2023 APA style 300 words 10 maximum plagiarism Mrs Smith was a 73 year old widow who lived alone with no

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Nursing 2023 Case Study. Week # 3

APA style 300 words 10 maximum plagiarism Mrs Smith was a 73 year old widow who lived alone with no 2023 Assignment

APA style

300 words

10% maximum plagiarism  

Mrs. Smith was a 73-year-old widow who lived alone with no significant social support. She had been suffering from emphysema for several years and had had frequent hospitalizations for respiratory problems. On the last hospital admission, her pneumonia quickly progressed to organ failure. Death appeared to be imminent, and she went in and out of consciousness, alone in her hospital room. The medical-surgical nursing staff and the nurse manager focused on making Mrs. Smith’s end-of-life period as comfortable as possible. Upon consultation with the vice president for nursing, the nurse manager and the unit staff nurses decided against moving Mrs. Smith to the palliative care unit, although considered more economical, because of the need to protect and nurture her because she was already experiencing signs and symptoms of the dying process. Nurses were prompted by an article they read on human caring as the “language of nursing practice” (Turkel, Ray, & Kornblatt, 2012) in their weekly caring practice meetings.

The nurse manager reorganized patient assignments. She felt that the newly assigned clinical nurse leader who was working between both the medical and surgical units could provide direct nurse caring and coordination at the point of care (Sherman, 2012). Over the next few hours, the clinical nurse leader and a staff member who had volunteered her assistance provided personal care for Mrs. Smith. The clinical nurse leader asked the nurse manager whether there was a possibility that Mrs. Smith had any close friends who could “be there” for her in her final moments. One friend was discovered and came to say goodbye to Mrs. Smith. With help from her team, the clinical nurse leader turned, bathed, and suctioned Mrs. Smith. She spoke quietly, prayed, and sang hymns softly in Mrs. Smith’s room, creating a peaceful environment that expressed compassion and a deep sense of caring for her. The nurse manager and nursing unit staff were calmed and their “hearts awakened” by the personal caring that the clinical nurse leader and the volunteer nurse provided. Mrs. Smith died with caring persons at her bedside, and all members of the unit staff felt comforted that she had not died alone.

Davidson, Ray, and Turkel (2011) note that caring is complex, and caring science includes the art of practice, “an aesthetic which illuminates the beauty of the dynamic nurse-patient relationship, that makes possible authentic spiritual-ethical choices for transformation—healing, health, well-being, and a peaceful death” (p. xxiv). As the clinical nurse leader and the nursing staff in this situation engaged in caring practice that focused on the well-being of the patient, they simultaneously created a caring-healing environment that contributed to the well-being of the whole—the emotional atmosphere of the unit, the ability of the clinical nurse leader and staff nurses to practice caringly and competently, and the quality of care the staff were able to provide to other patients. The bureaucratic nature of the hospital included leadership and management systems that conferred power, authority, and control to the nurse manager, the clinical nurse leader, and the nursing staff in partnership with the vice president for nursing. The actions of the nursing administration, clinical nurse leader, and staff reflected values and beliefs, attitudes, and behaviors about the nursing care they would provide, how they would use technology, and how they would deal with human relationships. The ethical and spiritual choice making of the whole staff and the way they communicated their values both reflected and created a caring community in the workplace culture of the hospital unit.

Critical thinking activities

Based on this case study, consider the following questions.

1. What caring behaviors prompted the nurse manager to assign the clinical nurse leader to engage in direct caring for Mrs. Smith? Describe the clinical nurse leader role established by the American Association of Colleges of Nursing in 2004.

2. What issues (ethical, spiritual, legal, social-cultural, economic, and physical) from the structure of the theory of bureaucratic caring influenced this situation? Discuss end-of-life issues in relation to the theory.

3. How did the nurse manager balance these issues? What considerations went into her decision making? Discuss the role and the value of the clinical nurse leader on nursing units. What is the difference between the nurse manager and the clinical nurse leader in terms of caring practice in complex hospital care settings? How does a clinical nurse leader fit into the theory of bureaucratic caring for implementation of a caring practice?

4. What interrelationships are evident between persons in this environment—that is, how were the vice president for nursing, nurse manager, clinical nurse leader, staff, and patient connected in this situation? Compare and contrast the traditional nursing process with Turkel, Ray, and Kornblatt’s (2012) language of caring practice within the theory of bureaucratic caring

Lecture

What is the difference between grand theory and middle-range theory?
Grand theory is broader and provides an overall framework for structuring ideas. In description, Grand Theories are broad and complex in scope. They present a conceptual framework for identifying the key principles and concepts of the nursing practice. Even though they are known to provide intuitions useful for practice, they cannot be used for empirical testing.

On the other hand, middle-range theories are focused on a particular phenomenon or concept. They are limited in scope and deals with tangible and reasonably operative concepts. Their propositions and concepts are more specific to the nursing practice and they can be used for empirical testing.

Middle-range theory addresses more narrowly defined phenomena and can be used to suggest an intervention.

Ray’s Theory of Bureaucratic Caring
 

Marilyn Anne Ray

Improved patient safety, infection control, reduction in medication errors, and overall quality of care in complex bureaucratic health care systems cannot occur without knowledge and understanding of complex organizations, such as the political and economic systems, and spiritual-ethical caring, compassion and right action for all patients and professionals.”

* The theory was generated from qualitative research involving health professionals and patients in the hospital setting,

* The theory implies that there is a dialectical relationship (thesis, antithesis, synthesis) between the human (person & nurse) dimension of spiritual-ethical caring and the structural (nursing, environment) dimensions of the bureaucracy or organizational culture (technological, economic, political, legal and social). 

* The Model is holographic, illuminating the holistic nature of caring & synthesis of the humanistic systems and technologic, economic, political, legal systems.

Major Concepts

* Caring: a complex, transcultural, relational process, grounded in an ethical, spiritual context. Caring is the relationship between charity and right action, between love as compassion in response to human suffering and need, and justice or fairness in terms of what ought to be done. Caring occurs within a culture or society, including personal culture, hospital organizational culture, or society and global culture (Ray, 1989; Ray in Coffman, 2006; 2010, 2013). 

* Spiritual-Ethical Caring: Spirituality involves creativity and choice revealed in attachment, faith, hope, love, and community. The ethical imperatives of caring that join with the spiritual & relate to our moral obligation to others. Spiritual- ethical caring for nursing focuses on how the facilitation of choices for the good of others (caring, healing, well-being that should be accomplished or can be 

* Educational: Formal and informal educational programs, use of audiovisual media to convey information, and other forms of teaching and sharing information are examples of educational factors related to the meaning of caring. 

* Physical: Physical factors relate to the physical state of being including biological and mental patterns. Because the mind and body are interrelated, each pattern influences the other. 

* Socio-cultural: Social-Cultural factors are ethnicity and family structures; intimacy with friends and family; communication; social interaction and support; understanding interrelationships, involvement, and structures of cultural groups, community and society. 

* Legal: Legal factors relating to the meaning of caring include responsibility and accountability; rules and principles to guide behaviors, such as policies and procedures; informed consents; right to privacy; malpractice and liability issues; client, family, and professional rights; and the practice of defensive medicine and nursing.

* Technological: Technological factors include nonhuman resources, such as the use of machinery to maintain the physiological well-being of the patient, diagnostic tests, pharmaceutical agents, and the knowledge and skill needed to utilize these resources. Also included with technology are computer assisted practice and electronic documentation and social media. 

* Economic: Economic factors relating to the meaning of caring include money, budget, insurance systems, limitations and guidelines imposed by managed care organizations and in general, allocation of scare resources including to maintain the economic viability of the organization. Caring as an interpersonal resource (love, communication, professional knowledge) should be considered, as well as goods, money and services. 

* Political: Political factors and the governance & power structure within health care administration influence how nursing is viewed in health care and include patterns of communication and decisions in the organization; role and gender stratification among nurses, physicians, and administrators, union activities, including negotiation and confrontation; government and insurance company influences; uses of power, prestige, and privilege; and in general, competition for scarce human and material resources. 

Major Assumptions

* Nursing/Caring

* Person/Cultural Being

* Health

* Environment/Culture of Organization

Nursing

* Nursing is holistic, transcultural & relational, spiritual, and ethical caring that seeks the good of self and others in complex community, organizational, and bureaucratic cultures. 

* Dwelling with the nature of nursing reveals that the foundation of spiritual caring is love. Love calls forth a responsible ethical life that enables the expression of concrete actions of caring in the lives of nurses and for health & healing. 

Person

* A person is a spiritual and cultural being. Persons are created by God, the Mystery of Being, a higher power and engages co-creatively in human organizational and transcultural relationships to find meaning and value. 

Health

* Health is a pattern of meaning for individuals, families and communities. Beliefs and caring practices about health & illness are central features of culture. The social organization of health and illness determines how persons are recognized as sick or well, how health or illness is presented to health care professionals and the way health is interpreted by the individual. 

Environment

* Environment is a complex spiritual, ethical, ecological and cultural phenomenon. This conceptualization embodies knowledge & conscience about the beauty of life forms & symbolic systems or patterns of meaning.

*  Nursing practice in environments embodies the elements of the social structure and spiritual and ethical caring patterns of meaning. 

Theoretical Assertions

* Caring is the essential construct and consciousness of nursing.

* The meaning of caring is love and is highly differential depending on its context–structures (social-cultural, educational, political, economic. physical, technological and legal) as expressed in complex organizations. 

* Caring is viewed as love and bureaucratic, given the extent to which its meaning can be understood in relation to science & the complex organizational structure. 

Application to Practice/Education/Research

* Practice: Ray’s research has shown that nurses, patients and administrators value caring science, & the caring intentionality that is co-created in the nurse-patient or administrator relationship. 

* By creating spiritual-ethical caring relationships, clinical nurses & administrators can transform the workplace into moral communities within the culture of humanistic, social, economic, political and legal values. 

* Education: The theory is useful to nursing education because of its broad focus on caring & complexity science /s in nursing and the conceptualization of the health care system—used as an organizing framework for curricula.

* Universities and hospitals have incorporated Ray’s Model of Bureaucratic Caring in the framework for the baccalaureate nursing programs, and clinical environments to guide nursing evolution, practice, research, and administration.

* Research: Through Ray’s extensive experience with research, she has developed a phenomenological-hermeneutical approach (caring inquiry) that continues to guide her research and has been adopted by many researchers for the humanistic approach, using a lens of caring & caring science to study the human experience in health situations. 

* Presenting Caring Inquiry Method August, 2013 at 32nd International Human Science Research Conference, Aalborg, Denmark

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2023 books required Discovering Computers Microsoft Office 2013 A Fundamental Combined Approach 1st

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Nursing 2023 NURSING

books required Discovering Computers Microsoft Office 2013 A Fundamental Combined Approach 1st 2023 Assignment

books required  

Discovering Computers & Microsoft Office 2013: A Fundamental Combined Approach, 1st Enhanced Edition Author: Misty E. Vermaat ISBN: 978-1305409033 Publisher: Cengage Learning (2016)

 

Topic: Identify the purpose of software used in communications.

  • Write a 250-300 word paper using APA Format.
  • Use at least THREE references
  • References must not be less than FIVE years.

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2023 Minimum of 300 words with at least 2 peer review reference in 6th edition APA style Anemia of

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Nursing 2023 NUR-631-D4Q1

Minimum of 300 words with at least 2 peer review reference in 6th edition APA style Anemia of 2023 Assignment

Minimum of 300 words with at least 2 peer review reference in 6th edition APA style.

 

  1. Anemia of chronic disease is a common occurrence in elderly patients. What is the pathophysiological mechanism behind this disease process?
  2. Virchow’s triad refers to states that can produce hypercoagulability. What are the three categories? Give an example for each and explain the pathophysiological changes seen.

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2023 Write a 3 5 page paper describing where a physician practice and a hospital fall on the continuum of patient care

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Nursing 2023 Healthcare Management In Diverse Settings

Write a 3 5 page paper describing where a physician practice and a hospital fall on the continuum of patient care 2023 Assignment

Write a 3-5 page paper describing where a physician practice and a hospital fall on the continuum of patient care, explaining the scope of responsibility and authority at the physician practice, and describing the differences of management’s approach across the two settings.

Introduction

As a health care administrator, you will likely spend a great deal of your time focused on operations. You may find yourself working in a hospital, clinic, long-term care facility, hospice, urgent care center, home health agency, or a number of other types of organizations. Regardless of the type of organization, many of the operational responsibilities are the same.

Health care financing has become quite complex. Because most health care organizations are reimbursed primarily from a third party (insurance company), health care administrators must manage the communication between the patient, the insurance company, and the organization. Consumer-directed health plans (CDHPs) have increased in popularity as a way to reduce insurance premiums; however, the patient has a larger financial responsibility for services compared to managed care plans. This concept is known as cost sharing (Niles, 2021). It is very important to understand the payer mix of your organization, so you understand where and how revenue is coming in.

Information technology is another huge area of focus right now for health care administrators. The health care industry has lagged behind other industries in the area of information technology. The U.S. health care system has seen a large increase in the number of electronic medical records implemented across health care organizations (Niles, 2021). In addition, other technologies such as telehealth, electronic data warehouses (EDWs), and computerized physician order entry (CPOE) are quickly expanding and improving the delivery of health care.

Reference

Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

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: Explain health care management approaches in diverse health care settings. 
    • Describe where the physician practice and the hospital fall on the continuum of patient care.
    • Analyze how providers at each location try to return their patients to their highest level of functioning.
    • Analyze the differences in the scope of responsibility and authority between the physician practice and the hospital administrator positions.
    • Describe how the management approach changes between physician practice and hospital settings.
  • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others. 
    • Produce writing that conveys understanding of the topic, its context, and its relevance.
    • Use academic writing conventions such as APA formatting and citation style, or others as required.
    • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

Instructions

For this assessment, imagine you have decided to leave your position at the primary care office from your previous assessment. You have accepted an administrator position at an academic medical center that is noted for its diversity in staffing. Using the resources provided, along with a minimum of two peer-reviewed articles based on your own research, complete a 3–5 page paper discussing the following:

  • Describe where the physician practice and the hospital fall on the continuum of patient care. How do providers at each location try to return their patients to their highest level of functioning?
  • Explain the scope of responsibility and authority that you had at the physician practice, compared to your new role as a hospital administrator.
  • Describe how your management approach has changed across the two settings.

Organize your paper using the following headings (please use these headings):

  • Title Page.
  • Introduction. 
    • Preview the main themes of your paper.
  • Continuum of Care. 
    • Describe where the physician practice and the hospital fall on the continuum of patient care. How do providers at each location try to return their patients to their highest level of functioning?
  • Scope of Responsibility and Authority. 
    • Analyze the scope of responsibility and authority that you had at the physician practice, compared to your new role as a hospital administrator.
  • The Management Approach. 
    • Describe how your management approach has changed across the two settings.
  • Conclusion. 
    • Summarize the main themes of your paper.
  • References.
Paper Requirements
  • Your paper will be a minimum of 3–5 double-spaced pages in length, not including title and reference pages.
  • Font: Times New Roman 12-point.
  • Cite at least two references in addition to the resources offered in this assessment.
  • Format your paper according to APA style.

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2023 Answer the following questions Do you feel it is better to allow individuals the freedom to choose any

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Nursing 2023 health insurance coverage

Answer the following questions Do you feel it is better to allow individuals the freedom to choose any 2023 Assignment

Answer the following questions;

Do you feel it is better to allow individuals the freedom to choose any type of  (or no) health insurance coverage available to them or to increase government involvement in a person’s/family’s healthcare via mandates, such as the ACA and/or the government as a single insurer for all residents.  Why?

Discuss the mission of the Patient-Centered Outcomes Research Institute (PCORI) and the Center for Medicare & Medicaid Innovation (CMMI).

If you could reform the malpractice or tort laws, what types of changes would you make? When do you feel it is appropriate for someone to claim damages from medical procedures or treatment? Do you feel there should be a cap on the payments, and if so, how would you decide what that cap would be? What are all the different costs involved in medical malpractice suites? Is it easier to talk about tort reform than to actually try to define it?

 4.  The rights of people once they have been incarcerated can be a controversial topic of  discussion. Discuss the healthcare rights of the incarcerated population. What do you feel should or should not be provided to those who are imprisoned? Are there certain tests or procedures that they feel should be performed routinely? Why or why not? What is the nurse’s role, based on the section on page 248?

This assignment must be presented based on the instructions given;  in an APA format word document, Arial 12 font. 

A minimum of 3 evidence-based references no older than 5 years  (excluding the class textbook) are required. You must post at least two replies to any or your peers sustained with the proper references.  A minimum of 600 words are required (excluding first and last page).

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2023 Select the state where you plan to practice as a nurse practitioner

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Nursing 2023 Discussion #3

Select the state where you plan to practice as a nurse practitioner 2023 Assignment

Select the state where you plan to practice as a nurse practitioner ( FLorida ) and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors.

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2023 It is important to identify and understand your own family culture in order to be able to understand and

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Nursing 2023 Family Interview – Compare And Contrast Cultures Paper

It is important to identify and understand your own family culture in order to be able to understand and 2023 Assignment

It is important to identify and understand your own family culture in order to be able to understand and respect other cultures. Interview a family member, and an individual from another culture with which you are unfamiliar. Some examples of an individual from another culture to consider for the assignment include a neighbor, coworker, patient, or friend. Please inform the individuals of the purpose of this assignment and make sure you receive their consent.

Interviews:

Review the “Family Interview ” template prior to the interview. Additional space is designated on the template for you to create three additional questions to ask both interviewees (family member and person from another culture). Additional questions should be relevant to the readings or discussion and should provide value to the interview by helping to understand culture.

Some of the questions may include:

  1. Family beliefs: Have they changed over generations?
  2. Educational and occupational status in the culture and in the family
  3. Communication methods: verbal and nonverbal
  4. Current family goals/priorities
  5. Family member roles and organizational systems
  6. Spiritual beliefs: current practice and death and dying
  7. Alternative lifestyles
  8. Work attitudes and structure

Written Paper:

Using the “Family Interview ” template, interview your designated family member and the person from another culture. Be sure to write your responses in a way that will assist you in writing your paper. After the interview is completed, write a paper of 750-1,000 words that includes the following:

  1. An introductory paragraph with the reasons for selecting the interviewees
  2. A summary of the responses from the interview template gathered from the interviewees
  3. A comparison and contrast of your findings between the two interviewees
  4. A reflective concluding paragraph on how family roles affect the cultural domains and relationships for each individual

General Requirements:

Submit both the completed “Family Interview” template and the written paper” to the instructor.

Prepare this assignment according to the 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

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2023 Details Topic PREVENTING PRESSURE ULCERS develop a 600 850 word comprehensive outline that

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Nursing 2023 Topic: PREVENTING PRESSURE ULCERS

Details Topic PREVENTING PRESSURE ULCERS develop a 600 850 word comprehensive outline that 2023 Assignment

  

Details:
 

Topic: PREVENTING PRESSURE ULCERS 

develop a 600-850 word comprehensive outline that communicates the approved risk management topic. The outline is required to include a minimum of three objectives to discuss what your group considers to be key or core risk management elements that pertain to the point, or element, you selected to profile.

Required sections to include in your outline are listed below. If your topic requires additional sections, include them as well:

1. Introduction.

2. Objectives: Three objectives you intend to address in the proposed risk management educational session.

3. Rationale: Rationale for each objective (i.e., Why are these three objectives key or core to the risk management issue?).

4. Supportive Data: Data to support the need for the proposed educational session.

5. Implementation Strategies: How will you implement the proposed educational session?

6. Evaluation Strategies: What tools will you use to evaluate the proposed educational session?

7. Challenges and Opportunities: Ideas or suggestions about areas of focus regarding risk management the organization could or should address moving forward into the future?

A minimum of six citations from the literature or appropriate websites is required to support this statements.

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2023 Academic Resources and Strategies Clearly identify and accurately describe in detail at least

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Nursing 2023 Academic Rand Resources

Academic Resources and Strategies Clearly identify and accurately describe in detail at least 2023 Assignment

  

: Academic Resources and Strategies

· Clearly identify and accurately describe in detail at least three academic resources or strategies that can be applied to the MSN program.

· Clearly identify and accurately describe in detail at least three professional resources that can be applied to success in the nursing practice in general or in a specialty. 

· Clearly and thoroughly explain in detail how you intend to use these resources, and how they might benefit you academically and professionally.

Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph 

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2023 Individuals with psychiatric mental health disorders are frequently stigmatized not only by society as a whole but also

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Nursing 2023 Social Change

Individuals with psychiatric mental health disorders are frequently stigmatized not only by society as a whole but also 2023 Assignment

Individuals with psychiatric mental health disorders are frequently  stigmatized not only by society as a whole, but also by their friends, family, and sometimes healthcare providers. In your role, however, you  have the opportunity to become a social change agent for these  individuals. Consider how you might make a positive impact for your clients and advocate for social change within your own community. 

Assignment:

Provide an explanation of how you, as a nurse  practitioner, might become a social change agent for psychiatric mental health. Include how you might advocate for change within your own community.

 

** No plagiarism

** Four references required

** 2 pages required

 

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