Comment 1

First, knowing what a
CNL does is important to know why they need to meet certain requirements. The
American Association of Colleges of Nursing (AACN) describes the role as “a
point-of-care leadership and provides care in situation of particular
complexity” (Point-of-Care, n.d.). A CNL is someone that “identifies ways to
improve the quality of patient care by consistently evaluating patient outcomes,
assessing cohort risk, changing care plans, advocating for change and mentoring
fellow nurses” (Clinical Nurse Leader, n.d.). Other responsibilities of a CNL is
to provide care coordination for patients with complex needs, implementing evidence-based
practice, instituting quality improvement measurements, and coordinating
lateral interdisciplinary care that includes disciplines as diverse as
occupational and physical therapy (Point-of-Care, n.d.). In order to fulfill these
job requirements, one must possess strong problem solving and critical thinking
skills, the desire to work closely with patients, and the willingness to mentor
fellow nurses (Clinical Nurse Leader, n.d.). Academically, the CNL must also
earn a minimum of an Master’s of Science degree in Nursing (MSN) in the
Clinical Nurse Leader program as well as taking and passing the CNL certification
from the Commission on Nurse Certification.   

A CNL’s role or influence
in patient care is through implementing and ensuring that care delivery is
safe, evidence-based, and targeted towards optimal quality outcomes (Reid &
Dennison, 2011). The intent of the new implementation of a CNL is to promote patient
safety but also to incorporate the CNL’s focus on safety and to provide
front-line care instead of being in a back hall, disconnected from the eyes and
ears of the medical staff.

Comment 2

The role of clinical nurse leader (CNL) began in 2003-2004 due to the quality and safety reports of the Institute of Medicine. Clinical nurse leaders are prepared for direct clinical leadership to provide safe, evidence-based care and ensure that the patients get optimal healthcare. Clinical nurse leaders have multiple roles in the workplace. CNLs collect and evaluate treatment results and develop solutions to improve the outcome of patient care, evaluate the safety of the workplace, wnsure that the facilities are up-to-date on the latest research, and also provide patients with direct care and education. In order to become a clinical nurse leader, and BSN must be obtained followed by a Master’s of Science Clinical Nurse Leader program. Once completed a CNL certification test must be taken and passed.

There are multiple ways that they can ensure the safety of the patients. By providing direct patient care and education, CNLs are able to educate patients on their treatment plan and educate them on how to continue their treatment plan once they are discharged from the hospital. They can also ensure the safety of the patient by educating them on their medications. For example, they can teach them what each medication is for, the appropriate times to take each medication, any side effects they may experience, along with the correct dose of the medication they are taking. Safety is not just something that needs to be taken in to consideration while the patient is in the hospital, but once they are home.

Comment 3

A Clinical Nurse Leader (CNL) is expected to have a master’s degree level of education or higher. CNLs play an active role in “designing, implementing and evaluating client care by coordinating, delegating and supervising the care proved by a healthcare team at the clinical level, as opposed to the administrative level, as is the case with other nursing leadership roles” (GNE, 2018, para. 4). CNLs must be competent and knowledgeable as a part of the nursing team. The American Association of Colleges of Nursing (AACN) board acknowledges that the role of the CNL is multi-faceted and their education needs to have components of liberal arts and sciences, professional values, core competencies, core knowledge, and role development (GNE, 2018). CNLs should prepared in quality improvement, interdisciplinary team care, patient-centered care, evidence-based practice and the utilization of informatics (GNE, 2018).  Clinical nurse leadership education focuses on policy and organization, nursing leadership, outcomes management, and care management. After completing a CNL education program, to be CNL certified a registered nurse, must hold a current NR license, hold a master’s degree, complete a minimum of 400 clinical hours within their formal education program, and complete a minimum of 300 clinical hour in a clinical immersion experience in the CNL role (GNE, 2018). CNLs are expected to be educated in advanced nursing knowledge to provide the best care, while improving patient outcomes with the latest innovations in health care.

A CNL can address minority health issues in health care. For example, a CNL overseeing the care of diabetic patients on a hospital unit may notice some discrepancies in outcomes. The CNL works as a leader to evaluate the patients, to see if there is a relationship between ethnicity-related issues and outcomes. The CNL can review the literature to see if this clinical issue has been previously identified within this particular minority patient population. Then, the CNL can develop and implement a plan of care to improve health outcomes for those patients.

Answer following questions regarding Nursing Leadership – BSN level

APA Format

No minimum wordcount

In text citation with Bibliography

 

1. Why is the subject of workplace health and safety of concern to nurses?

How are these concepts related to patient safety and patient outcomes?

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work?

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety?

• Latex allergies

• Needlestick injuries

• Violence

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.”

Which concepts discussed in these sections are particularly important to the beginning RN? Why?

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation

• Quality of work life within the organization

The first of your two written assignments for the course will provide a beginning framework that you will utilize in the development of your
Final Project: a proposal for a community-based program in your area. For this first written assignment, you will select one of the vulnerable groups identified in the text that will serve as your target population of interest throughout the duration of your next written assignment and Final Project.

Select one among the following groups from Chapter 1:

• Vulnerable mothers and children
• Abused individuals
• Chronically ill and disabled people  
• People diagnosed with HIV/AIDS
• People diagnosed with mental conditions
• Suicide- and homicide-liable people
• People affected by alcohol and substance abuse
• Indigent and homeless people
• Immigrants and refugees
• Groups for special consideration (you may propose a different vulnerable population at the consent of the instructor)

Once you have selected a group of interest, write a three page paper that covers the following:

• Discuss the impact that at least two of the factors below have on the vulnerability of your chosen group: 
  • Age
  • Gender
  • Culture/Ethnicity
  • Income
• Analyze the intersection of social, political, and economic factors affecting vulnerability (must address all three factors).
• Draft the design of a new model program, not currently existent within your community. Provide a two- to- three paragraph statement that introduces your proposed community program. This section is tentative and might change as you conduct more research. At a minimum, however, items to address should include:
• An explanation of the issues and risk factors experienced by the selected population.  
• An evaluation of the health needs of the group and a proposed continuum of care level (preventive, treatment, or long-term care) based on the group’s issues, risk factors, and needs.  Justify the proposed level with supportive research/evidence.
• A description of one to two proposed services your program will include.
•  Your assignment should be a minimum of three pages in length (excluding title and reference pages), and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Ashford Writing Center.

 

Topic 1 Influenza

Tar

Natural History of Influenzas

          The influenza virus was once called the Spanish Flu. This was because at the end of May 1918, the King of Spain, King Alfonso XIII, was the first to openly admit that a new disease had emerged in their country (Mamelund, 2017). But the disease did not originate in Spain. Other countries during that period throughout Europe including the United States were experiencing the so called “Spanish” Flu. Since World War I, much has changed in terms of understanding the flu and the origination of infectious disease. It is now known that the Flu is caused by a virus. Statistical studies since 2000 have found that higher mortality rates occur among the poor in comparison to the more affluent (Mamelund, 2017). People who are more susceptible to influenza are those who have poor nutrition, live in overcrowded areas, have secondary infections like pneumonia and other diseases (Mamelund, 2017).

Presenting Symptoms of Influenza

          According to the Centers for Disease Control and Prevention (CDC), Influenza is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness and even cause death (Influenza, 2018).

• Fever or feeling feverish/chills
• Cough
• Sore throat
• Runny or stuffy nose
• Muscle or body aches
• Headaches
• Fatigue
• Some people may have vomiting and diarrhea (More common in children than adults)

Outbreak characteristics

          According to the CDC, people who have the flu are most contagious in the first 3 to 4 days after infection. People who are healthy can start infecting others, 1 day before symptoms develop and up to 5 to 7 days after getting sick (Influenza, 2018). In addition, some people can have the virus, have no symptoms and spread it to others.

          The World Health Organization’s Global Influenza Surveillance and Response System was established in 1952 (Influenza, 2018). The purpose is to reduce the spread of infection by vaccines.  Based on the surveillance system, Influenza activity in the United States remains low throughout the summer months and early October. Outpatient illness surveillance: The proportion of outpatient visits for influenza-like illness remained low and was 1.4% which is below the national baseline of 2.2%

 

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Part 1 attached, please use the paper from part 1 to answer and respond for this paper.