[ANSWERED 2023] Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished.
Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy DQ 1 Choose a legislator on the state or federal level who is also a nurse and discuss the importance of the legislator/nurse’s role as advocate for improving health care delivery. What specific bills has the legislator/nurse sponsored or supported that have influenced health care. DQ 2 Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue? DQ 1: Expert Answer and Explanation Healthcare advocacy helps patients to negotiate through tough economic times by helping the patients to navigate through tough financial times. Legislator/nurses specifically help patients to make more informed decisions regarding their health, including the idea of navigating through the complex medical systems. Shirley Nathan-Pulliam, Maryland’s Legislator Nurse and her Role as an Advocate in Improving Healthcare Delivery Shirley Nathan-Pulliam is one of the famous nurses in Maryland who became legislators, and have significant impact on the lives of patients (Ginsburg, 2020). Her motivation to enter public service was seeing a patient lose her breasts and die miserably simply because she did not have health insurance. She was involved in numerous community programs including the uplifting of health among neglected blacks through the foundation of ‘Black Mental Health Alliance.’ Bills that Shirley Nathan-Pulliam has supported that have Influenced Healthcare Through several bills, Shirley has influenced healthcare in Maryland in many ways. One of these bills is the 2004 House Bill 86, which created an office for the minority and health disparities within the Department of Health of Maryland (Geary, 2017). Also, in 1998, she successfully got $2.6 million for breast cancer treatment and diagnosis among low-income women. She then secured funds amounting to $500,000 for the diagnosis and treatment of oral cancer among men who lived in the streets (Geary, 2017). Her bills led to a significant reduction in the death rates among African Americans and among other minority groups that live in Maryland. Shirley is the embodiment of how a true Legislator/Nurse should be involved in the care of patients. References Geary, G. (2017). Partisan Gerrymandering: Maryland’s Attempt at Reform and Steps towards Proportional Representation. UMKC L. Rev., 86, 443. Ginsburg, U. S. (2020). Winning the Game That Never Ends. The Political Determinants of Health, 112. DQ 2 – Expert Answer and Explanation Nursing Advocacy Efforts in Massachusetts The signing into law, the Massachusetts’ bill, H.4228, in 2014 marked an important event in the advocacy role of the nurses in the state. This bill would put limit to the number of patients a nursing professional has to work with in emergency units. This legislation enforces a 1:1 nurse to patient ratio where nurses work with new mothers and newborn babies, and a 1:4 provider to patient ratio in surgical units. According to this bill, hospitals which violet this legislation would be liable to a fine of $25,000. This signing of this law was a result of persisted efforts partly influenced by the passage of a similar legislation in California in 2004 (Bill H.4228, 2014). While this bill is linked to favorable patient care outcomes, Massachusetts’ voters recently, voted against this bill. California has experienced a decline in the number of the mortality incidences since a similar law came to effect. In Massachusetts, the idea of enactment of the bill has been contentious, and this manifested when Massachusetts’ public rejected it in 2018, just less than four years after the passing of the bill into law (Bill H.4228, 2014). The Massachusetts’ nursing bodies such as the state’s American Nursing Association (ANA) wing can advance the advocacy objectives using key strategies. The nurse advocacy groups should target the public in the state, and select representatives who can act on the behalves of these groups to survey the opportunities as well as risks associated with the bill. The collected information should guide training processes as well as activities focused on helping create and implement public awareness campaign (Wright & Jaffe, 2014). Accordingly, the public will become sensitized on the benefits associated with the improvement of the nurse to patient ratio. References Bill H.4228 (2014). An Act Relative to Patient Limits in All Hospital Intensive Care Units. Retrieved from https://malegislature.gov/Bills/188/H4228. Wright, A. C., & Jaffe, K. J. (2014). Six steps to successful child advocacy: Changing the world for children. Los Angeles : SAGE. 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: NEW30 to Get 30% OFF Your First Order FAQs Nursing Legislation: Advancing Healthcare Standards and Patient Safety Introduction Nursing is an integral part of the healthcare system, with nurses playing a crucial role in delivering quality patient care. To ensure the highest standards of healthcare delivery and patient safety, nursing legislation plays a vital role. This legislation is designed to regulate the nursing profession, establish standards of practice, and protect the rights of both nurses and patients. In this article, we will explore the significance of nursing legislation and its impact on the healthcare industry. What is Nursing Legislation? Nursing legislation refers to a set of laws and regulations that govern the practice of nursing. It outlines the qualifications, responsibilities, and limitations of nurses within their scope of practice. The purpose of nursing legislation is to maintain the integrity of the nursing profession, safeguard public health, and ensure that patients receive safe and competent care. Historical Development of Nursing Legislation The history of nursing legislation dates back to the 19th century when Florence Nightingale, the founder of modern nursing, advocated for improved healthcare standards. Over the years, nursing organizations and policymakers worked collaboratively to develop and refine nursing laws to keep up with the evolving healthcare landscape. The
[ANSWERED 2023] When taking care of patients, why do you think it is important to utilize the appropriate resources?
When taking care of patients, why do you think it is important to utilize the appropriate resources? Small Group Discussion When taking care of patients, why do you think it is important to utilize the appropriate resources? How do you think evidence from nursing journals affects patient care? What role does using the right evidence play in being a professional nurse? What role does understanding plagiarism and academic integrity play in being a professional nurse? EXPERT ANSWER AND EXPLANATION Class Discussion When taking care of patients, it is important to make use of the appropriate resources mainly because they are the main determinants of the delivery of quality care and positive patient output (EIU, 2018). Resources can span from equipment, information evidence to support the delivery of care, or to prove the equality of provision of the said care. Resources also offer informative guidelines or steps that can be used during care provision. Evidence from nursing journals affects patient care by restructuring the current knowledge to become common care decisions used in the implementation or improvement of patient care and outcomes (EIU, 2018). Nurses can understand different information from the different categories of EBP, such as randomized control, personal experience, opinion from clinical experts, and the evidence retrieved from case controls, cohorts, or observational studies. This information aid in patient-centered care that will offer a specific treatment option that will best assist the patient in recovery. Personalized care is crucial to the provision of quality care. The right evidence plays a crucial role in being a professional nurse as it provides scientific research that enables the making of well-founded decisions. Professional nurses can become updated on the new medication protocols for quality care and improved patient outcomes (LoBiondo-Wood, & Haber, 2017). A professional nurse might search for published interventions that are best fit for their patient’s profile in order to increase the chances of recovery. In this manner, the nurses will be able to include their patients in their treatment and recovery plans. According to Carter, Hussey, & Forehand (2019), the understanding of plagiarism and academic integrity plays a crucial role in being a professional nurse because one is able to acknowledge evidence of research by other experts and avoid ethical issues. References Carter, H., Hussey, J., & Forehand, J. W. (2019). Plagiarism in nursing education and the ethical implications in practice. Heliyon, 5(3), e01350. EIU. (2018). Why Is Evidence-Based Practice in Nursing so Important?. Eastern Illinois University. Retrieved 22 May 2020, from https://learnonline.eiu.edu/articles/rnbsn/evidence-based-practice-important.aspx LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-E-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. FAQs How Evidence from Nursing Journals Improves Patient Care As healthcare continues to evolve, nurses are consistently seeking new ways to provide the highest quality of care to their patients. Evidence-based practice has become increasingly prevalent in the nursing profession as a means of ensuring that care is rooted in the most current and reliable research available. One of the primary sources of this research comes from nursing journals, which publish findings from studies conducted by nurses and other healthcare professionals. In this article, we will explore the ways in which evidence from nursing journals affects patient care, and how nurses can use this evidence to improve outcomes. What role does using the right evidence play in being a professional nurse? As a professional nurse, using the right evidence is crucial for providing safe, effective, and quality care to patients. Evidence-based practice (EBP) involves using the best available research evidence, clinical expertise, and patient preferences to guide decision-making and improve patient outcomes. In this article, we will discuss the importance of using the right evidence in nursing practice and how it can improve patient care. Introduction Nursing practice has come a long way from being based solely on tradition and intuition. Today, nursing practice is guided by evidence-based practice (EBP) which uses the best available research evidence, clinical expertise, and patient preferences to guide decision-making and improve patient outcomes. Using the right evidence is an essential part of being a professional nurse. Definition of Evidence-Based Practice (EBP) Evidence-based practice (EBP) is an approach to healthcare that involves using the best available research evidence, clinical expertise, and patient preferences to guide decision-making and improve patient outcomes. It is a problem-solving approach that involves formulating clinical questions, searching for and appraising the best available evidence, and applying the evidence to clinical practice. The Importance of Evidence-Based Practice (EBP) in Nursing The importance of evidence-based practice (EBP) in nursing cannot be overstated. EBP allows nurses to provide the best possible care to their patients based on the latest research evidence, clinical expertise, and patient preferences. It helps nurses to make informed decisions, reduce errors, and improve patient outcomes. EBP is also important in ensuring that nursing practice is based on the best available evidence and not on tradition, opinion, or hearsay. The Benefits of Using the Right Evidence in Nursing Practice Using the right evidence in nursing practice has numerous benefits for both nurses and patients. Firstly, it improves the quality of care by ensuring that the most effective and efficient interventions are used. Secondly, it reduces errors and adverse events by using evidence-based guidelines and protocols. Thirdly, it increases patient satisfaction by involving patients in decision-making and taking their preferences into account. Finally, it improves patient outcomes by using interventions that have been shown to be effective in clinical trials. The Role of Nurses in Using the Right Evidence Nurses play a critical role in using the right evidence in nursing practice. They are responsible for identifying and appraising the best available evidence, applying the evidence to clinical practice, and evaluating the outcomes of their interventions. Nurses must be knowledgeable about research methodology, critical appraisal, and statistical analysis to effectively use the right evidence in practice. Challenges to Using the Right Evidence in Nursing Practice Despite the benefits of
[ANSWERED] The Topic 1 Resource, The Essentials: Core Competencies for Professional Nursing Education,” represents the core competencies of professional nursing education and provides
The Topic 1 Resource, The Essentials: Core Competencies for Professional Nursing Education,” represents the core competencies The Topic 1 Resource, The Essentials: Core Competencies for Professional Nursing Education,” represents the core competencies of professional nursing education and provides a framework that nursing programs use to prepare professional nurses. The RN-BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using both direct and indirect care experiences for practicing nurses. In your practicum course, you will complete these hours with a preceptor and work to develop a change project. Which of the 10 domains in the “The Essentials: Core Competencies for Professional Nursing Education” are you interested in learning more about and why? Based on the readings in the Class and Topic 1 Resources, what are some characteristics of successful students and what strategies can you implement to be a successful student? Identify a role model or mentor who would be able to support your professional growth. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. American Association of Colleges of Nursing Core Competencies for Professional Nursing Education Expert Answer and Explanation Out the ten domains in “The Essentials: Core Competencies for Professional Nursing Education,” the one that interests me the most is domain eight, which focuses on informatics and healthcare technologies. The future of healthcare lies in our ability to leverage technology to support the delivery of quality care and reduce healthcare disparities. The application of informatics and healthcare technology is quite diverse, including facilitating communication with patients and even among care providers. Informatics and healthcare technology facilitate the collection and analysis of data, in turn, supporting faster and more effective decision-making (Zhang et al., 2019). I believe that healthcare technology holds the key to dealing with most of the challenges that we face in healthcare, such as reducing disparities, enhancing quality and safety in clinical settings, improving decision-making, and supporting interprofessional collaboration. Therefore, it will be an essential aspect that every nurse should consider having going forward. The characteristics of a successful student include effective time management, being orderly, and ethical, and being an effective communicator. To become a successful student, there are various strategies that one should take. The first strategy is to have better control of time by planning in advance, including planning for other life-related tasks like child care. Additionally, one should assess and intentionally make an effort to enhance their writing skills using supportive resources available in and outside the school library. It is also important to communicate with friends, family, and colleagues to have them understand the demands of the program, which will go a long way in preventing any unplanned meetings or inconveniences that could affect the allocated time for coursework (Sanders, 2019). My current manager has always been my mentor. She has a 20-year tenure in nursing and is currently pursuing her DNP. She started from the bottom of the ladder in her nursing career and has advanced to where she currently is. Her qualities in leadership and competence in the profession are what make me look towards her for guidance and mentorship. References Sanders, E. (2019). Succeeding in an online nursing program. Nursing Made Incredibly Easy!, 17 (1), 14-16. https://doi.org/10.1097/01.NME.0000549623.58762.3c Zhang, X., Hailu, B., Tabor, D. C., Gold, R., Sayre, M. H., Sim, I., Jean-Francois, B., Casnoff, C. A., Cullen, T., Thomas, V. A., Jr, Artiles, L., Williams, K., Le, P. T., Aklin, C. F., & James, R. (2019). Role of health information technology in addressing health disparities: patient, clinician, and system perspectives. Medical Care, 57 Suppl 6 Suppl 2(Suppl 6 2), S115–S120. https://doi.org/10.1097/MLR.0000000000001092 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: NEW30 to Get 30% OFF Your First Order Other Questions Related to this Class: Topic 1 DQ 2 How has nursing practice evolved over time? Explain the significance of evidence-based practice and critical thinking in modern nursing. Identify one key nursing leader and summarize one historical event that has shaped contemporary nursing practice, the advancement of nursing as a profession, and the development of nursing roles. Select a leader and a historical event different from those identified by your classmates. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively. American Association of Colleges of Nursing Core Competencies for Professional Nursing Education This assignment aligns to AACN Core Competencies 1.1, 9.5. Academic Integrity Tutorial and Response Review the “Academic Integrity” page and complete the “Academic Integrity Tutorial” quiz, both located in the Topic 1 Resources. After you have completed the quiz, download your “Certificate of Completion” and include it as part of your assignment submission. In less than 250 words, discuss how academic integrity in the classroom relates to professional accountability in nursing practice. How will you ensure academic integrity in your work? Submit your “Certificate of Completion” and response document to the assignment dropbox. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. You are not required to submit this assignment to LopesWrite. American Association of Colleges of Nursing Core Competency for Professional Nursing Education This assignment
[ANSWERED] In an essay of 400-600 words, discuss your ideas for how security in a courthouse or justice center needs to be managed when proceedings are going on not only in courtrooms
In an essay of 400-600 words, discuss your ideas for how security in a courthouse or Opportunities related to court security Part 1 The objective of this assignment is to enable you to demonstrate your understanding of problems and opportunities related to court security. Providing for appropriate security is a challenge faced by court administrators in an age of heightened concern about possible terrorism or other forms of violent outbreaks associated with court processes. Given the changes in court workloads as well as the growth in alternative mechanisms for resolving disputes (e.g., pre-trial meetings, out-of-court settlement conferences, informal settlements, or legal strategy conversations and mediations), judicial proceedings have spilled beyond the walls of the courtroom. Here is a case in point: In the Los Angeles Superior Courts, a case may be called in one of the courtrooms but the judge may decide to order the parties to attempt to settle their differences prior to the case being heard in open court through a settlement conference or mediation. However, in most courthouses, the facilities for such conversations are virtually nonexistent. For example, at the Clara Shortridge Foltz Criminal Justice Center on West Temple Street in downtown Los Angeles, benches in hallways, a vacant jury room, or even a corner table in the cafeteria on the first floor are typical venues for these types of sessions. Although normal security procedures are in effect at the building entrances (e.g., X-ray machines, hand wands, armed L.A. County Sheriff officers, CCTV cameras), courtrooms (e.g., court security officers), and for certain secured areas (e.g., electronic card access, CCTV cameras), officers are not on duty nor are cameras evident in every area where out-of-court meetings may occur. Given that many people who access a courthouse on any given day are angry or disgruntled and possibly have histories of violence, the spilling of court-related proceedings into nonsecure areas of the courthouse may be cause for concern from a security perspective. Yet, funds for expansion in security precautions are often limited and under most budget scenarios, court administrators who oversee facility security must manage this new wrinkle creatively. In an essay of 400-600 words, discuss your ideas for how security in a courthouse or justice center needs to be managed when proceedings are going on not only in courtrooms but also in other areas of the facilities, such as vacant jury rooms, attorney conference rooms, benches in hallways, other meeting rooms, the detention area, and even the cafeteria. Include your thoughts about what your general security goals should be as well as your specific recommendations for addressing these types of situations, especially when limited available funds necessitate a clear prioritization of possible options. Expert Answer and Explanation Opportunities Related to Court Security Courtrooms are often coupled with many emotions, especially because at the end of every ruling, there is one party that is likely to be completely dissatisfied with the verdict. Sometimes the complainant feels that the justice system is too lenient, while other times the defendant may feel that they are not entitled to huge punishments and penalties that are imposed on them. Very often, people react by throwing items at the judge, saying harsh words to the opposing parties, and even sometimes injuring the police officers around (Sinnar, 2018). The bailiff is the law enforcement officer who oversees procedures in the courtrooms, and calms down individuals who may be reacting to the ruling given. The fact that informal settlements, pre-trial meetings, and legal strategy conversations have increased also means that bailiffs now have extended roles of maintaining order in court processes. Security in a justice center or a courthouse can be managed by ensuring bailiffs perform numerous security checks to identify the possible risks of insecurity. When entering courtrooms, several items are prohibited for all individuals. These items include but are not limited to multi-tool blades and knives, concealable knives, butter and steak knives, metallic water cups and bottles, and buck type knives. While these restrictions may seem enough, I believe there is more that should be done to ensure the proper security set up of the courtrooms (Mulcahy & Rowden, 2019). For example, there is need to immediately remove people who seem to be disruptive from the courtroom. Such individuals, if not removed from the sight can be the sources of distraction so that the bailiffs can divert their attention to them, only for the defendants or other individuals to inflict harm on the judge or other staff in the courtroom. Screening before entry to the courtrooms should be done in a more detailed fashion than the regular metal detector in most court rooms. That is, individuals should be checked for the presence of firearms in their pockets, and should always leave their bags outside the courtrooms. When life-determining cases are being conducted, the screening process should be even more detailed with body scanning technology, as it is not surprising to find suicide bombers with explosives in their bodies (Rubino, 2017). Lastly, there is need to limit the number of individuals present in the courtrooms. While it is always open to hear the proceedings for all, a smaller number would be easier to manage in case of any violence. References Mulcahy, L., & Rowden, E. (2019). The Democratic Courthouse: A Modern History of Design, Due Process and Dignity. Routledge. Rubino, W. (2017). Security requirements, modelling and analysis in a courthouse case study. ING School – School of Industrial and Information Engineering Sinnar, S. (2018). Procedural Experimentation and National Security in the Courts. Calif. L. Rev., 106, 991. 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: NEW30 to Get 30% OFF Your First Order FAQs Why is courtroom design and security important to our judicial process? Courtroom design and security are crucial to our judicial process. Design affects proceedings’ efficiency, influencing factors like sightlines and acoustics. Security ensures safety, fostering trust in the legal system. Both elements uphold fairness, privacy, and order, integral for justice delivery. Who is responsible for maintaining security in a courtroom? The
[ANSWERED] Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46)
Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46) Theory of health care informatics 1. Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient. Is this due to lack of skill or training, poor computer system design, or just the nature of computer charting? Is patient care suffering from the implementation of EHRs? Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a law suit 2. Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46). Identify and explain another type of data, specific to your practice, that is being tracked by an organization. Why do you feel this data is important to track? Identify and discuss the organization that is tracking the data. Are there any ethical concerns with an outside organization tracking this data, explain and give examples? 3. In this week’s discussion post, you identified and explain the topic selected for the project. Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you? Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why. Expert Answer and Explanation Theory of Healthcare Informatics Like any other new concept in healthcare, healthcare informatics is associated with different problems that limit its use in patient care. An improvement in the overall presentation of data in electronic health records could guarantee better success in the healthcare outcomes (Cowie et al., 2017). Data management is a crucial idea that should be treated with utmost care, as the exposure of patient data to unauthorized individuals is not only unethical, but could cause significant harm on patients. EHR Causing Too Much Focus on Machines Rather than on Patients Cause of the Over-emphasis on Computer Screen by Health Experts Some healthcare givers focus too much on the computer screen instead of patients when using electronic health records because most of them are yet to be fully acquainted with the computer system. Also, the nature of computer charting requires full concentration lest the healthcare givers would make large mistakes in feeding the patient information (Kruse et al., 2017). Unlike the traditional charting techniques where one fills patient information in their files without much calculations and involvements, computer charting requires one to be fully engaged in the process, and this makes it hard to give patients full concentration. Suffering of Patient Care under EHR Implementation Patient care is not suffering from EHR implementation as the benefits of EHR systems exceed the limitations. One of the main advantages of having electronic health records is the fact that they help in faster patient information processing as well as accuracy in data collection and management. The drawbacks can also be corrected using basic maintenance procedures. The Insufficiency of Clicking on Boxes in the Charting Process Clicking boxes in EHR charting process is one of the reasons why patient details are not captured in full. There should be more options for filling patient information such as using prose format to capture details of patient’s condition. This can also help in safeguarding the safety of the healthcare givers in the case of a lawsuit. Types of Data Tracking by Hebda, Hunter, and Czar (2019) Type of Data Specific to My Organization and the Importance of Tracking It The incidence rate of various disease outbreaks is one of the primary data that is being tracked by organizations outside the facility. Tracking this data helps to implement national and international policies on disease control, such as in the case of the coronavirus pandemic. It also helps in improving the preparedness of healthcare facilities in managing patient care in different situations such as pandemics. Organization Tracking the Data The Centers for Disease Control and Prevention (CDC) is one of the organizations that track the data. This organization serves as a major health protection agency where it identifies health, security and safety threats early enough to allow corrective action (Yang et al., 2020). It also helps to promote vaccination and health education campaigns that reduce the overall vulnerable communities (Yang et al., 2020). Ethical Concerns of the Tracking The CDC always obtains consent from the parties responsible for the data, and hence there are no major ethical concerns in tracking data. Besides, most of the data collected does not display personal information of the patient populations, as it is only used for research purposes (Rahimi et al., 2018). Nevertheless, there is need to put up more regulations to reduce the chances of misuse of patient data by external organizations. Topic Selected for the Project Description of Topic Selected and Its Relevance The topic selected for the project is ‘the influence of health informatics nurses on behavior change.’ This topic is relevant in that there are many ways in which nurses today have integrated health informatics into care, but it is not clear how they can achieve the right levels of behavior change (Wu et al., 2019). Specifically, there is need to identify areas in informatics that can serve as better channels of achieving positive behavior change among nurses. Informatics Theory The behavior change model can be applied in healthcare informatics by using its concepts to assess how a health informatics intervention influences the patients (Medlock & Wyatt, 2019). The theory shows how nurses can respond to patient needs in a timely fashion and tailor their behaviors and those of the patients to suit the informatics demands. Applying this theory in the topic can help in gaining more insight about the project. Conclusion Health informatics is one of the most discussed topics in nursing, and has helped nursing experts to grow their
[ANSWERED] A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income but has enough to manage a modest lifestyle
A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4 A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg. Please answer the following: What is the client’s BMI? Identify what screening tools you would use to assess nutritional and exercise knowledge, and why? One Outcome/Intervention/Rationale: Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention. Identify what weakness in the client’s life may be impacting the client’s activity and diet? What referrals would you make and why? (Use references for your responses, not just opinion.) Expert Answer and Explanation Aging Adult Case Study One’s weight affects their health status considering that being overweight raises one’s risk of developing various conditions including hypertension. For a person to be in good health, they need to maintain normal or average weight because this can lower the risk of chronic illnesses. However, this does not mean people should rely on weight to indicate good health because a person may still be sick if their weight is low. The Body Mass Index (BMI) provides the means of determining if an individual’s weight may cause health issues (Arnold, Holmes & Rosenthal, 2019). Therefore, calculating the BMI is crucial when it comes to patient assessment, and after determining that a patient is overweight, a provider has to come up with a realistic and meaningful outcome including an intervention to achieve the outcome as described in this study. The Client’s BMI The BMI equals to kg/m2, and considering that the client weighs 95.25 kg, and she has a height of 5’6’’ which translates to 1.5240 meters, the BMI for the client is 92.25/1.52402m. This yields 48.33 kg/m2. The client is therefore overweight, and there is likelihood that she may develop health problems. Screening Tools to use to Assess Nutritional and Exercise Knowledge (Why) Considering that the client is overweight, she needs to be screened to assess her nutritional and exercise knowledge. To perform the screening, a provider would use screening tools, and given the client’s age, the most appropriate tool for nutrition would be Food Frequency Questionnaire (FFQ). With the FFQ, the clinician would assess the kinds of foods the client consumes including the frequency with which she consumes it. The rationale for selecting the tool is that it is easy to administer, and it provides a reliable measurement of nutritional behavior (Speer & McPhillips, 2018). Measuring the level of the patient’s physical activity can be achieved using the Exercise Assessment and Screening for You (EASY). This is a tool developed to help assess the level of a person’s physical activity, and it is particularly suitable to the elderly. The tool would therefore benefit the client. Identification of a Reasonable, Measurable and Realistic Goal I want to help the client to reduce her weight by 17kgs within a span of six months by using available resources to educate her on how she can improve her physical activity, and nutritional behaviors. Identification of the Nursing Intervention for the Outcome and its Rationale The nursing intervention that can help achieve the outcome is patient education. To educate the client, the nurse may use various methods including printed materials to show her the kinds of lifestyle choices that can jeopardize her wellbeing and health in general. Having a one on one conversation about her weight including how she can manage her weight by for instance, limiting the intake of certain foods including the foods with high calories, can support health loss efforts. When educating the patient, the nurse may emphasize working with her to build an intervention framework that includes information that the patient may eat and the types of routine activities she can perform to manage her weigh. The rationale for choosing patient education is that it would help change the client’s behavior by directing her to the right path to embracing desirable behaviors. The Weakness in the Client’s Life that is impacting the Client’s Activity and Diet The client lives alone and this might be the reason why she has excessive weight. Loneliness tends to affect people’s weight, and there are various explanations presented to explain the weight-loneliness relationship. For example, loneliness affects the quality of sleep, which in turns contributes to the weight gain. From the biological perspective, the cortisol levels tend to rise if a person is lonely for long and with the rise in the level of this hormone, one’s weight may increase (Yahia et al., 2016). Therefore, loneliness associated with living alone seems to exacerbate the issue surrounding the client’s weight. The Referrals I would make and the Reasons for such Referrals I would make referrals if there is a sign that the client’s weight poses health risks to her. For example, I would refer her to bariatric surgery because such a surgical intervention can be effective not only in reducing her weight but limiting her exposure to various conditions including diabetes. I would also refer her to resources including those published on the American Diabetes Association (ADA) so that she can learn about her to take care of her own health (Koehler & Drenowatz, 2019). I would recommend that she visit a cardiologist to assess the health of heart because obesity is associated with a higher risk of cardiovascular issues. Conclusion In conclusion, being overweight can increase the likelihood of a person developing heart problems among other conditions. Nursing intervention for an obese patient should start with patient assessment with emphasis on examining how well the patient understands behaviors or lifestyle choices that can put her health at risk. This is accompanied by
[ANSWERED 2024] Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for
Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media Decision Making When Treating Psychological Disorders Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders. For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology. To Prepare · Review this week’s interactive media pieces and select one to focus on for this Discussion. · Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology. Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. Expert Answer and Explanation Brief Explanation of the Psychological Disorder and the Decision Steps Applied in Completing the Interactive Media Piece for the Disorder Depression is one of the common mood disorders in which the affected patient has feels extreme sadness or emotional emptiness as a result of changes in their brain chemistry (Costantino, 2019). A 70 y.o. male pt. presents to the facility with complaints of depression and minor physical complaints of stiff shoulders, which he attributes to the fact that he works in a warehouse as a laborer doing heavy jobs. The subjective data indicates the presence of childhood abuse from peers, weight gain and insomnia. In the mental status exam, he does not make direct eye contact, and has a depression score of 51, indicating severe depression. In decision point one, the patient is given Zoloft 25mg daily, decision point 2 includes a decrease of dosage to 25mg orally daily, and decision point three entails an increase of the dosage of the same drug to 25mg orally daily. How the Administration of the Associated Pharmacotherapeutics Recommended May Impact the Patient’s Pathophysiology The first administration of the drug contributes to the return of the patient in four weeks, a 25% decrease in the symptoms, but also leads to the development of a new disorder, erectile dysfunction. After decreasing the dosage by half, the ED subsides but the depressive symptoms still worsen (Buck et al., 2019). An increase in the dosage to the initial amount does not lead to any better situation, but the patient should be ready to change to another drug if the ED returns. How the Potential Impacts Inform Me How I Would Suggest Treatment Plans The potential impacts of the drugs show how adopting various lines of treatment plans may affect the patient. Since the patient is 70 years and may not have regular sex, it could be appropriate to take up the option of the Zoloft 25mg daily orally with the side effects of erectile dysfunction, as the effects would not be much on the life of the patient (Potter, 2019). However, I would include, in the treatment plan, a discussion with the patient, about the suitability of other drugs such as Paxil 20mg daily in the second level of treatment, which could have relatively lesser side effects while maintaining the reduction in the depression levels. References Buck, K., Zekri, S., Nguyen, L., & Ogar, U. J. (2019). Cognitive Behavior Therapy for Postpartum Depression. American family physician, 100(4), 244-245. Costantino, C. (2019). Does Sertraline Decrease Depression In Patients Who Suffered A Traumatic Brain Injury (TBI)? Potter, D. R. (2019). Major Depression Disorder in Adults: A Review of Antidepressants. International Journal of Caring Sciences, 12(3), 1936. 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: NEW30 to Get 30% OFF Your First Order
[ANSWERED 2024] Post an episodic focused note about the patient in the case study to which you were assigned using the episodic/focused note template
Post an episodic focused note about the patient in the case study to which you were assigned Case Study: A 42–year–old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform? Post an episodic focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient\’s differential diagnosis, and justify why you selected each. Expert Answer and Explanation SOAP Note Patient Information: S. CC “pain in the lower back.” HPI: Patient BB is a 42-year-old male who has visited the hospital complaining of lower back pain that has occurred for the past month. The patient reports that the pain may be severe in the left leg. The pain was measured to be a scale of 7/10. The pain started moments after he had got out of bed one month ago and it has not gone away since then. Current Medications: Tylenol tablets. Allergies: Allergic to aspirin. PMHx: He got influenza vaccination three months ago. Fam Hx: His father died of kidney failure and his mother has HBP. ROS: GENERAL: The patient feels lower back pain that extends to the left leg. HEENT: No hearing or visual loss, no running nose, and no sore throat. CARDIOVASCULAR: Has HBP. RESPIRATORY: No sputum. MUSCULOSKELETAL: Pain in the lower back that extends to the left leg. O. Physical exam: During physical examination it was found that the patient felt pain in forward flexion when he was moving. Also, palpation showed that there is a fracture in the area around the lower spine. Diagnostic results: Urinalysis test was conducted to find whether the patient had kidney infection (Petersen et al., 2017). A. Differential Diagnoses Fracture of the Lumbar Vertebral Body– Most possible condition Inflammatory Conditions Kidney Infection Ulcer Epidural Infection Reason for Selecting Lateral Ligament Injury The above diseases have been selected as the diagnoses for the disease because they all cause back pain (Verhagen et al., 2017). However, fracture of the lumbar vertebral body is the primary diagnosis due to the following reasons. According to Lipani (2017), fracture of the lumbar vertebral body can cause back pain by pinching or damaging the lower spine. Physical exam of Mr. C showed that he had fracture in the lower spine, and this has made the disease the most possible condition. References Lipani, J. D. (2017). U.S. Patent No. 9,630,011. Washington, DC: U.S. Patent and Trademark Office. https://patents.google.com/patent/US9630011B2/enaa Petersen, T., Laslett, M., & Juhl, C. (2017). Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews. BMC musculoskeletal disorders, 18(1), 188. https://link.springer.com/article/10.1186/s12891-017-1549-6 Verhagen, A. P., Downie, A., Maher, C. G., & Koes, B. W. (2017). Most red flags for malignancy in low back pain guidelines lack empirical support: a systematic review. Pain, 158(10), 1860-1868. doi: 10.1097/j.pain.0000000000000998 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: NEW30 to Get 30% OFF Your First Order FAQs What is the condition causing pain in the lower back and leg? Sciatica is a term used to describe pain that radiates along the path of the sciatic nerve, which runs from the lower back through the buttocks and down each leg. The pain is typically caused by compression or irritation of the sciatic nerve. Common causes of sciatica include: Herniated Disc: When the soft inner core of a spinal disc pushes through the tough outer layer and irritates or compresses the nearby nerve roots. Spinal Stenosis: The narrowing of the spinal canal, which can put pressure on the spinal cord and nerves. Degenerative Disc Disease: The breakdown of discs in the spine, often associated with aging. Spondylolisthesis: When a vertebra slips forward over the vertebra below it, causing pressure on the nerves. Piriformis Syndrome: Irritation of the piriformis muscle, which can cause it to press against the sciatic nerve. Muscle Strain: Overuse or injury to the muscles and ligaments supporting the spine. What nerve roots might be involved in the cause of the back pain based on your knowledge of anatomy? Lower back pain and leg pain, particularly associated with sciatica, often involve nerve roots in the lumbar (lower) and sacral (pelvic) regions of the spine. The specific nerve roots that may be involved depend on the underlying cause of the pain. Here are the nerve roots typically associated with lower back pain and sciatica: L4 (Lumbar 4): Pain or discomfort may radiate to the thigh and sometimes the lower leg. L5 (Lumbar 5): Pain can extend from the lower back to the back of the thigh and down the leg. It may also affect the top of the foot. S1 (Sacral 1): Pain may radiate from the lower back down the back of the thigh and calf, possibly reaching the outer side or sole of the foot. These nerve roots make up part of the sciatic nerve, which is formed by the combination of nerve roots from the lower spine. Compression or irritation of these nerve roots can lead to the characteristic symptoms of sciatica, including lower back pain that radiates down the buttocks and into one or both legs. What causes lower back pain in your 40s? Lower back pain in your 40s can be caused by various factors, and it often results from a combination of factors rather than a single cause. Common contributors to lower back pain in this age group include: Muscle Strain: Overuse or improper use of
[ANSWERED 2023] Applying the principles learned throughout this course, students will complete a business plan
Applying the principles learned throughout this course, students will complete a business plan Applying the principles learned throughout this course, students will complete a business plan for an entrepreneurial opportunity of their choice. In classes of 1-5 students the business plan will be completed individually In classes of 6 or more students the business plan will be completed in group of 2-4 students. Groups will be assigned by faculty. All members must participate to earn points. Review the Week 8 discussion forum Power Point requirements Include these components in the business plan: o The team o The customer and the problem o The market opportunity o The solution o The competitive positioning o The business model o Summary financial projections o The go-to-market strategy o The funding request o The exit strategy Utilize your previous readings and exercises to write your business plan. Each student will submit a copy of their business plan under the Signature Assignment tab in D2L by the end of week seven. Expert Answer and Explanation Business Plan Daycare Introduction Over the years, I have always known that my life’s purpose is to help children grow and develop in a safe environment where they are loved and cared for. As a nurse, I enjoy taking care of children, but I am always in dismay when a child is brought with something they caught in the daycare or experience something that someone should have noticed months ago. For this reason, I decided to open a daycare catering for children as low as two months and as old as four years. Through it, the children will grow up in a safe and professional environment where every moment of their life will be carefully watched and nurtured, giving them the preparations they need before getting into school (Del Boca, 2015). I decided on this after observing the significant gap in the market concerning the development of children. Most daycares are unprofessional, and some parents leave their children with nannies only to later report cases of abuse. Additionally, it is essential to understand the children’s growth milestones and ensure they are on the right path. This allows for early intervention if the children have issues with their development, increasing their chances of high-quality life (Felfe & Lalive, 2018). To create this environment I will include only expert professionals. This includes myself, as a nurse, two former teachers and a security officer. Additionally, to make my business known I will promote it two months prior opening in social media and through community events. I hope that after opening, the word of mouth will be an important way of marketing. Notably, the business is quite expensive to start with the starting cost amounting to $136,000. However by the second year I hope that the business will break even. The main source of funds will be savings and contribution from friends. The fact that the company is not yet registered might make it impossible to get grants from the government. My startup will offer professionalism in caring for children, hence ensuring that parents can be at peace and that the children’s affairs are well catered for. The Team As the business owner, I will be responsible for overseeing that all the activities in the business are closely monitored (Varmuza et al. 2019). I will be the business manager and provide my nursing expertise to the group. Before accepting any child, there will be a quick medical checkup after getting the parent’s consent to understand the child’s development milestones and does not have any contagious illness or needs a doctor’s attention. Additionally, I will be guiding what should be done in the daycare, and I will always be present to solve any issue that comes up in the case of the operations. I will also include my neighbor, who is 60 years old but still physically active. She is the most famous person in the neighborhood and is extremely popular with children. Having retired as a teacher a year ago, she is always looking for something to fill her day, and I believe her love for children qualifies her to be an employee in the daycare. Additionally, she has a lot of experience with infants and usually offers to look after them even for free, especially on weekends. It is always customary to see children waiting for her on her porch as she usually entertains them. She has won the trust of all parents, and she knows how to handle children. By including her in the team, parents will be more comfortable when sending their children to a new daycare. Another member of the team is Ann, who is a kindergarten teacher. She has a lot of experience dealing with children and has extensive knowledge of handling ethical issues. She has worked as a teacher for many years, and she is known for her kind heart. However, she has been looking to handle a lesser team of children and suggested that she would like to work in a daycare. I believe that as a startup, the children will benefit from her professionalism as she observes their developmental milestones and introduces them to age-appropriate learning. I will also have a janitor who will also be the property’s caretaker. Notably, the daycare needs protection and maintenance to ensure all items present do not pose a health hazard to the children. Therefore the janitor, who will also be cleaning the children’s area three times a day, will also be the maintenance person. He will be required to ensure that the environment is clean and safe for the children. Lastly, I will have a security officer who will always be at the gate to ensure that everyone accessing the daycare is authorized. The security officer will provide entry to parents dropping off their children and take details of the people permitted to take the children. This will ensure that the children are secure and that no security issues are experienced in the school. With this team, the children will have a safe environment where they can be nurtured and
[2024] This week you will seek approval for a research area for your quantitative research proposal project due in weeks 7 and 8. Submit a one-page, double-spaced paper addressing the following points
This week you will seek approval for a research area for your quantitative research proposal This week you will seek approval for a research area for your quantitative research proposal project due in weeks 7 and 8. Submit a one-page, double-spaced paper addressing the following points: Identify your chosen research topic Create at least one problem statement to go along with your chosen research area Identify your research question/s Explain the significance of the research topic to nursing Upon completion, your instructor will approve, deny, or make recommendations for modifications of your research topic, problem statement, or research question(s) to ensure successful completion of the research proposal project. If you need some assistance creating a PICOT question, click hereLinks to an external site. for a template provided by the AAACN. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. FAQs Sample Research Proposal: A Step-by-Step Guide Are you planning to conduct research but don’t know how to write a proposal? A research proposal is an important document that outlines the objectives, methods, and expected outcomes of a research project. In this article, we will guide you through the process of writing a sample research proposal step-by-step. 1. Introduction The introduction is the first section of your research proposal, where you introduce the topic and provide a brief overview of what you intend to investigate. In this section, you should provide some background information about the topic and explain why it is important. 2. Background and Significance In this section, you should provide a more detailed explanation of the background and significance of your research topic. This should include a literature review of previous studies related to your topic, and an explanation of why your research is important and relevant. 3. Research Questions and Objectives In this section, you should state the research questions and objectives of your study. Your research questions should be specific and answerable, and your objectives should be measurable and achievable. 4. Methodology In this section, you should describe the methodology you will use to conduct your research. This should include a description of your research design, data collection methods, and data analysis techniques. 5. Literature Review In this section, you should provide a more detailed review of the literature related to your research topic. This should include a summary of previous studies and their findings, as well as an explanation of how your research will contribute to the existing literature. 6. Ethical Considerations In this section, you should describe any ethical considerations related to your research. This may include obtaining informed consent from participants, protecting their privacy and confidentiality, and ensuring that your research is conducted in an ethical manner. 7. Expected Outcomes and Limitations In this section, you should describe the expected outcomes of your research, as well as any limitations or potential obstacles you may encounter during the research process. 8. Timeline and Budget In this section, you should provide a timeline for your research project, including key milestones and deadlines. You should also provide a detailed budget, including any funding sources you will use to support your research. 9. Conclusion The conclusion is the final section of your research proposal, where you summarize your main points and restate the significance of your research. You should also explain how your research will contribute to the field and its potential impact. APA Format Research Proposal Example: A Comprehensive Guide If you are planning to write a research proposal in APA format, you have come to the right place. In this article, we will provide you with a comprehensive guide to writing a research proposal in APA format. We will cover everything from the title page to the reference list, with examples and tips for each section. Whether you are a student or a researcher, this guide will help you write a successful research proposal that follows the APA format. Introduction A research proposal is a document that outlines the proposed research project. It is an important document that helps researchers to convince their audience that their research project is worth pursuing. Writing a research proposal in APA format is important because it is the standard format used in the social sciences. The following sections will guide you through the process of writing a research proposal in APA format. Title Page The title page of a research proposal should include the following information: Title of the research proposal Name of the researcher(s) Institutional affiliation(s) Running head Page number For example: APA Format Research Proposal Example: A Comprehensive Guide John Smith University of California, Los Angeles Running head: APA FORMAT RESEARCH PROPOSAL EXAMPLE Page 1 Abstract The abstract is a brief summary of the research proposal. It should be no more than 250 words and should include the following information: Research question(s) Brief overview of the research design Methodology Key findings For example: This research proposal aims to investigate the impact of social media on adolescent mental health. The study will use a mixed-methods research design, including both quantitative and qualitative data collection methods. The study will recruit participants aged between 13 and 18 years old from local schools in Los Angeles. Data will be collected through surveys and interviews. The findings of this study will contribute to the understanding of the relationship between social media use and adolescent mental health. Introduction The introduction should provide a background to the research problem and explain why the research is important. It should also include the research question(s) and the hypothesis or hypotheses. For example: Social media has become an integral part of modern society, with millions of people using social media platforms every day. While social media has many benefits, including connecting people and facilitating communication, there is also growing concern about the impact of social media on mental health. This research proposal aims to investigate the relationship between social media use and adolescent mental health. Specifically, this study will examine the following research question: Does