Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook Do not use articles that appear in the Topic Materials or textbook
Search the GCU Library and find three different health care articles that use quantitative Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template. Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis. Expert Answer and Explanation Article Analysis-Quantitative Research in Healthcare The three different health care articles from GCU that use quantitative research include the following: Article Citation and Permalink (APA format) Solvik, E., & Struksnes, S. (2018). Training Nursing Skills: A Quantitative Study of Nursing Students’ Experiences before and after Clinical Practice. Nursing Research and Practice, 2018, 1–9. https://doi.org/10.1155/2018/8984028 Wong, H., Karaca, Z., & Gibson, T. B. (2018). A Quantitative Observational Study of Physician Influence on Hospital Costs. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 004695801880090. https://doi.org/10.1177/0046958018800906 Point Description Description Broad Topic Area/Title Training Nursing Skills: A Quantitative Study of Nursing Students’ Experiences before and after Clinical Practice A Quantitative Observational Study of Physician Influence on Hospital Costs Identify Independent and Dependent Variables and Type of Data for the Variables Independent variable: Training nursing skills Dependent variable: Nursing students experience before and after clinical practice Independent variable: Hospital costs Dependent variable: Physician influence on hospital costs The population of Interest for the Study The population of the study involved nursing students in their first year of bachelor’s program. The population entailed both female and male students. The Health Cost and Utilization Project (HCUP) 2008 State Inpatient Databases(SID) for Arizona and Florida. The target population in these states was physicians. Sample For the sampling, 160 students participated. They were divided into two classes whereby class 1 (N=79) was identified as the control group, and class 2 (N=81)was the project group. Samples were collected from various hospitals in 2 states with over 15,237 physicians. These were Arizona and Florida, where the research and 2.5 million hospital visits. Sampling Method The implemented sampling method was the use of questionnaires to be filled out by each student before submission. These questionnaires were answered in six-month intervals, one after the training session and the second after the clinical practice. The questionnaires were also coded with numbers such that the numbers represented a specific student and the class affiliation. The hierarchy model or framework was applied to collect and analyze the samples on the number of variations attributed to physicians’ characteristics on the hospitalization cost. The sampling method was designed to control physician characteristics, patient demographics, clinical risks, hospital attributes, and socioeconomic traits. Descriptive Statistics (Mean, Median, Mode; Standard Deviation) Identify examples of descriptive statistics in the article. A total of 160 nursing students were invited to participate in the study on their experiences before and after clinical practice. 158 students carried through to populating the questionnaires, with 96 (61%) of them responding. 45% were from the control group, while 55% came from the project group. The results identified that the average cost of inpatient hospital visits was $9171 and $8679 for non-teaching hospitals. Out of the 15237, 7993 physicians worked at teaching hospitals, and 2995 were involved in both settings. The average age for all physicians was years. Females covered 26.5% of the participant population. A third of the population graduated from medical school. 16.4% of the sample population were satisfied board surgeons, while 31.7% had internal medicine certification. Inferential Statistics Identify examples of inferential statistics in the article. The study determined that the clinical lab exercises were an effective way to facilitate the practice. 47% of the students responded that they should have prepared better. 85% agree that they were capable of mastering a bed bath with an actual patient in practice after the session. The average cost for female physicians was $2264 lower when compared to the costs of patients visiting male physicians. Also noticed was that the average cost for foreign-trained physicians was $1191 less than physicians who graduated from medical colleges. Kumar, S., Syed, N., Jaykumar, S., Prem, V., Karvannan, H., Karthikbabu, S., & Sisodia, V. (2012). Study of nurses′ knowledge about palliative care: A quantitative cross-sectional survey. Indian Journal of Palliative Care, 18(2), 122. https://doi.org/10.4103/0973-1075.100832 Description Study of Nurses’ Knowledge about Palliative Care: A Quantitative Cross-sectional Survey Independent variable: Palliative Care Dependent variable: Nurses Knowledge Participants for this study were from the various multispecialty hospitals, including those taking professional development programs exclusive for a nurse. All participants needed to provide an approved consent letter before participation. Those who did not provide consent did not proceed with the study. The survey was done for 363 nurses from multispecialty hospitals. This was taken on healthcare professionals currently taking programs for professional development. The used sample method was the implementation of a self-report questionnaire which was filled individually by the participants. The questionnaire was developed by Nakazawa et al., and it entailed 20 items to be fully answered. All questions were related to palliative care. Participants were to respond by mentioning either correct, incorrect, or unsure. The questionnaires were also sectioned into subsections of philosophy, pain, dyspnea, psychiatric problems, and gastrointestinal problems. Out of the 392 distributed and collected questionnaires, 363 were valid. This reflected a response rate of 92.6%. The bigger population was female with a number of 323 (89%) while the male was 40 in number (11%). The participants were also represented differently from different parts of the health facility. From the ward were 154 participants (42.4%), Intensive care unit, 142 people (39.1%), Outpatient unit had 2 people (0.6%), and Other who were 65 in total (17.9%) The overall score of the study was 35.8%, with philosophy covering 36.5%, pain 34.83 dyspnea 28.25%, psychiatric problems 45.75%, and gastrointestinal problems 34%. Generally, females scored more than males with a slight difference. It was also identified that the knowledge about pain was minimal as only 35% of
Rough Draft Qualitative Research Critique and Ethical Consid
Rough Draft Qualitative Research Critique and Ethical Considerations Rough Draft Qualitative Research Critique and Ethical Considerations Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses. Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. 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. Refer to the LopesWrite Technical Support articles for assistance. Expert Answer and Explanation Research Critique Guidelines – Part II (Quantitative Studies) Dealing with postoperative pain, nausea, and vomiting is one of the issues that patients encounter after surgical procedures that affect their comfort and satisfaction and outcomes. Dealing with these challenges can affect the recovery process of the patient and may even prolong the discharge period. Several studies have tried to pinpoint different interventions that can assist in dealing with the issue of postoperative pain nausea and vomiting, with each having different results. The PICOT question, therefore, aimed to establish whether in adult patients undergoing general anesthesia, does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving preoperative meds. Quantitative Studies To answer the PICOT question, this paper selected two quantitative research studies that had evidence-based interventions of dealing with postoperative pain nausea and vomiting. The selected studies were conducted by Elgohary et al. (2017) and Chetna et al. (2014). Some of the elements identified from the studies are detailed in the subsequent sections Background The first quantitative article reviewed was an article by Elgohary et al. (2017). The study wanted to carry out a comparison between the effectiveness of the ERAS program and the conventional perioperative care in patients who have undergone elective colorectal surgery. The author notes that the ERAS program has been revolutionary is assisting patients who have undergone colorectal surgery, among other surgical procedures, to respond better to stress and improving postoperative outcomes. The authors also note that the main aim of the ERAS pathway is to reduce the duration of hospitalization and allow the patient to recover quickly. However, the adoption of the program, especially in developing countries, has been slow despite sufficient evidence showing the effectiveness of the program. Therefore, the authors wanted to carry out a supportive investigation on the effectiveness of the ERAS pathway in patients after undergoing elective colorectal surgery. The findings collected in this study holds major significance in nursing practice since the results collected will facilitate the adoption of the ERAS pathway as a viable intervention in improving postoperative patient outcomes. The main aim of the research conducted by Elgohary et al. (2017), was to examine the feasibility and safety of the ERAS pathway in elective colorectal surgery. The research question identified from this objective can be quoted as “is the ERAS pathway feasible and safe for use in patients who have undergone elective colorectal surgery. The second quantitative study selected was conducted by Chetna et al. (2015). The study elaborated on the use of gabapentin for postoperative pain relief for patients who have undergone upper abdominal surgery. The researcher noted that in patients who have undergone upper abdominal surgeries, postoperative pain not only causes them distress but also leads to inadequate respiratory effort and cough reflexes, therefore, a need to have a pain relief strategy. The authors go further to site the efficacy of gabapentin in dealing with pain on patients who have undergone other types of surgical procedures. Therefore, the study was purposed at identifying whether the drug will still be effective in dealing with postoperative pain, for patients who have undergone upper abdominal surgery. The findings obtained in that research are relevant in enhancing patient recovery period and outcomes by eliminating postoperative pain, and in turn, improving respiratory efforts and cough reflex of the patient. The research question used in the study can be quoted as follows “How effective is gabapentin in reducing postoperative pain in patients who have undergone upper abdominal surgery?” How do these two articles support the nurse practice issue you chose? The main aim of the PICOT question was to establish viable methods of dealing with postoperative pain, nausea, and vomiting. The two articles provide evidence-based interventions on how postoperative pain can be dealt with. The first article by Elgohary et al. (2017) focuses on the ERAS pathway on reducing postoperative pain while the second article by Chetna et al. (2015) focuses on gabapentin on dealing with postoperative pain in patients who have undergone upper abdominal surgery. The finding on both studies will be used as a basis of assessing the effectiveness of using preoperative analgesics and antiemetics to decrease pain, nausea, and vomiting in patients postoperative as intended by the PICOT question. The first study was majorly focused on patients who have undergone elective colorectal surgery, while the second article was focused on patients who have undergone upper abdominal surgery. For both studies, the participants were placed in two groups. The first study by Elgohary et al. (2017) used the conventional recovery pathway as their comparison group, while the second study placed their comparison group under placebo. The intervention groups were placed under different perioperative pain regimen. This will be the same approach to be used by the PICOT question, with the difference being the target participants. The PICOT question used adult patients who had undergone general anesthesia
Identify your selected healthcare concern in your city or
Identify your selected healthcare concern in your city or state that needs your advocacy Identify your selected healthcare concern in your city or state that needs your advocacy with an elected official. What is the impetus and rationale for your selection? What is your solution to this concern? Describe the model of policy making that you feel would be best applied to your policy concern and the rationale for selecting this model. Expert Answer and Explanation The selected Healthcare Issue and Rationale for the Selection Mental health is the selected concern, and it encompasses various mental disorders and conditions. Examples are depression, phobia and schizophrenia. There is disparity in access to the mental health services, and people with mental health problems often face discrimination. In Texas, these concerns can impede efforts focused on meeting the health needs of people with mental illnesses. This is a key rationale for the selection of the mental illness as a problem that requires advocacy (Boehme, Biehl, & Mühlberger, 2019). Another reason why healthcare professionals need to advocate for the issue is to help reduce mortality rates based on mental health concerns. The Solution for the Concern The key solution for this concern is the expansion and funding of programs focused on increasing screening and treatment of people with mental health problems. In this case, it is important to call for the state government to allocate more funds into programs which address this particular health concern. The funds can be used to purchase medications, and resources which create awareness about mental health problems. However, subsidizing costs of treating this healthcare concern, through government-managed insurance plans, can equally help address the problem (Li et al., 2021). The Suitable Model of Policy Making and Rationale The institutional model would apply to the policy concern. Under this model, the authority lends legitimacy to the laws, and these laws equally apply to everyone. This is the rationale for the selection of the model. Using this model, the government can come up with policies which require the allocation of resources and funds to help manage the mental health challenges (Niedziałkowski & Putkowska-Smoter, 2020). It can use the local authorities or agencies which are responsible of enforcing the laws. References Boehme, S., Biehl, S. C., & Mühlberger, A. (2019). Effects of Differential Strategies of Emotion Regulation. Brain sciences, 9(9), 225.Doi: https://doi.org/10.3390/brainsci9090225. Li, Y., Scherer, N., Felix, L., & Kuper, H. (2021). Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PLoS ONE 16(3), e0246454.Doi: https://doi.org/10.1371/journal.pone.0246454. Niedziałkowski, & K., Putkowska-Smoter, R. (2020). What makes a major change of wildlife management policy possible? Institutional analysis of Polish wolf governance. PLoS ONE 15(4), e0231601. Doi: https://doi.org/10.1371/journal.pone.0231601. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the
Mrs. J is a 63-year-old married woman who has a history of
[ANSWERED] Mrs. J is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD) It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mrs. J is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and 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. 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. Refer to the LopesWrite Technical Support articles for assistance. EXPERT ANSWER AND EXPLANATION Patient Assessment and Treatment One’s physiological wellbeing depends on a wide range of factors including lifestyle behaviors. The prolonged use of the psychotic substances, for example, can expose one to the risk of developing health problems, and the nature of the medical condition one develops depends on the substance they use. For instance, smoking tobacco exposes smokers to the risk of developing respiratory issues. Equally, the type of food one eats and their levels of physical activity can have a certain level of impact on their physiological wellbeing. It is imperative to explore the case of patient with COPD, in terms of the effectiveness of the intervention she receives, and examine the contributors to the heart failure. Mrs. J’s Clinical Manifestations Based on the Mrs. J’s medical history and subjective data, she exhibits a number of clinical manifestations. One of these manifestations is the acute exacerbation of the chronic obstructive pulmonary disease (COPD). Another clinical manifestation present in the patient is acute decompensated heart failure. These two conditions explain the reason why she experiences difficulties breathing, and her heart rate is irregular. She has Congestive Heart Failure (CHF). Mrs. J also shows sign of hypertension considering that her blood pressure level is 90/58, and this is more than the 120/80 average (Lin et al., 2016). Additionally, the patient has fever, and besides this fever, she cannot perform Activities of Daily Living (ADLs). She coughs blood-tinged sputum, and this indicates a possible respiratory problem. Assessment of the Effectiveness of the Nursing Interventions Mrs. J takes a number of medications to help promote her recovery, and while these medications are effective, some may not be necessary in her case. She takes IV furosemide, and this intervention is appropriate based on her case. This is because this medication would help relieve her heart failure problem by helping improve the heart’s blood-pumping capacity. Given the patient’s
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.,
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
[ANSWERED 2023] Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post
Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans. Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges. In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents. To Prepare Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos. Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post. By Day 3 of Week 1 Based on the YMH Boston Vignette 5 video, post answers to the following questions: What did the practitioner do well? In what areas can the practitioner improve? At this point in the clinical interview, do you have any compelling concerns? If so, what are they? What would be your next question, and why? Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video. Explain why a thorough psychiatric assessment of a child/adolescent is important. Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent. Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults. Explain the role parents/guardians play in assessment. Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources. Read a selection of your colleagues’ responses. By Day 6 of Week 1 Respond to at least two of your colleagues on 2 different days by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence. Excellent Good Fair Poor Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. 40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s) Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources No less than 75% of post has exceptional depth and breadth Supported by at least three current credible sources 35 (35%) – 39 (39%) Responds to most of the Discussion question(s) Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module 50% of the post has exceptional depth and breadth Supported by at least three credible references 31 (31%) – 34 (34%) Responds to some of the Discussion question(s) One to two criteria are not addressed or are superficially addressed Is somewhat lacking reflection and critical analysis and synthesis Somewhat represents knowledge gained from the course readings for the module Post is supported by fewer than two credible references 0 (0%) – 30 (30%) Does not respond to the Discussion question(s) Lacks depth or superficially addresses criteria Lacks reflection and critical analysis and synthesis Does not represent knowledge gained from the course readings for the module Contains only one or no credible references Main Posting: Writing 6 (6%) – 6 (6%) Written clearly and concisely Contains no grammatical or spelling errors Adheres to current APA manual writing rules and style 5 (5%) – 5 (5%) Written concisely May contain one to two grammatical or spelling errors Adheres to current APA manual writing rules and style with minor errors 4 (4%) – 4 (4%) Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors 0 (0%) – 3 (3%) Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style Main Posting: Timely and full participation 9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation Posts main Discussion by due date 8 (8%) – 8 (8%) Posts main Discussion by due date Meets requirements for full participation 7 (7%) – 7 (7%) Posts main Discussion by due date 0 (0%) – 6 (6%) Does not meet requirements for full participation Does not post main Discussion by due date First Response: Post to colleague’s main post that is reflective and justified with credible sources 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting. 7 (7%) – 7 (7%) Response is on topic, may have some depth. 0 (0%) – 6 (6%) Response may not be on topic, lacks depth. First Response: Writing 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written
[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] 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