2023 DB4 week 7 Theory Reflect on the tenets of the Theory of

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Nursing 2023 DB4 week 7 Theory

DB4 week 7 Theory Reflect on the tenets of the Theory of 2023 Assignment

DB4 week 7 Theory 

Reflect on the tenets of the Theory of Humanbecoming and its core concepts and assumptions. Then compare and contrast how the core concepts currently apply to your nursing practice versus how you anticipate they will relate to your future practice as a family nurse practitioner. Please identify at least 2 specific assumptions of the theory in your discussion as outlined in your textbook.

250 words ,APA style 

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2023 Instructions Developing a Care Plan Continued In a Microsoft Word document of 4 5 pages formatted in APA

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Nursing 2023 4076W6P

Instructions Developing a Care Plan Continued In a Microsoft Word document of 4 5 pages formatted in APA 2023 Assignment

 

Instructions

Developing a Care Plan—Continued

In a Microsoft Word document of 4-5 pages formatted in APA style, you will submit your final comprehensive care plan for the aggregate based on the health risks faced by the aggregate, incorporating feedback from your instructor on your Week 5 paper and your continued work.

In your paper, address the following:

  • Propose two (2) priority-nursing diagnoses based on the major health risks identified during the risk assessment for the aggregate .
    • Include strategies to address the nursing diagnoses and identified risks of aggregate.
    • Support your strategies with at least two journal articles.
  • Develop a disaster management plan with the following components:
    • List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.).
    • Strategies for handling at least two disasters from the list.
    • Recommendations for a disaster supplies kit.

On a separate references page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

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2023 I agreed about dress code and personal image can effect the way our patient and their family members view

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Nursing 2023 DQ2Wk2 ans Trang luu new

I agreed about dress code and personal image can effect the way our patient and their family members view 2023 Assignment

 I agreed about dress code and personal image can effect the way our patient and their family members view us as nursing profession. I also have some colleages who thinks so simple about being profesional at work based on these things, not to the extreme point like the one you witnessed in your post, but they really make us feel uncomfortable about their appearance when they show up at work. Personal image is very imporant, does not matter how passtionate or great we are as a nurse; patient and their family members are deserved to be cared by a professional nurse who also cares about the way they appear everyday in the patient’s room.  

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2023 Review the Resources and identify a clinical issue of interest that can form the basis of a clinical

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Nursing 2023 Evidence Base

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical 2023 Assignment

 

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Job burnout is a state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity (Mayo Clinic Staff, 2018).  Nursing burnout/turnover is negatively impacting healthcare at a national level. With recent reports of pervasive “burnout” and depression among healthcare professionals and the pressure that many influential healthcare organizations exert on clinicians to deliver high-quality, safe care under increasingly heavy patient loads, the use and teaching of EBP may be key not only to providing outstanding care to patients and saving healthcare dollars, but also to reducing the escalating turnover rate in certain healthcare professions (Melnyk & Fineout-Overholt, 2018). This is devastating, yet important, due to the impact this has on patient care and safety.  This being said, my topic of nurse burnout/turnover formed into a PICO(T) question is:

P: Registered Nurse’s in the ED

I: Nurse burnout and turnover rate

C: Other areas of nursing

O: Patient safety and satisfaction

Question: Does Registered Nurse burnout/turnover in the ED impact patient safety and satisfaction?

Databases and Results

When searching for this topic the databases used were MEDLINE, PubMed, and EBSCO through the Walden Library.  The search terms used for MEDLINE and PubMed were nurse burnout narrowing the search to 5 years, humans, journal article, English, and full text.  That generated approximately 813 articles.  After incorporating the Boolean terms AND nurse turnover, it then narrowed the search articles to 402.  Through the Walden Library, the search terms nurse burnout in the ED were used, narrowing to peer-reviewed only and full text.  This generated 8 articles.  To improve these results strategies such as incorporating more Boolean terms, using more specific search terms, and trialing more databases could benefit in a more efficient and effective search.

Conclusion

Clinicians with burnout may have impaired attention, memory, and executive function that decrease their recall and attention to detail placing them and their patients at higher risk for errors and safety (Heath, 2018).  Happy and healthy employees promote happy and healthy patients.  This topic is in need of clinical inquiry at a national level, but also where this nurse is employed.  The turnover rate has been significantly increased where this nurse is employed, leading to short staffing, thus increased workload and unhappy patients.  This kind of work environment is unsafe and warrants change not only for the healthcare professionals sake, but more importantly the patients sake.

References

Heath, S. (2018, September 5). How does provider burnout impact patient care quality, care access? Retrieved from https://patientengagementhit.com/news/how-does-provider-burnout-impact-patient-care-quality-care-access

Mayo Clinic Staff. (2018, November 21). Know the signs of job burnout. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642

Melnyk, B., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare (4th ed.). Philadelphia, PA: Wolters Kluwer.

Edit question’s body

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2023 select and read one of the chapters of particular interest to you listed in Assignments under

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Nursing 2023 nursing

select and read one of the chapters of particular interest to you listed in Assignments under 2023 Assignment

  

select and read one of the chapters of particular interest to you listed in Assignments under Readings;  

Perform a culturally competent nursing assessment.  

discuss what information you should obtain to develop and implement culturally appropriate plans of care for an individual of this group; and

share a brief case study or exemplar as a way to share your formation.

  

I chose to read Chapter 10: Transcultural Perspectives in Mental Health Nursing.

Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA. Wolters Kluwer.

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2023 Before making a case for an evidence based project it is essential to understand the culture of the organization

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Nursing 2023 Evidence-Based Practice Proposal – Section A: Organizational Culture And Readiness Assessment

Before making a case for an evidence based project it is essential to understand the culture of the organization 2023 Assignment

 Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.
Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.
Submit a summary of your results. The actual survey results do not need to be included.
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. 

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2023 The ability to stay focused and prioritize the med pass as distractions continue

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Nursing 2023 DQ1w2ans Jodi

The ability to stay focused and prioritize the med pass as distractions continue 2023 Assignment

 

The ability to stay focused and prioritize the med pass as distractions continue to occur in the middle of it is critical to safety and also has its set of challenges through all areas of nursing.  The demand for the nurses attention is usually always more than they have to give and this can be compounded by staff that do not possess critical thinking skills and ask questions before processing through information first.  The nurse is responsible to multi task while using EBP and critical thinking skills in a flurry of never ending activity.  I enjoy the end result when all care and tasks are complete for your assignment and the feeling of accomplishment throughout the med pass or other duties that relate to your daily tasks.  I also enjoy the ability to mentor other staff members that may have been the ones asking multiple qustions that were in the realm of their capacity to problem solve.  The amount of work that a nurse can complete when demands continue to barrage you are incomprehensible at times.  These are days that I am proud to be a nurse and possess critical thinking skills.  

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2023 MAKE A DECISION Which area is most important for the parents to address to

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Nursing 2023 Investigate Development Case: Childhood Post-Divorce Adjustment

MAKE A DECISION Which area is most important for the parents to address to 2023 Assignment

 

MAKE A DECISION: Which area is most important for the parents to address to promote the child’s adjustment?

  1. Conflict reduction
  2. Parenting time changes
  3. Mitigate SES

Why? Give reasons for why you assessed what the parents should address as you did. Consider the following factors in your reasons:

  • Parent conflict
  • Parenting time
  • Socioeconomic status

Please see the attachments.  

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2023 Differential Diagnosis for Cough A differential diagnosis for chronic cough is gastroesophageal

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Nursing 2023 reply to cathy

Differential Diagnosis for Cough A differential diagnosis for chronic cough is gastroesophageal 2023 Assignment

 

Differential Diagnosis for Cough

            A differential diagnosis for chronic cough is gastroesophageal reflux disease (GERD). This is one of the most common causes of chronic cough in patients. Many respiratory organizations worldwide recommend the evaluation and treatment of GERD for the management of chronic cough (Kakhrilas, Smith, & Dicpinigaitis, 2014).

Presenting Symptoms

 Patients normally present with heartburn, dysphagia, acid regurgitation, and an association of cough with a slouched posture. Reflux events that may trigger coughing are microaspiration of refluxate into the airways, extension of reflux into the larynx and pharynx (laryngopharyngeal reflux), or esophageal bronchial reflux (Kakhrilas, Smith & Dicpinigaitis, 2014).

Diagnostic Testing

            A diagnostic test to confirm the diagnosis is an initial therapeutic trial of double-strength proton pump inhibitors (PPIs) for 8 weeks: This may require 8 weeks of double strength PPI therapy for alleviation of symptoms. This trial should not be stopped before 8 weeks and could take up to 3 months. Another test to consider is a 24-hour esophageal pH monitoring with a pH<4 that coincides with the chronic cough and is consistent with pathologic acid exposure. (Epocrates, 2019).

Treatments

            Standard treatments for the cough associated with GERD are proton pump inhibitor for 8 weeks initially and can become an ongoing therapy. In addition, patients with GERD may benefit by avoiding alcohol, caffeine, nicotine, citrus, tomatoes, chocolate, and fatty foods (Domino, 2019).

References

Domino, F., Baldor, R. A., & Golding, J. (2019). The 5-minute clinical consult. (27th

Ed.). [Mobile application software.] Retrieved from http://itunes.apple.com (Links to an external site.)Links to an external site.

Epocrates. (2019). Epocrates plus. (Version 18.11). [Mobile application software].

Retrieved from http://itunes.apple.com (Links to an external site.)Links to an external site.

Kahrilas, P. J., Smith, J. A., & Dicpinigaitis, P. V. (2014). A causal relationship between

cough and gastro esophageal reflux disease (GERD) has been established: A Pro/Con debate. Lung, 192(1),

39-46. doi:http://dx.doi.org/10.1007/s00408-013-9528-7

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2023 Medical practice problems concern a medical condition and provide information about the patient s pathophysiology Whereas a nursing practice problem

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Nursing 2023 2 Coments Each One 150 Words (CITATION AND REFERENCE)

Medical practice problems concern a medical condition and provide information about the patient s pathophysiology Whereas a nursing practice problem 2023 Assignment

Medical practice problems concern a medical condition and provide information about the patient’s pathophysiology. Whereas a nursing practice problem concerns the human response to an actual or potential health problems and life processes. An example of a medical problem would be a CVA or stroke and the physiological conditions that accompany that. In contrast the nursing practice problems for this situation can include impaired verbal communication, risk for falls, interrupted family process, or powerlessness. In addition the nursing practice problem can include multiple problems for one medical problem (Herdman, 2016.) An example of how medical and nursing practice problems differentiate is pneumonia and the physiological symptoms that accompany it vs the nursing practice problem associated would be knowledge deficit and potential for injury (Henry, 1995.)

It is important that nurses recognize the difference between the two and are able to focus their research on nursing specific problems, because that is what can be brought to the bedside and implemented. As the textbook describes, “The nursing profession has always sought to improve care provided to patients to improve patient outcomes (GCU, 2018.” This is supported by the realization by hospitals within recent years that investing into nursing can improve patient outcomes and supporting nursing research results in EBP coming to the bedside in a faster manner. (GCU, 2018.)

 

Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

Henry, S. B., & Holzemer, W. L. (1995). A comparison of problem lists generated by physicians, nurses, and patients: implications for CPR systems. Retrieved May 4, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579119/

Herdman, H. (2016). What is the difference between a medical diagnosis and a nursing diagnosis?: NANDA International Knowledgebase. Retrieved May 4, 2020, from https://kb.nanda.org/article/AA-00266/0/What-is-the-difference-between-a-medical-diagnosis-and-a-nursing-diagnosis-.html

Through Evidence-Based Practice we find ways to deliver safe patient care and improve patient outcomes. (Helbig, 2018). “PICOT is A system for formulating a clear research question; P is for problem or population, I is for intervention, C is for comparison, O is for outcome of interest, and T is for time of study” (Helbig, 2018). When the PICOT is established the nurse will research what is needed to answer the question. (Helbig, 2018). PICOT is used to identify nursing and medical practice problems. A nursing practice problem deals with the response to the patient in contrast to the medical practice problem which deals with the actual medical condition.

Nurses use the nursing process within their scope of practice to deal with health problems. An example of a PICOT nursing practice problem would be, decreasing central line infections in a hemodialysis clinic. P: Patient’s in clinic, I: using sterile technique when accessing CVC lines, C: in comparison to using aseptic technique, O: no infections in the clinic T: 3 months

A medical practice deals with the medical condition and finding solutions to prevent or cure illness. For example, the physician may compare 2 iron medications to treat iron deficiency anemia. With efforts to see which medication works better. P: Patient’s in clinic I: using Venofer iron for patient’s in clinic, C: in comparison to using Ferrlecit iron, O: Venofer Iron will increase Iron percentages in blood by 5% in patients, T: 3 months

It is important for the nurse to practice PICOT within their scope of practice. Through nursing diagnosis, assessment, planning, implementation and evaluation. The nurse reports issues to the physician and carries out orders within their scope.

References

Helbig, J. (2018). History and process of nursing research, evidence-based nursing practice, and quantitative and qualitative research process. In Nursing research: Understanding methods for best practice. Retrieved from: https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/1

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