2023 Module 2 Assignment Case Study Analysis Scenario 45 year old woman presents with chief complaint of 3 day

Nursing 2023 Module 2 Case Study Analysis

Module 2 Assignment Case Study Analysis Scenario 45 year old woman presents with chief complaint of 3 day 2023 Assignment

Module 2 Assignment: Case Study Analysis

Scenario : 45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields.

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2023 Word totals for each post should be in the 100 200 words range Whether you agree or disagree explain why

Nursing 2023 Discussion 3 with 100 – 200 worlds maximum

Word totals for each post should be in the 100 200 words range Whether you agree or disagree explain why 2023 Assignment

 

Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.

 

Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Hispanics-Diabetes)

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2023 As their names imply the honeyguide bird and the honey badger both share an affinity for honey Honeyguide

Nursing 2023 Advocating for the Nursing Role in Program Design and Implementation

As their names imply the honeyguide bird and the honey badger both share an affinity for honey Honeyguide 2023 Assignment

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

  • Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs. 
  • Select a healthcare program within your practice and consider the design and implementation of this program.
  • Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation. 

The Assignment: (3 pages)

In a 3-page paper, create an interview transcript of your responses to the following interview questions:

  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

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2023 Strategies Quality Practice A theory has been defined as statements or set of analytical principles that are designed to

Nursing 2023 REPLY 1 Tof PN

Strategies Quality Practice A theory has been defined as statements or set of analytical principles that are designed to 2023 Assignment

Strategies & Quality Practice

A theory has been defined as statements or set of analytical principles that are designed to structure people’s understanding, observation, and explanation of the reality in the world (Nilsen, 2020). In most cases, theories apply some relationships between multiple variables and some specific predictions. A successful theory provides a clear explanation of how and why some relationships can lead to specific events. Theories can be described based on the abstraction continuum. 

Nursing profession is transforming in the modern society. Strong leadership is important in attaining the anticipated transformative changes in the health care system. Nurses have various professional roles in the clinical setting. The professional roles of nurses are centered in ensuring provision of safe and quality care that meet the health needs of individual patients. Nursing theories are based on the four nursing metaparadigm concepts (Nilsen, 2020). Florence Nightingale introduced a number of nursing theories that have provided the basis for development of other theoretical frameworks; thus, helping in improving quality of patient care. Quality is an important consideration in the provision of holistic care that meet the needs of the individual clients. Florence Nightingale is considered as the “mother of nursing” due to her remarkable contributions to the profession of nursing (Nilsen, 2020).

Various strategies have been proposed for ensuring that professional nurses can effectively use their work environment to advocate for the integration of nursing theory as one an important framework for quality practice (Mitchell, 2013). First, developing a vision and mission statement is important in ensuring successful implementation of nursing theories for attaining quality practice. Nurses can set a vision and mission statement related to the implementation of various theoretical concepts. Implementation science is important in developing vision and mission statement in the adoption of various nursing theories into clinical practice. Implementation science allows nurses to address challenges associated with the integration of research to attain more evidence-based practice (EBP) in the health care system (Mitchell, 2013). The vision and mission statement for implementing various nursing theories are based on the scope of each theory or model. 

Second, nurses can undertake a benchmark to determine the efficacy of some nursing theories in improving quality practice. Through implementation science, nurses may conduct various benchmarks to assess how the nursing theories can be implemented into the nursing practice to improve quality of care. Nursing theories are important for implementation since they guide in the clinical practice towards providing quality, safe, holistic, and patient-centered (Nilsen, 2020).  Through benchmarks, professional nurses can develop practice guidelines.  Nursing theories are also significant in developing standard of practice.  

Determining the viability of as specific nursing theory is another strategy in the implementation of various nursing theories as frameworks for improving quality practice in the profession of nursing (Nilsen, 2020). The viability of various concepts, variables, or constructs of specific nursing theories should be assessed before implementing these theoretical frameworks in nursing practice.

References

Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management, 20(1).

Nilsen, P. (2020). Making sense of implementation theories, models, and frameworks. In Implementation Science 3.0 (pp. 53-79). Springer, Cham. https://link.springer.com/chapter/10.1007/978-3-030-03874-8_3

REPLY 2

What strategies might a professional nurse use in his/her work environment to advocate for implementing nursing theory as a framework for quality practice?

Nursing is an important profession in the healthcare sector. The success of the healthcare sector in delivering quality and patient-centered healthcare services relies on nurses’ proficiency and prowess.   One of the fundamental building blocks of the nursing profession is nursing theories. Nurses’ effectiveness in their work depends on how effective they use their working environment to advocate for the implementation of nursing theory as a framework aimed at attaining quality nursing and healthcare practice. Several strategies can be used by nurses to enhance such a process. 

It is important to note that there are different types of nurses. As an ICU nurse, being in an ICU, most of the time, has shown me the need to show a high level of professionalism by using such an environment to practically implement nursing theories. Implementing such theories in an ICU unit is the best since it proves that you can do so even in other nursing departmental units as a nurse. 

The strategies for implementing nursing theories are just drawn from the nursing theories’ requirements. One of the strategies is providing and working hard to create a good environment for patients. For instance, the ICU is one of the critical units of the healthcare facility. Patients in such units are usually in critical condition, and taking care of them requires a high level of professionalism. Hence, a strategy of implementing nursing theory implies that as a Nurse in ICU, you need to create a good working environment according to the Florence Nightingale environmental theory (Lawrence, 2011). A good working environment should consist of good and proper ventilation, light, warmth, and coolness. As a nurse in ICU, you need to ensure that patients are free from external disturbances (Lawrence, 2011).

            The second strategy through which nurses can use to implement nursing theories in their working environment is by applying human relations principles.  ICU patients face serious health challenges. As a nurse in such a unit, it is important to understand your behaviors and help other people identify their health challenges. This is because patients in ICU face serious health conditions that require assistance in every moment. According to the Hildegard Peplau nursing theory, as a nurse, you need to be always sharp at identifying patients felt a need and want (McAndrew, Schiffman, & Leske, 2020).  In such a case, nurses in ICU are good examples of healthcare professionals who need high problem-solving skills through incorporating human relations principles (McAndrew, Schiffman & Leske, 2020).

Another strategy that nurses can use within their working environment is establishing a good and close relationship with their patients.  The latter statements are broad statement which describes several activities a nurse should always do. First of all, it implies that as a nurse, you should always have the desire and motive to assist patients in critical conditions and play a significant contribution towards their recovery process (Lawrence, 2011).  Besides, nurses can use their working environment resources to help patients gain their independence as quickly as possible. In other words, nurses can establish a deep and strong connection with patients in critical conditions by getting inside their patient’s skin to know their needs.

Moreover, nurses need to ensure that they understand the behaviors of their patients. Patients in ICU display behaviors that represent the call for help and assistant.  Many patients’ behaviors in the ICU environment are nonverbal and usually signal the nurses that they need assistance. As a nurse in such an environment, your actions should be deliberate and not automatic (Aliakbari et al. 2015).  Similarly, nurses can also participate in policy changes meant to enhance the ICU nursing working environment for the patient’s benefit.

In conclusion, nursing is not a simple profession as it may be thought to be. Such a professional’s success, especially for healthcare professionals in critical units such as the ICU, requires a high level of professionalism being displayed. Hence, it implies that nurses need to ensure that as they work, there are implementing nursing theories guide in their working environment for the benefit of patients in critical condition and urgently seeking recovery.

References

Aliakbari, F., Parvin, N., Heidari, M., & Haghani, F. (2015). Learning theories application in nursing education. Journal of education and health promotion, 4. https://dx.doi.org/10.4103%2F2277-9531.151867 (Links to an external site.)

Lawrence, L. A. (2011, October). Work engagement, moral distress, education level, and critical reflective practice in intensive care nurses. In Nursing forum (Vol. 46, No. 4, pp. 256-268). https://doi.org/10.1111/j.1744-6198.2011.00237.x (Links to an external site.)

McAndrew, N. S., Schiffman, R., & Leske, J. (2020). A theoretical lens to view the facilitators and disruptors of nurse-promoted engagement with families in the ICU. Journal of Family Nursing, 1074840720936736. https://doi.org/10.1177%2F1074840720936736 (Links to an external site.)

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

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2023 Comment 1 Evidence based practice is the conscientious integration of best research evidence

Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED. Thanks.

Comment 1 Evidence based practice is the conscientious integration of best research evidence 2023 Assignment

Comment 1

  Evidence-based practice is the conscientious integration of best research, evidence with clinical expertise and patients’ values and needs in the delivery of high-quality, and cost-effective healthcare (University of Illinois at Chicago, 2015).

Evidence-based practice (EBP) promotes quality, safe, and cost-effective outcomes for patients, families, healthcare providers, and the healthcare system. It evolves from the integration of the best research evidence with clinical expertise and patients’ needs and values (Grove, Gray & Burns, 2015. 6th ed).

        The treatment for acute muscle strain has changed over the years.  In the past, nurses learned to ice certain injuries for the first 24 hours and then apply heat to increase blood flow. Presently, evidence-based practice shows that only heat is beneficial (The university of New Mexico, 2016, Nov.30).

       Evidence-based practice has been developed to prevent healthcare–associated intravascular device–related bloodstream infections with the use of I-Care and the acronym stands for:

  • I—IV device management
  • C—Cleaning of hands
  • A—Access: Use of alcoholic chlorhexidine to prepare the insertion site, and use of sterile alcohol swabs to clean the injection port before accessing.
  • R—Reviewing the need for the IV device on a daily basis and remove when no longer required
  • E—Education about I-Care given to: staff, patients, and other care-givers (The Joint Commission, 2013, Nov.20).

       I work in prison facility and we had several cases of flu infection during this last episode. Hand washing with soap and water and contact precaution was evidence-based practice used to prevent the spread, also screen and testing others in the same dorm help to control spread of infection.

Comment 2

Evidence-based practice (EBP) is the combination of using research and clinical expertise, and include the patients’ values when making decisions about the care of individualized patients (Rauen, Chulay, Bridges, Vollman, & Arbour, 2008). Research findings are a group of facts and they become evidence when the findings are relevant and useful in particular patient situations. One example of EBP is collecting an accurate measurement of blood pressure, and it starts with picking the correct cuff size according to the circumference of the patient’s arm. Positioning the arm is also important and that should be based on how the patient is positioned. The study also found that using an automatic cuff to measure blood pressure in patients with atrial fibrillation was interchangeable with checking the blood pressure manually (Rauen, Chulay, Bridges, Vollman, & Arbour, 2008).  

Another EBP used when assessing pain is to intervene appropriately in patients that are non-verbal or have dementia. Assess for pain and intervene with non-verbal and/or demented patients when they have conditions that typically cause pain (Flynn Makic, n.d.). Assess for facial expression, verbalizations, a change in activity, and rubbing of certain parts of the body. The nurse can also evaluate for restlessness, agitation, and combativeness. Nurses should use a valid, reliable tool for assessing pain and re-evaluate frequently (Flynn Makic, n.d.).

The first EBP on accurately measuring blood pressure is widely used in all settings of health care including home health where I work. We manually check blood pressure and are instructed on choosing the proper cuff size and proper positioning of the patient for the most accurate results. The EBP for pain assessment we use the Numeric Pain Rating Scale as well as the Wong-Baker Faces Rating Scale. The numeric scale can tell us the intensity of pain which can help guide the nurse’s choice for pain medication and for the non-verbal, limited cognitive ability, and/or patient with mild to moderate dementia we use the scale with pictures (Wong-Baker). Patients with advanced dementia will need behavioral observation to determine the presence of pain (Wells, Pasero, & McCaffery, n.d., Chapter 17).

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2023 respond The case of Jim is a great example of how value based reimbursement structures are driving improvements in

Nursing 2023 NR533 week 2.2

respond The case of Jim is a great example of how value based reimbursement structures are driving improvements in 2023 Assignment

respond 

 

The case of Jim is a great example of how value based reimbursement structures are driving improvements in healthcare.

With fee for service, or volume based reimbursement, the hospital will receive reimbursement for providing care on two separate admissions, despite the fact that the second admission could possibly have been avoided.  Additionally, with fee for service, there is  no incentive to return the patient to the community or recover health in a timely manner.  Physicians and hospitals receive more benefit from greater length of stay and additional tests and consults.  With volume based reimbursement, there is no incentive to reduce costs or improve quality which negatively impacts patient satisfaction.   While this form of reimbursement provides maximum profits for providers, it results in epidemic unaffordable and inaccessible healthcare for populations. 

With value based reimbursement, the hospital will receive a flat fee for Jim’s diagnosis regardless of how care is provided.  The hospital will also be penalized for readmission additionally reducing reimbursement.  In the case of value based reimbursement, the hospital is incentivized to diagnose, treat, and recover the patient as quickly and efficiently as possible.  This reduces the chances of imposed unnecessary costs to the patient and improves the likelihood of quality care and thereby patient satisfaction, which is known as the Triple Aim (Martin, 2017).

With nearly 50% of the payer mix at my institution coming from government funded healthcare, value based reimbursement has a significant impact on how we deliver care with a large focus on quality and cost reduction improvement strategies.  One of the ways our hospital has tried to reduce cost is through merger.  Advocate merged with Aurora Healthcare last year and the large volume of providers has allowed us to negotiate lower contracts with vendors and suppliers.  Additionally, they are reducing costs by partnering with physician groups to provide services to patients and employees at reduced costs under a large HMO.

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2023 Think about your unique nursing practice specialty area and the population you serve Is

Nursing 2023 N491 Discussion Mod 1:

Think about your unique nursing practice specialty area and the population you serve Is 2023 Assignment

  

Think about your unique nursing practice specialty area and the population you serve. Is there a clear connection to practice and theory in your specific nursing specialty area? In this discussion post, you will describe the relationship between theory and nursing practice and how you could implement theory into nursing practice.

  1. Describe      why nursing theory is important to today’s nursing practice.
  2. How      would you select and introduce a nursing theory or model into your nursing      practice?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

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2023 Review the attached PowerPoint presentations Once done please answer the following questions 1 Define epidemiology and discuss how

Nursing 2023 Community Nursing – Questions

Review the attached PowerPoint presentations Once done please answer the following questions 1 Define epidemiology and discuss how 2023 Assignment

Review the attached PowerPoint presentations.  Once done please answer the following questions:     

1. Define epidemiology and discuss how the epidemiology triad can be applied to            health issues we see in the hospital?    

2. Epidemiology is not just useful for community health nurses; it is useful for all healthcare professionals. Brainstorm some ways in which epidemiology could be used in an acute care setting. What types of problems arise in acute care that might need to be measured? How could nurses use epidemiology to assess those problems and attempt to intervene? How can this data be further used in a community setting in terms of follow-up or continuation of intervention? 

3. What are some of the causes of increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors? 

4. Why is it important for nurses to know about global health issues or concerns if they are not planning to work in other countries? How can this information be used in the workplace here in the US?    

 

– Present your assignment in an APA format, word document, Arial 12 font.

– A minimum of 2 evidence-based references (besides the class textbook) are required. 

–  A minimum of 500 words (excluding the first and references page) are required.

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2023 Based on last week s reading you now have an idea of the

Nursing 2023 Discussion :APA 6th edition format as required ( 2 paragraphs is required 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).

Based on last week s reading you now have an idea of the 2023 Assignment

  

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Important Links:

https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs.

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2023 Reflection Assignment 4 Meeting Essential VIII This week reflect on your perception

Nursing 2023 Week 5 Reflection Assignment

Reflection Assignment 4 Meeting Essential VIII This week reflect on your perception 2023 Assignment

Reflection Assignment 4: Meeting Essential VIII

This week, reflect on your perception of change theory, management roles and nursing leadership, communication conflict, and the nurse management role in patient care as it has evolved over the course of your RN-BSN program at WCU. Identify specific leadership models you support, and compare and contrast communication techniques for patient-centered care effectiveness. How does your academic work support evidence of meeting the following?

Essential VIII: Professionalism and Professional Values

  • Outcome #3: Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications. 

Showcase your academic work related to this essential and these outcomes in your ePortfolio and directly reference it in your reflection response.

Recommended: Refer to the work you completed for NURS 510 Policy, Organization, and Financing of Health Care and LDR 432 Principles of Leadership for Healthcare Organizations, as well as other courses, to gather academic examples and evidence of having met this essential. (DOCUMENTS ATTACHED)

Your reflection should be 1–2 pages APA formatted. Reference and cite any sources you use. 

PLEASE REFER TO THE ATTACHED RUBRIC!!!!!

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