Reply 1

Kristin Bonilla 3 postsRe: Topic 5 DQ 1

Nurse Managers and nurse leaders are the ones who are responsible for the changing of strategies to improve quality and patient care experiences. They are the ones that need to realize there is a problem, work with their departments to brainstorm ideas to change, and implement the change effectively. Change is not something that one person can do alone but the nurse manager and leaders of the department need to be the ones actively involved with the process. Leaders use a variety of different strategies, as defined by our text, to complete the process. Some of these strategies are: collaboration, facilitation of learning, delegation, coordination, shared governance, incorporation of quality and safety, and evaluation (Helbig, 2018).

Reference

Helbig, J., (2018). Chapter 3. Grand Canyon University (Ed.). Nursing Leadership & Management: Leading and Serving. Retrieved from: https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v1

Reply 2

3 postsRe: Topic 5 DQ 1

Nurse leaders and managers contribute extensively to changing the health care system for now and the future. Burke (2016 para 2) affirmed this position in this statement: “nurses are professionals with the capacity and responsibility to influence current and future healthcare delivery systems” (as cited in Grand Canyon University, 2018). Nurse leaders and managers contribute to reforms in health care through the utilization of their knowledge and skills to influence nursing practice to promote quality care delivery, patient safety and satisfaction. This is achieved through the following strategies:

1. Influencing policies: Policies are formulated to shape and reform healthcare delivery. Nurse leaders participate this process of reengineering healthcare by influencing those policies that are aimed at bringing about this change. A report by the Institute of Medicine (2011) on the future of nursing therefore recommended that nurses take up leadership roles to be able to impact healthcare policies that will promote quality and safe care (as cited in GCU, 2018).
2. Workflow: Nurse leaders can also contribute to changing the healthcare system through workflow. Workflow is the process an organization or people use to complete tasks to achieve a set goal. It is the way “people get work done” with sequential steps form the initiation to the end of the task (Brandall, 2018). According to GCU (2018), workflows in health care organizations often depend on nursing which gives nurse the opportunity to impact how healthcare is delivered. (GCU, 2018). Cain & Haque (2008) observed that an organization with a good workflow can easily reach their goals and targets in a “timely manner, leading to care that is delivered more consistently, reliably, safely, and in compliance with standards of practice” (as cited in GCU, 2018).
3. Clinical inquiry: This is all about asking questions regarding nursing practice. Nursing leaders and managers use clinical inquiries to determine lapses in nursing practice and develop quality improvement interventions and evidence-based practices to improve nursing care (GCU, 2018).

References

Cain & Haque, 2008, para. 10).Brandall B. (2018). What is a Workflow? A simple guide to getting started. Retrieved March 1, 2021 from https://www.process.st/what-is-a-workflow/

Grand Canyon University (Ed). (2018). Nursing leadership & management: Leading and serving.  https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v1.1/

Discussion scenario for Module 1, more details forthcoming

Posted on: Saturday, February 20, 2021 5:21:19 PM EST

Discussion for Module 1: Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction.

Prepare a report to assess your personal health status and possible associated health risks.  

Your report should include the following 6 parts:

1. Please provide the information that is relevant to this assignment based on your physical characteristics and behavior.  You will decide on a PA (Physical Activity) factor. Justify the number you chose based upon your level of physical activity.
2. Calculate the individual energy requirements (EER) using the appropriate equation for the age and gender. Please refer to page 521 (Section 14.3) of your textbook  (“What’s Your Estimated Energy Requirement?”) for further details and the calculation equations.  Be sure to provide the appropriate equation, and list each of the variables (height, weight, age, and physical activity level). Convert weight and height into kilograms and meters. Show every step of your calculations!
3. Calculate your BMI (body mass index) using one of the formulas provided on page 527 of the textbook (Section 14.5). You can also use “How To Determine BMI” on page 249 as a reference. Be sure to provide the equation you used, the variables, and show every step of your calculations! According to the 14.10 (“What’s Your BMI?”, page 528), what is your assessment of your BMI?
4. Waist circumference measurement and assessment. Use a tape to measure your waist circumference at the level of the belly button. List your measurement. According to the information in your textbook concerning waist circumference and health risks (p. 526 in Section 14.4), provide an assessment of your waist circumference.
5. Provide a brief summary of your family medical history. Include close family members (parents, brothers/sisters, children) as well as extended family members (grandparents, aunts/uncles, cousins, etc.). Do any of the family members have diabetes? High blood pressure? Heart disease? High cholesterol levels? Cancer?  Given your medical history and the results of your calculations of body weight and body fat distribution in the steps above, explain whether you are at risk for developing heart disease, cancer, and/or diabetes – either now or in the future.
6. Consider the knowledge you have gained from this activity and from the readings of Chapter 14 and Chapter 15 on weight control. What is your assessment of your body weight? Do you believe you should lose/maintain/gain weight? And if so, how much weight should you lose/gain? Provide justification for your response.

Additional Resources:
NIH: Health Risks of Being Overweight (Links to an external site.)
MedlinePlus: Health Risks of Obesity (Links to an external site.)
WebMD: Health Risks Linked to Obesity (Links to an external site.) 

 NUR3805 Nursing Role and Scope Research Paper # 2 

The paper should address the following: 

1. Describe the dimensions of Patient-Centered Care and how do you apply PCC in your current practice. 

2. Effective communications between health care providers and the patient is an essential component of PCC, why? 

3. Describe an interprofessional healthcare team in your area of work. Do the members work collaboratively? Do they improve patients’ outcomes, how? 

4. Think about your experience as a nurse student, have you observed effective communication improve patients’ outcomes? Have you observed the impact of poor communication on patients’ outcomes? 

The paper must be typed in APA format with a minimum of 1000 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. Follow the APA example paper under the folder APA tools. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC.