2023 Change Model To bridge the gap between scientific evidence and patient care

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Nursing 2023 DB Response APA format with at least 2 new references to Dawn

Change Model To bridge the gap between scientific evidence and patient care 2023 Assignment

Change Model

To bridge the gap between scientific evidence and patient care we need an in‐depth understanding of the barriers and incentives to achieving change in practice.  Various theories and models for change point to a multitude of factors that may affect the successful implementation of evidence.  When planning complex changes in practice, potential barriers at various levels need to be addressed. The nature of the EBP, characteristics of the professionals and patients involved, the social, and organizational culture all should be taken into account when planning and executing the implantation phase of change.  Ultimately, unorganized change with no implementation science is little more than “expensive trial and error” (Nelson, 2015, p.1).

                                                         Benefit

Utilizing a theory, model, or framework will provide structure to the process of change.  A benefit of utilizing a theory of change model will aid in understanding why the implementation of the practice either succeeds or fails (Nilsen, 2015).  Nilsen 2015 clearly describes three reasons for the importance of following implementation science. The following aims are included in the article Making Sense of Implementation theories, models, and frameworks 2015, (1) describing and /or guiding the process of translating research into practice, (2) understanding and/or explaining that influences implantation outcomes and  (3) evaluating implementation (Nilsen, 2015, p. 2). After reading the weekly article assignment by Nilsen it is clear that there is a benefit of incorporating a change model outweigh the time and effort it took to include it?

                                                    Conclusion

A crucial factor in delivering high-quality patient care is the nursing implementation of evidence-based practice (EBP); nurses, more than the institutional leadership, play an integral role in the implementation of EBP on nursing units (Kueny, et al., 2015).  EBP allows nurses to make complex health care decisions based on findings from rigorous or high-quality research reports, clinical expertise, and patient perspectives.  According to Kueny et al., 2015, models for EBP implementation provide stepwise guidance; however, particular contextual factors act as facilitators or barriers to the process (p. 29).  Only through using implementation science to achieve EBP will what is learned from research be translated into making care safer.                     

                                                       References

Kueny, A., Shever, L. L., Lehan Mackin, M., & Titler, M. G. (2015). Facilitating the

implementation of evidence- based practice through contextual support and nursing leadership. Journal of healthcare leadership, 7, 29-39. doi:10.2147/JHL.S45077

Nilsen, P. (2015). Making sense of implementation theories, models and frameworks.

Implementation Science, 10(53), 1-13. https://doi.org/10.1186/s13012-015-0242-0.

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2023 Imagine one of your roles was to form a quality improvement committee in a place of practice examples hospital long

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Nursing 2023 Discussion Post Quality Improvement Committee

Imagine one of your roles was to form a quality improvement committee in a place of practice examples hospital long 2023 Assignment

 Imagine one of your roles was to form a quality improvement committee in a place of practice (examples: hospital, long term care facility, assisted living).

Answer the following questions. Your post should look like:

  • Paragraph one: Why is quality improvement important at your place of practice? Be specific.
  • Paragraph two: Who should be on your committee and why? Do you believe patients or clients should be part of the committee? Why or why not?
  • Paragraph three: How could you increase employee interest in joining the QI committee?
  • Resources: Where did you find your data?

I work in a hospital setting, so answer should reflect that. 

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2023 Assignment Poster Presentation By tomorrow 3 14 19 before midnight develop a 10 to 12 slide PowerPoint which include the

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Nursing 2023 Poster Presentation

Assignment Poster Presentation By tomorrow 3 14 19 before midnight develop a 10 to 12 slide PowerPoint which include the 2023 Assignment

  

Assignment: Poster Presentation

By tomorrow 3/14/19 before midnight, develop a 10 to 12-slide PowerPoint which include the headers below:

1)  The importance of a poster presentation (what’s the need of a poster presentation).

2)  What are the differences between poster and abstract? 

3) What are the successful strategies to create a poster? 

4) How do you present the poster?

APA format and a minimum of five scholarly references required!

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2023 Instructions Read the following case study and answer the reflective questions Please provide rationales for your answers Make

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Nursing 2023 CASE STUDY: Family Member With Alzheimer’s Disease: Mark And Jacqueline

Instructions Read the following case study and answer the reflective questions Please provide rationales for your answers Make 2023 Assignment

 Instructions: Read the following case study and answer the reflective questions.

                     Please provide rationales for your answers. 

                     Make sure to provide a citation for your answers, No more 5 years.

                     APA format

                    No plagiarism.

Deadline: Due by Thursday 27, 2021 . 

CASE STUDY: Family Member with Alzheimer’s Disease: Mark and Jacqueline

 Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. 

Reflective Questions

 1. How do you think this situation reflects Jacqueline’s sense of role performance? 

2. How do you think that Jacqueline may be contributing to her own health? 

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2023 Write a short discussion Scope and Standards of Nursing Practice According the text book The

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Nursing 2023 Assign to Essays Guru

Write a short discussion Scope and Standards of Nursing Practice According the text book The 2023 Assignment

Write a short discussion:

Scope and Standards of Nursing Practice

According the text book The American Nurses Association’s Nursing: Scope and Standards of Practice (3rd ed.) discusses integrating the art and science of nursing. Describe how science and art are synthesized in the practice of nursing.

 

The course outcomes to meet include:

  • -Examine the roles and responsibilities of the professional nurse related to promoting health and wellness. (COs 1, 2, and 3)
  • -Explain how the American Nurses Association Scope and Standards of Practice and Code of Ethics serve as a foundation for nursing practice and health promotion. (COs 1, 2, and 4)
  • -Compare and contrast the nursing process and clinical reasoning. (COs 1, 2, and 3)
  • -Apply knowledge of the nursing role to promoting healthy behaviors in others. (COs 2 and 3)
  • -Describe how the nursing process is utilized to promote the health of individuals and families. (COs 1 and 2)

Nursing is a complex profession that combines art and science. I believe that it is one of the few jobs that have this gift. Every day we touch the lives of a diverse population. There are fundamental standards and codes we must abide. While upholding these standards, we must continue to educate ourselves and show compassion to our patients (Potter, Perry, Stockert, & Hall, 2017). As with other disciplines, we hear of stories about how individuals stray from the oath or pledge they took to care for those in need. When we no longer function in the role of a nurse who promotes health and wellness, we bring harm to those who we are charged with caring. As you develop your nursing craft at mixing art and science of nursing, consider the implications of not being able to manage both of these aspects of nursing successfully. Take a look at this 2 min video:

Link to the video: https://www.youtube.com/watch?v=8PZNl6vix8Q

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2023 Directions for Part 1 Review the Direct Care Project Overview above Select topic Air Quality OR Substance Use

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Nursing 2023 DUE 5/14/2021…THIS ASSIGNMENT IS PART 1 OF 4 ASSIGNMENTS….ASSIGNMENT TOPIC OF CHPOICE IS SUBSTANCE USE…..PLEASE READ AND FOLLOW ALL INSTRUCTIONS….NO PLAGARISM!!!!

Directions for Part 1 Review the Direct Care Project Overview above Select topic Air Quality OR Substance Use 2023 Assignment

 

Directions for Part 1

  1. Review the Direct Care Project Overview above. Select topic (Air Quality OR Substance Use) from the table. This will be the topic of your entire course project.
  2. View the Direct Care Project Part 1 Tutorial (Links to an external site.).
  3. Download the corresponding Assessment and Diagnosis template under Templates below. For example, if you have selected Air Quality as your topic, download the Air Quality Assessment and Diagnosis Template.
  4. Collect the data outlined in the template. There are two parts:
    • Online data collection – gather data from the weblinks provided on the template
      • Please note, if you live in Washington D.C. it may be listed as a state or county. You may list the Washington D.C. data as state and county, then compare to the U.S. data.
    • Modified windshield survey data collection – gather local community data by physically looking at your community
      • If possible, plan on asking someone to drive during your survey so that you can take notes.
      • Your community should be the area where you live or the area surrounding your work. The community must include a residential area and be a large enough area to answer the survey questions. If you live in a large area, you may choose a suburb.
      • Note: It is helpful to conduct this portion of the assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend.
  5. Identify a nursing problem (nursing diagnosis) based on data and observations
    • You must select a problem caused by your topic
    • Important: the problem you identify will be utilized in Parts 2, 3, and 4 of the project.
  6. Identify the vulnerable population that the problem affects. This will also determine who you will present to in Part 3.
  7. Write the nursing diagnosis (See template and chapter 6 in Nies & McEwen textbook for more information)
  8. Submit template through the submit assignment button on this page.

Templates

Select and download from the links below the one that corresponds with selected topic:

Air Quality Assessment and Diagnosis Template (Links to an external site.)

Substance Use Assessment and Diagnosis Template

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2023 THIS A LITERATURE REVIEW AND NOT ANOTATED BIBLIOGRAPHY TOPIC STANDARDIZED COUNTING PROCEDURE TO

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Nursing 2023 Literature Review

THIS A LITERATURE REVIEW AND NOT ANOTATED BIBLIOGRAPHY TOPIC STANDARDIZED COUNTING PROCEDURE TO 2023 Assignment

  

THIS A LITERATURE REVIEW AND NOT ANOTATED BIBLIOGRAPHY. TOPIC: STANDARDIZED COUNTING PROCEDURE TO PREVENT RETAINED SURGICAL ITEMS

  

Identify at least three subthemes that relate to each theme (six subthemes total).

Identify at least three empirical or scholarly articles related to each subtheme (18 articles total). At least one article must demonstrate a quantitative methodology.

Write statements that synthesize the three studies for each subtheme based on the information you stated above. You will write six synthesis statements.

  

No less than 85% of the articles must have been published in the past 5 years. Articles selected must further provide strong, relatable support for the proposal.

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2023 Adult Health 1 Study Guide Hematologic Blood Unit Chapters 32 63 64 Remember that assigned textbook readings should

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Nursing 2023 Hematologic Blood Unit

Adult Health 1 Study Guide Hematologic Blood Unit Chapters 32 63 64 Remember that assigned textbook readings should 2023 Assignment

  

Adult Health 1 Study Guide

Hematologic (Blood) Unit 

Chapters 32, 63-64 

Remember that assigned textbook readings should be supplemental to reviewing & studying the Powerpoint presentations. Answers to these study guide questions can be obtained from the textbook chapters, powerpoint presentations, as well as class lectures & in-class activities. 

Chapter 32: Assessment of Hematologic Function & Treatment Modalities – (p. 917-922)

*This chapter is an A&P overview of the hematologic system structures, assessment, & diagnostics. 

Must Know: Blood Transfusions – (p. 917-922)

1. Describe the pre-transfusion assessments & nursing care that is necessary for patients who are to receive a blood transfusion. See Chart 32-2. 

2. Describe the nursing care involved when initiating a blood transfusion for a patient. See Chart 32-2. What additional checks need to be made before hanging & starting the blood transfusion?

3. Describe the nursing care involved following completion of a blood transfusion for a patient. See Chart 32-2.

4. There are many different types of transfusion reactions that can occur in patients. What are some signs and symptoms of transfusion reactions? 

5. What should the nurse do if he/she suspects the patient is having a transfusion reaction? 

Chapter 33: Management of Patients with Nonmalignant Hematologic Disorders – (p. 925-931, p. 933-941)

Conditions to Know: Anemias, Iron deficiency anemia, Megaloblastic anemia, Pernicious anemia, Sickle cell anemia 

1. What is anemia and what are some of the common causes of this condition? 

2. What are some risk factors for anemia?

3. What are some signs and symptoms of anemia? 

4. What lab values or cultures do we look at to diagnose anemia? 

5. What is iron-deficiency anemia and what is the most common cause? 

6. What is the primary treatment method for iron-deficiency anemia? What are patient teaching points we would want to include in our patient education regarding this treatment modality? See Chart 33-3. 

7. Patients with iron-deficiency anemia should also be encouraged to consume foods high in iron. What are some foods that are high in iron that we should recommend? 

8. Megaloblastic anemias develop slowly (over months) and the body can compensate well for a long time before symptoms of anemia will develop. The erythrocytes produced in this type of anemia are abnormally large. Megaloblastic anemia results from a deficiency of which two sources? 

9. What are risk factors for the development of folic acid deficiency anemia?

10. What is pernicious anemia? 

11. What are some signs and symptoms of pernicious anemia? 

12. How is folic acid deficiency and pernicious anemias treated? What teaching points would we want to include in our patient education regarding this treatment modality? 

13. What are foods that are high in folic acid or vitamin B12? 

14. What is sickle cell anemia & how do patients inherit this disorder? 

15. Describe the nursing care that is necessary when caring for a patient in sickle cell crisis. 

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2023 Question 1 Using the ICD 10 PCS index in Encoder Pro code for cervical disc

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Nursing 2023 help with work need it done by 3-11-2019

Question 1 Using the ICD 10 PCS index in Encoder Pro code for cervical disc 2023 Assignment

Question 1. Using the ICD-10-PCS index in Encoder Pro, code for cervical disc disorder with radiculopathy, mid-cervical region.

M50.12

M50.11

M51.12

M52.111

Question 2. Using the ICD-10-PCS index in Encoder Pro, code for cervicalgia.

M54.1

M54.2

M54.21

M54.11

Question 3. Using the ICD-10-PCS index in Encoder Pro, code for migraine without aura, intractable, with status migrainosus.

G42.000

G42.109

G43.010

G43.011

Question 4. Using the ICD-10-PCS index in Encoder Pro, code for segmental and somatic dysfunction of cervical region.

M99.10

M99.01

M99.03

M99.04

Question 5. Using the ICD-10-PCS index in Encoder Pro, code for migraine without aura, intractable, without status migrainosus.

G43.019

G43.021

G43.011

G43.01

Question 6. There are new chiropractic procedures entering health care each year. What are the benefits to chiropractic procedures? How are these procedures helpful to patients?Your response must be a minimum of 75 words in length.

Question 7. Explain the Other Procedures section of the ICD-10-PCS, and describe what can be found in this section. Please give the other procedures. Code for the procedure, and explain the procedure in detail. You can use a variety of options to explain such as the device being used and/or the method of approach. Your response must be a minimum of 200 words in length.

Question 8. Define root operations for procedures in the Osteopathic, Other Procedures, and Chiropractic sections.Your response must be a minimum of 200 words in length.

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2023 Let s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to

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Nursing 2023 Ethical Decision-Making

Let s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to 2023 Assignment

Let’s return to the ethical scenario presented within Page 2 of the Explore section of Week 4 to consider it further. Upon learning that a medication error occurred resulting in a child’s death, the Chief Nursing Officer (CNO) of a regional acute care facility held a press conference to announce the mistake. The conference centered on reporter questions about why the nurse was not fired. The CNO explained that the nurse was highly regarded and that the problem was a “system” problem, not simply a problem of an incompetent nurse. The CNO also explained that an examination of the medication administration procedures was ordered and that an electronic medication error avoidance system would be implemented to ensure that such an error would not happen again. Consider this scenario to address the following.

1-As the CNO in the scenario, defend your decision to disclose the incident to the media. How does this decision influence value-based healthcare? What risks might you encounter? What impact might this decision have on you personally and professionally?

2-At a regional health consortium, fellow CNOs remark that they would not disclose such an incident to the media. Provide two justifications for withholding disclosure of the error to the public. How does this decision influence value-based healthcare?

3-Imagine you are the patient’s family. How would you want the issue to be handled by the CNO? Explain your rationale.

Please answer each question separated and use at least 3 sources no later than 5 years. 

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