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! 

Nurses are crucial to improving quality and safety standards because they are the largest group of healthcare professionals (Glassman, 2017). Nurses care for patients and are responsible for identifying issues and implementing and adjusting care for each patient 24 hours a day (Mancieria et al., 2017). The growing use of electronic health records (EHR) has proven very helpful in monitoring and analyzing data (Mancieria et al., 2017). Not only is the EHR vital for improving patient outcomes, but it also shows the impact of nursing care on patients (Mancieria et al., 2017).

When recalling experiences and observations with nursing informaticists in my healthcare organization, the nurses in the Quality Improvement (QI) department come to mind. At my hospital, we have a team of nurses that work in the QI department reviewing data related to patient care to improve patient outcomes. A few examples of this data are restraint usage and documentation, catheter-associated Urinary Tract Infections (CAUTI), central line-associated bloodstream infections (CLABSI), etc. These nurses are continually reviewing this data and working on ways to decrease the incidence of patient issues. The QI nurses use data to implement new policies on our unit and round frequently on our patients to ensure we are implementing these strategies.

Regarding Foley catheter safety, they ensure the stat lock on the foley catheter is dated and timed, there is a loop present, and a urine sample is sent before insertion. Regarding central lines, they must be dated for the last dressing change, have alcohol caps present on the ends, and be clean and dry. These are just two examples that the QI team monitors due to research for best practices. One way I do think communication can be improved is by explaining the rationale and the data behind these best practices and rather than just implementing a policy or procedure, teaching to those who will be applying it why or why not. Although the world has not fully grasped the full potential of big data analytics, I think most healthcare agencies are on the right path (Wang, Kung, & Byrd, 2018).

In conclusion, big data analytics and those who decipher the data are essential to improve nursing practice and patient outcomes. However, I do think it would be beneficial to have the nurses understand the data as well as they are the ones implementing care.

The following position is advertised on a career Web site: RN I Surgical Job Travel Involved: None. Job Type: Full-Time. Job Level: Minimum Education Required: Associate Degree Skills: Category: Nursing FTE: 0.9. Position Summary: Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees who are under your supervision. Requirements Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees that are under your supervision. Minimum Qualifications: Education: Graduate of an accredited school of Nursing. License/Certification: Current RN license in the state of XXX. Current BCLS Certification. Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. Note: An RN graduate is a nurse who has completed a course of study at a school of nursing and is eligible for the NCLEX. The RN graduate performs directly under the supervision of the charge nurse or RN designee.

1. List three substantive questions you might expect to be asked in an interview for the job, and summarize your answers.

2. Describe three to five ways in which you could prepare for the interview to make the most positive impression.

3. Be sure to describe what you would wear and what material you would bring with you.

Your best friend, Lindsey, and you are working together in the surgical ICU. Often you cover for her when she goes to lunch or on breaks. You notice that often her clients complain of being in pain, even though she has told you that she medicated them right before she left the unit. You also notice that she appears to be very jumpy and short-tempered and a bit disheveled when she comes to work. You are suspicious that she is using the medications that she says she is giving to her clients.

1. What should you do first?

2. What might be the consequences if you decide to do nothing?

  -APA Format.

– Introduction or Abstract page

– summary or Conclusion page.

– Four pages minimum, no including: Introduction or Abstract , summary or conclusion, and Bibliography pages

– It is completely unacceptable to Copy and Paste from the Internet, or other resources

– Bibliography has to be in APA Format, minimum 3, no more than 3 years old.

 hi dear,

 can help me to finish this assignment with good quality and be on time please?

I just need to 2 responses to the Discussions, and about 100 words for each responses.

1.   There are many known chronic diseases some of which can be improved and/or maintained with physical activity.  For example, diabetes and obesity are two conditions that can be markedly improved with a physical activity routine.  Many people with diabetes are able to manage their disease by dieting and exercising alone rather than taking medication.  Obesity is another chronic condition that can be improved with exercise although it can sometimes take a lot of effort, coaching, and motivation everyone should have some type of physical activity whenever possible.  The benefits of regular exercise can reduce risks for heart attack, weight gain, high cholesterol, diabetes, high blood pressure and even some cancers (Physical Activity – It’s Important, 2018).  The WHO (World Health Organization) recommends 30 minutes of physical activity daily along with a healthy diet (Physical Inactivity a leading cause of disease and disability, warns WHO, 2018).  Eating a healthy diet does not mean you have to stop eating what you like, but eating in moderation along with healthier choices is best.

Research has shown physical activity to be beneficial and it has become more of an intervention tool.  Research is often challenged to provide a valid and reliable measure that is adequate and meets the question or design of the research.  Questionnaires are most common and are solely dependent on the participants but sadly are deemed to be inconsistent.  However, they are cost effective, simpler to use and more accurate (Sylvia L.) .

2.   Five chronic diseases that can be positively influenced by regular participation in regular physical activity are; cardiovascular disease, type 2 diabetes, obesity, colon cancer & prostate cancer (Durstine, 2013). The two have chosen to describe are cardiovascular disease and type 2 diabetes. Cardiovascular disease includes the following diseases coronary heart disease, cerebrovascular disease, peripheral arterial disease, rheumatic heart diseases, congenital heart disease, deep vein thrombosis & pulmonary embolism (Durstine, 2013). Cardiovascular disease is also the most common chronic disease in the world (Durstine, 2013). One thing in common with patients that have cardiovascular disease is patients are physically inactive. When adding physical activity and diet to patients with cardiovascular disease, their symptoms decrease (Durstine, 2013). Type 2 diabetes is very common in the United States as well about 24 million people had diabetes in the year 2009 (Durstine, 2013).  When adding regular physical activity to type 2 diabetes patients, symptoms improve as well as mortality and morbidity.  Some of the pros I have come across when logging data about my physical activity are; trying to constantly out due myself, cheap and relatively easy to do. Some of the cons about keeping a log are; it can be inaccurate unless done digitally. Another that could be a pro and a con is if I was to be inactive for a few weeks and looked at a previous log I would get annoyed with myself to see how far I’ve fallen behind but at the same time it could motivate me to get back to those numbers.

Thanks,

 Topics: Child abuse, human trafficking, major depression, eating disorders.  

Describe and analyze the incidence and prevalence of the topic you selected, as it applies to your community or state.

-Discuss and compare factors that influence the development or progression of the topic you selected.

-Discuss at least 2 health prevention interventions that you could utilize to combat the topic you selected.

-Compare the roles of the community health nurse, the primary care physician/provider, mental health provider, and other appropriate healthcare providers; and how collaborative care would look like in the community with this type of issue.

must be in APA and include at least 2 nursing journal articles 

 Must have reference. Must develop a question for the class at the end of the writing. Do not forget to include the question or reference. 

280-word message in which you answer the following questions:

• What role does managed care play in health care? How has this role led to increased racial and economic disparity in health care in the United States?
• What are you, as a nurse practitioner, going to do to overcome the limitations as they relate to the health care delivery system that currently exists?
• What are the most used modes of health care delivery in the United States? Are these modes affected by racial and economic disparity?
• How has managed care influenced the various modes of health care delivery?