2023 Identify a quality improvement opportunity in your organization or practice In a 1 250 1 500 word

Nursing 2023 quality improvement opprtunity. ( create your proposal)

Identify a quality improvement opportunity in your organization or practice In a 1 250 1 500 word 2023 Assignment

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

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2023 Details Write a 750 1000 word analysis of Case Study Fetal Abnormality Be sure to address the following questions

Nursing 2023 Please follow the instructions below

Details Write a 750 1000 word analysis of Case Study Fetal Abnormality Be sure to address the following questions 2023 Assignment

 Details:

Write a 750-1000 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

  1. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.
  2. How does the theory determine or influence each of their recommendation for action?
  3. What theory do you agree with? How would that theory determine or influence the recommendation for action?

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. Please refer to the directions in the Student Success Center.

PHI-413V-RS-T2CaseStudy.docx 

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2023 Submit Milestone One of your final project your topic proposal Identify your topic How does it relate to a

Nursing 2023 40-1

Submit Milestone One of your final project your topic proposal Identify your topic How does it relate to a 2023 Assignment

Submit Milestone One of your final project, your topic proposal.

Identify your topic. How does it relate to a nursing problem or issue in clinical practice? Please find one or two research articles that addresses your topic.

  • Explain your interest and purpose. Why did you choose this topic?
  • Explore the background and significance. What do you hope to gain by researching this topic?
  • Analyze the relationship between research and evidence-based practice. How will your research on this topic contribute to evidence-based nursing practice?
  • Incorporate one or more peer-reviewed sources to support the proposal

For additional details, please refer to and follow the MILESTONE ONE GUIDELINE AND RUBRIC FOR further instructions carefully!

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2023 For this assignment you are required to sit down for a conversation

Nursing 2023 Essay

For this assignment you are required to sit down for a conversation 2023 Assignment

 

For this assignment you are required to sit down for a conversation with someone whose religious identity differs from your own (this means that if you identify as Christian, for example, you should find a conversation partner who does not identify as such). The purpose of this exercise is for you to engage with someone else in conversation. That means that you will not only ask questions, but you will hopefully answer questions about your own beliefs, as well.

Review the article for this activity, “Talking About Religion – How to Do It Right” (link in Required Resources), for some guidance on how to engage in conversations about religion before meeting with your partner. You may also wish to share this information with your partner.

In this exercise, you will listen to the ideas of someone who you identify as religiously “other.” You will share your own ideas and report on what you learned. This would include what you learned about your conversation partner’s beliefs, and how those beliefs compare to your own religious upbringing and/or current practice.

The report should give a description of the major topics of discussion and a detailed summary of what you learned. As part of your assignment you should include the following:

  • Describe your conversation partner’s beliefs. Some things to consider include the following:
    • What are the material expressions of their tradition (statues, paintings, music, etc.)?
    • Do they see any conflict between the stated beliefs of their tradition and their own beliefs?
    • Based on your partner’s description, which theory of the origin of religions (Week 1) offers the best explanation for their approach to religion?
    • What challenges can your partner identify that their religious tradition faces in the modern world? Do they feel that their tradition is responding positively?
    • Is the tradition focused on belief (orthodoxy) or behavior (orthopraxis)?
    • Apply the 8 elements of religion from Week 1.
  • Provide some cultural and historical context for the religious tradition of your conversation partner. (It is important that you do some research before you have your conversation so that you are able to ask informed questions that come from genuine interest.) Make sure you use citations in your discussion of what you learned from your research.
  • Compare your partner’s beliefs and practices to your own religious upbringing and/or current practice. This is to be done in the report not as a debate with your partner.
  • Conclude with your personal reaction to this experience and any additional questions that came up after your conversation. Be kind!

This is a formal academic paper so pay careful attention to the basics of writing a good English composition.

Writing Requirements (APA format)

  • Length: 1000-1200 words (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 1 scholarly source)

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2023 Comment 1 One weakness that I have with regards to professional presentations is pressured speech and tendency to skip information

Nursing 2023 Please Answer According The Comments. Thanks. 75 Words/Each. Reference Between 2013-2018( 75 Words In Each). Thanks

Comment 1 One weakness that I have with regards to professional presentations is pressured speech and tendency to skip information 2023 Assignment

Comment 1

One weakness that I have with regards to professional presentations is pressured speech and tendency to skip information because of pressure and timing. All the “professional presentations” (nursing school) that I have been in, there is always a time limit. I then feel that I need to talk faster to be able to present all the information. If I feel the audience knows some of the information, then I will skip some bullet points and move on to another. I have come to realize this takes away from other individual’s learning experience. One personal strength that I have with regards to professional presentations is enthusiasm. No matter what the topic, I always put 100% into all my work. This information could change someone life. I also like to personalize the presentation in some way or another. Your personal experience could help someone in the future, or spark inspiration in someone to achieve one of their dreams.

One method of improvement for my weakness would include patience and non-assumption. I need to understand that the information being presented is important and to take time to present the material. I need not to assume that everyone’s knowledge base is the same, and need to present all the information that is one the PowerPoint. Working on these methods will make me as an individual seem more professional and that I have knowledge about the topic. Why would someone take information and use it in their practice if the presenter is unsure of themselves? One method of improvement for my strength would be limiting my personal experiences and know that not everything you say will change a situation forever. Too much personal experience takes away from the validity and importance of the presentation. Not every presentation will change a life, but it could expand their knowledge and understanding.

Comment 2

Professional presentations are not my favorite topic, I do not like being center of attention by any means. I tend to get nervous and anxious when I have to get in front of a group of people or present to an audience. One of my weaknesses giving professional presentations is my speech, I talk very fast when I get nervous, sometimes forgetting what just came out of my mouth and repeating myself. One way to improve this would be to create an outline of my presentation, write down notes on note cards, numbering each note card, turning them over after each point is covered, to make sure I do not repeat myself. Practicing the presentation in front of other people would also help reduce my anxiety. However, one of my strengths is using power point presentations and other visual aids. I enjoy being creative, using designs, graphs, and clip art to communicate important points. I have also found, that when I use power points in my presentations, it takes away some of the anxiety and fear that I am feeling. I am no longer the center of attention in my professional presentation, the power point I created becomes the focus.

It is important that I work on my speech and presentation, if I want to present my findings in a more formal setting, so other professionals will visualize me as being strong confident in my knowledge. Part of professional presentations, is understanding your audience, and determining what they want and expect to get from your presentation (Mind Tools, 2019). I know from experience, when presenters come across as nervous and anxious, the audience becomes bored and loses interest. A professional presentation, should engage an audience and make them feel important, providing information in a well-structured format, identifying key points, and using examples to support findings. Reading from note cards and a lecture, can also detour audiences from being engaged, losing their interest.  According to Mind Tools (2019) “you owe it to yourself, and your organization, to develop the skills you need to present your ideas clearly, purposefully, engagingly, and confidently” (p. 1). It would me in my best interest to take a class on public speaking, to help decrease my anxiety and give me the confidence and skills to become a better speaker and presenter.

Commant 3 DQ 2

Two potential barriers that may prevent my EBP change proposal from continuing past the 6 months to one-year interval would be time devoted to implementation and preparation and knowledge of the EBP being implemented according to Ginex (2018).

Time should be devoted to preparation of the staff and unit and also  including knowledge of why this practice is being changed or improved. The benefits to the staff and patients regarding this EBP should be clear and focused. Time should be allocated to questions and education regarding the concept. Provide opportunity for stakeholders to offer input and observations regarding the implementation.

 According to Ginex (2018), behavior change is not easy. It takes persistence, determination, and a readiness to be open to new options along the way. Working together will promote positive outcomes for both patients and ourselves.

Strategies for overcoming these barriers are according to Wyant (2017) include development of EBP models that address the clinical problem and an approach to ongoing practice change. Wyant (2017) refers to the Iowa Model of Evidence-Based Practice to Promote Quality Care, the Advanced Research and Clinical Practice Through Close Collaboration Model, the Johns Hopkins Nursing Evidence-Based Practice Model, and the Promotion Action on Research Implementation in Health Services (PARIHS) Framework as examples of tools to help implement and EBP change. Each of the models address the sustainability of EBP through cultural change, stakeholder engagement, comprehensive literature review, barrier identification, and outcomes distribution.

Comment 4 DQ 2

Supporting a change can be interesting as well as difficult since many things can affect the process of changing. The two most critical potential barriers that may impact the evidence-based project is the patient’s attitude. A patient of urinary tract infection must involve himself/ herself in physical activity, but if the doctor is not allowing to perform any physical work, so the patient must stop doing it as it will be harmful to their health. The second most significant barriers that may impact the evidence-based project is the practice environment that is provided to the doctors.

I believe one of the most critical issues to support a change is to do self, require it from others and to maintain consistency. It seems very often, as judged from the practice at work, that supervisors are complacent and reluctant to require something from staff. I believe in the personal example, if needed to do it by self in the allocated time, then I can require it from others. For example, if management asked to do a procedure, the management must be ready to follow the procedure themselves and to remind staff to use the procedure over and over.

Sometimes doctors are not being facilitated by all the equipment to do the research and cannot find the solution of the new diseases. If doctors do not have enough knowledge of the disease, so it becomes difficult to suggest any solution to their diabetic patients. It is not easy to deal with such kind of barriers, but it is not impossible. One should try to communicate with patients more sensitively and try to convince them on our opinion and try earning their trust so that they can share every problem (Lyon, 2011). If a firm is unable to provide the equipment such as computers and machinery, then the doctors can launch awareness programs and should discuss more ideas with their trainees to have more possible solutions.

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2023 Access the following information You may read the PDF online or download it American

Nursing 2023 Nursing

Access the following information You may read the PDF online or download it American 2023 Assignment

Access the following information. You may read the PDF online or download it.

American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. Retrieved from https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdf 

 (Links to an external site.)

Review the data presented in the ANA Fast Facts and describe some of the key attributes/characteristics of this sample of the nursing workforce.

Discuss some of the data that you found interesting; include what you believe the purpose (intent) of ANA sharing these results.

The instruments and tools that we use to collect data need to be reliable and valid. Define these terms and explain the importance of each. Share one way that can be used to collect data that you were not aware of or familiar with.

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2023 Topic Interviewing a Professional Nurse or Interview a nurse professional with years of experience Write her his

Nursing 2023 Research Paper: Interviewing a Professional Nurse

Topic Interviewing a Professional Nurse or Interview a nurse professional with years of experience Write her his 2023 Assignment

Topic: Interviewing a Professional Nurse or Interview a nurse professional with years of experience.

Write her/his opinion about:

  1. Teamwork and its Importance
  2. Patient-care and Adaptability
  3. Time Management in Nursing
  4. Communication Style 

Motivation and core values in nursing

  • 5 pages (excluding title-page and reference page) 
  • APA style paper 
  • 5 references within 5 years.
  • Include a heading for each of the topics in the numbers written above

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2023 Review the evidence based practice project ideas you described in Topic 5 DQ 1

Nursing 2023 For Essays Guru – Nursing evidence-based practice

Review the evidence based practice project ideas you described in Topic 5 DQ 1 2023 Assignment

 

Review the evidence-based practice project ideas you described in Topic 5 DQ 1. Based on your initial ideas, what types of scholarly nursing research (such as quantitative or qualitative research, peer-reviewed resources, etc.) would be required to further investigate the issue? Identify the criteria you would use to evaluate the appropriateness of the research. Why is it important to select research that meets these criteria?  250 words

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2023 Review the Resources and reflect on your thinking regarding the role of the

Nursing 2023 Advocating For The Nursing Role In Program Design And Implementation

Review the Resources and reflect on your thinking regarding the role of the 2023 Assignment

 

  • 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.

 

In a 2- to 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 Alzheimer s Disease 76 year old Iranian Male Write a 1 to 2 page summary paper that addresses the following Briefly summarize the patient

Nursing 2023 Alzheimer’s Disease

Alzheimer s Disease 76 year old Iranian Male Write a 1 to 2 page summary paper that addresses the following Briefly summarize the patient 2023 Assignment

Alzheimer’s Disease
76-year-old Iranian Male

Write a 1- to 2-page summary paper that addresses the following:

  • Briefly summarize the patient case study,  including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

Patient case study: 

Alzheimer’s Disease
76-year-old Iranian MaleBACKGROUND

BACKGROUND

Mr. Akkad is a 76-year-old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal.

According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.”

Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficulty “finding the right words” in a conversation and then will shift to an entirely different line of conversation.

SUBJECTIVE

During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so you perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia.

MENTAL STATUS EXAM

Mr. Akkad is a 76-year-old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. The self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When you asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation.

Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive)

Decision Point One

Begin Exelon (rivastigmine) 1.5 mg orally BID with an increase to 3 mg orally BID in 2 weeks

RESULTS OF DECISION POINT ONE

  •  The client returns to clinic in four weeks
  •  The client is accompanied by his son who reports that his father is “no better” from this medication. He reports that his father is still disinterested in attending religious services/activities, and continues to exhibit disinhibited behaviors
  •  You continue to note confabulation and decide to administer the MMSE again. Mr. Akkad again scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall

Decision Point Two

Increase Exelon to 4.5 mg orally BID

RESULTS OF DECISION POINT TWO

  •  The client returns to the clinic in four weeks
  •  Client’s son reports that the client is tolerating the medication well, but is still concerned that his father is no better
  •  He states that his father is attending religious services with the family, which the son and the rest of the family is happy about. He reports that his father is still easily amused by things he once found serious

Decision Point Three

Increase Exelon to 6 mg orally BID

Guidance to Student
At this point, the client is reporting no side effects and is participating in an important part of family life (religious services). This could speak to the fact that the medication may have improved some symptoms. you needs to counsel the client’s son on the trajectory of presumptive Alzheimer’s disease in that it is irreversible, and while cholinesterase inhibitors can stabilize symptoms, this process can take months. Also, these medications are incapable of reversing the degenerative process. Some improvements in problematic behaviors (such as disinhibition) may be seen, but not in all clients.
At this point, you could maintain the current dose until the next visit in 4 weeks, or you could increase it to 6 mg orally BID and see how the client is doing in 4 more weeks. Augmentation with Namenda is another possibility, but you should maximize the dose of the cholinesterase inhibitor before adding augmenting agents. However, some experts argue that combination therapy should be used from the onset of treatment.
Finally, it is important to note that changes in the MMSE should be evaluated over the course of months, not weeks. The absence of change in the MMSE after 4 weeks of treatment should not be a source of concern.

APA Citation 4 to 5 Reference within 5 years

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