Create a 7-9 minute video that reflects upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem (minimum requirement of 6 scholarly journal articles reviewed and appraised for application to practice problem). Outline a strategic plan for implementation of a practice change in your clinical practice environment based upon your findings. Describe how you intend to operationalize the practice change in your practice environment. What theoretical model will you use and how will you overcome barriers to implementation? What sources of internal evidence will you use in providing data to demonstrate improvement in outcomes? Describe evaluation methods of implementation clearly. Are there any ethical considerations?

The presentation should be a simulation of what you would present to your unit staff in an effort to gain buy-in as you initiate the practice change in your area of practice.

 If PowerPoint is used: Include a title slide, objective slide, content slides, reference slide in APA format

Create a power point between 8-10 slides

My area of Nursing is HOSPICE. 

Module 1 answer

Under nursing research as accessed from the National Institute of Nursing commonly referred to as the NINR, various priorities have been accessed which normally provide a bridging point to all the practices in nursing that are associated with knowledge acquisition and access.  One of the major concepts given priority is the intention and efforts to end the diseases and disabilities inhibited by the patients. The second priority relates to the efforts and improvements to provide a significant and appropriate scientific revolution (foundation) that will help improve the clinical and medical health care service delivery. The third priority from the research refers to the effective management and elimination of the systems caused by illnesses (Adam.et.al, 2017). Finally, the last priority refers to the enhancement of prevention of life under all situations which normally collaborates with the palliative health care provision. 

I totally agree with the nursing research which normally relates with the daily encounters and foundation of fundamental clinical services in the field of nursing and health care. The priorities are comprehensive and accommodating in the field of health care. I agree with the priorities since they are essential and usable in the field of quality health care provision. According to the priorities, health care provision normally concentrates on the welfare of the patients (George.et.al, 2020). The research on understanding the effectiveness of health care provision and its effectiveness normally concentrates on increasing the quality of services provided to the patients. Palliative care for patients normally injects significant impact in the delivery of services as well as implementation of strategies and measures to save lives (Urden.et.al, 2019). The four priorities play a significant role in securing timely and effective health care provision. It is important for all nursing facilities and personnel to implement good strategies that will prioritize the welfare of the patients. 

 It is the responsibility of all health care professionals to provide quality and substantial services that completely obey the requirements desires of individuals who tend to access the health care services. Obeying and meeting the guidelines and requirements of the National Institute of Nursing Research (NINR) will have more positive impact on the quality of the services provided. The priorities are inclusive and comprehensive as they operate within the accommodating nature of life which will in turn mean that they are able to prevent spread of diseases and delays in service delivery (Melnyk, B. M. & Fineout-Overholt, 2015). The development of knowledge has played a pivotal role in the development of an enhanced and manageable clinical and health care provision. 

 

References

Adam, S., Osborne, S., & Welch, J. (Eds.). (2017). Critical care nursing: science and practice. Oxford University Press. Retrieved from https://doi.org/10.1093/med/9780199696260.001.0001 

George, M., Hernandez, C., Smith, S., Narsavage, G., Kapella, M. C., Carno, M., … & Happ, M. B. (2020). Nursing Research Priorities in Critical Care, Pulmonary, and Sleep: International Delphi Survey of Nurses, Patients, and Caregivers: An Official American Thoracic Society Workshop Report. Annals of the American Thoracic Society, 17(1), 1-10.  Retrieved from https://doi.org/10.1513/annalsats.201909-705st

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 1, 2, and 3.

Urden, L. D., Stacy, K. M., & Lough, M. E. (2019). Priorities in Critical Care Nursing-E-Book. Elsevier Health Sciences. Retrieved from https://doi.org/10.1097/00003465-199611000-00008

  

Details:

 

Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.).

Harvard Business Review Online and Hoover’s Company Records, found in the GCU Library, are useful sources. You may also find pertinent information on your organization’s webpage.

Review “Singapore Airlines Case Study.”

Prepare a 1,000-1250-word paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction. Provide a comparison to the health care organization or network and the Singapore Airlines. Include any cultural issues that may influence the practices listed above.

Prepare this assignment according to the APA 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 Turnitin. Please refer to the directions in the Student Success Center.

NRS451V.R.SingaporeAirlinesCaseStudy_Student_02-04-13.docx

 ((ONE-PAGE BRIEFING PAPER AND QUESTIONS:  you will write a one-page briefing paper based on Dr. Ben Embarek’s presentation (posted in the attachment) and also compose 1 to 3 questions you may have asked about the presentation. The PDF of his slides were also posted together with a video he kindly recorded after we had some technical difficulties (see a summary of some draft emails I was unable to send below as the technical difficulties were ever changing). In addition, I have posted under the same folder Dr. Ben Embarek’s bio))  

Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

 

We know that nephrolithiasis has the potential to obstruct the ureter that is downstream from where the stone forms. That is why the patient has pain — the peristaltic movement of the ureter compressing on the stone. What is the process that leads to the stone formation? What education do we need to provide to patients because of that process once they have been identified as having a stone?

Comment 1

In completing research I also found a signifcance with IV drug use and mucor infections.

Cerebral mucormycosis is extremely rare but when it is
diagnosed, it is often found in IV drug users (Fungal Infections, 2018).  In a study published in Neurology, mucromycosis was associated with IV drug uses, most common heroin and cocaine (Lin, 2013).  Although the infection started in another
location, mucor had a predilection for the basal ganglia in 89% of those who were studied (Lin, 2013).

Comment 2

You mentioned people can get infected with mucormycosis from breathing spores in the air, through an open wound in the skin. I also learned that mucormycosis is considered rare but is actually the second most common fungal infection (Clinical Microbiology and Infection, 2013). Some symptoms that can help diagnose mucor are: diplopia, necrotic naso‐sinus eschars, pleuritic pain, necrotic cutaneous lesions. These may be present in other fungal infections, but aid in the initial diagnosis. Early idenitification and treatment are the keys to recovery. 

“Mucormycosis has a worse outcome than other invasive fungal infections such as candidiasis or aspergillosis. The higher degree of difficulty to cure this devastating infection is related to differences in host–fungus interactions, and pathogenetic mechanisms, as well as greater difficulties in early diagnosis when the ‘window’ of successful treatment is higher, and wider inadequacies of therapeutic options”(Clinical Microbiology and Infectio, 2013) .

Comment 3

I agree with checking glucose levels as part of the medical treatment for persons with pulmonary mucor. Apart from surgical and pharmaceutical interventions, treating underlying predisposing factors is important (Iqbal et al., 2017). Adding a sliding scale to treat high glucose levels would be optimal for the patient. The incidence of diabetes mellitus is rising, and it is causing an increase in mortality rates with pulmonary mucor (Iqbal et al., 2017).