2023 The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course

Nursing 2023 Nursing Discussions

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course 2023 Assignment

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.

For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

Read the section titled “Reflective Practice: Pants on Fire” from chapter “Health Policy, Politics, and Professional Ethics” and address the questions below:

  • How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
  • Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
  • Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

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2023 Choose two issues or challenges that the leaders of today s health care organizations

Nursing 2023 Assignment

Choose two issues or challenges that the leaders of today s health care organizations 2023 Assignment

 

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
  5. A minimum of three academic references from credible sources are required for this assignment.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

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2023 Discussion APA6 2 3 References Less Than 5 Years Similarities Less 5 For our discussion board this week we will

Nursing 2023 Nursing

Discussion APA6 2 3 References Less Than 5 Years Similarities Less 5 For our discussion board this week we will 2023 Assignment

 

Discussion, APA6, 2- 3 References Less Than 5 Years, Similarities Less 5%

For our discussion board this week, we will discuss a neurological condition known as Cluster Headache.

Case Study:

Rick is a 30-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 25 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion. 

Richard comes into our office 1 week into this fall’s cluster series. The headaches are increasing in intensity, and he is miserable with the pain.

Please complete the following questions: 

  • 1. Describe Cluster Headache and its epidemiology.
  • 2. What would be your goals for therapy for Richard? Give rationale with evidence from articles

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2023 PLEASE RESPOND TO THIS PEER DISCUSSION POST BELOW A successful change requires a person who

Nursing 2023 DISCUSSION RESPONSE 150 WORDS APA & references

PLEASE RESPOND TO THIS PEER DISCUSSION POST BELOW A successful change requires a person who 2023 Assignment

 PLEASE RESPOND TO THIS PEER DISCUSSION POST BELOW 

A successful change requires a person who is well developed in leadership and planning as well a functioning as a change agent (Angel-Sveda, 2012). A change agent is skilled in theory and implementing change. I witnessed this with an educational leader. This educational leader is in charge of most of the department’s education but mostly involved with the orientation portion of education, when candidates are first hired and during their probation period. I was part of a change process, including going into the field (patient home) during orientation observing patient care, documenting, time spent in home, and then coming back to report and review the charting. The change model was implemented to help familiarize ne employees to the work environment as well as reinforce policies for existing employees.

Using one of the change theories in the book or one that you have researched, analyze the change effort that you presented.

The Lewin’s Change Theory: This model describes the change process in three steps; described as “Unfreeze-Change-Refreeze”.

The Unfreeze stage is when the change is anticipated to happen or initialing began; involves supporting staff, feedback, empowerment, and freedom for independent thinking (Coghlan & Brannick, 2003)..  In the case for me the unfreeze stage was when the new employees shadowed the existing employees on their home visits. The existing employees were very apprehensive about this training but reluctantly participated.

The Change stage is when  all the employees are expected to adapt the change and adhere to rules (Coghlan & Brannick, 2003). During this stage many employees reverted back to their old ways, not charting in the home or tracking their miles at the time of the visit; leaving room for error in documentation.

The Refreeze stage is when the change is expected to be followed and evaluation of adherence is need to ensure change is effective (Coghlan & Brannick, 2003). After a few weeks the employees did comply with the change the educator presented but some employees did not and were retrained by having to attend a class reiterating the company policies.  

What went well?

The new employees got hands on experience during orientation, which included, real-time charting, on point questions, and engaging with clients. They also had the opportunity to navigate through the portable computer system before diving into the field alone. Another good outcome was the employees were able to get to know one another during this time and a mentor relationship is usually developed. 

What didn’t go well?

Some existing employees thought the change model was a way to ‘spy’ on them or track their amount of time spent in the home. There was a lot of resistance from employees or many of them declined to participate in the new orientation/training process. 

What would you have done differently if you had been in a leadership position?

I would have explained the need for the change model in the first place.  The educator introduced the change model but did not explain its need or rationale thoroughly. I also would have included high positional workers into the conversation and implementation so other employees knew this was important and required for compliance.

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2023 Use the image in Discussion Question Resource Chest X Ray to answer the following Critical Thinking Questions Examine the

Nursing 2023 Dq 1

Use the image in Discussion Question Resource Chest X Ray to answer the following Critical Thinking Questions Examine the 2023 Assignment

  

Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.

Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.

Critical Thinking Questions

  1. Explain      what Mucor is and how a patient is likely to become infected with Mucor.      Describe the pathophysiologic progression of the infection into pneumonia      and at least two medical/nursing interventions that would be helpful in      treating the patient.
  2. Examine      the laboratory blood test results and arterial blood gases provided in      “Discussion Question Resource: Laboratory Blood Test Results.”      What laboratory values are considered abnormal? Explain each abnormality      and discuss the probable causes from a pathophysiologic perspective.
  3. What      medications and medical treatments are likely to be prescribed by the      attending physician on this case? List at least three medications and      three treatments. Provide rationale for each of the medications and      treatments you suggest.

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2023 Describe the key concepts underlying community activism and 2 give examples of how each of these concepts applies

Nursing 2023 Discussion #10

Describe the key concepts underlying community activism and 2 give examples of how each of these concepts applies 2023 Assignment

Describe the key concepts underlying community activism and  2) give examples of how each of these concepts applies to a specific context. 3) Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.

Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.

Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print

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2023 Review Chapter 7 in The Future of Nursing Leading Change Advancing Health report provided in the Learning Resources

Nursing 2023 Discussion question min 150 words no plagiarism with references due December 5 at 10:00 pm

Review Chapter 7 in The Future of Nursing Leading Change Advancing Health report provided in the Learning Resources 2023 Assignment

  

  • Review Chapter 7 in The Future of Nursing: Leading Change, Advancing Health report provided in the Learning Resources. Focus on the information in Box 7.3, “Research Priorities for Transforming Nursing Leadership.”
  • Select one of the research priorities listed in Box 7.3 that is of particular interest to you and applicable to your career interests. Consider the benefits and challenges of researching and addressing this priority in nursing.
  • Using the Walden library, identify two to three current articles that address your selected research priority. Consider the current state of research efforts on this priority.
  • Reflect on how the research findings for your area of priority impact nurses as leaders in organizations and health care reform. Why is research on this priority important?

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2023 Sampling methods and sizes are different for quantitative and qualitative research In quantitative research sampling methods include simple

Nursing 2023 Discussion response approx 150 words

Sampling methods and sizes are different for quantitative and qualitative research In quantitative research sampling methods include simple 2023 Assignment

 

Sampling methods and sizes are different for quantitative and qualitative research. In quantitative research, sampling methods include simple random sampling, stratified random sampling which occurs when the researcher knows some variables in the population that are critical for the study, cluster sampling uses natural groups that have similar characteristics, systematic sampling which can only happen when an ordered list of all members of a population is available, convenience sampling when people are in the right place at the right time, and quota sampling when the groups are preidentified by the researchers. Sample sizes tend to be bigger in quantitative research. Quantitative research is seen as more vigorous if there is a large sample size. Researchers with good understanding of parameters into sample size such as significance level, power, effect size, standard deviation and event rate, are able to calculate an informed sample size estimation and to report more clearly the rationale for applying any particular parameter value in sample size determination (Malone, 2016). 

Qualtitative research sample sizes are usually smaller. Evidence indicates that sample size is matter of contention and practical guide to issues demanding consideration (Pepin 2018). Methods include purposive sampling where the researcher selects certain participants for a reason, network sampling locates samples that would otherwise be difficult to locate, and theoretical sampling where the researcher gathers relevant data for theory generation. 

My quantitative research question is: Among Registered Nurses, is job retention lower when workplace incivility is present in the workplace as opposed to when it is now present over the course of one year? I would try to use a large sample size in this case. Maybe I would choose a hospital and send surverys to nurses who quit in less than a year of working to find out if their reason for quitting was due to bullying. This is probably cluster sampling. 

My qualitative question is: Among registered nurses, is patient satisfaction lower when bullying and incivility is present in the workplace as opposed to when it is not present? I would use a smaller sample size in this situation. I would probably choose one unit that is known to have bullying, and interview patients over a set period of time. This would be purposeful sampling. 

References

Malone, H. E., Nicholl, H. (2016). Fundamentals of estimating sample size. Nurse researcher, 23(5), 21-25. 

Pepin, G. (2018). Reporting rigorous qualitative results: moving beyong small sample sizes. Australian Occupational Therapy Journal, 65(2), 77-78. 

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2023 alt_title

topic 2023 title

alt_title 2023 Assignment

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2023 The case scenario provided will be used to answer the discussion questions that follow Case Scenario Mr C

Nursing 2023 Dq

The case scenario provided will be used to answer the discussion questions that follow Case Scenario Mr C 2023 Assignment

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

  1. Height: 68 inches; Weight 134.5 kg
  2. BP: 172/96, HR 88, RR 26
  3. Fasting Blood Glucose: 146/mg/dL
  4. Total Cholesterol: 250mg/dL
  5. Triglycerides: 312 mg/dL
  6. HDL: 30 mg/dL

Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
  2. Ranitidine (Zantac) 300 mg PO at bedtime.
  3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

  1. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)
  2. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

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