2023 respond Staffing issues have always been a major area of concern within the health field Adequate staffing affects

Nursing 2023 NR533 week 4.1.1

respond Staffing issues have always been a major area of concern within the health field Adequate staffing affects 2023 Assignment

respond

 

Staffing issues have always been a major area of concern within the health field. Adequate staffing affects the patient safety, staff morale and finances of the organization. It’s important that organizations take note of concerns related to their staffing and take the necessary steps to ensure that adequate staffing within the units.

The staffing in my organization varies depending on the unit and level of care or acuity of the patients. For starters, patients enter into the Emergency Department and are typically cared for by a nurse who is assigned a team of 3-4 patients. Nurses who work on the medical/ telemetry units are assigned a 1:6 nurse: patient ratio. Nurses who work on the Intermediate Care or Step Down unit is assigned a 1:3 nurse:patient ratio. ICU and CVICU patients are assigned at a 1:2 or 1:1 nurse to patient ratio.

There could be a number of variables that affects the staffing ratio. The shortage in healthcare professionals is one of the greatest variables affecting the staffing ratios. When there is not enough employees on duty, nurses and nurses assistants are forced to work under staff. Patients and families notice when there is a shortage of staff, and they tend to lose their faith in their provider when they’re working short. It’s important that staff understand the importance of managing up the organization and notify their leader if they are feeling overwhelmed instead of venting to the patients.

As it stands now, my organization has some of the lowest nurse to patient ratios which is currently mandated by the organization itself. Our organization takes pride in patient safety, and focuses on safe quality care as a whole. This staffing ratio affects the organizational budget as a great deal of resources is put into recruiting qualified staff as well as using alternative staffing agencies to assist with nursing and support staff coverage.

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2023 Chapter 4 Hospitals Origin Organization and Performance Due at 5PM CST Monday September 11 2017 Assigned Readings Chapter

Nursing 2023 Homework For Health Care Management

Chapter 4 Hospitals Origin Organization and Performance Due at 5PM CST Monday September 11 2017 Assigned Readings Chapter 2023 Assignment

Chapter 4-Hospitals:  Origin, Organization and Performance

Due at 5PM CST, Monday, September 11, 2017

Assigned Readings:  Chapter 4

Answer the following questions:

  1. For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors might contribute to tensions among these groups?
  2. As the nursing profession has expanded through advanced degrees, specialization, and clinical practice, nurses’ salaries and responsibilities have also increased. Now, hospitals substitute non-nurses for nurses to perform all but the most technical tasks. What are the implications for the nursing profession? Have nurses lost their traditional role of hands-on patient care and, if so, is that to their advantage or disadvantage?
  3. The traditional management style of hospitals has been hierarchical and internally focused.  What are three important challenges that face hospitals to accommodate new payer and consumer expectations?
  4. The availability of hospital insurance removed an important cost constraint from hospital services and charges. What were some positive and negative consequences of that development?
  5. The organization and practices of modern hospitals reflect the promotion of specialization and sub-specialization by academic health centers. What were the advantages and disadvantages to patients of increasing the number of physicians who limit their activities to narrower fields of practice?
  6. With significant oversupply of hospital beds in the U.S. what is the rationale for taxpayer support of the separate and costly hospital system of the Department of Veterans Affairs?

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2023 apaaaaa style 1 Discuss the importance of effective communication in the personal relationship the therapeutic relationship and the

Nursing 2023 paper

apaaaaa style 1 Discuss the importance of effective communication in the personal relationship the therapeutic relationship and the 2023 Assignment

apaaaaa style 

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions?

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?

5. How have you seen ISBAR used during your clinical experiences?

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation.

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care?

2-You have to look at the unit census and prioritize the patient care:

A- Give the rationale foryour choices.

3.Answer the following questions during your clinical experiences:

a. What specific tasks did your patients require that you might have been able to delegate?

b. How effective was your nurse/preceptor in delegating tasks to others?

c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

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2023 What are the components of organizational culture that affect the medical practice All assignments are

Nursing 2023 Week 2 assignment 1

What are the components of organizational culture that affect the medical practice All assignments are 2023 Assignment

What are the components of organizational culture that affect the medical practice?

All assignments are to be written in an essay format, with the appropriate heading, an introduction, body and conclusion / summary. References must be included on all assignments. Please use your textbook as your main reference. The essay should be at least two pages in length, typed, double spaced, with 12 font.

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2023 Title Chronic obstructive pulmonary disease Power point presentation Students are expected to expand their use of resources

Nursing 2023 Powerpoint Should Consist Of 15 Slides. Rubric Is Attached .PLEASE FALLOW THE RUBRIC

Title Chronic obstructive pulmonary disease Power point presentation Students are expected to expand their use of resources 2023 Assignment

 Title : Chronic obstructive pulmonary disease  

Power point presentation Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. 

Each student will present a clinical case study and will be able to interpret health assessment findings and to evaluate clinical data and therapeutic options to differentiate between problem situations requiring nurse practitioner management, collaborative management, or referral to other providers. Refer to the PowerPoint presentation rubric 

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2023 Throughout this course you have viewed the Diary of Medical Mission Trip

Nursing 2023 APA format no less than 250 words

Throughout this course you have viewed the Diary of Medical Mission Trip 2023 Assignment

Throughout this course, you have viewed the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

  1.  Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by a previous student.
  2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
  3. With what people or agencies would you work in facilitating the proposed interventions and why?

Link to the “Diary of Medical Mission Trip” videos:

http://lc.gcumedia.com/zwebassets/courseMaterialPages

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2023 Discussion regarding the statement you are what you eat Due Tuesday February 1 2020 You are what

Nursing 2023 Nutrition discussion # 1

Discussion regarding the statement you are what you eat Due Tuesday February 1 2020 You are what 2023 Assignment

Discussion regarding the statement: “you are what you eat.”

 Due Tuesday, February 1, 2020

You are what you eat

What does this statement mean to you?

Discuss this topic, noting how the components of what you choose to eat may affect various aspects of your body and your health.

100 words.

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2023 A local hospital publicly reported organization discharge data The data were risk adjusted to control for pre existing comorbidities

Nursing 2023 Case Scenario

A local hospital publicly reported organization discharge data The data were risk adjusted to control for pre existing comorbidities 2023 Assignment

 A local hospital publicly reported organization discharge data. The data were risk adjusted to control for pre-existing comorbidities to level the playing field with data reported from other hospitals. The report notes little risk adjustment for stroke mortality. Recently, the hospital received stroke center designation for following best practice protocols for stroke management. The DNP scholar and data analyst track stroke mortality data and note a spike in mortality for a given quarter, which explains why the state public report is unsatisfactory. Drilling into the data to examine the numerator deaths due to stroke, denominator and total patient population. The data analysts determines that the risk mortality has a score of one to four, with one being a minor risk of mortality. This explains why the hospital did not risk adjust well, because these patients did not appear to have risks associated with severe illness that would reasonably explain the associated mortalities. Next, the data analyst drills further into the detailed subject oriented data of actual patient records and then completes a full chart review to obtain the sweet spot to inform quality improvement. 

  

Consider the scenario above to address the following.

  • Do you recommend that the data analyst examine aggregate data, detailed data, or both, to investigate this quality issue? Please explain your rationale.
  • Do you recommend that the data analyst use a retrospective data warehouse, clinical data store, or both, to investigate the mortality rate? Please explain your rationale.
  • What type of tools or analytic approaches is relevant for use by this analyst? Please explain your rationale.

Now, conduct a search for evidence. Select three scholarly sources of information describing the challenges of utilizing data in the clinical setting.

  • Provide a brief overview of the findings of each source of evidence.

  

Instructions:

Use an APA 7 style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

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2023 Please use apa format The U S Department of Health Human Services released a comprehensive Clinical Practice

Nursing 2023 Discussion 2 100 to 200 world maximo

Please use apa format The U S Department of Health Human Services released a comprehensive Clinical Practice 2023 Assignment

Please use apa format. 

 

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available.

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

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2023 Respond to your colleagues posts by sharing your thoughts on their specialty supporting

Nursing 2023 Response#2

Respond to your colleagues posts by sharing your thoughts on their specialty supporting 2023 Assignment

Respond to your colleagues’ posts by sharing your thoughts on their specialty, supporting their choice or offering suggestions if they have yet to choose. 

At least 2 references in each peer responses!

  

           Growing up, I played “nurse” with my pets, wrapping them in bandages while they patiently accepted their fate of being practice patients. This trend of care taking animals developed into having that same love of care taking for people. As long as I could remember, I knew I would be in a profession where I would dedicate my life to the wellbeing of humans and alleviation human suffering. In nursing school, I was torn between psych and pediatrics, and conveniently I was hired as a youth behavioral health nurse, combining my passions. Working as a nurse in psych has solidified my choice of nursing specialty in that I am focused on becoming a Psychiatric Mental Health Nurse Practitioner (PMHNP).

2.6 million youth between 12 and 17 have had a major depressive episode, with 3.3 million receiving treatment for behavioral disturbances (Ramirez, 2016). This statistic only represents a fraction of individuals of all ages suffering from mental illness. I have first-hand seen on numerous occasions, patients having to reside in the emergency department waiting for a bed. I did not struggle with the decision to pursue the PMHNP path because seeing the lack of providers has been a motivating factor, as well as my passion for psych nursing. A significant concern for individuals with mental health diagnosis is accessing mental health care providers that have the skills and knowledge to primarily address mental health, including medication management and psychotherapy (Ramirez, 2016). This lack of adequate services is where PMHNP is poised to fill this gap for these individuals obtaining sufficient care as well as making a significant difference in behavioral health care delivery (Chapman, Phoenix, Hahn, & Strod, 2018, p. S243).

To support my efforts in becoming a PMHNP, the American Psychiatric Nurse’s Association promotes personal enrichment as a psychiatric nurse practitioner who, in turn, elevates the quality of care provided to individuals (American Psychiatric Nurses Association, 2019a). Becoming a member involves paying a membership fee, but the membership includes networking, continuing education, and personal growth opportunities (American Psychiatric Nurses Association, 2019b).

The decision to become a nurse was instinct, but the decision to pursue the specialty of PMHNP is motivated by the undue suffering I see as a psych nurse with individuals not receiving adequate services due to stigma and lack of providers.

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