A mother comes in with 9 month old girl. The infant is 68.5cm
A mother comes in with 9 month old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart) DQ1: Consider the following patient scenario: A mother comes in with 9 month old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). Describe the developmental markers a nurse should assess for a 9–month–old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice. DQ 2: Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. DQ 1: Expert Answer and Explanation Health Assessment for Infant For a 9 month female infant at 25th percentile of height and head circumference, yet only in the 5th percentile in terms of weight demystifies that the infant is underweight. The CDC provides essential developmental markers that a nurse should consider when assessing the nine-month-old female infant (CDC, 2019). For instance, at the age of 9 months, the infant ought to have developed social and emotional markers such as being afraid of strangers, recognizing favorite toys, and being clingy to familiar adults. Communication makers include the ability to copy sound or gestures, use finders to point, and understanding “no.” In terms of the cognitive and physical development, the infant should be able to watch the path of a falling object, put items in mouth, move objects from one hand to the other, sit without support, crawling, and standing while holding on to something (CDC, 2019). The assessment can also include the nutritional and dieting aspect of the infant. As a nurse, I would recommend improvements regarding nutrition and diet, increased movements, and mental alertness. The recommendation is in light of the infant’s underweight appearance. I would first discuss with the mother the importance of a proper diet and nutritional value to the growth of the baby both physically and mentally (Green, 2018). I will also inquire about the breastfeeding routines if the infant is being given other formulas that improve their growth. It is essential for the mother to comprehend the relevance of breastfeeding and the type of food that an infant can begin to eat after the six months following the delivery. It is also essential to offer the mother nutrition awareness materials such as handouts so that she can refer and offer the child with appropriate meals for weight gain. References CDC. (2019). What developmental milestones is your 9-month-old reaching? Retrieved 18 May 2020, from https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html Green, S. (2018). Health assessment: Foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/ Alternative Expert Answer Developmental Markers for a 9-Month Old Baby When assessing a 9-month old female infant for any developmental issues, a nurse has to look at the developmental markers for a child at this age. On average, a female baby at this age weighs 8.2 kg. For a child at this age, still, their average length is 70.1 cm, and the size of their head is 44.5 cm. Although a baby starts to crawl when they reach this age, not all crawl when they hit 9 month after birth, and they may start walking after the 12 month. The baby also sits, babbles and express interest in picking things. Additionally, they reach for objects while sited, and they may pool themselves up using tables or chairs (Tandon, 2017). The child may express anxiety when separated from their parents. When examining this child, the nurse would need to take to consideration the fact that a baby at 9 months can respond to their name, and they know their parents (Breiner et al., 2016). The baby in the case seems to be experiencing the developmental issues. The baby’s weight is 6.75 kg which is lower than the average 8.2 kg. Their length is 68.5 cm, and this is slightly below the average length of 70.1 cm for female babies at this age. The circumference of her head is also slightly lower than that the average. As a nurse, I would recommend to the parent to encourage the baby to move. This would be important in helping build the baby’s muscles. The parent may hold the baby’s hands and pull them while they walk together (Tandon, 2017). It is also important for the parent to consider feeding the child a meal rich in protein so that the child gets to meet her nutritional needs. This would help her gain weight. These recommendations can translate to better clinical outcomes because a number of studies link practice and nutrition to the improved child development (Tandon, 2017). References Breiner, H., Ford, M. A., Gadsden, V. L., & National Academies of Sciences, Engineering, and Medicine (U.S.). (2016). Parenting matters: Supporting parents of children ages 0-8. Washington: National Academies Press. Tandon, M. (2017). Early Childhood Mental Health: Empirical Assessment and Intervention from Conception through Preschool, An Issue of Child and Adolescent Psychiatric Clinics of North America. Amsterdam: Elsevier. DQ 2: Expert Answer and Explanation Child Abuse and Maltreatment Child neglect is the most common form of child abuse that school going children go through. The maltreatment has the capacity to negatively affect all aspects of their lives while in school. Poor grades and low self-esteem are some of the negative results of this form of maltreatment in school-going children (Zeanah, & Humphreys, 2019). Physical abuse is the second form of child maltreatment that is common in school-going children. Physical abuse may present itself in different forms. Beatings, stabbing, punching and kicking are ideal examples of physical abuses meted upon school going children. There are
[ANSWERED 2023] Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article
Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system. During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). How would you respond to a comment such as this one? To Prepare: Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice? Reflect on the role of a nurse leader as a knowledge worker. Consider how knowledge may be informed by data that is collected/accessed. The Assignment: In a 2- to 3-page paper, address the following: Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies. Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples. Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library. Answer Importance of Standardized Nursing Terminologies The emphasis on delivery of the safe care is growing, and this warrants the need for the nursing practitioners to clearly, and accurately document clinical information including the details of the patient assessment and interventions. The accuracy and clarity with which these providers document the information is dependent on whether they use the Standardized Nursing Terminologies (SNTs). The SNTs consist of the terminologies which users can use to share and document information. This prevents cases where the lack of the clarity of the information which stems from the provider deciding not to use the SNTs, affects its meaning (McGonigle & Mastrian, 2017). This study examines the approach of informing nursing practitioners the SNTs’ benefits, and the benefits and risks associated with the implementation of these terminologies. Communication and Benefits The idea of communicating the essence of the SNTs to the nurses is important because it helps them be aware of the availability and usability of these SNTs, and the person doing the communication can realize this objective by utilizing various methods. One of the most effective approach to communicating these benefits is organizing a conference meeting where nurses can meet, and directly informing them of the benefits they are likely to accrue if they use the SNTs. The organizational memo can also be an effective way of delivering this information. When using it as a platform for communication, the individual delivering the message concerning the benefits of the SNTs may either post the memo on the strategic areas within the hospital premises, or send the memo to nurses’ emails addresses. However, they can also utilize the journals (Rutherford, 2008). The professional nursing journals can particularly be useful when it comes to communicating the value of the SNTs. Benefits and Challenges While the implementation of the SNTs can be important, it can present various challenges. A key benefit that an organization can derive from implementing the SNTs is effective communication. The SNTs present common terminologies which can be effective in relaying clinical information, and this ultimately makes it possible for the clinicians to effectively share information. Sometimes, the need arises for the information to be in a form which only the providers can internalize. The use of the SNTs makes this possible in the sense that the codes or the taxonomies only make sense to clinicians, and people who do not know the meanings of these terminologies may not understand the conveyed message (Thew, 2016). This ultimately helps secure the clinical data. The visibility of the nursing care, furthermore, becomes more noticeable with the use of the SNTs given that the conventional approach in which the nurse verbally communicate to colleagues presents visibility issues (Macieria et al., 2019). However, the SNTs do not have atomic level terminologies, and this can hamper the efforts aimed at developing the SNTs. Conclusion Reflecting on the discussion of the SNTs, it is clear that incorporating the SNTs into clinical practice can have significant benefits to the hospital, and it is therefore important that nurses understand the usefulness of the SNTs. Informing nurses about the merits of these terminologies may help them adopt a more positive attitudes towards the use of these terminologies. Consequently, they are likely to accommodate and encourage the use of these terminologies to document information. The security of the clinical information, and the improved visibility of the clinical intervention are some of the outcomes linked to the use of the SNTs. References Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/. McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05. Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order Resources McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 525–535) Chapter 26, “Nursing Informatics and the Foundation of Knowledge” (pp. 537–551) American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing–excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/ Macieria, T. G. R., Smith, M. B., Davis, N.,
[ANSWERED 2023] Social media plays a significant role in the lives of nurses in both their professional and personal lives.
Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing. Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field. In 500-750 words, summarize the findings of your review. Include the following: Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved. 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. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Answer Social media is a crucial tool among healthcare givers as it is serves as a vital source of information and a channel communication among nurses. Through social media, nurses can foster proper nurse-patient relations by engaging them in practical nursing-based discussions that help them improve the outcomes of care. Unfortunately, there are times when social media channels can be used to channel unprofessionalism among nurses, where irresponsible workers fail to adhere to the set nursing code of conduct when using social media. Health care workers must learn to place boundaries between personal and professional social media posts. The use of social media among nurses is restrictive to professional standards of nursing that are set by the American Nurses Association (ANA). Despite the great merits that the use of social media can obtain, nurses must ensure they portray professional behavior in social media, adhere to ANA rules that dictate that nurses should not share any patient information in social media, and also uphold the HIPAA privacy violation rules. Inappropriate Posts Based on Professional Nursing Standards Any social media post by all nurses must convey professional behavior and must ensure patients confidentiality. Some examples of unprofessional behavior among nurses Include but are not limited to alcohol or drug use, racist comments, use of vulgar language, sexually explicit images, undesirable comments regarding employer or co-workers, and any harassing comments. Nurses might violate Patients’ privacy by posting patients’ photos or details, whether intentional or unintentional. In the course of pursuing my nursing career, I might have violated some of these rules. After an exhausting day in one of my nursing shifts, I vented my frustrations on social medial, specifically among my friends in a WhatsApp group after a drunk patient vomited near my working area. The alcohol in the content he vomited made the smell unbearable, and out of rage, I used profane words to describe the patient. In one of my Facebook posts, I mentioned one of my irritable patients who addressed me rudely and asked for another nurse to tend to them. After an extensive study on nursing professional standards, I have learned to adhere to the professional nursing rules in my social media encounters and avoid any posts that might violate the rules. Why Nurses Have a Responsibility to Uphold Standard of Conduct Nursing professionals are responsible for upholding a standard of conduct because they are highly regarded as the primary caregivers among patients and can easily access any patient’s private information. Nurses’ social media presence should convey a high level of professionalism as well as their physical presence. The main reason for the set professional standards is to ensure safe and clinically proficient nurses. The rules provide a basis for evaluating and analyzing the performance of nurses. If the employer suspects neglect of a nurse’s care or a deviation from the professional ethic, the employer can choose the correct course of action. An example of the inappropriate action is any breach in keeping a patient’s private records or personal information, such as leaking their area of residence, photos, or the illness they are suffering from, which is a breach of HIPAA privacy rules. The portrayal of any unethical behavior by nurses, such as rudeness, racial tendencies, or harassment, should be duly addressed. Unprofessional nurses might lead to the loss of patients and the overall fall of an organization, and hence health organizations should educate on the importance of maintaining professional standards. Social Media Activities that Reflect Christian Values Following the HIPAA privacy rules by not posting patients’ photos, avoiding negative comments about patients, and not disclosing any patients’ details shows Christian values. It reflects respect for patients’ values and integrity. As a nurse, I seek to uphold the values in social media by non-disclosure of any information regarding my patients and entirely to avoid using patients’ photos in posts. I am bound by my Christian values to avoid uncouth behavior towards patients and treat each patient with compassion. I uphold equal treatment of each patient regardless of
Assume you are a nurse manager on a unit where a new nursing
Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team. To Prepare: • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented. • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology Portfolio The Assignment: (2-3 pages) In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps: • Planning and requirements definition • Analysis • Design of the new system • Implementation • Post-implementation support Expert Answer and Explanation Role of the Nurse Informatics in System Development and Implementation The development of the informatics systems encompasses the different stages that collectively form the Systems Development Life Cycle (SDLC). For a manager and a leader in a healthcare organization, the knowledge of the SDLC is crucial in the sense that it facilitates their preparation, making it possible for them to be aware of the requirements at different levels of system development. When involving a graduate-level nurse (GN) in SDLC, a unit nurse manager should present a role description, describing the nurse’s role at various stages of the SDLC (Risling & Risling, 2020). Focusing on the SDLC stages, it is important to describe the GN’s role in SDLC, highlighting the various ways in which they would participate in the implementation of an informatics system. Planning and Requirements As the initial stage of the SDLC, planning involves various tasks such as defining an issue that necessitates the development of the system, and outlining the system requirements. During this phase of the SDLC, the GN contributes to defining the system’s objectives and scope. Given their experience and expertise, they understand the different professionals who are likely to use the system. Accordingly, they would identify the stakeholders that are likely to contribute to the adoption of the system. Their role during the planning also involves participating in performing needs assessment, identifying the areas of concern (McGonigle & Mastrian, 2022). For instance, they may identify the challenges associated with the paper-based documentation systems, and work with nurse leaders to come up with meaningful solutions. System Analysis Analysis stage emphasizes defining the requirements by collecting, analyzing and validating data, and at this point, the GN collaborates with the other parties involved in the project implementation, evaluating the workflow including the efficiency of the clinical operations. In their capacity as nurse leaders, their input into the SDLC involves determining the barriers that may slow down the development of the system, and contributing to the assessment of the risks (Agency for Healthcare Research and Quality, n.d.a). This identification of the risk is important because it helps inform the formulation of the meaningful solutions that can help avert the risks. Because capturing the clinical requirements in the design of the system can be a challenge, involving the GN is important because they can act as a link between those working in clinical setting and the team tasked with implementing the system. System Design The GN’s role is critical during the system design stage which involves transforming the requirements including what is captured into the plan, to a plan that defines the technical measures to be undertaken to complete the system. At this point, the GN adopts a collaborative approach, working together with the stakeholders involved in system development, to come up with a technical plan that comprises the workflow including the user interface. Additionally, they share pertinent information that can assist with designing of the system (Singletary & Baker, 2019). For instance, they may recommend the details about the features that that can improve the usability of the system or make it user-friendly. Considering their experience, they can share information about the challenges they faced while using a system. The designers can design the system with this information in mind, designing a more potent system with desirable features. System Implementation When it comes to the system implementation, the GN’s role becomes more noticeable as they perform various tasks including training members of the clinical staff on how to use the system. While this training is meant to equip the staff with adequate technical skills that they can apply in using the system, the training helps them understand the expectations and the benefits associated with the system. Given the challenges associated with adopting a new system, they may work closely with the change managers, ensuring that the process of shifting to a new system succeeds (Hauschild et al., 2022). At this phase, still, they test the system to determine whether it is functioning effectively according to the requirements. In case they notice any issue with the system, they involve the technical team to rectify the issue or recommend replacing the dysfunctional system parts. Post-Implementation Support During the post-implementation phase, giving of the feedback becomes necessary because this feedback helps with gauging the effectiveness of the system. This feedback particularly comes from the nurses or other health workers who use the system, and it may range from the problems experienced by users while using it, to any suggestions that may help improve user experience. Leveraging this feedback, the implementation team can decide how to improve the performance or optimize usability (Agency for Healthcare Research and Quality, n.d.b). Following the implementation, they may be responsible of monitoring how the clinical staff uses it, ensuring that they use it a way that conforms to the required safety and data security standards. Conclusion In overview, the engagement of the GN in SDLC is crucial because they can immensely contribute to the adoption of the new system given
[SOLVED 2023] In this assignment you will analyze a case involving public safety versus an individual’s privacy
In this assignment you will analyze a case involving public safety versus an individual’s Unit III Case Study Right to Privacy Case Study Certain freedoms such as civil liberties and civil rights are concepts highly revered by Americans; however, there are times when these two concepts conflict in the name of safety and national security. The Digital Age is having a profound effect on the privacy of individuals in both their daily and private lives. With technology like cameras and smartphones, the activities of people are being recorded more, whether it is running a red light, entering a building, playing in a park, or using an ATM machine. In this assignment you will analyze a case involving public safety versus an individual’s privacy. Read the following article from the New York Times concerning Carpenter v. United States, a case recently decided by the Supreme Court. Liptak, A. (2018, June 23). Warrant required for cellphone tracking data. New York Times, p. A1(L). Retrieved from http://link.galegroup.com.libraryresources.columbiasouthern.edu/apps/doc/A543973598/ STND?u=oran95108&sid=STND&xid=753160e8 For more background on the case, here is a link to the actual opinion written for this case: https://www.supremecourt.gov/opinions/17pdf/16-402_h315.pdf Please answer the following questions concerning this case. Address the questions in a cohesive essay. It should be at least two pages in length and should be double-spaced, and typed in 12-point Times New Roman font. Please be sure to provide an introduction to your essay, Which part of the Constitution addresses individual privacy rights? Do you believe that, with today’s technology, the Constitution still adequately protects those rights? Why, or why not? Describe the issue that was debated in this case. How was the need for public safety and security balanced with individual civil liberties and civil rights impacted by the final ruling in this case? Do you agree with the majority opinion or the dissenting opinion in this case? Explain your response. Where do you personally draw the line in this privacy issue? Explain how historical thought and tradition affect civil liberties and rights as they pertain to the issue presented in this case. Describe how politics can intersect with civil rights. What consequences do you support for those who violate constitutional rights? What, if any, compensation do you recommend for individuals whose rights have been violated by others? You must use at least two sources, in addition to the article given, to support your response. Make sure that all sources are cited and referenced using APA style. Expert Answer and Explanation Unit III Case Study Among the most discussed civil liberty in the US is the right to privacy. This is especially in the light of technology advancement, where in the recent past, there has been numerous technological advancements that infringe the rights of privacy by accessing personal data of individuals, especially through different telecommunication providers. The digital age has affected the private lives of Americans as they can be recorded when entering a building, passing a red light in traffic, playing in parks or even using ATM machines (Citron, 2018). This assignment involves an analysis of the Carpenter v. United States case, where privacy and phone location data as well as other elements are highlighted. Part of Constitution that Addresses Individual Privacy Rights and the Capacity of the Constitution to Protect those Rights The fourth amendment is the part of the constitution that protects individual privacy rights in an extensive way. Under this section of the constitution, which was added in December 1791, people are protected from searches that are unlawful or even seizures by authorities (Henderson, 2017). The police need to have a warrant to access your house and conduct extensive search. Issue debated in the Case In the Carpenter v. United States case, the issue debated about was the question as to whether or not the police, or other authorities, have the right to have unrestricted access to customer data through the telecommunications service providers (Chaudhari & Prasad, 2019). It was an issue that was raised in response to the anti-terrorism procedures set by the police of accessing different gadgets held by citizens to prevent unsafe digital activities. My Agreement in the Majority Opinion in the Case The majority opinion in the case held that there should be a warrant for the police to access the site location or other information of a citizen from a cell phone company. This majority opinion was held by Chief Justice Roberts, and was joined by justices Sotomayor, Kagan, Ginsburg, and Breyer (Chaudhari & Prasad, 2019). I agree with this opinion as it is among one of the only few ways that customers of telecom companies can feel safe using the devices to communicate amongst themselves. How Historical Tradition affects the thoughts as Pertaining to this Case One of the historical traditions that affected the thoughts pertaining to the case is that the police are meant to provide security for citizens, and that citizens should be willing to cooperate in all ways they are asked to. This traditional opinion dismisses the fact that some of these members of the police taskforce may be ‘dirty,’ and hence infringing the privacy of citizens would have the wrong beneficiaries. Intersection of Politics with Civil Rights Politics affect civil rights in a large way. In the Carpenter v. United States case, four justices including Justice Alito, Justice Gorsuch, Justice Kennedy, and Justice Thomas, has dissenting opinions, and several analysts argued that their indifference to the issue of privacy was on a political basis. Consequences for those Who Violate Constitutional Rights Violation of constitutional rights is a serious criminal offense, and I support the legal punishment of culprits of the same. However, there should be adequate warnings before serious actions are taken on the affected individuals. Compensation I Recommend for Individuals whose Rights are Violated by others A public pardon is best when a crime committed exposes a citizen to public shame. In other violations, I believe financial compensation to the individuals whose rights are violated should be done. I also believe that the culprits should compensate all other damages associated with the violations. References Chaudhari, N., & Prasad, S. K. (2019). Carpenter v. United States: State Surveillance and Citizen Privacy. NALSAR Stud. L. Rev., 13, 129. Citron, D. K. (2018).
[ANSWERED 2023] Locate a nursing study that examines the effects of an intervention. Provide a summary of the
Locate a nursing study that examines the effects of an intervention. Provide a summary of Module 6 Assignment Locate a nursing study that examines the effects of an intervention. Provide a summary of the study, focusing primarily on the intervention. Was the development and implementation of the intervention described in detail? Based on a theoretical framework? Did the design of the study promote investigation of the effects of the study—for example, was there comparison of experimental and control groups? Were there variables that could have impacted the findings that were not part of the intervention? Was there evidence of efforts to monitor the safety of participants? Are there any ways that the study could have been improved? Locate a nursing study that utilizes some aspect of the internet (for instance, for recruitment, delivery of an intervention, or completing online assessments. What challenges did the researchers face, and how were these challenges overcome (or not)? How could future research efforts be improved? Using your computer’s office tools, develop a pie, bar, or plot chart to represent the following population estimates: Population Percentage European American 20 African American 30 Native American 20 Hispanic American 30 The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document. Expert Answer and Explanation Summary of Articles In nursing, an intervention is actual action and treatment that are conducted with the aim of helping patients with various diseases to reach the objectives set for them by their clinicians (Tappen, 2016). Nurses are needed to use their critical thinking, knowledge, and experience to decide the best interventions they can recommend to their patients (Sanson et al., 2019). The nursing practice has divided interventions into different classes. The first class of interventions is the ones that aim at promoting safety and healthy lifestyles. These kinds of interventions are not treatments. However, they help patients attain quality health. Another group of interventions is the ones that educate patients about certain issues. Tuominen et al. (2019) mention that other classes of interventions strive to promote physical health, community health, and complex psychological needs. In other words, Stolt and Suhonen (2019) argue that nursing professionals have divided interventions into three and they include dependent, independent, and interdependent interventions. In this assignment, two studies have been reviewed. Part A Summary of the Article Showing Effects of an Intervention A Summary of the Study The article that has been focused on in this part of the assignment is A mixed-method study of an education intervention to reduce the use of restraint and implement person-centered dementia care in nursing homes by Jacobsen et al. (2017). The main objective of this study “was to investigate which factors hindered or facilitated staff awareness related to confidence-building initiatives based on person-centered care, as an alternative to restraint in residents with dementia in nursing homes” Jacobsen et al. (2017). The education intervention that consisted of monthly coaching sessions and two-day seminar targeted employees in 24 nursing facilities found in Western Norway. The researchers used a mixed-method design that combined qualitative and quantitative research methods. QPS-Nordic (The General Nordic questionnaire for psychological and social factors at work) and The P-CAT (Person-centered Care Assessment Tool) tools were used by the researchers to measure employees’ impacts in terms of the perception of leadership and person-centered care. The study concluded that staff culture together with leadership was the most significant factor promoting or hindering workers’ awareness in terms of confidence development actions, and on the care that is person-centered. Description of the Intervention’s Development and Implementation The researchers described how the intervention was developed and implemented clearly. The intervention was carried out among employees in 24 nursing facilities found within the Western Norway Regional Health Authority. The researchers selected six nursing organizations from the four Health Trusts found in the country. The researchers then grouped the participants into two groups namely control (12) and an intervention (12) groups. The researchers invited all the registered nurses to take part in the study. The researchers used a mixed-method design to develop the intervention. Implementation of the MEDCED education intervention was done by two teams. Each team had four registered nurses who were not part of the study. The nurses had experience in working with patients from nursing homes, and this facilitated the intervention in the 24 nursing organizations. The intervention was implemented over a period of one year six months from 2012 September to 2013 May. The research team educated the facilitator for seven days and taken them through various workshops before including them in the study. In other words, the researchers have clearly described how they developed and implemented the intervention in a section known as “The overall study: The MEDCED intervention study.” Theoretical Framework The researchers based their intervention on a theoretical framework known as Promoting Action on Research Implementation in Health Services (PARIHS). PARIHS is a theoretical framework that can be used to highlight leadership, contextual elements of culture, and evaluation when implementing a given intervention in nursing (D’Onofrio et al., 2019). In other words, the framework was used to highlight various contextual factors that can be considered when implementing the educational intervention. Staff related issues are among the factors looked at using the theory. Person-centeredness was defined as a nursing practice approach that is established through the creation and fostering of healthy connections between older patients, all caregivers, and any other person significant to the patients’ lives. The approach is underpinned by the ethical values of respect for the individual, their right to self-confidence, and understanding. The assumption of this framework is that increased person-centered awareness and knowledge make it easy for workers to discover substitutes for using restraint in caring for dementia patients. The theory has been used to explain the failure or success of the intervention. According to the framework, understanding how and why contextual issues impact learning should be linked
[ANSWERED 2023] In this assignment you will write a critical appraisal that demonstrates comprehension of two quantitative research studies
In this assignment you will write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment (or two new articles based on instructor feedback in Topic 1) to complete this assignment. In a 1,000–1,250-word essay, summarize two quantitative studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Research Critique Guidelines – Part II Quantitative Studies Introduction Introduce your nursing practice problem and discuss the purpose of your paper. State your PICOT question. Background of Studies Summary of studies including problem, significance to nursing, purpose, objective, and research question. How Do These Two Articles Support the Nursing Practice Problem You Chose? Discuss how these two articles will be used to answer your PICOT question. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question. Method of Studies State the methods of the two articles you are comparing and describe how they are different. State one benefit and one limitation of each method you have identified. Results of Studies Expert Answer and Explanation Research Critique Guidelines – Part II Quantitative Studies Introduction The project focuses on the issue of obesity and the nursing practice problem for this project since it affects a wide range of the adult population. Healthcare provides services to different patients, and each present with a different issue altogether. Obesity is a key issue in healthcare since it provides different issues to the care provider and undermines the efficiency of care. Obesity increases susceptibility to diseases and reduces the quality of life. Just like aging, and economic standpoints, obesity can be a risk factor for diseases and other forms of health factors. The susceptibility to disease from obesity increases with increase in age. Obesity and overweight are among the leading causes of many health problems, such as the occurrence of stroke and other forms of the disease. There are numerous complications that come with obesity, the most common including the buildup of fat in blood vessels, stroke, and heart attacks. Obesity interferes with the quality of life in different ways. To begin with, obesity makes it difficult for a person to lead a normal life. For instance, a person might encounter challenges with walking or climbing a flight of stairs. The inability to perform basic functions is a major concern for the health of a person. The purpose of this paper is to analyze the two quantitative research on that focus on the issues of obesity among elderly patients. PICOT Question: In non-Hispanic black adults aged 40-55 with BMI of 30 and above (P), does physical activity five days a week (I) compared to no practice (C) reduces BMI scale (O) in eight weeks (T)? Background of Studies The first quantitative study identified to address the issue of obesity among adults is the study by Dieli-Conwright et al. (2018). The article focuses on how care for breast cancer survivors can use aerobic and resistance exercise to improve physical fitness, bone health, and quality of life. The article contends that physical activity is the main treatment option for obese and overweight individuals that are looking to shed weight. The article makes use of a randomized controlled trial to help improve the outcome of care for obese and overweight patients. The identified problem in the article is the issue of obesity and overweight among cancer patients. The article is significant to the nursing profession as it offers evidence-based recommendations on proper physical activity for obese or overweight cancer survivors. The overall purpose of this trial was to compare a 16-week supervised moderate-vigorous intensity aerobic and resistance exercise intervention to usual care in physically inactive, overweight, and obese breast cancer survivors. The objective was to analyze the efficiency of aerobic and resistance exercises as forms of physical exercise to combat obesity. The research question used in the article is, “What is the impact of moderate-vigorous intensity and resistance exercise intervention aerobic in physically inactive, overweight, and obese breast cancer survivors?” The second article that focuses on the PICOT question is by Abdelbasset et al. (2019). The study provides insights on how an 8-week high-intensity interval exercise on intrahepatic triglycerides, visceral lipids, and health-related quality of life in diabetic obese patients. The identified problem focuses on how obesity is a major issue in society and can be mitigated through the use of physical activity. The article is significant to nursing as it creates a mean sin that nurses can use to help obese patients to overcome their weight issues. The purpose and objective of the study are to help create an effective strategy that can be sued to help treat obese patients using physical activity as the basis of care. The research question from the article is, “What are the effectiveness of 8-week high-intensity interval exercise on intrahepatic triglycerides (IHTG), visceral lipids, and HRQoL in diabetic obese patients with NAFLD?” How Do These Two Articles Support the Nursing Practice Problem You Chose? The two articles provide answers to the PICOT question as they both focus on the efficiency of physical activity as a means to mitigate obesity. The articles identify how different forms of physical activity can be used to mitigate obesity and lead to the desired outcome. The PICOT question is based on the intervention that the use
[ANSWERED 2023] Suppose you have been tasked with purchasing health insurance for your organization that has fifty (50) full-time employees.
Suppose you have been tasked with purchasing health insurance for your organization Health Insurance Assignment 4: Health Insurance and the Affordable Care Act Due Week 8 and worth 150 points Suppose you have been tasked with purchasing health insurance for your organization that has fifty full-time employees. Use the Internet or Strayer databases to research different types of health insurance. Write a 2-3 page paper in which you: Suggest one (1) plan that you would use to purchase health insurance for your organization. Determine the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Provide a rationale for your response. Analyze the implication of the Affordable Care Act on your decision to purchase insurance. Debate two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details. Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost. Analyze the influence of health policy and health reform on healthcare access, quality, and cost in the U.S. Use technology and information resources to research issues in healthcare policy, law, and ethics. Write clearly and concisely about healthcare policy and law using proper writing mechanics. Expert Answer and Explanation Health Insurance and the Affordable Care Act The choice of an insurance plan depends on whether one is looking for a family plan or an individual plan. The two types of health insurance plans include group health insurance and individual health insurance. The main factor that one needs to consider in choosing the insurance plan that is suited best for them is their income and the monthly cost of the specific insurance policy if the deductible will get met if the cost of the drugs for prescriptions that are needed for the treatment. Some plans do not cover services that involve emergencies like blood work and x-rays. This paper seeks to suggest a plan for insurance that will be most suitable for an organization that has fifty employees that work on a full-time basis and the implications of the ACA on the insurance purchasing decision. Plan The plan that I will use in purchasing health insurance for the organization is the group insurance plan, which can get purchased by an employee or employer of the organization and are typically cheaper compared to purchasing coverage for each employee in the company. The group health insurance is usually at a cost that is lower because the risk of the insurer gets spread across a group of holders of the policy (Glied et al., 2020).The insurance plan covers liability that is statutory for an employer for bodily injuries or death that may be suffered by the employee because of the accidents that arise out of and in the course of performing his employment duties in the organization. A group insurance plan is the most effective for the employees as they will all be covered for the same amount of medical insurance and it will also be more affordable for the organization, unlike the individual health insurance plan which will be more expensive as it will be based on the individual needs of each employee. With the group insurance plan, the organization will have to pay equal premiums for every employee, and the injury type to be covered will be specified. Health economics and the lifestyle choices of the employees factor into the plan I have chosen in the sense that the coverage gets limited to specific injuries. The employees will not have to have a different insurance plan for their healthcare needs as they will be covered as provided by the group plan. However, the plan does not cover for injuries sustained due to their own negligence or other events that take place outside the place of work. The plan covers what happens in the course of performing duties for the organization. Affordable Care Act Implication The Affordable Care Act has a significant implication on my decision to purchase insurance for the organization. The implication of the ACA on this decision is that the premium revenues for health insurers increased by 6.2%, including the enrolment made in groups of people (Siemons et al., 2017). The ACA makes a provision that an employer that does not provide coverage for its employees may face penalties. This ensures that employees at all levels of the organization have access to affordable care. There are several advantages and disadvantages of purchasing insurance for health for one’s employees. The various advantages include using it as a way of rewarding and attracting talent, it boosts the morale and dedication of the employees to their work and shaping a company culture that is positive (Kumar et al., 2019). Providing health insurance for the employees helps keep them happy and healthy, showing that the employer cares about them. Also, productivity gets enhanced when the employees are healthy as they will perform their duties efficiently. This is unlike letting them have governmental insurance with which they will be less motivated. Some of the disadvantages of purchasing health insurance for the employees include the fact that costs of healthcare have significantly increased over the years making it difficult for employers that are small to plan their finances as they find it to be an affair that is costly (Cooper & Gardner, 2016). If the employees get governmental insurance, the small businesses will not have to worry about the costs. Conclusion Providing health insurance is an essential part of every organization that seeks to achieve
[ANSWERED 2023] Conduct a cultural self-assessment In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage
Conduct a cultural self-assessment In order to understand culture and cultural diversity Conduct a cultural self-assessment In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage. Using the tables that are located throughout Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence, Table 2-1 to Table 2-12), answer these questions as they relate to you. Remember, you are answering these questions from your personal perspective, so there is no right or wrong response. Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify. Although the information on this self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation. Write a 3-4 page APA essay. Expert Answer and Explanation Purnell Model for Cultural Competence Purnell’s model of cultural competence provides twelve main elements that can be used to understand an individual’s cultural identity. This paper will use the twelve tools as described in Purnell‘s model to carry out a personal cultural assessment to help describe my culture and heritage. The following information describes my personal heritage and culture Overview, Inhabited Localities, and Topography Currently, I live in the United States of America, in California. I am originally from Sierra Leone a port city and the capital of Sierra Leone. It is also the same town where I was born. I have lived in the US for more than 8 years with both of my parents being born in Sierra Leone. I came to the US to continue with my academics and pursue my profession as a nurse. I have not lived in any other place in the US other than the state of California. However, I have relatives and friends in other states within the U.S. For now, I would rather not disclose my income level but it is enough to allow me to afford the basic essentials of life. I have a health insurance cover which I am able to afford with my current income. I have a Bachelor of Science in Nursing (BSN) and am currently pursuing Master of Science in Nursing (MSN). Some of the health hazards of working as a nurse include exposure to infections and toxic substances. I have never been in the military. I have been blessed with a wonderful family. Communication My full names are Jess Green. My legal name is Jess Green but calling me Jay will do just fine. My primary language is English but my dialect is Krio. I also know a little bit of French. I am a fairly open person and I rarely shy off to share my feelings with family, friends or healthcare providers. I don’t mind being touched by family or friends. I am however reserved when it comes to being touched by strangers. In terms of greeting, I don’t mind a handshake. I am a time-conscious person and strictly keep time for appointments but not so much when it comes to social engagements. Family Roles and Organization My parents take the center stage when it comes to decision-making, but mainly my father. In my family we don’t have any specific decisions meant for either men or women, all are at liberty to air their opinions. Most of the house chores are taken care of by succeed in their studies to make a good impression of themselves and the family while the women while men usually provide for the family. Children are required to be obedient and respectful, anything short of that will bring a bad image to the family. Young adults are supposed to are not supposed to engage in negative behaviors like drug and alcohol use. The older adults usually provide direction for the family and they are occasionally sought after for advice. There are currently no extended members living with my family. Our family is known for its humility; I think that is what gives us status. I don’t think it is wrong to get children in wedlock but getting them in marriage is a better option. I don’t think it’s a big issue for people to live together and not be married, but personally, I prefer people to live together after getting married. I don’t mind gay, lesbians or transgendered people but personally, I am straight. Workforce Issues Do you usually report to work on time? I am never late at work unless of an emergency and I am never late for meetings. I don’t think I have any concerns about working with someone of the opposite gender. I consider myself a loyal employee. I am very inquisitive especially in what I don’t know. I think I am assertive enough in my job. When a patient does not speak in fluent English or has a different accent, I at times find it hard to understand at times. Biocultural Ecology I am not allergic to any medication and don’t have any issues when taking OTC medication. There is no major illness I am aware of in my family nor any genetic diseases. Given that Sierra Leone is a coastal country, Malaria is one of the major health challenges in terms of diseases but access to medical facilities is an overall healthcare challenge for the country. My racial identity is a native African. High-risk Behaviors I don’t drink alcohol use tobacco or any other illicit or recreational drug. I occasionally jog in the morning but walk daily in the evenings for thirty minutes to an hour. I use seat belts when driving. I prefer abstinence as the best way of dealing with STIs and HIV Nutrition I am currently satisfied with my health and I normally make sure to eat a balanced diet. I avoid foodstuffs with excess fats given the negative health implications the pose. I don’t have any specific food I eat when ill
[ANSWERED 2023] A 50 year old Caucasian female presents to the clinic with complaints of cough for almost 2 weeks. Positive productive green sputum with associated chills, sweating, and fever up to 101.5
A 50 year old Caucasian female presents to the clinic with complaints Examining Chest X-Rays Chest x-rays are an invaluable diagnostic tool as they can help identify common respiratory disorders such as pneumonia, pleural effusion, and tumors, as well as cardiovascular disorders such as an enlarged heart and heart failure. As an advanced practice nurse, it is important that you are able to differentiate a normal x-ray from an abnormal x-ray in order to identify these disorders. The ability to articulate the results of a chest x-ray with the physician, radiologist, and patient is an essential skill when facilitating care in a clinical setting. In this Discussion, you practice your interprofessional collaboration skills as you interpret chest x-rays and exchange feedback with your colleagues. Consider the three patient case studies and x-rays Case Study 1 35-year–old Asian male presents to your clinic complaining of productive cough for two weeks. Stated he has had mild intermittent fever with myalgia, malaise and occasional nausea. SH: works as a law clerk PE: NP noted low grade fever (99 degrees), with very mild wheezing and scattered rhonchi. Case Study 2 This is a 44-year–old Caucasian male being seen at your clinics with complaints of complaints of cough for 4 days and worsening. Stated he has had high grade fever. States he feels weak and has been in bed most of the last two days. Complains of exertional dyspnea, followed by dyspnea at rest, non-productive cough and pleuritic chest pain MEDS: Zovirax, Diflucan, magic mouth wash, Zofran, mycostatin, filgrastin PMH: HTN, Hep C, HIV/AIDS, thrush SH: Past IV Drug abuse; lives in a group home; PE: VS: Ht: 5’7, Wt: 150#, BMI 23, Anorexic male, febrile, tachypneic, tachycardic, with rales and rhonchi. You note decreased in breath sounds, dullness, and egophony Case Study 3 A 50 year old Caucasian female presents to the clinic with complaints of cough for almost 2 weeks. Positive productive green sputum with associated chills, sweating, and fever up to 101.5. She manages a daycare and states that many of the children have had upper respiratory symptoms in the last two weeks. PMH: DM diagnosed 7 years ago, controlled on medications. MEDS: Glyburide 10mg qd PE: She looks ill with continuous coughing and chills. BP 100/80, T: 102, HR: 110; O2Sat 97% on RA. Lungs: +Crackles, increased fremitus Labs: CBC 17,000 cells/mm3 , blood sugar is 120 To prepare: Review Part 10 of the Buttaro et al. text in this week’s Resources, as well as the provided x-rays. Reflect on what you see in the x-ray assigned to you by the Course Instructor. Consider whether the patient in your assigned x-ray has an enlarged heart, enlarged blood vessels, fluid in the lungs, and/or pneumonia in the lungs. Post an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study you were selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis. Expert Answer and Explanation Examining Chest X-Rays The Primary Diagnosis The primary diagnosis for this case is pneumonia. Pneumonia is either a bacterial or viral infection that affects one or all parts of the lungs. According to Zhu et al. (2020), pneumonia infection is often spread through droplets from an infected person. This disease has been selected as the primary diagnosis because the patient reports that she has bee interacting with children showing upper respiratory signs for the last two weeks. Some of the signs of pneumonia include fever, chills, a cough that produces mucus, and shortness of breath. The patient has reported almost all the signs highlighted above. The X-ray test showed that the patient has fluids in the alveoli, and according to Lapinsky, Leen, Mak, and Shafiee (2019), this is a sign of pneumonia. Differential Diagnosis 1. Asthma According to Chahin & Opal (2017), asthma is a chronic respiratory condition that causes a person’s airways to be inflamed, swollen, and narrow, making the individual experience difficulty breathing. Some of the symptoms of the disease include coughing that worsens, difficulty breathing, ad chest pain. This disease has been included in the diagnosis because it causes a cough that produces a lot of mucus as experienced by the patient. 2. Chronic Obstructive pulmonary disease COPD is a group of medical conditions that block a person’s breathing system and thus make it hard for the individual to breathe. Some of the diseases’ signs include lack of energy that can cause fainting, frequent respiratory infections, swelling of legs and ankles, and a cough that produces mucus (Zhou et al., 2020). This disease has been included in the diagnosis because one of its signs is a cough that produces mucus like the one reported by the patient. 3. Lung cancer Lung cancer is the growth of abnormal cells in the lung region. The disease symptoms include a new cough that does not fade, hoarseness, shortness of breath, bone pain, and losing weight (Yoon, Kim, Yang, & Ham, 2028). The disease has been included in the diagnosis because one of its symptoms is a prolonged cough, like the one experienced by the patient for two weeks. Role of Patient History in the Diagnosis The personal and medical history provided by the patient was so helpful when diagnosis the individual. The history was used to determine the causes of the ailment. Most of the respiratory problems are often caused by allergies. Therefore, information about allergies could help the medical doctor determine whether the patient’s condition is an allergic reaction (Zhou et al., 2020). By stating where she works, it was concluded that she contracted the disease from the children or the one who infected the kids. Another important history in the diagnosis is that it helped the medical professional risk factors that could have increased the patient’s chances of being infected by the germ. Patient history also provided the medical professional with information about the diagnostic tests the patient can afford. Potential Treatment Options The treatment of the patient will depend on the type of pneumonia the individual has. If the patient has bacterial pneumonia, she should be prescribed