Paper – 2025 In this assignment you will propose a quality improvement initiative from your place of employment

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Paper – 2025

 

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

  1. The purpose of the quality improvement initiative.
  2. The target population or audience.
  3. The benefits of the quality improvement initiative.
  4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
  5. The cost or budget justification.
  6. The basis upon which the quality improvement initiative will be evaluated.

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. 

Module 7: Discussion Question N495 – 2025 Module 7 Discussion Question N495 As nurses we complete physical assessment on a routine basis even though they

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Module 7: Discussion Question N495 – 2025

  

Module 7: Discussion Question N495

As nurses we complete physical assessment on a routine basis, even though they are typically focused assessments. What type of technology have you seen utilized in your assessment process that assists in your effectiveness to communicate findings both orally and written format? If no technology, how do you ensure effective communication for assessment findings?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Nurse.Med Surg 3 – 2025 The patient is a 68 year old man who sustained a head injury after falling in the bathroom

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Nurse.Med Surg 3 – 2025

 

The patient is a 68-year-old man who sustained a head injury after falling in the bathroom. He arrives in the emergency department (ED) cheerful, alert, and oriented to person. On physical examination, he has a large hematoma on his left forehead. He reports a headache in the left temporal area, which he rates as an 8/10. His wife was present during the incident. Admission vital signs are: blood pressure, 170/92 mm Hg; pulse, 92 beats/min; respirations, 14 breaths/min; and temperature, 98.7° F. The physician orders a one-time dose of acetaminophen 650 mg orally for the patient’s headache, which the nurse promptly administers. The patient reports a pain level of 5/10 at 1 hour after the intervention. 

1. Why is it important to determine the circumstances of the fall for this patient? 

2. Discuss the importance of obtaining baseline behavior and information from the wife. 

3. The ED physician orders computed tomography (CT) of the brain for the patient. What is the purpose of this test, and what are the nursing responsibilities in preparing the patient for this procedure? 

4. Because the patient is at risk for increased intracranial pressure, explain how the patient should be positioned and moved in bed.

5. The CT and other diagnostic results are negative and the patient is diagnosed with a minor head injury and contusion to the right extremity. He is discharged to home. Review the patient teaching instructions that should be given to the patient and his wife. 

6. The wife appears unwilling to take her husband home and she states that she doesn’t understand the discharge instructions. What can the nurse do in this situation? 

7. Use the focus charting method (also known as the DAR method—data, action, response) to document the administration of acetaminophen, including appropriate follow-up. 

Leader Vs. Manager – 2025 Based on your reading and personal experience share your perception of 3 attributes of a

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Leader Vs. Manager – 2025

Based on your reading and personal experience, share your perception of 3 attributes of a leader and 3 attributes of a manager. Based on your experience, have your direct supervisors been leaders, manager or both? Provide examples to support your assessment

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

Ari Shavit By The Sea – 2025 I n thinking on the issues of religion secularity culture and conflict that are discussed in this chapter fully

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Ari Shavit By The Sea – 2025

 In thinking on the issues of religion, secularity, culture, and conflict that are discussed in this chapter, fully analyze at least two aspects through which Israel can be redefined.  In turn, what are two of the most important ways in which Shavit discusses Israeli and Jewish identity?  Think of this through two manners which you found to be the most new or differen 

Response To Peer – 2025 Answer this discussion with two separated paragraphs with two references no more than 5 years

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Response To Peer – 2025

Answer this discussion with two separated paragraphs with two references no more than 5 years. 

The provision of holistic care is an important aspect of Swanson’s middle-range theory. Swanson was inspired by Jean Watson’s theory of human caring and had considered the use of caring-based therapeutics and answers that will mold the practice of nursing ( Andershed, et al.,2009). Swanson (1991) defined caring “ As a nurturing way of relating to a valued other person, towards whom one feels a personal sense of commitment and responsibility “ (p 2). Swanson’s theory of caring comprises knowing, being with, doing for, enabling, and maintaining belief (Swanson, 1991).

According to Swanson  (1991), knowing is focused on listening, observing, and understanding another individual without making any assumptions. Being with is about being present, and allowing expression and sharing of feelings.  Doing for pertains to the nurse’s ability to anticipate the client’s needs and perform necessary skills that will provide comfort and protection for the individual ( Swanson, 1991). Swanson(1991) emphasized that enabling will help the individual’s growth concerning healing and self-care and the nurse should take the lead in providing information and assisting the individual to understand new information received. Nurses are encouraged to continue to promote a reciprocal discussion with the client and demonstrate support and validation of feelings. Maintaining belief is the ability of the nurse to foster a positive attitude and influence the client to feel the same. The nurse should assist the client and family to feel confident and be optimistic even in difficult situations (Swanson, 1991).

The five components of Swanson’s theory of caring encompass all the facets of the nursing metaparadigm- person, health, environment, and nursing. In providing care, nurses must take into consideration that the person is the main focus of nursing. (Mintz-Binder,2019). Swanson’s theory of caring focuses on addressing the person’s needs and providing holistic care after gathering objective information and knowing the person by utilizing effective communication.  The nurse, client, and family members need to practice a clear and structured way of communicating to appropriately address the client’s holistic needs.  The environment focuses on determining both internal and external factors that may influence the client’s health status (Mintz-Biner, 2019). The nurse needs to objectively assess the client’s living situation, availability of a support system, and how to understand these factors in achieving the best client outcomes. The nursing practice involves having an invaluable nurse-client relationship and this is realized with the utilization of the five components of Swanson’s theory of caring.

I realized that I have applied all the components of Swanson’s theory of caring in my nursing practice. I worked as a bedside clinician in Labor and Delivery unit for many years and in every client admission, I always view my client as an individual. I recognized that clients who are admitted to a hospital may have different levels of anxiety and I ensure that clients are provided with undivided attention, caring attitude and making them feel that they are heard and most importantly,  letting them know that nurses are always available to attend to their needs.

Health care organizations continuously strive to increase patient satisfaction scores. In this regard, evidence-based practices are utilized to improve patient satisfaction scores. According to Ellina, et al. (2019), caring is considered as an evaluation of service, and clients could feel satisfaction when care is rendered. Nurses consistently demonstrate a caring behavior that will mainly influence how clients evaluate care and services received during the hospital stay. Ellina, et al. (2019) emphasized that research had proven that there is a relationship between caring and hospital services and patient satisfaction. Swanson’s theory of caring provides direction for nursing practice. As nurses incorporate the five components of this theory into their practice, this will be beneficial in improving patient satisfaction scores and will significantly enhance nurses’ ability to be creative, innovative, and patient-specific in managing clients (Ellina, et al., 2019)

References:

References:

Ellina, A. D., Kusnanto, Adiutama, N. M., Sismulyanto, & Rusmawati. (2019). Evaluation of Patient Satisfaction and Nurse Caring Behaviour: Based on Swanson’s Theory. Indian Journal of Public Health Research & Development, 10(8), 2698–2702. https://doi-org.chamberlainuniversity.idm.oclc.org/10.5958/0976-5506.2019.02277.0

Mintz-Binder, Ronda & DNP, RN. (2019). The connection between nursing theory and practice. Nursing Made Incredibly Easy!, 17, 6-9. https://doi.org/10.1097/01.NME.0000549615.05397.55

Swanson, K. M. (1991). Empirical development of a middle-range theory of caring. Nursing Research, 40(3), 161-166. https://doi.org/10.1111/j.1547-5069.1993.tb00271.x

Follow Up Discussion – 2025 one paragraph response for this post add comment information with citation

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Follow Up Discussion – 2025

 one paragraph response for this post , add comment , information with citation and reference 

One of the opportunities that I see in the clinical setting that needs to be improved is staffing. Of course 2020 and COVID hit us hard for the year but some facilities were already in shambles before the pandemic. Staffing is one of those things that can breakdown a facility to its inner most core. You have to hire and provide the unit with appropriate and knowledgeable staff that can handle the unit and the patient acuity. This helps with providing the best care for the patient and it gives the nursing staff time to provide the best care to the patient they are caring for. When staffing levels aren’t met, patient mortality increases. According to Rebecca Paulsen she stresses quality of care to achieve patient outcomes, which, in turn, can lead to higher reimbursement from the insurance company. Nurse-to-patient ratios are substantially important when trying to keep infection rates, potential drug reactions, and medication errors at a minimum (Paulson, 2018). Hospital reimbursement is based on performance. If units don’t adequately staff enough professionals to provide the care that patients need based on their acuity level, reimbursement may significantly be affected (Ashe, 2018). When units have higher turnover rates, including admissions, discharges, and transfers, additional nursing time isn’t recognized in shift variability when considering staffing needs and nurse-to-patient ratios(Ashe, 2018). This is way having the unit or clinical area staffed accordingly makes the unit and the level of stress, burnout, depression among staff decrease.

References:

Ashe, Leah RN The importance of adequate staffing, Nursing Management (Springhouse): December 2018 – Volume 49 – Issue 12 – p 7 doi: 10.1097/01.NUMA.0000549519.47901.4f

Paulsen, Rebecca A. PhD(c), MS, RN, CPN Taking nurse staffing research to the unit level, Nursing Management (Springhouse): July 2018 – Volume 49 – Issue 7 – p 42-48 doi: 10.1097/01.NUMA.0000538915.53159.b5

Study Plan – 2025 To Prepare Reflect on your practice exam question results from Week 2 Identify content area strengths and

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Study Plan – 2025

 

To Prepare

  • Reflect on your practice exam question results from Week 2. Identify content-area strengths and opportunities for improvement.
  • Also reflect on your overall test taking. Was the length of time  allotted comfortable, or did you run out of time? Did a particular  question format prove difficult?

The Assignment

  • Based on your practice test question results, and considering the  national certification exam, summarize your strengths and opportunities  for improvement. Note: Your grade for this Assignment will not be derived from your test results but from your self-reflection and study plan.
  • Create a study plan for this quarter to prepare for the  certification exam, including three or four SMART goals and the tasks  you need to complete to accomplish each goal. Include a timetable for  accomplishing them and a description of how you will measure your  progress.
  • Describe resources you would use to accomplish your goals and tasks,  such as ways to participate in a study group or review course,  mnemonics and other mental strategies, and print or online resources you  could use to study.

“Attachment Research And Early Head Start” – 2025 Attachment Historical Background Description of Attachment Theory Definition of Key Concepts Internal

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“Attachment Research And Early Head Start” – 2025

  

Attachment:

  • Historical      Background
  • Description      of Attachment Theory
  • Definition      of Key Concepts
  • Internal      Working Models
  • Patterns of      Attachment
  • Attachment      as a Basic Need
  • Attachment      and Care
  • Attachment      and Health
  • Development      and Change
  • Application      of Attachment Theory: 

Research

  • Application      of Theory: Practice 
  • Further      Research
  • Summary 

Assignment: Decision Tree – 2025 Consider how you might assess and treat adult and older adult clients presenting symptoms of a mental

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Assignment: Decision Tree – 2025

Consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder. 

Examine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

  • Decision #1: Differential Diagnosis
    • Which Decision did you select?
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
  • Decision #2: Treatment Plan for Psychotherapy
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
  • Decision #3: Treatment Plan for Psychopharmacology
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients and their family.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.