What’s your thoughts?

Advocacy is defined as the act of supporting a proposal or cause, therefore, an advocate pleads, defends or supports a particular cause for the interest of others (Thomas, 2018). Nurse managers’ positions innately involve advocacy. According to Porter-O’Grady (2018) as stewards for creating safety and healthy environments that support the functions of health care teams and patient environment, nurse managers are in a better position to determine lacking aspects, aspects that need improvements, or changes that should be implemented to create optimum working environments. In general, their advocacy actions include ensuring proper allocation of resources and promoting positive environments. For instance, in the face of budget scrutiny, workflow change or work process design, nurse managers can fulfil their advocacy role by safeguarding nursing resources. They can involve their staff in the budgeting process to promote understanding of the challenges in the modern-day healthcare systems.

On the other hand, the advocacy role towards patients happens among point-of-care nurses (Davoodvand, Abbaszadeh & Ahmadi, 2016). The voice of nurses at the bedside is important in decisions related to patient care and the healthcare environment. The inevitable contact between these professionals and patients make them the best candidates to best represent their grievances, desires and requests to organizational panels for effective decision making. They can also present evidence-based concepts for bettering patient care (Davoodvand, Abbaszadeh & Ahmadi, 2016). For example, a nurse can advocate for the palliative care approach to provide access, to patients with life-limiting illnesses, to health care that is reactive to their holistic prerequisites, upholds a standard quality of life and is delivered by interprofessional teams- a shift from the present traditional focus of providing such care only to cancer patients.

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Image may not display correctly.’;     JS_RESOURCES[‘validate.invalidate.number.space’] = ‘Space’;      JS_RESOURCES.getString = i18n_get_string;     JS_RESOURCES.getFormattedString = i18n_get_formatted_string;  }  _init_bundle_JS_RESOURCES();     var LOCALE_SETTINGS = new Object();  function _init_bundle_LOCALE_SETTINGS() {      LOCALE_SETTINGS[‘LOCALE_SETTINGS.ADDRESS_FIELD_ORDER’] = ‘STREET_1 STREET_2 CITY STATE ZIP_CODE COUNTRY’;     LOCALE_SETTINGS[‘number_format.exponent’] = ‘eE’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.2’] = ‘{1}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.YEAR_CHARACTER.03255’] = ”;     LOCALE_SETTINGS[‘BBI18N.SOLARIS_CHARSET’] = ‘ISO8859-1’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.1’] = ‘{0}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_MONTH.03255’] = ‘ddd’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.internal_date_format’] = ‘MM/dd/yy’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_MONTH.03259’] = ‘MMMM yyyy’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.TIME_ORDER.00519’] = ‘HMP’; 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    LOCALE_SETTINGS[‘LOCALE_SETTINGS.LONG’] = ‘{0} {1} {2} {3}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.WORK_FIELD_ORDER’] = ‘JOB_TITLE DEPARTMENT COMPANY B_PHONE_1 B_PHONE_2 B_FAX’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_FULL_HIJRI.02100’] = ‘Muḥarram,Ṣafar,Rabīʿ’al-Awwal,Rabīʿ’ath-Thānī,Jumādā’al-Ūlā,Jumādā’ath-Thāniya,Rajab,Shaʿbān,Ramaḍān,Shawwāl,Dhū’al-Qaʿda,Dhū’al-Ḥijja’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.GREETING’] = ‘Welcome, {1}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT.00520’] = ‘Jan Feb  Mar Apr  May Jun Jul Aug Sep Oct Nov Dec’;     LOCALE_SETTINGS[‘number_format.thousands_sep’] = ‘,’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_WEEK.03256’] = ‘ddd M/d’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.SHORT_SURNAME’] = ‘{3}, {1}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.AM_PM.00522’] = ‘AM PM’;     LOCALE_SETTINGS[‘number_format.negative_prefix’] = ‘-‘;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DATE_ORDER.00519’] = ‘MDY’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.PHONE_FIELD_ORDER’] = ‘H_PHONE_1 H_PHONE_2 H_FAX M_PHONE’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_MIN.02099’] = ‘Su Mo Tu We Th Fr Sa’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.24HR_SUPPORT.03208’] = ‘0’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.FIRST_DAY_OF_WEEK.03207’] = ‘0’;     LOCALE_SETTINGS[‘BBI18N.WINDOWS_CHARSET’] = ‘ISO-8859-1’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT_HIJRI.00520’] = ‘Muḥarram,Ṣafar,Rabīʿ’I,Rabīʿ’II,Jumādā’I,Jumādā’II,Rajab,Shaʿbān,Ramaḍān,Shawwāl,Dhū’al-Qaʿda,Dhū’al-Ḥijja’;     LOCALE_SETTINGS[‘BBI18N.LINUX_CHARSET’] = ‘iso88591’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_CHARACTER.03253’] = ”;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_CHARACTER.03254’] = ”;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN_ORDER’] = ‘title,givenName,middleName,familyName,suffix,otherName’;     LOCALE_SETTINGS[‘number_format.decimal_point’] = ‘.’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_DAY.03258’] = ‘dddd, MMM d, yyyy’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAYS.00521′] = ’01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_FULL.02098’] = ‘Sunday Monday Tuesday Wednesday Thursday Friday Saturday’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.date_display_pattern’] = ‘MM/DD/YY’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.EXTENDED_SURNAME’] = ‘{3}’;     LOCALE_SETTINGS[‘thousand.sep.format’] = ‘,’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NUMBERS_HIJRI.00521’] = ‘0 1 2 3 4 5 6 7 8 9’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.ADDRESS_ORDER.07832’] = ‘street,city,region,postal_code,country’;     LOCALE_SETTINGS[‘number_format.negative_suffix’] = ”;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_DAY.03257’] = ‘dddd M/d’;      LOCALE_SETTINGS.getString = i18n_get_string;     LOCALE_SETTINGS.getFormattedString = i18n_get_formatted_string;  }  _init_bundle_LOCALE_SETTINGS();     var LOCALE_SETTINGS = new Object();  function _init_bundle_LOCALE_SETTINGS() {      LOCALE_SETTINGS[‘LOCALE_SETTINGS.ADDRESS_FIELD_ORDER’] = ‘STREET_1 STREET_2 CITY STATE ZIP_CODE COUNTRY’;     LOCALE_SETTINGS[‘number_format.exponent’] = ‘eE’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.2’] = ‘{1}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.YEAR_CHARACTER.03255’] = ”;     LOCALE_SETTINGS[‘BBI18N.SOLARIS_CHARSET’] = ‘ISO8859-1’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.1’] = ‘{0}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_MONTH.03255’] = ‘ddd’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.internal_date_format’] = ‘MM/dd/yy’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_MONTH.03259’] = ‘MMMM yyyy’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.TIME_ORDER.00519’] = ‘HMP’;     LOCALE_SETTINGS[‘float.format’] = ‘^(([0-9]{1,3}(\,[0-9]{3})*)|[0-9]*)(\.[0-9]+)?$’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.SORT_COLUMN’] = ‘familyName’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.SHORT’] = ‘{1} {3}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_SHORT.02097’] = ‘SUN MON TUE WED THU FRI SAT’;     LOCALE_SETTINGS[‘float.allow.negative.format’] = ‘^((([-]?[0-9]{1,3}(\,[0-9]{3})*)|[-]?[0-9]*)(\.[0-9]+)?|\.[0-9]+)?$’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TYPE’] = ‘GREGORIAN’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.GIVEN_INITIAL_FAMILY_NAME’] = ‘{4} {3}’;     LOCALE_SETTINGS[‘efloat.format’] = ‘^[+-]?[0-9]*(\.[0-9]+)?([eE][+-]?[0-9]+)?$’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_WEEK.03260’] = ‘MMM d[ yyyy]{ ‘&#8212;'[ MMM] d yyyy}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_FULL.02100’] = ‘January February March April May June July August September October November December’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NUMBERS_HIJRI_LOCALIZED.00521’] = ‘NO’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.LONG’] = ‘{0} {1} {2} {3}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.WORK_FIELD_ORDER’] = ‘JOB_TITLE DEPARTMENT COMPANY B_PHONE_1 B_PHONE_2 B_FAX’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_FULL_HIJRI.02100’] = ‘Muḥarram,Ṣafar,Rabīʿ’al-Awwal,Rabīʿ’ath-Thānī,Jumādā’al-Ūlā,Jumādā’ath-Thāniya,Rajab,Shaʿbān,Ramaḍān,Shawwāl,Dhū’al-Qaʿda,Dhū’al-Ḥijja’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.GREETING’] = ‘Welcome, {1}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT.00520’] = ‘Jan Feb  Mar Apr  May Jun Jul Aug Sep Oct Nov Dec’;     LOCALE_SETTINGS[‘number_format.thousands_sep’] = ‘,’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_WEEK.03256’] = ‘ddd M/d’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.SHORT_SURNAME’] = ‘{3}, {1}’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.AM_PM.00522’] = ‘AM PM’;     LOCALE_SETTINGS[‘number_format.negative_prefix’] = ‘-‘;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DATE_ORDER.00519’] = ‘MDY’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.PHONE_FIELD_ORDER’] = ‘H_PHONE_1 H_PHONE_2 H_FAX M_PHONE’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_MIN.02099’] = ‘Su Mo Tu We Th Fr Sa’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.24HR_SUPPORT.03208’] = ‘0’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.FIRST_DAY_OF_WEEK.03207’] = ‘0’;     LOCALE_SETTINGS[‘BBI18N.WINDOWS_CHARSET’] = ‘ISO-8859-1’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT_HIJRI.00520’] = ‘Muḥarram,Ṣafar,Rabīʿ’I,Rabīʿ’II,Jumādā’I,Jumādā’II,Rajab,Shaʿbān,Ramaḍān,Shawwāl,Dhū’al-Qaʿda,Dhū’al-Ḥijja’;     LOCALE_SETTINGS[‘BBI18N.LINUX_CHARSET’] = ‘iso88591’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_CHARACTER.03253’] = ”;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_CHARACTER.03254’] = ”;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN_ORDER’] = ‘title,givenName,middleName,familyName,suffix,otherName’;     LOCALE_SETTINGS[‘number_format.decimal_point’] = ‘.’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_DAY.03258’] = ‘dddd, MMM d, yyyy’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAYS.00521′] = ’01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_FULL.02098’] = ‘Sunday Monday Tuesday Wednesday Thursday Friday Saturday’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.date_display_pattern’] = ‘MM/DD/YY’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.EXTENDED_SURNAME’] = ‘{3}’;     LOCALE_SETTINGS[‘thousand.sep.format’] = ‘,’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.NUMBERS_HIJRI.00521’] = ‘0 1 2 3 4 5 6 7 8 9’;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.ADDRESS_ORDER.07832’] = ‘street,city,region,postal_code,country’;     LOCALE_SETTINGS[‘number_format.negative_suffix’] = ”;     LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_DAY.03257’] = ‘dddd M/d’;      LOCALE_SETTINGS.getString = i18n_get_string;     LOCALE_SETTINGS.getFormattedString = i18n_get_formatted_string;  }  _init_bundle_LOCALE_SETTINGS();                           iframe.kloudless-modal,iframe.kloudless-modal-dropzone{display:block;box-sizing:border-box;position:fixed;top:50%;left:50%;width:700px;height:515px;margin-top:-250px;margin-left:-350px;border:solid 0 #666;border-radius:2px;box-shadow:0 0 10px rgba(0,0,0,0.4);transition:all 0;-webkit-transition:all 0;z-index:9999;}@media only screen and (max-width:750px),only screen and (max-device-width:750px){iframe.kloudless-modal,iframe.kloudless-modal-dropzone{width:1px;min-width:100%;height:100%;margin:0;top:0;left:0}iframe.kloudless-modal html,iframe.kloudless-modal-dropzone html,iframe.kloudless-modal body,iframe.kloudless-modal-dropzone body{overflow:hidden}}iframe.kloudless-modal-dropzone{position:relative;top:0;left:0;margin-top:0;margin-left:0}.backdrop_div{position:fixed;margin:0;top:0;left:0;padding:0;width:100%;height:100%;display:none;background-color:rgba(0,0,0,0.6);z-index:9998;opacity:.5}    @-webkit-keyframes rotate {     from  { -webkit-transform: rotate(0deg); }     to   { -webkit-transform: rotate(360deg); }   }    @keyframes rotate {     from  { transform: rotate(0deg); }     to   { transform: rotate(360deg); }   }      .dropbox-dropin-btn, .dropbox-dropin-btn:link, .dropbox-dropin-btn:hover {       display: inline-block;       height: 14px;       font-family: “Lucida Grande”, “Segoe UI”, “Tahoma”, “Helvetica Neue”, “Helvetica”, sans-serif;       font-size: 11px;       font-weight: 600;       color: #636363;       text-decoration: none;       padding: 1px 7px 5px 3px;       border: 1px solid #ebebeb;       border-radius: 2px;       border-bottom-color: #d4d4d4;         background: #fcfcfc;   background: -moz-linear-gradient(top, #fcfcfc 0%, #f5f5f5 100%);   background: -webkit-linear-gradient(top, #fcfcfc 0%, #f5f5f5 100%);   background: linear-gradient(to bottom, #fcfcfc 0%, #f5f5f5 100%);   filter: progid:DXImageTransform.Microsoft.gradient(startColorstr=’#fcfcfc’, endColorstr=’#f5f5f5′,GradientType=0);       }      .dropbox-dropin-default:hover, .dropbox-dropin-error:hover {       border-color: #dedede;       border-bottom-color: #cacaca;         background: #fdfdfd;   background: -moz-linear-gradient(top, #fdfdfd 0%, #f5f5f5 100%);   background: -webkit-linear-gradient(top, #fdfdfd 0%, #f5f5f5 100%);   background: linear-gradient(to bottom, #fdfdfd 0%, #f5f5f5 100%);   filter: progid:DXImageTransform.Microsoft.gradient(startColorstr=’#fdfdfd’, endColorstr=’#f5f5f5′,GradientType=0);       }      .dropbox-dropin-default:active, .dropbox-dropin-error:active {       border-color: #d1d1d1;       box-shadow: inset 0 1px 1px rgba(0,0,0,0.1);     }      .dropbox-dropin-btn .dropin-btn-status {       display: inline-block;       width: 15px;       height: 14px;       vertical-align: bottom;       margin: 0 5px 0 2px;       background: transparent url(‘https://www.dropbox.com/static/images/widgets/dbx-saver-status.png’) no-repeat;       position: relative;       top: 2px;     }      .dropbox-dropin-default .dropin-btn-status {       background-position: 0px 0px;     }      .dropbox-dropin-progress .dropin-btn-status {       width: 18px;       margin: 0 4px 0 0;       background: url(‘https://www.dropbox.com/static/images/widgets/dbx-progress.png’) no-repeat center center;         -webkit-animation-name: rotate;         -webkit-animation-duration: 1.7s;         -webkit-animation-iteration-count: infinite;         -webkit-animation-timing-function: linear;       animation-name: rotate;       animation-duration: 1.7s;       animation-iteration-count: infinite;       animation-timing-function: linear;     }      .dropbox-dropin-success .dropin-btn-status {       background-position: -15px 0px;     }      .dropbox-dropin-disabled {       background: #e0e0e0;       border: 1px #dadada solid;       border-bottom: 1px solid #ccc;       box-shadow: none;     }      .dropbox-dropin-disabled .dropin-btn-status {       background-position: -30px 0px;     }      .dropbox-dropin-error .dropin-btn-status {       background-position: -45px 0px;     }    @media only screen and (-webkit-min-device-pixel-ratio: 1.4) {       .dropbox-dropin-btn .dropin-btn-status {         background-image: url(‘https://www.dropbox.com/static/images/widgets/dbx-saver-status-2x.png’);         background-size: 60px 14px;           -webkit-background-size: 60px 14px;       }        .dropbox-dropin-progress .dropin-btn-status {         background: url(‘https://www.dropbox.com/static/images/widgets/dbx-progress-2x.png’) no-repeat center center;         background-size: 20px 20px;           -webkit-background-size: 20px 20px;       }   }      .dropbox-saver:hover, .dropbox-chooser:hover {       text-decoration: none;       cursor: pointer;     }      .dropbox-chooser, .dropbox-dropin-btn {       line-height: 11px !important;       text-decoration: none !important;       box-sizing: content-box !important;         -webkit-box-sizing: content-box !important;         -moz-box-sizing: content-box !important;     }                    

All components of this project have been completed in previous weeks, so your final research proposal project paper should be cohesive, polished, and incorporate feedback from your instructor from the previous weeks. Your research proposal should be between 10 and 15 pages. Follow proper APA format and style and include a cover page, reference page, and any applicable tables or appendices. Your research proposal should have a nursing theoretical foundation.Your research proposal must include the following sections:Background and rationale for the studyReview of the relevant literatureDesign and methodologyYou must include the following components:
Section One: IntroductionThe research proposal should:Start with a statement of the problem and objective for the study, which articulates the main objectives that the study desires to achieve.Include a description of the theoretical framework to be utilized and a rationale for choosing a framework.Describe the significance and relevance of the problem. Why is this particular study needed? How will findings contribute to the field of advanced practice nursing? Why is this research needed?Section Two: Literature ReviewThe literature review should:Be a synthesis of the major concepts from recently published research findings.Be organized by themes and not just a report about what each author discovered in his or her research findings.Identify no fewer than six relevant research articles.

• Synthesize the literature in relation to where the study fits within the context of the proposed study.

Section Three: Design and Methodology

In this section, what is to be done, and who, what, how, and where are all to be included in your proposal. The methods should be relevant to the question that is to be answered as a result of the research study. There should be information included about the study design, the setting and sample, data collection methods, and data collection analysis procedures. Ethical considerations should also be addressed in this area. Limitations and a plan for communicating the research findings should also be included in this section.

All critical elements of design and methods should be detailed, including:

• Definitions of the variables
• Identification of the population and sample
• Procedures for sampling
• Processes for obtaining consent to do the study
• Informed consent form to be given to research participants
• Data collection procedures
• A clearly stated method of data analysis
• An explanation on why your data analysis method is appropriate for your research
• Issues related to validity and reliability
• Ethical considerations (including plans for the protection of human subjects as appropriate)

Please Find an “APRN Protocol contract negotiation” and do  a Presentation

Here are the instructions for this assignment:

Students will develop a PowerPoint with no more o 6 slides explaining the part of a APRN protocol or contract negotiation.

The student will obtain a copy of the contract  from preceptor or the internet and will demonstrated with examples their understanding of contract development.

To support your work, use your course and text readings and also use resources from the  University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

TASK

Post your initial response to one of the two topics below.

Topic 1

Staff Education

• a. Create a lesson about cultural diversity in the workforce.
• b. Explain how you would motivate your audience. 
• c. Discuss potential barriers to learning.

Topic 2

• Patient Education
• a. Create a lesson pertaining to caring for a patient with COPD who is from another culture. 
• b. Discuss potential barriers and solutions

c. Address learning evaluation methods.

Lilia Roy

Discussion Week 4 

Nursing makes up a large amount of health care.  As technology grows and evolves, it is often nursing that is in the front line of all the new electronic records, and they are the ones who are creating all this data by inputting all the information in computer systems.   Nurses input all information the impacts patient outcomes and diagnosis (Macieira et al., 2018).  

Electronic records can be accessed from anywhere in a hospital setting, and all the information that was added, such patient visits and diagnosis along with relevant information such allergies and medication can be lifesaving to patients with comorbidities.  Big data is described as a process of using software to sort through data to discover patterns and ascertain or establish relationship (Mcgonigle & Mastrian, 2018).  Electronic records can create algorithms that can be used for data and can be used to predicting illness in populations.  Big data can also be helpful to find cause and analysis, such as SSIs in hospitals.  The data can generate people who are more at risk of getting infections post-surgery from the data they have from patient history and physical.   

Nurses can retrieve information from old records that are recorded in the electronic document.  Big Data has its challenges such as security, HIPPA, data subjects where the data is going to be pulled to be analyzed, finally where it will be stored (Big Data in HealthInformatics[ Video File], 2014).  The ability to implement all this information will deliver excellent care to patients in the future.  Along with all the technology available and all the questions that are asked such social demographics, we can understand many things from the patient’s habits and where the nursing teaching can be done for the patient to have a better outcome for their disease process.  An example, the data can demonstrate that the patient continues to come to be seen for high blood pressure. The doctor can see that he is on certain medications. They can be changed or discontinued that leads to the health care team to address what other things might be an issue for further evaluation, such as new tests or labs for the patient.  Big Data gives health care provides so much information in a short time by accessing patient records.   

References

Big Data in HealthInformatics[ Video file] [Video]. (2014). https://www.youtube.com/watch?v=4W6zGmH_pOw

Guest editorial: Basing practice on the best available evidence: A new inclusion in nursing & health sciences: Best practice information sheets. (2010). Nursing & Health Sciences, 12(3), 287–287. Retrieved June 19, 2020, from https://doi.org/10.1111/j.1442-2018.2010.00547.x

Macieira, T. G., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Dunn Lopez, K., & Keenan, G. (2018, April 16). Evidence of Progress in Making Nursing Practice Visible Using Standardized Nursing Data: a Systematic Review. AMIA Annu Symp Proc. 2017; 2017: 1205–1214.. Retrieved June 19, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Mcgonigle, D., & Mastrian, K. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

Silvia Bonilla RE: Discussion – Week 4COLLAPSE

Main Question Post

            According to McGonigle and Mastrian (2018), “Hospitals and medical centers have more to gain from big data analytics than perhaps any other industry” (p. 197). Sensmeier (2015) writes that The McKinsey Global Institute defines big data as “datasets whose sizes are beyond the ability of typical database software tools to capture, store, manage, and analyze” (p.24). The problem that hospitals are currently facing is not on how to analyze the data but how to store it (McGonigle & Mastrian, 2018). As with any technology, big data has its benefits and challenges. One of the most important benefits of using big data as part of a clinical system is the ability to enter data once and reuse that data multiple times. It is essential for a clinical system to be able to share and compare data to inform outcomes; this allows nurses as knowledge workers to leverage that clinical data (Sensmeier, 2015).

           One challenge of using big data as part of a clinical system is the lack of data standardization, making it challenging to make decisions about changes when different units use different standards and terminology (Thew, 2016). Through research, I have found that to mitigate this challenge, nurses must promote standards and interoperability. One way to do this is to promote “the use of standardized and accepted terminologies that address the documentation needs of the entire care team regardless of care setting” (Sensmeier, 2015, p. 26). Nurses must also recommend “consistent use of research-based assessment scales and instruments that are standardized through an international consensus body” (Sensmeier, 2015, p.26). Until we are all on the same page, we cannot bring about the full potential that big data offers our profession and our patients.

References

McGonigle, D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett Learning.

Sensmeier, J. (2015). Big data and the future of nursing knowledge. Nursing Management, 46(4), 22-27. doi: 10.1097/01.NUMA.0000462365.53035.7d

Thew, J. (2016). Big data means big potential, challenges for nurse execs.https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

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