2023 Assignment Conduct an assessment of the health care environment where you work i e health department long term care

Nursing 2023 cultural competency.

Assignment Conduct an assessment of the health care environment where you work i e health department long term care 2023 Assignment

Assignment:

Conduct an assessment of the health care environment where you work (i.e. health department, long-term care facility, specialty clinic, inpatient hospital, etc). Specifically, examine potential barriers that may exist for a member of a minority group that has a significant presence in your community (i.e. Native American, Cubans, Hmong). Using the criteria below (and explained in greater detail on pages 39 and 40), assess the potential organizational barriers to care in your work environment. Explore ways to decrease barriers to health care for this minority group so that your organization can strive for cultural competency.

  • Availability
  • Accessibility
  • Affordability
  • Appropriateness
  • Accountability
  • Adaptability
  • Acceptability
  • Awareness
  • Attitudes
  • Approachability
  • Alternative practices and practitioners
  • Additional services
  • The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document.

  

Purnell, L., (2013). Transcultural healthcare: A culturally competent approach (4th ed.). Philadelphia: F. A. Davis.

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2023 Purpose The purpose of this assignment is to familiarize the student with the most recent

Nursing 2023 NR 602 Week 3 Immunization Case Study Assignment

Purpose The purpose of this assignment is to familiarize the student with the most recent 2023 Assignment

 

Purpose

The purpose of this assignment is to familiarize the student with the most recent guidelines and recommendations for vaccine-preventable illnesses in the United States.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

  1. Identify vaccines available in the US market for vaccine-preventable disease and describe their features.
  2. Identify contraindications and precautions for the use of vaccines available.
  3. Use recommendations from the Advisory Committee on Immunization Practice (ACIP) to identify target groups for receipt of each vaccine.

Requirements

  1. The Immunization assignment is worth 100 points and will … on the quality of the content, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
  2. Submit the paper as a Microsoft Word Document, which is the required format at Chamberlain University. You are encouraged to use the APA Academic Writer when creating your assignment.
  3. Follow the directions below and the grading criteria located in the rubric closely. Any questions about this paper may be posted under the Q & A Forum or emailed to your faculty.
  4. The length of the paper should be 2-3 pages, excluding title page and reference page(s). The title and reference pages should be in APA format.
  5. Vaccination schedules should … directly from the Centers for Disease Control and Prevention: Resources for Healthcare Providers website and reflect the most current recommendations from the Advisory Committee on Immunization Practices (ACIP). Additional scholarly resources may be used and all sources must be cited appropriately.

Following the directions above, answer each of the following case scenario questions:

Case # 1

You are rotating in the newborn nursery. Your next admission is a term newborn born at 3.5 kg, and all maternal labs are negative. The infant’s exam is normal.

  1. What vaccine(s) should she receive and why?
  2. … would you do if the mother tested positive for Hepatitis B?
  3. What would you do if the mother’s Hepatitis B status was unknown?

Case # 2

Your first patient in primary care clinic is a healthy 2-month-old. She received Hep B #1 in the nursery. She is a term infant and parents have no concerns. Her exam is normal and there are no contraindications to giving her vaccines.

  1. Which vaccines should the child receive at this visit?
  2. When should she return and which ones would you administer at the next visit?
  3. Which vaccination combinations can … to minimize the number of needle injections, if available?

Case # 3

A healthy 5-year-old comes in with her mother for a well-child check in November. Her routine vaccines are up to date through 2 years old, but she has never received a vaccine for influenza. Her exam is normal.

  1. Which vaccines do you recommend at this visit?
  2. What anticipatory guidance should … given for a child receiving a flu vaccine at this age?
  3. Are there any contraindications for the vaccines that you recommended today?

Case # 4

An 11-year-old girl presents for a routine well-child check. Her immunizations are up to date. Her exam is normal and there are no contraindications to giving her vaccines.

  1. Which vaccine(s) do you recommend at this visit?
  2. The mother is states that she only wants her daughter to have “the one … for school this year but not the others”. How should the Nurse Practitioner counsel the mother and the patient?
  3. The mother is agreeable to proceed with vaccine administration today. Are additional doses needed? If yes, state which ones and when.

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2023 The term knowledge worker was first coined by management consultant and author Peter Drucker in

Nursing 2023 The nurse leader as knowledge worker

The term knowledge worker was first coined by management consultant and author Peter Drucker in 2023 Assignment

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

  • Review the concepts of informatics as presented in the Resources.
  • Reflect on the role of a nurse leader as a knowledge worker.
  • Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

  • Explain the concept of a knowledge worker.
  • Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
  • Develop a simple infographic to help explain these concepts.

    NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.

  • Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.
  • 3 to 4 references less than 5 years

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2023 In a reflective journal answer the following questions and submit to Canvas What are some of the considerations that Alena

Nursing 2023 Advocacy

In a reflective journal answer the following questions and submit to Canvas What are some of the considerations that Alena 2023 Assignment

 

In a reflective journal, answer the following questions and submit to Canvas.

  • What are some of the considerations that Alena and her family might be struggling with as the weigh benefits versus risks of brain surgery?
  • Do you feel that Alena is satisfied with her decision? Is her mother? Her sister? Why or why not?
  • Alena’s mother is seen at the end of the vignette asking herself “is it worth it? I don’t know.” How does Alena seem to feel regarding her outcomes?

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2023 Respond As a reminder to those who may have not read my posts in the past six weeks

Nursing 2023 week 7.2

Respond As a reminder to those who may have not read my posts in the past six weeks 2023 Assignment

Respond 

 

As a reminder to those who may have not read my posts in the past six weeks, my PICOT question is: In patients with CHF, would a scheduled education program with booklet versus just education handouts decrease 30 day hospital admissions over a 3 month period?” Heart failure readmission rates cause the Center for Medicare and Medicaid Services to now give hefty penalties to organizations within thirty days so there is currently a tremendous amount of research surrounding this topic. There are two major research studies that really follow the PET model that I am aiming for with this study. My goal is to have approximately 60 test subjects from my primary care practice who fall within the categories of having a low ejection fraction, diagnosed with heart failure, and who do not have severe comorbidities including other systems. I will split this group into a control group and an intervention group. The control group will receive a three-month educational program and booklet while the other will receive the standardized care that has been used in the office.

            The PDSA model was created by Edward Deming and is a great way to implement change and improve quality of care. The PDSA stands for Plan, Do, Act, and Study (Donnelly & Kirk, 2015). The key through the literature research review was that patients’ who had better education about their disease process, diet, exercise, lifestyle modifications, medications, and treatment plan, ultimately had better outcomes than those who are simply receiving the standardized care. Through review of quantitative and qualitative research literature, it was evident that the influence and key tools to self-management precluded better patient outcomes, lower readmission rates, decrease in length of stay in the hospital, and improved quality of life. Using the PDSA model, I will outline my plan and figure out the ultimate goal of this process. This PICOT question would require planning who will be doing the education session, who will create the booklet, how we will fund this project, and how to select as well as the selection process for our test subjects (as well as informed consent). This also includes the approval of an ethics committee for this research in order to protect the test subjects. The “Do” would be to start the research program by following the two groups and providing the education and reference channels to the patients as see fit. It is important to document throughout the course of this research in order to gain the most information possible. The “Study” would be at the conclusion of the three-month period when all the finalized data is collected and analyzed. This is where the researcher would see if their predicaments were correct and how they related to the research literature. The final step is “Act” and this will involve assessing the overall cycle and looking where to make changes to being the next PDSA cycle. In a world of health care where it is constantly changing and evolving, it is important that processes are being assessed in order to change and improve. Following the three-month process of education, intervention, and data collection, it is really important to focus on what worked during the process, what didn’t, and what changes can be made to reach the goal of healthier and happier patients.

            One article I found had a very similar PICOT and used a PET method that seemed very relevant to my PDSA. It used a similar number of subjects and also slipt them into groups over a three month period. It had very positive results in a sense that the patients who were in the intervention group were very satisfied with their quality of life and managed to stay out of the hospital. As nurses and a future nurse practitioner, isn’t that what our goal of all this EBP is for – to improve patient outcomes? I think to truly take my study one step further would be to also perform a qualitative study and take a closer look at their perception of the education, self-management, and possibly ways to improve my program.

Alireza, A., Tahereh, N., & Mansoureh, A. (2018). Effect of the self-management education program on the quality of life in people with chronic heart failure: A randomized controlled trial. Electronic Physician, 10(7), 7028-7037. doi:10.19082/7028

Donnelly, P., & Kirk, P. (2015). Use the PDSA model for effective change management. Education For Primary Care: An Official Publication Of The Association Of Course Organisers, National Association Of GP Tutors, World Organisation Of Family Doctors, 26(4), 279–281. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.

            oclc.org/login.aspx?direct=true&db=mdc&AN=26253069&site=ehost-live&scope=site

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2023 Must be a research article Write a 1 page summary using an outline of the

Nursing 2023 Find And Read A Nursing Scholarly Article That Relates To Your Clinical Practice And Is Found In A Peer-reviewed Journal. Follow The Instructions For The Format In Course Textbook And Write A 1-page Summary.

Must be a research article Write a 1 page summary using an outline of the 2023 Assignment

  • Must be a research article. Write a 1-page summary using an outline of the steps of the research process stated in the course textbook. Discuss the study type, purpose, and research question(s).
  • The summary is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The summary should be formatted per current APA and 1 page in length, excluding the title page and references page. No abstract needed.
  • Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

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2023 Respond to this Statistical Significance as described by Wasserstein Lazar 2016 is the P

Nursing 2023 week 6.1

Respond to this Statistical Significance as described by Wasserstein Lazar 2016 is the P 2023 Assignment

Respond to this 

  

Statistical Significance as described by Wasserstein & Lazar (2016) is the “P” value of less than .05, which Pstands for probability. The probability of the research that was not due to chance and that something significant has occurred. The value of the “P” in the study denotes that the true difference between the control and experimental compared groups is as big or if not bigger than reported in the study.  The “p” value depends on three factors such as the degree of the effect or the performance difference between the selected group; the number of participants; and the data distribution which commonly measured as variance and standard deviation (Pintea, 2010).

Clinical significance of results or clinical importance is used to assess and evaluate the effects ofinterventions or outcomes that may be relevant to the target subject. To assess clinical significance, it isimportant to perform a systematic and complete evaluation between the advantagesand disadvantages effects of the study (Guyatt et.al, 2013). It is the difference between the two therapyresults that are proven to justify, modify or change the standard of care.

In my opinion, there is a possibility that research study results can support the acceptance of the nullhypothesis and develop clinical significance.  An example that I came across was the study conducted byLockyer, Hodgson, Dumville, and Cullum (2013) on wound care. The study reported that 74% (32/43) of thereviewed articles have no clear and solid primary outcome and included a finding that was not significant forthe study. This can happen if the selected sample of the research was too small and missed in describing orestablishing the relationship and difference between the groups being studied. It can also happen if thestatistical test was weak, and the measure utilized during the research was defective or unreliable. Andlastly, if the method that was applied to develop an intervention missed identifying the significant variables orideas of the study (Polit & Beck, 2014).

I believe that questioning the credibility of the result from a qualitative study may contribute to clinicalsignificance in my practice area. Credibility refers to facts and certainty of data collected and theresearcher’s interpretation and understanding of results (Polit and Beck, 2014). Qualitative research is focused on exploring ones’ experiences, establishing trust and rapport and describing a comprehensive understanding of a phenomenon. The researcher in a qualitative study must demonstrate engagement withthe participants/informants to validate if the data and conclusion were accurately interpreted.

An example is a qualitative inquiry of patients diagnosed with breast cancer (Pederson et.al,2013). Thequalitative study in the discovery of emotions, experiences, and challenges of cancer patients throughout thedisease process helps to recognize the needed support and care from the health care providers (Cope,2014). Measuring outcomes is important in any research. Data collected must be accurately analyzed andinterpreted. Defining if the outcome is effective and significant comprises of accurate and concisejudgments. As future leaders, we must recognize the credibility of the study and the need for furtherresearch before the application of any new intervention or information into practice.

References:

Cope, D. G. (2014). Methods and Meanings: Credibility and Trustworthiness of Qualitative Research. Oncology Nursing Forum, 41(1), 89–91. Retrieved from https://doi-org.chamberlainuniversity.idm.oclc.org/10.1188/14.ONF.89-91

Guyatt, G., Oxman, AD., Sultan, S., Brozek, J., Glasziou, P., Alonso-Coello, P., Atkins. D., Kunz, R., Montori, V., Jaeschke, R., Rind, D., Dahm, P., Akl, EA., Meerpohl, J., Vist, G., Berliner, E., Norris, S., Falck-Ytter, .Y., &Schunemann, HJ.( 2013). Making an overall rating of confidence in effect estimates for a single outcome and for all outcomes. J Clin Epidemiol, 66(2):151–157.

Lockyer, S., Hodgson, R., Dumville, J.C., & Cullum, N. (2013). “Spin” in wound care research: The reporting and interpretation of randomized controlled trials with statistically nonsignificant primary outcomes results or unspecified primary outcomes. Trails, 14(1), 371

Pintea, S. (2010). The Relevance of Results in Clinical Research: Statistical, Practical, and Clinical Significance. Journal of Cognitive & Behavioral Psychotherapies, 10(1), 101–114. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=60820813&site=eds-live&scope=site

Pederson, A.E., Hack, T.F., McClemont, S.E., & Taylor-Brown, J. (2013). An exploration of the patient navigator role: Perspectives of younger women with breast cancer. Oncology Nursing Forum, 41, 77–88. doi: 10.1188/14.ONF.77-88

Polit, D.F., & Beck, C.T. (2014). Essentials of nursing research: Appraising evidence for nursing practice (8th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

Wasserstein, RL., & Lazar, NA. (2016). The ASA’s statement on p-values: context, process, and purpose. Am Stat.,70:129-133. Retrieved from https://doi.org/10.1080/000313 05.2016.1154108

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2023 Critique of Nursing Theories Students will apply the following guidelines to the critiques of nursing theory Introduction Select

Nursing 2023 Theory Critique

Critique of Nursing Theories Students will apply the following guidelines to the critiques of nursing theory Introduction Select 2023 Assignment

  

Critique of Nursing Theories 

Students will apply the following guidelines to the critiques of nursing theory:

  1. Introduction
  2. Select      a grand or broad theory and a mid-range theory of nursing practice.
  3. Use      the “Guide for the Description of Theory” and “Guide for      the Critical Reflection of Theory” (Chinn & Kramer, 2018, Chapter      8) to critique the theories selected.
  4. Compare      and contrast the broad and mid-range theory.
  5. Using      the broad theory as a framework, describe a client situation and expected      outcomes.
  6. Outline      the process of advanced practice as articulated within the theory      selected.
  7. Using      the mid-range theory, describe how an advanced practice nurse would      facilitate the outcomes identified in the broad theory. (A diagram of      theories as they are applied to the client may be included).
  8. Conclusion

The body should not exceed 8 pages. 

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2023 Unit 2 Assignment EHR Certification Release of Information Course outcome addressed in this Assignment HI510 1 Given access to

Nursing 2023 The interaction between regulation and health influences the daily operations of healthcare providers.

Unit 2 Assignment EHR Certification Release of Information Course outcome addressed in this Assignment HI510 1 Given access to 2023 Assignment

  

Unit 2 Assignment: EHR Certification & Release of Information

Course outcome addressed in this Assignment:

· HI510-1: Given access to a health information system, evaluate whether it meets Meaningful Use, including goals, components, criteria, certification, attestation, and MU program outcomes.

Description:

The field of health information is subject to many laws, regulations, requirements, and standards. The interaction between regulation and health influences the daily operations of healthcare providers. Sharing data between two separate organizations can be a delicate balance between the patient and organizations. Knowing the regulations that govern health information and the release of information is imperative. Failing to adhere to and think about the rules and regulations when forming decisions and policy can expose the organization and provider to unwarranted risk. In this Assignment, you will review select two EMR systems and review them for compliance with Meaningful Use and EMR certification requirements. You will also review release of information requirements.

Instructions:

Select two EMR systems from the list below.

· OpenMRS
https://openmrs.org

· VistA
http://worldvista.org/AboutVistA

· FreeMED
http://freemedsoftware.org/

· OpenEMR
https://www.open-emr.org/

· One Touch EMR
https://www.onetouchemr.com/

· Solismed
https://www.solismed.com/demo.html

Assignment Requirements

Create a 5–6-page document that addresses the following:

1. Provide an introduction of the two systems that have been selected for comparison. In your comparison discuss the features offered by each system.

2. Discuss meaningful use (MU) and its phases.

3. Do the systems that you have selected meet MU requirements? Discuss whether the system is compliant with MU program outcomes and certification including:

1.  

· Goals, components, criteria, certification, and MU program outcomes.

· Medicare MU program requirements

· Medicaid MU program requirements

4. Discuss how MU has improved data quality.

5. Discuss release of medical information and how MU law applies.

Conduct research to answer the discussion points and questions and be sure to fully describe and support your answers and cite sources when necessary. This is a fact-based Assignment that should not include unsupported opinion.

  

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2023 The purpose of this assignment is to develop an interviewing presence and

Nursing 2023 Practice A Professional Interview

The purpose of this assignment is to develop an interviewing presence and 2023 Assignment

 

The purpose of this assignment is to develop an interviewing presence and practice pitching your experiences, abilities, and personality traits in a manner that is attractive and persuasive to potential employers.

Utilizing the professional resumé and cover letter you created in the previous Professional Resume and Cover Letter assignment, create an 7-12 slide PowerPoint presentation to use for a professional interview. Your presentation should contain the following elements:

  • Title page (with Loom link).
  • Introduction slide, be sure to include your contact information.
  • Integrate the job position you are applying for including the job description.
  • Integrate concisely your work experience that connects your strengths, abilities, and personality traits to the job description.
  • Demonstrate why you should be considered for the position.
  • Integrate required interview questions (see below).
  • Include a closing slide with final statements.

Once you have finalized your PowerPoint presentation, develop a 2-4-minute personal pitch video responding to the following questions based on the job you have selected. Using Loom, record yourself presenting your PowerPoint and addressing the following interview questions:

  • Why should we hire you for this position? 
  • What motivates you? 
  • What are your greatest strengths and weaknesses?  
  • How do you use your weaknesses as a strength? 
  • If you are hired, what is the most important thing you will contribute to our organization? 
  • What are your goals for the future and where do you see yourself in 5 years? 

General Requirements:

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation. Please be sure to include only the link to Loom and do not attempt to attach Loom files. 

Place the Loom link on the Title page of your presentation and submit to the assignment drop box. Ensure that your camera and microphone are operational, professional appearance is expected.

APA style is not required, but solid academic writing is expected. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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