2023 Carrie Smithson 1 posts Re Topic 9 DQ 2 Sustaining change can be difficult

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Nursing 2023 DQ92 RESPONSE

Carrie Smithson 1 posts Re Topic 9 DQ 2 Sustaining change can be difficult 2023 Assignment

Carrie Smithson    1 posts   Re: Topic 9 DQ 2         Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of Evidence Based Practice is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. There are barriers that may prevent my Evidence Based Practice change proposal from continuing to obtain the same desired results six months to a year from now. My PICOT statement is, In adults with tobacco dependency (P), would providing teaching/research about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention/quit date (T)? One barrier is new staff coming on board and not knowing the proper way to educate patients on tobacco cessation. The current staff will receive proper education on how to educate tobacco dependent patients. To assist new staff with the process change, we can create required computer based learning assignments (CBL’s) that have to be completed before coming out of orientation. This will allow all new nurses to be up-to-date on the education process. Another barrier is language. Not only is language a barrier in education, but other forms of communication as well. Upon communicating with a patient who does not speak English, the health care team must first decide what language the patient understands best, and in what way the patient learns best. Once the assessment is completed, the nurse can obtain an interpreter. At our facility, there are interpreters on wheels; this is an IPad that we bring to the patient and an interpreter comes on live to speak to the patient in their specific language. Not only can we use the interpreter, but provide written education in different languages as well. Throughout the education process, it is important to remember communication techniques. A few communication techniques are listening, asking open ended questions, and having an open posture (Elsheikh, 2018). Change initially can be a good thing and take off quickly. It is important to sustain new change through methods like I mentioned above.  Reference  Elsheikh, K. (2018, March 21). 7 Effective Communication Techniques That Will   Make YouExcellent. Retrieved from https://medium.com/better-humans/7-  effective-communication-techniques-  that-will-make-you-excellent-89eb17e60b36

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2023 Create a 5 10 minute video of yourself as a presenter in which you will propose

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Nursing 2023 Remote Collaboration And Evidence-Based Care

Create a 5 10 minute video of yourself as a presenter in which you will propose 2023 Assignment

 

Create a 5–10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes for a patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.
    • Reflect on which evidence was most relevant and useful when making decisions regarding the care plan.
  • Competency 3: Apply an evidence-based practice model to address a practice issue.
    • Explain the ways in which an EBP model was used to help develop the care plan.
  • Competency 4: Plan care based on the best available evidence.
    • Propose an evidence-based care plan to improve the safety and outcomes for a patient.
  • Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
    • Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
    • Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

Professional Context

Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.

Scenario

The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment.

Instructions

Before beginning this assessment, make sure you have worked through the following media:

For this assessment, you are a presenter! You will create a 5–10-minute video using Kaltura or similar software. In the video:

  • Propose an evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario.
  • Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decision about the plan you proposed
  • Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. 

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

  • Exemplar Kaltura Reflection.
    • Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video. So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.

Make sure that your video addresses the following grading criteria:

  • Propose an evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.
  • Explain the ways in which an EBP model was used to help develop the care plan.
  • Reflect on which evidence was most relevant and useful when making decisions regarding the care plan.
  • Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
  • Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.

Refer to Using Kaltura [PDF] as needed to record and upload your video.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Additional Requirements

Your assessment should meet the following requirements:

  • Length of video: 5–10 minutes.
  • References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.
  • APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

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2023 A 52 year old man complained of pain and cramping in his right calf caused by walking two

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Nursing 2023 Peripheral Vascular Disease. Case Studies

A 52 year old man complained of pain and cramping in his right calf caused by walking two 2023 Assignment

 A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.  

 Studies Results Routine laboratory work Within normal limits (WNL) Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure) Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery 

 Diagnostic Analysis With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.  

 Critical Thinking Questions 1. What was the cause of this patient’s pain and cramping? 2. Why was there decreased hair on the patient’s right leg? 3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 4. What would be the treatment of intermittent Claudication for non-occlusion? 

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2023 You will select two pathological conditions from the powerpoints attached related to one

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Nursing 2023 Powerpoint Assignment

You will select two pathological conditions from the powerpoints attached related to one 2023 Assignment

You will select two pathological conditions, from the powerpoints attached, related to one specific system that was discussed on this course (for example you can select Coronary Artery Disease (CAD) and Arrythmias, which are both related to the cardiovascular system.) You will research the diagnosis, signs, symptoms, laboratory tests and treatment procedures for each condition. 

Please note:

1. Your PowerPoint assignment should be based on the pathological conditions chosen from your specific system. Look up information regarding signs, symptoms, diagnosis and treatment of the conditions chosen in addition to any procedures and lab tests that apply. 

2. You also need to relate the medical terms you use in your presentation to class discussions and readings (highlight or underline the terms used, divide them, label them and define them). 

3. You will need to use at least two references (peer reviewed articles or reliable websites) not including the textbook for each pathologic condition. 

4. Material should be accurate, properly organized and researched. Use figures, pictures and audiovisuals to reflect the content of your presentation.

5. Assignment should be 10-12 slides (not including your title slide and your reference slide) and should be in PowerPoint format. 

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2023 Assignment Based on what you have learned so far this week create a PowerPoint presentation 12 slides minimum

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Nursing 2023 power point

Assignment Based on what you have learned so far this week create a PowerPoint presentation 12 slides minimum 2023 Assignment

Assignment:

Based on what you have learned so far this week, create a PowerPoint presentation (12 slides, minimum)  with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations (an example is located in the Resources tab) related to text size, color, images, effects, wordiness, multimedia and graphic enhancements.

  1. Why did the Hawthorne studies and McGregor’s Theory X and Theory Y have an impact on the study of organizational behavior?
  2. Explain why and how changes in the U.S. demographics affect the healthcare industry.
  3. How does attribution theory allow managers to “justify” workers’ behaviors?
  4. What tools and/or techniques could a manager used to ensure that the message communicated is understood by the receiver as intended.

  1. Why did the Hawthorne studies and McGregor’s Theory X and Theory Y have an impact on the study of organizational behavior?
  2. Explain why and how changes in the U.S. demographics affect the healthcare industry.
  3. How does attribution theory allow managers to “justify” workers’ behaviors?
  4. What tools and/or techniques could a manager used to ensure that the message communicated is understood by the receiver as intended.
  5. Organizational Behavior is the study of individual and group dynamics within an organizational setting. This first module explored issues of diversity, perceptions and attitudes, and communication, all within a theoretical perspective. Some of the major challenges facing today’s and tomorrow’s healthcare organizations and healthcare managers were discusses. The impact of the Hawthorne Studies and McGregor’s Theory X and Theory Y helped to give relevance to the study of organizational behavior. Lessons from this module reminded us that healthcare organizations need to be flexible to change to meet diversity challenges. The greatest barrier to the industry’s success may be its inability to understand and appreciate the increasing diversity within our population, whether relating to patients r employees. Social psychology concepts were also introduced, with an effort to enhance understanding about attitudes, and how these factors can influence and bias our perceptions. Lastly, the importance of communication was emphasized. Communication in the workplace is critical to establishing and maintaining quality working relationships in organizations. Intraorganizational communication, cross-cultural communication, and communication with external stakeholders rounded out the module.

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2023 Assignment Off Label Drug Use in Pediatrics The unapproved use of approved drugs also called off label

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Nursing 2023 Off-label Drug Use In Pediatrics

Assignment Off Label Drug Use in Pediatrics The unapproved use of approved drugs also called off label 2023 Assignment

  

Assignment: Off-Label Drug Use in Pediatrics

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.  

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare

· Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders( option drugs below)

· Reflect on situations in which children should be prescribed drugs for off-label use.

· Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

Write a 1-page narrative in APA format that addresses the following:

· Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.

· Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Therapy for Pediatric Clients with Mood Disorder

BACKGROUND INFORMATION

The client is an 8-year-old African American male who arrives at the ER with his mother. He is exhibiting signs of depression.

·  Client complained of feeling “sad”

·  Mother reports that teacher said child is withdrawn from peers in class

·  Mother notes decreased appetite and occasional periods of irritation

·  Client reached all developmental landmarks at appropriate ages

·  Physical exam unremarkable

·  Laboratory studies WNL

·  Child referred to psychiatry for evaluation

 
 

MENTAL STATUS EXAM

Alert & oriented X 3, speech clear, coherent, goal directed, spontaneous. Self-reported mood is “sad”. Affect somewhat blunted, but child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation, but does admit that he often thinks about himself being dead and what it would be like to be dead.

You administer the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

 
 

RESOURCES

§ Poznanski, E., & Mokros, H. (1996). Child Depression Rating Scale–Revised. Los Angeles, CA: Western Psychological Services.

Treatment options

1)Zoloft 25 mg orally daily, 2) Paxil 25 mg orally daily, 3) Wellbutrin 75 mg orally BID 

Resources for reference ( 3 + references)

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

· Chapter 8, “Drug Therapy in Pediatric Patients” (pp. 65—67)

Corny, J., Lebel, D., Bailey, B., & Bussieres, J. (2015). Unlicensed and off-label drug use in children before and after pediatric governmental initiatives. The Journal of Pediatric Pharmacology and Therapeutics, 20(4), 316–328. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4557722/

This article highlights pediatric governmental initiatives to prevent unlicensed and off-label drug use in children. Review these initiatives and guidelines and how they might impact your practice as an advanced practice nurse.

Panther, S. G., Knotts, A. M., Odom-Maryon, T., Daratha, K., Woo, T., & Klein, T. A. (2017). Off-label prescribing trends for ADHD medications in very young children. The Journal of Pediatric Pharmacology and Therapeutics, 22(6), 423–429. doi:10.5863/1551-6776-22.6.423

This study examines the frequency of off-label prescribing to children and explores factors that impact off-label prescribing. This study also examines off-label prescribing to children with ADHD.

Required Media (click to expand/reduce)

Laureate Education (Producer). (2019i). Therapy for pediatric clients with mood disorders [Interactive media file]. Baltimore, MD: Author.

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2023 can you please write an observation paper on pre operation room and please follow the rubric also i attach sample

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Nursing 2023 questions

can you please write an observation paper on pre operation room and please follow the rubric also i attach sample 2023 Assignment

can you please write an observation paper on pre operation room. and please follow the rubric also i attach sample of my friend work please try to do as her 

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My clinical rotation for this week is preoperation room. I saw many patients the floor was so busy in the morning. One of the case that I saw 64 years female, she came for Esophagogastroduoddenoscopy. She has history of HTN, hypothyroidism. Consent in, she took her medication for hypothoidism today and she is NPO midnight, and she stop asprin 14/09/2019. Her vital signs is TEM 97.2, pulse 79, BP 162/89, respiratory 20. O2 98%. The nurse ask pt about her name date of birth. And she ask about allergy, procedure and who is the doctor, also, when NPO, what medication she took and when the last time. Then she ask the pt to change dress. Then inserte the IV with the fluid. Bed in lower position and call light with pt.  Also take three consent from pt one for procedure one of anthesea and one for blood. Also ask pt to remove the jowlary and glass and dentior. And check the lab result if any abnormality and inform thr surgon and anethesea. Then give hand off report to OR nurse . note in the perioperation no time out only for some surgery. 

My nursing diagnosis is 

Fear and anxiety related to procedure as evidence by pt verbalize she is restless and not sleep two night and her Bp 162/89. 

My goal is 

Patien will able to report decrease anxiety and fear and blood decrease to normal level by 1122on 09/18/2019. 

Intervention:

Explain the procedure to the pt, answer her questions, put her in comfortable position. 

Goal met patent relax and she said feel better and anxiety decrease and I check her BP 128/80) this what i see and you can add more intervention and please follow each suction in rubric 

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2023 Minimum of 250 words with two or more peer review reference Depending on the board of

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Nursing 2023 NUR-635-D1R1

Minimum of 250 words with two or more peer review reference Depending on the board of 2023 Assignment

 

Minimum of 250 words with two or more peer review reference

Depending on the board of nursing in your state, there may be additional requirements to become a prescriber after you complete your APRN program. 

Describe the necessary steps required, for the state Florida , in order to become a prescriber? After you have completed these steps, you decide to celebrate on a family vacation in a different state. Your sister asks you to refill her levothyroxine because she forgot to pack her medication. What are the legal and ethical implications as a new prescriber to consider in this situation?

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Field of study Nursing Minimum of 250 words with peer review reference Two nurses make

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Nursing 2023 NUR-630-D2Q2

Field of study Nursing Minimum of 250 words with peer review reference Two nurses make 2023 Assignment

Field of study:  Nursing

(Minimum of 250 words with peer review reference)

 

Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Week 5 Reflection Pulse check Pulse Check The Pulse Check Where are you

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Nursing 2023 Week 5 Reflection Pulse Check

Week 5 Reflection Pulse check Pulse Check The Pulse Check Where are you 2023 Assignment

  

Week 5 Reflection Pulse check

Pulse Check

The “Pulse” Check.  Where are you in your journey and how are you doing?

DQ2 of Week 5 is an opportunity for you to self-assess and reflect on your journey. You can write about it expressing your navigation through the Role course. Model from the scripts in this week but be specific to your experience.

Evaluate how you have achieved course competencies and your plans to develop further in these areas. The course competencies for this course are as follows:

1. Explore the historical evolution of the advance practice nurse.

2. Differentiate the roles and scope of practice for nurses working in advanced clinical, education, administration, informatics, research, and health policy arenas.

3. Analyze attributes of the practice arena such as access and availability, degree of consumer choice, competition, and financing that impact advanced practice nurses and their ability to effectively collaborate with other health professionals.

4. Integrate evidence from research and theory into discussions of practice competencies, health promotion and disease prevention strategies, quality improvement, and safety standards.

5. Identify collaborative, organizational, communication, and leadership skills in working with other professionals in healthcare facilities and/or academic institutions.

6. Synthesize knowledge from values theory, ethics, and legal/regulatory statutes in the development of a personal philosophy for a career as an advanced practice nurse.

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples that demonstrate a clear connection to the readings.

Week 5 

Article and Videos

Read the following peer reviewed article. Incorporate key points in your DQ 1 and any other assignment.

A Day in the Life:  Nurse Johnson & Johnson Nursing Campaign Mystery Box Unboxing  ( https://www.youtube.com/watch?v=rgojAOyPvfk&list=PLU05He9EuwhlRCO5iVPgjeA7-K1lE3Y8X )

Strech, S., & Wyatt, D. A. (2013). Partnering to lead change: Nurses’ role in the redesign of health care. Association of Operating Room Nurses.AORN Journal, 98(3), 260-6. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1016/j.aorn.2013.07.006

A Day in the Life:  Nurse Educator A Day in the Life – Susan, Nurse Educator, MSN, RN, Ph.D. Candidate  ( https://www.youtube.com/watch?v=Z_sG4GRtP-o )

A Day in the Life: Family Nurse Practitioner A Day in the Life – Steve (Family Nurse Practitioner)  (https://www.youtube.com/watch?v=d-kL1OFbCC8 )

A Day in the Life: Palliative Care NP A Day in the Life – Lauren (Nurse Practitioner- Palliative Care)  ( https://www.youtube.com/watch?v=dYvL_KhG_YM )

What is Nurse Informatics? Nursing Informatics in Two Minutes  ( https://www.youtube.com/watch?v=scY_9w-p0y4 )

Nurse administrator talks about leadership in a hospital system Meet Clarian Health Chief Nurse Executive  ( https://www.youtube.com/watch?v=oi1oCcnxvio )

The Role of the Midwife The role of a midwife – 24/7 case loading midwife and what they do.  ( https://www.youtube.com/watch?v=-XVcI168IeI )

CRNA Career Profile – Nurse Anesthetist  ( https://www.youtube.com/watch?v=AygysDUSMfk )

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