Describe your acculturation experience as a new graduate to the  culture of the nursing profession. How is it similar or different from  the acculturation experience of a new nursing colleague who joined your  team within the past year?

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. 

 

As a former emergency department Registered Nurse for over seven years, I recall the most significant complaints were our long wait times.  For some patients, the wait time could be substantial.  Since emergency departments aren’t on a first-come, first-serve basis, wait times were often unpredictable and lengthy.  Patients are triaged based on their level of acuity.  Long Emergency Department (ED) Length of stay (EDLOS) is associated with poor patient outcomes, which has led to the implementation of time targets designed to keep EDLOS below a specific limit. (Andersson et al., 2020, p. 2)

The method conducted for the concept analysis on EDLOS was the Walker and Avant approach.  They were able to research a way of measuring the concept empirically by identifying all concepts used.  (Andersson et al., 2020) Nurses can use the Walker and Avant approach when there are limited concepts available to a nurse to explain a problem area.  The process of concept analysis for nurses first transpired in 1986. (McEwen & Wills, 2019) Walker and Avant specifically designed an approach to concept analysis to help graduate nurses explain methods to examine phenomena that interests them.  (McEwen & Wills, 2019) The basic concept analysis approach by Walker and Avant is as follows; 1.  Select a concept  2. Determine the aims or purposes of the analysis.  3.  Identify all the concept possible uses possible.  4.  Determine the defining attributes.  5.  Identify the model case.  6.  Identify any borderline, related contrary, invent, and illegitimate cases.  7.  Identify the antecedents and consequences.  8.  Define the empirical referents. (McEwen & Wills, 2019, Tables 3-2)

Authors Aim and Purpose

As a former Emergency Department Nurse, I find it fascinating how the author chose to do the concept analysis on this topic.  According to the author, when patients are forced to stay for extended lengths of time in the emergency department, this leads to poor patient outcomes, overcrowding, and an overall inefficient organization. (Andersson et al., 2020) I recall when a febrile child was left in the Emergency Department for a long time.  The child became so agitated their respiratory status worsened.  The authors aim to clarify the meaning of long EDLOS and identify the root causes of an emergency department length of stay of more than six hours.  (Andersson et al., 2020)

Defining Attributes on the Concept Examined

In the emergency department, length of stay (LOS) is a widely used measurement.  Emergency department length of stay (EDLOS) is defined as the time interval between a patient’s arrival to the ED to the time the patient physically leaves the ED. The defining attributes discovered that waiting in a crowded emergency department was just that, waiting.  Waiting was the most acknowledged attribute associated with EDLOS. (Andersson et al., 2020) If the patients didn’t have to wait, they wouldn’t be a problem/complaint and had no time targets. 

Another attribute that was described as a cause for EDLOS was, crowding.  This led to cause and effect with long EDLOS and crowding. (Andersson et al., 2020)

Benefits

     The problem was that over-crowding and waiting was referred to as an inefficient organization.  This led to the need to search for EDLOS to correct the issues with the system and improve overall patient satisfaction with emergency department visits.  (Andersson et al., 2020)  The benefit of this study is discovering what the root of the cause is for long emergency wait times, therefore improving overall patient outcomes, avoiding overcrowding, and running an efficient organization.  The benefits of completing a concept analysis for nursing theory would be to aim at improvements for better patient outcomes.  This is what we are there for, after all.  As nurses, we are on the front lines of our departments, and we have an opportunity to improve our systems, our organizations, our team, but most importantly, our patients.  When we can all benefit as a team, our profession benefits, and our patients benefit greatly. 

 

You make a Tik Tok video on your day off, showing photos of a local celebrity that one of your colleagues in telemetry took care of. You figure that most of your contacts would never recognize him anyway. It’s your day off and your personal time, so no harm, no foul, right? 

Choose an ending to the scenario, and construct your paper based on those reflections. Choose one of the following outcomes: 

1. A HIPAA violation occurs, and client data is exposed to the media.

 2. A medication error has harmed a client. 

3. A technology downtime that impacts patient care occurs, and an error is made. 

4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data. 

 Research, compose, and type a scholarly paper based on the scenario provided by your faculty, and choose a conclusion scenario to discuss within the body of your paper. 

Reflect on lessons learned in this class about technology, privacy concerns, and legal and ethical issues and address each of these concepts in the paper. Consider the consequences of such a scenario. 

Do not limit your review of the literature to the nursing discipline only because other health professionals are using the technology, and you may need to apply critical thinking skills to its applications in this scenario. 

• Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the American Psychological Association, as well as the resources in Doc Sharing if you have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take advantage of the writing service SmartThinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home area.

 • The length of the paper should be four to five pages, excluding the title page and the reference page. Limit the references to a few key sources (minimum of three required).

 • The paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment criteria). 

• In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations. 

• Choose and identify one of the possible endings provided for the scenario, and construct your paper based on its implications to the scenario. Make recommendations about what should have been done and what could be done to correct or mitigate the problems caused by the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.

 • Present the advantages and disadvantages of informatics relating to your scenario and describe professional and ethical principles appropriate to your chosen ending. Use facts from supporting sources of evidence, which must be included as in‐text citations. 

• The paper’s conclusion should summarize what you learned and make reflections about them to your practice 

 Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. Include the following sections: 

a. Introduction – 40 points/17% • Catches attention of the reader • States purpose of the paper • Provides a narrative outline of the paper (i.e., the assignment criteria) 

b. HIPAA, Legal, and Regulatory Discussion – 40 points/17% • Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to: • Patient privacy and HIPAA standards • Healthcare regulations • Legal guidelines on appropriate use of technology

 c. Scenario Ending and Recommendations – 50 points/21% • Selects and presents one scenario ending as the focus of the assignment. • Evaluates the actions taken by healthcare providers as the situation evolved. • Recommends actions that could have been taken to mitigate the circumstances presented in the selected scenario ending. • Supports recommendations with evidence from recent scholarly publications.

 d. Advantages and Disadvantages – 50 points/21% • Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to: • The advantages of appropriately using technology in healthcare • Risks of technology use in healthcare • Describes professional and ethical principles guiding the appropriate use of technology in healthcare. 

e. Conclusion and Reflections – 30 points/12% • Summarizes what new information was learned by completing this assignment. • Reflects on how this new knowledge will impact future behavior as a healthcare professional. 

f. Scholarly Writing and APA Format – 30 points/12% 3 NR360 Information Systems in Healthcare RUA: We Can, But Dare We? Guidelines NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 3 

• Paper submitted as a Microsoft Word document. • Adheres to current APA formatting guidelines including proper use of: • Title page • Running head • Page numbers • Length is 4-5 pages, excluding title and reference pages. • Includes at least three (3) references that are: • From recent (within the last 5 years) scholarly sources • Cited in text appropriately • Included on an APA formatted reference page • Scholarly writing reflects: • Accurate spelling • Correct use of professional grammar • Logical organization of thoughts (mechanics) For writing assistance (APA, formatting, or grammar), visit the APA Citation and Writing page in the online library 

Discussion: Unit 3

Analyzing the Digital Divide

Instructions:

In this discussion, you are asked to analyze ethical dilemmas related to the digital divide This assignment proceeds through the following steps:

• First, choose a digital divide – rural-urban, racial, intergenerational, or international – that is most relevant to your life.
• Second, describe ways you are advantaged and/or disadvantaged by this digital divide.
• Third, reflect upon the ethical dilemmas of this divide while recommending reforms to change this inequality.

Please be sure to validate your opinions and ideas with citations and references in APA format.

  

The Health Workforce 

This discussion highlights on the health workforce as central to the health care system, and any changes in its deployment and utilization will have significant effects on health care quality and costs. The ACA and rising concerns about the efficiency of health care delivery are bringing renewed attention to on the current makeup of the health care workforce, the challenges posed by shortages in certain professions, and how these shortages are being addressed. 

Grading Rubric for Healthcare Workforce 

Most healthcare in the United States is delivered in traditional setting such as hospitals, physician organizations, and long-term care organizations. As access is becoming more readily available, the demand for care is increasing as physician shortages is also increasing.

PLEASE  READ AND ANSWER ALL THE FOLLOWING QUESTIONS LISTED BELOW!!!! APA Format, English punctuation, and spelling. NO plagiarism, proof of Turnitin document. 

  

1. With the increase in number of non-physician providers, discuss how it may affect cost, quality, and access to care in the U.S. healthcare system?

2. Discuss on the possibility of changes to scope of practice regulations for Advanced Practice RNs and how it could help to abate health worker shortages?

3. Why is primary care so important?