting Blood Pressure 50 points if all questions are 2023 Assignment

  

1. Case Study, Chapter 43, Drugs Affecting Blood Pressure 

50 points if all questions are answered correctly

A staff nurse has to administer medications for blood pressure to several patients in the coronary care unit. The medications include captopril, diltiazem, and nitroprusside. The medications have to be administered to three older adults. 

a. What are the indications for captopril?

b. What are the therapeutic actions for diltiazem?

c. What are the most common adverse reactions for nitroprusside?

d. What are the lifespan considerations in the older adult for the use of drugs that affect blood pressure?

e. What are the nursing implementation considerations for a patient receiving nitroprusside for blood pressure?

2. Case Study, Chapter 46, Antianginal Agents

50 points if all questions are answered correctly

A student nurse is preparing a paper on coronary artery disease, including the risk factors and the clinical presentation. The paper must include a review of common antianginal agents: nitrates, beta-blockers, and calcium channel blockers. 

a. What are the therapeutic actions, indications, and pharmacokinetics for nitroglycerin?

b. What are the indications and pharmacokinetics for metoprolol?

c. What are the therapeutic actions for diltiazem?

d. What are the considerations for the older adult for the use of antianginal agents?

e. What are the important teaching points for patients receiving antianginal nitrates?

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2023 Discussion Discuss the Difference Between an Exploratory Analysis and a Confirmatory 250 word minimum

Nursing 2023 Discuss the Difference Between an Exploratory Analysis and a Confirmatory

Discussion Discuss the Difference Between an Exploratory Analysis and a Confirmatory 250 word minimum 2023 Assignment

 

Discussion

Discuss the Difference Between an Exploratory Analysis and a Confirmatory

·         250-word minimum

·         At least 1 outside scholarly reference is required besides the course textbook .

·         Must answer the discussion question and address the topic in the reply

         post.

Must respond to 1 other discussion question. Reply must be a minimum of 100 w

Turnit it similarity maximum 20%

Add a new discussion topic
 

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2023 Week 3 peers response Class 6050 Response 1 3 days ago Marie Joseph RE Discussion Week 3 COLLAPSE Initial

Nursing 2023 Peer Responses Week 3 Class 6050, 6051

Week 3 peers response Class 6050 Response 1 3 days ago Marie Joseph RE Discussion Week 3 COLLAPSE Initial 2023 Assignment

  

Week 3 peers response 

Class 6050 

Response #1 

3 days ago

Marie Joseph 

RE: Discussion – Week 3

COLLAPSE

Initial Post

In an effort to reform the American Healthcare system, President Barack Obama signed The Affordable Care Act into law in 2010. This bill is supposed to guarantee health insurance to millions of uninsured Americans and lower the cost associated with healthcare. Its constitutionality has been challenged in court in 2012 and 2015, but the Supreme Court ruled in its favor (Auerbach, 2019)

Many families in the United States are debating how it will affect them if they “repeal and replace the Affordable Care Act (ACA)”. They are wondering if they will be able to keep or afford their health coverage or their prescribed medications. Deductibles and out-of-pocket costs are so high causing most of the working adults to be underinsured despite being enrolled in the ACA. Repeal the Affordable Care Act (ACA) will have a devastating effect on the families and the elected officials as well as they are no clear alternative to replace it. It is costly but needed. It is estimated that 13 million Americans will lose their healthcare coverage over a decade as a result and States will lose in federal funding and subsidies paid to the marketplace (Thompson et al 2018).

 Among the successes of the ACA, one can name: people can’t be denied coverage due to pre-existing conditions, Medicaid is expanded and individuals can get preventative services at no charge.

In her article Pros and Cons of the Affordable Care Act, Champagne (2014) found many issues with marketplace processing and lot of inconsistencies with what people are being told. She gave an example where families have to get different coverage for different members. A mother was told that her newborn was covered by Medicaid and her other two children have a state insurance plan. It turned out that the baby was not and the other two were dropped by the system because it shows that they have a third party coverage which doesn’t exist.

All this reveal the importance of an established plan to strengthen the health care system. The plan must be highlighted from the start to make the system works for every American Citizen. And the civil society will benefit the most from its best practices.

References

Auerbach, M. P. (2019). Patient Protection and Affordable Care Act. Salem Press Encyclopedia, 2019. Retrieved on September 13, 2020 from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=3&sid=

Champagne, D. M. (2014). Pros and Cons of Affordable Care Act. Daily Record. Retrieved on September 13, 2020 from https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?

Thompson, F. J; Gusmano, M. K; Shinohara; S. Publius: The Journal of Federalism: Summer 2018, Vol.48 Issue 3 p.396-424. Access from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/results?vid=13&sid=

—————————————————————————————————————-response #2

Donald Freeman 

RE: Discussion – Week 3

COLLAPSE

Week 3 Discussion

Main Post

The cost-benefit for legislators can be a complicated subject. In the case of The Affordable Care act, there are many different sub-categories to consider since the act covers a wide range of issues from financial to medical. It has been said that the “number one job of a legislator is to be re-elected” (Walden University, n.d.). This is not a valid statement and appears to be used to sway the beliefs of the reader to a particular viewpoint that is the same as the author. The responsibilities of a legislator according to Article 1 of the Constitution (Whitehouse.gov, n.d.) is that:

The Legislative Branch consists of the House of Representatives and the Senate, which together form the United States Congress. The Constitution grants Congress the sole authority to enact legislation and declare war, the right to confirm or reject many Presidential appointments, and substantial investigative powers.

Legislators have taken up a role that does not necessarily conform to the restraints and confines of the Constitution of the United States. Although it is not a popular view when lobbying a legislator, one must uphold strict adherence to the rule of law and not consider that the legislator needs to be re-elected, and therefore might not listen to the particular petition or agree with it. A nation cannot survive if it goes down the slippery slope that has more than taken over popular views in the legislative process and academics.

As it relates to The Affordable Care Act, many republican legislators ran their campaigns based on “repeal and replace.” In 2017, 43 republicans voted to repeal and replace the bill, while nine Republicans voted no. The procedural vote failed with a 57 to 43 vote in the senate (The New York Times, 2017). The line between politics and healthcare is thin. In 2019, those who lobbied against the unconstitutional provisions in the bill won. Because the legislators that crafted the bill included unconstitutional mandates, the Department of Justice backed the court that ruled the ACA bill as being unconstitutional (Straub, 2019). Although the republican legislators are focused on their voters that might vote for another candidate if they do not carry out legislation that is important to the voters, they can still accomplish constitutional legislation. Nurses, such as the author of this article, expect the legislators to follow the rule of law and would lobby them in that manner requiring legislators to stand against unconstitutional legislation. Some lobbyists demand unconstitutional laws and the legislators feel obligated to put those requests into law for fear of losing their job. For instance, abortion.  Many nurses lobby for the killing of infants in the mother’s womb and other legislation that is associated with that practice even though Americans have a right to life. The fourteenth amendment of the Constitution Section 1 states that (Congress.gov, n.d.):

No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.

Legislators make laws as if there is a mandate to kill unborn infants. They know that they will lose their seat if they don’t vote for this injustice. That line of reasoning is a gross breach of the Constitution and the law. Many voters expect that the democrat party will continue to defend the killing of infants. Some would say, “What would be the use of lobbying a democrat legislator about the basic human right to life?” This nurse would explain, “Stand up for the law, human rights and dignity.” As a nurse, we have to pursue ethical standards. These standards would include the protection of life, even the life of infants. Our lobbying will reflect our values. The Affordable Care Act included funding for abortion (Abortion in Obamacare, n.d.). This, among some other unconstitutional provisions are included in the healthcare plan due to the lobbying the health care industry.

References

Abortion in Obamacare. (n.d.). Family Research Council. http://www.obamacareabortion.com/

Clowes, B. (2018, June 28). Isn’t Abortion Protected by the Constitution. https://www.hli.org/resources/abortion-no-constitutional-human-right/

Congress.gov. (n.d.). Constitution of the United States. https://constitution.congress.gov/constitution/amendment-14/

Straub, S. (2019, March 25). DOJ Determines Obamacare is Unconstitutional and Illegal. https://thefederalistpapers.org/us/doj-determines-obamacare-unconstitutional-illegal

Taylor, D., Olshansky, E. F., Woods, N. F., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017). Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education [Nursing Outlook 65/2 (2017) 242–245]. Nursing Outlook, 65(3), 346–350.

The Legislative Branch. (n.d.). Whitehouse.gov. https://www.whitehouse.gov/about-the-white-house/the-legislative-branch/

The New York Times. (2017, July 28). How each senator voted on Obamacare repeal proposals. https://www.nytimes.com/interactive/2017/07/25/us/politics/senate-votes-repeal-obamacare.html

Walden University. (n.d.). Discussion: Politics and the Patient Protection and Affordable Care Act. https://class.content.laureate.net/2c51bef1aefbf63b0e5c7e8b705335ad.html

————————————————————————————————————–

CLASS 6051 

RESPONSE #1

Patrinia Sanders 

RE: Discussion – Week 3

COLLAPSE

NURS 6051

DISCUSSIONN BOARD : Week3

Nurse Informaticist interaction with other professionals within the organization

            Nurse informatics requires nurse leaders to have competencies in computer information. The nurse informaticist should have project management skills, which needs to be integrated with nursing science with information and analytical science to identify, define manage and communicate data and information (Sipes, 2016).

            The goal of the Nurse informaticist is to improve the organization nursing agenda and provide guidance into decision as they relate to the improvement of patient care.  The nurse informaticist will have communication with other team members, other nurse managers, social workers/case managers, medical doctor, psychiatric doctor, all communication need to be clear and concise and related in a manner so that others involved in patient care will do so with the best treatment plan which is patient centered. The Nurse informaticist interaction with other professionals also known as the content team is important as findings or fallouts can be corrected (Mosier, et al., 2019)

            The nurse leader the serves as an informaticist when there is a meeting he communicates with the team via cell phone where we have Zoom Meeting simply providing us with a  host number which to call and an access Identification to join meetings. The dynamics of informatics in communication is realized when staff members from other hospitals join the meeting. Issues as it relates to patient care can be addressed and input from staff, which include other team members not only nurses, but the social workers and mental health technician (Ng, et al., 2018).

            Another example of the nursing informaticist using information to relate to other professional is in assessment process of the patient. The facility provides suicide assessment scale, use on  the behavioral health unit which is known as the  Columbia Suicide Scale that is used of assessing the severity of suicide ideation on all patients that are on the unit.

The Columbia suicide scale is used to access all patients that are admitted on the unit. The range of the scale ranges from high risk, moderate risk, low risk, and no risk. This assessment is done on admission and on once every shift. The Columbia Scale is completed by the nurses. The nurse leader runs report on these results. If the patient is high risk or moderate risk after assessment then the doctor should be notified, so that an order can be given for High Risk Patient for a 1:1

Monitoring. If the patient is moderate risk for suicide he or she may be put on a line of sight where the patient remains within view of a staff member. The nurse Informaticist can access this information. If a patient is not on the appropriate precaution the nurse leader as an informaticist can reach out to the nurse /doctor / the social worker to discuss then need for the suicide precaution and  the social worker can decide if it is safe for the patient to be discharged from the facility based on feedback from the nurse or doctor.

            Another example is when the nurse Informaticist can access cameras at work from his home, also access information within the facility. Active communication is present at the facility as the director can look at cameras and correspond with staff, any safety breech on the unit can be addressed in real time. Staff without goggles or masks are encouraged to put on goggles for the safety of the patient especially during the COVID pandemic.

            Patients that have a fall there is a protocol, which needs to be followed. Then informaticist can access records to ensure that all information that needs to be completed by all the interdisciplinary team is completed. 

            I believe the continued evolution of nursing informatics and the emergence of technological advancement will have positive impact on interaction and communication between interdisciplinary team member, with the best outcome for patient centered care. The nurse informaticist in assessing and sharing information need to value patient rights and privacy and be autonomous even with beneficial technological growth.

Reference

Mosier, S., Roberts, W.D., & Englebright, J. (2019). A System -Level Method of Developing

            Nursing Informatics Solutions: The role of Executive Leadership. JONA: The Journal

            of Nursing Administration, 49(11), 543-548.

Ng, Y.C., Alexander, S., & Frith, K.H. (2018). Integration of Mobile Health Applications in

            Health Information Technology Initiatives: Expanding Opportunities for Nurse

Participation in Population Health. CIN: Computer, Informatics, Nursing, 36(5),

209-213.

Sipes, C., (2016). Project management: Essential skill of nurse informaticists. Studies in

            Health Technology and Informatics. 225., 252-256.

————————————————————————————————————–

RESPONSE #2 

Folakemi orekoya 

RE: Discussion – Week 3

COLLAPSE

Interaction between Nurse Informaticists and Other Specialists

Informatics has continued to change the face of healthcare. With technology advancement, health care providers can collect, analyze, and leverage data more effectively. The informatics influence how care is delivered, how resources are managed, the way teams operate in their daily activities. Nurse informaticists facilitate the integration of data and knowledge to offer support to the nurses, patients, and other providers in decision making within the health care environment (McGonigle & Mastrian, 2017). They help improve accuracy and provide critical data analysis to help health care providers enhance the quality of patient care. In my experience, the nurse informaticists in our organization work with the IT team to find ways to streamline and improve documentation using information technologies. They also help in improving the accuracy, timeliness, and speed of patient charting. Nurse informaticists’ continued support can enhance these interactions in the coordination and exchange of crucial clinical and technical information (Hoy & Frith, 2017). The objective can be attained by supporting and bringing together safe, effective patient care and efficient workflow.

The continued evolution of nursing informatics has a significant impact on communication in the health care organization. Communication between health professionals is simplified by informatics, and they can communicate more effectively through email, instant messages, or texts (Nagle et al., 2017). This, in turn, improves communication for health specialists to spend less time tracking each other down to communicate about their patients, hence improving the quality of care the patients receive.

References

Hoy, H., & Frith, K. H. (Eds.). (2017). Applied clinical informatics for nurses. Jones & Bartlett Learning.

Nagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics Competencies for Nurses in the Future of Connected Health, 212.

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

————————————————————————————————————–

I HAVE THIS EXTRA QUESTION FROM THE TEACHER 

Question for Iraisy

COLLAPSE

Excellent post Iraisy  Let’s talk informatics savvy :-)..

How can I help my colleagues and patients understand and use the current technology that is available?

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2023 please describe 4 5 preventive measures for opioid crisis and substance abuse in about one page This assignment is

Nursing 2023 preventive measures for opioid crisis and substance abuse

please describe 4 5 preventive measures for opioid crisis and substance abuse in about one page This assignment is 2023 Assignment

please describe 4-5 preventive measures for opioid crisis and substance abuse in about one page.

This assignment is for oral presentation and information will be used for poster board, so creativity is welcomed.

Only one reference is required either from following textbook: 

 

Clark, M.J. (2015). Population and community health nursing (6the d). Hoboken, New Jersey: Pearson.

or from peer-reviewed Nursing Journal not older than  5 years.

ISBN

9780133801316

Bl

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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 A 34 year old Hispanic American male with end stage renal disease received kidney transplant from

Nursing 2023 Serum111

A 34 year old Hispanic American male with end stage renal disease received kidney transplant from 2023 Assignment

 A 34-year-old Hispanic-American male with end-stage renal disease received kidney transplant from a cadaver donor, as no one in his family was a good match. His post-operative course was uneventful, and he was discharged with the antirejection drugs Tacrolimus (Prograf), Cyclosporine (Neoral), and Imuran (Azathioprine). He did well for 3 months and had returned to his job as a policeman. Six months after his transplant, he began to gain weight, had decreased urine output, was very fatigued, and began to run temperatures up to 101˚F. He was evaluated by his nephrologist, who diagnosed acute kidney transplant rejection. 

 Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:

Explain why you think the patient presented the symptoms described. 

 The response includes accurate, clear, and detailed reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation. 

 Identify the genes that may be associated with the development of the disease. 

 The response includes an accurate, complete, detailed, and specific analysis of the genes that may be associated with the development of the disease. 

 Explain the process of immunosuppression and the effect it has on body systems.

The response includes an accurate, complete, detailed, and specific explanation of the process of immunosuppression and the effect it has on body systems.

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2023 The argument paper should begin with a one to three sentence statement of the main

Nursing 2023 work

The argument paper should begin with a one to three sentence statement of the main 2023 Assignment

 

The argument paper should begin with a one- to three-sentence statement of the main thesis. A thesis is an argument concerning an issue. It clearly states the author’s perception. Your paper should present your beliefs or conclusions related to the topic. It should include references from the readings and outside journals and scholarly work.  These are not the same as a persuasive essay. An argument paper presents the stance in a more forceful manner. 

The paper should be 3-4 pages (not including title page and reference list – that means 750-1000 words). You are expected to use APA format for all elements. 

Topic: Sexual objectification of women in Hip Hop contributes to body dismorphia and Increased influence for Brazilian butt lift surgery

Article https://nypost.com/2019/03/19/snapchat-dysmorphia-is-behind-booming-brazilian-butt-lift-demand/

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2023 Discussion Review of Current Healthcare Issues If you were to ask 10 people what they believe

Nursing 2023 Wk 1 Dis 6053

Discussion Review of Current Healthcare Issues If you were to ask 10 people what they believe 2023 Assignment

Discussion: Review of Current Healthcare Issues

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:

  • Review the Resources and select one current national healthcare issue/stressor to focus on.
  • Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. 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

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 2, “Understanding Contexts for Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 37–62)
Chapter 3, “Current Challenges in Complex Health Care Organizations: The Triple Aim” (pp. 63–86)

Read any TWO of the following (plus TWO additional readings on your selected issue):

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360. doi:10.1056/NEJMp1801869
Note: You will access this article from the Walden Library databases.

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45. doi:10.1097/01.NAJ.0000530244.15217.aa
Note: You will access this article from the Walden Library databases.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245. doi:10.1097/NAQ.0000000000000303
Note: You will access this article from the Walden Library databases.

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256. doi:10.1370/afm.2230
Note: You will access this article from the Walden Library databases.

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404. doi:10.1016/j.profnurs.2016.11.005
Note: You will access this article from the Walden Library databases.

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604. doi:10.3122/jabfm.2018.04.170388
Note: You will access this article from the Walden Library databases.

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from
https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3 

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360. doi:10.1097/JXX.0000000000000040
Note: You will access this article from the Walden Library databases.

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880. doi:10.1377/hlthaff.2013.0531
Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future [Video file]. Baltimore, MD: Author.

use 3 sources for this discussion

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2023 I will be assisting with a 10 page paper and also no more then

Nursing 2023 Prefer someone in the medical field or interested in research in the medical field

I will be assisting with a 10 page paper and also no more then 2023 Assignment

I will be assisting with a 10 page paper and also no more then 25 slides will outline the 10page paper. No wikipedia or wedMd allowed. I will give all the information and timeline everything will be due. I’m a senior in Radiology and will need someone who will take the paper serious and no copyright. Will need a total of 9 resources at least. I haven’t decided a topic yet but will be informing the person helping me. Serious inquiries only. 

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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 The patient has been admitted to a 20 bed medical unit for treatment of acute diverticulitis

Nursing 2023 Root Cause Analysis

The patient has been admitted to a 20 bed medical unit for treatment of acute diverticulitis 2023 Assignment

  The patient has been admitted to a 20-bed medical unit for treatment of acute diverticulitis. The provider has ordered Ultram (Tramadol hydrochloride) 50 mg p.o. every 6 hours prn pain. The patient is requesting a pain medication, as it has been 8 hours since his last dose. The nurse selects the individually wrapped medication from the patient’s assigned medication drawer and scans the barcode to determine if it is the correct medication. The scanner is not working again. As she wants to administer the pain medication as soon as possible, she types in the Internal Entry Number (IEN) and the computer indicates the medication is Ultracet 37.5/325 mg but the package says Ultram 50 mg. The nurse calls the pharmacy and the pharmacist says there is only one number different between Ultram and Ultracet and, since the package says Ultram, to administer the medication because she must have typed in the wrong number. The nurse administers the medication, and within 30 minutes the patient shows signs of an allergic reaction. The nurse checks the record and determines the patient is allergic to acetaminophen. The patient is treated for the allergic reaction, and a medication incident form is completed. The nurse manager asks for a Root Cause Analysis (RCA) to be completed for the medication error.

Review the case scenario included in this week’s media resources, and examine the process flow chart, cause/effect diagram, and Pareto chart related to the case scenario.

In the scenario, 

The nurse manager and the director of pharmacy blame each other for the error. The facilitator (quality assurance person) asks everyone to avoid blaming and focus on applying the tools to analyze the data and get to the root cause of the error.

While all of these tools contribute, for this Assignment : Select one tool to analyze.

·  

· Analyze the composition of the RCA team. 

· Explain what knowledge they can contribute to the RCA.

· Describe the collaboration in the case study that led to effective problem solving. Identify the evidence you observe in the scenario that demonstrates effective collaboration and the avoidance of blaming.

· Explain the team’s process in testing for and eliminating root causes that were not contributing.

· Select one of the performance improvement charts presented in the scenario and critique its effectiveness by explaining how it contributes to identifying the root cause and determining a solution to prevent repeat medication errors.

· Identify the contributing factors, and discuss how to prevent this kind of error from occurring in the future.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

NOTE; This should be a 5-paragraph (at least 550 words) response.

Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)

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 these chapters are previously assigned readings, please review them in preparation for this week’s material.

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

  • Chapter 18, “Leading Change” (pp. 319-335)

https://class.content.laureate.net/a6596733e7b39b81cb24d77c15f22999.html#section_container0 

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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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