[ANSWERED 2023] In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal Capstone Topic Summary In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Write a 150-250 word summary explaining which category your topic and intervention are under (community or leadership). You are not required to submit this assignment to LopesWrite. Expert Answer and Explanation Strategies to Reduce Medical Errors in Pediatric Care Many people die in the hospitals yearly due to medical errors, especially in the pediatric care. According to Lawson et al. (2018), providing pre-mature babies too much oxygen as the most common medical error that occur in the pediatric facilities. As a result, this project will focus on discussing strategies that can be used to reduce medical errors in the pediatric center. This project can be categorized as a quality improvement initiative where the hospital operations will be changed and improved in a move to reduce medical errors in the child care facility. The interventions for this problem include improving nurse staffing and training. In nurse staffing, more nurses will be employed in the institution to reduce dissatisfaction and burnout. Nurse burnout is among the factors that can increase the rate of medical errors in care facilities (AbuMustafa & Jaber, 2019). The intervention should be aimed at reducing burnout. Training will improve the nurses’ experience on how to handle the errors in case they occur. References AbuMustafa, A. M., & Jaber, M. (2019). Factor affecting Medical errors Reporting among medical team in Pediatric Hospitals in Gaza governorate. Journal of Medical Research and Health Sciences, 2(11), 794-801. http://jmrhs.info/index.php/jmrhs/article/view/131 Lawson, N. D., Shanafelt, T. D., Tawfik, D. S., Morgenthaler, T. I., Satele, D. V., Sinsky, C., … & West, C. P. (2018, November). Burnout is Not Associated With Increased Medical Errors/In Reply. In Mayo Clinic Proceedings (Vol. 93, No. 11, pp. 1683-1684). Mayo Foundation for Medical Education and Research. DOI:10.1016/j.mayocp.2018.08.015 Alternative 2 Category of the Topic This project will study the effects of healthy weight on people with diabetes. The category of this topic is community. The topic has been classified as a community topic because it aims to solve the issue of diabetes, one of the chronic diseases affecting many communities across the world, especially African American people within the US and other people in low income countries. A study by Gummesson, Nyman, Knutsson, and Karpefors (2017) shows that premature mortality from type 2 diabetes rose to 5% between 2000-2016. This statistic show that diabetes is a threat to existence of humanity, and thus health professionals should develop ways to solve the issue. The targeted community in this project is African American community. The community has been targeted because the rate of mortality from the disease is high in the community compared to other ethnic groups in the US (Gummesson et al., 2017). Walking has been proposed as the intervention to help control the disease. Reference Gummesson, A., Nyman, E., Knutsson, M., & Karpefors, M. (2017). Effect of weight reduction on glycated haemoglobin in weight loss trials in patients with type 2 diabetes. Diabetes, Obesity and Metabolism, 19(9), 1295-1305. https://doi.org/10.1111/dom.12971 Alternative 3 Topic Summary My capstone project aims at reducing the cases of enteric infections among children in the pediatric sector. The topic and intervention to solve the problem fall under a category known as community. The community will be the target population for the project. According to Rogawski McQuade et al. (2020), enteric infections are diseases that enter the body through the mouth. The authors note that some of the enteric infections include diarrheal disease caused by enterotoxigenic E. coli (ETEC), Shigella, rotavirus, and other organisms. The intervention to solve the topic is educating parents about handwashing techniques. In the project, the nurses will educate parents with children aged five years and below about strategies they can use to wash their hands to prevent their kids from contracting enteric diseases. Akuffo et al. (2017) note that some techniques include washing hands before eating, visiting the toilet, changing diapers, and getting in contact with contaminated surfaces. References Akuffo, R., Armah, G., Clemens, M., Kronmann, K. C., Jones, A. H., Agbenohevi, P., … & Koram, K. (2017). Prevalence of enteric infections among hospitalized patients in two referral hospitals in Ghana. BMC research notes, 10(1), 292. https://link.springer.com/article/10.1186/s13104-017-2621-x Rogawski McQuade, E. T., Platts-Mills, J. A., Gratz, J., Zhang, J., Moulton, L. H., Mutasa, K., … & Humphrey, J. H. (2020). Impact of water quality, sanitation, handwashing, and nutritional interventions on enteric infections in rural Zimbabwe: the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial. The Journal of infectious diseases, 221(8), 1379-1386. https://doi.org/10.1093/infdis/jiz179 Alternative 4 Topic Summary A community topic is a topic that discusses issues that affect community members. However, a leadership topic in nursing is a topic that touches on issues that affect healthcare leadership. This capstone project aims to investigate whether educating older patients about falls and fall prevention strategies before and after the incident helps reduce the rate of falls-related cases. This topic can be categorized as a community topic because it aims to reduce falls in a community. In other words, the topic is a community project because, after its implementation, many older patients will have proper knowledge about falls and how they can avoid the issue. This project has focused on falls because this health problem highly threatens people’s optimal health, especially older individuals dwelling in a community setup. One in four US citizens aged 65 years and above falls yearly (National Council on Aging). The organization also reports that the US’s emergency care departments treat an older person for fall every 11 seconds. Also, the institutions record older person mortality due to fall-related complications in every 19 minutes. According to Aryee et al. (2017), falls are the leading causes of severe and non-severe injuries among other people and cause older people’s hospital admissions. The authors estimate that over 2.8 million older adults visit emergency care departments to treat falls-related injuries. The problem
Define what is meant by information. Define what is meant by data. Create two matrices
Define what is meant by information. Define what is meant by data. Create two matrices In this unit, you have learned about management information systems (MIS) and the importance of it. For this assignment, compose a paper that discusses the key differences between data, information, information technology (IT), and information systems (IS). Your paper should address the components listed below. Define what is meant by information. Define what is meant by data. Create two matrices (one for data and one for information) that illustrate the key differences between information and data, place the matrices into your paper, and briefly discuss the differences in one or two paragraphs. Each matrix should contain characteristics and/or facts about the subjects (data and information) that show how they are different. Define IT. Define IS. Using the five-component model as an example, discuss some differences between IT and IS. Your paper must be a minimum of two pages in length (not counting the title and reference pages), and you must use at least two resources as references. Any information from these resources must be cited and referenced in APA format. Expert Answer and Explanation Unit 1 Management MIS collects data from various systems online, initiates information analysis and thus announces data, in order to help in a policy, build up (Laudon & Laudon, 2012). There are three components of MIS: – Management, Information, and System. These three components aid in building decisions for the managing of the organization. In regard to the achievements, MIS is a significant aid for improved decision and strategy making. Goals can be quickly achieved by a complete acknowledgment of these elements (Laudon & Laudon, 2012). Definition of Data and Information DATA is underdone, a disorderly attribute that requires to be organized. When data is presented in a provided subject to summon its utilization, it is called INFORMATION. Key-Differences Between Data and Information Data are simplified wordings and numerals, whereas information is interpreted data. Similarly, data is preserved in a computer system or just crammed up by an individual while information is more authentic ascompared to data, in addition to this, an exact examination is undergone for the conversion of data into information by the monitor. Moreover, data are facts that are gathered casually and context that is analyzed, to sum up, the given assets and information is something that ends up providing a significance to the data in a modified manner. Data may not always be the facet that satisfies the need of the investigator, but information is always specific to the required investigation because every meaningless figure is abolished, during the processing of data. Furthermore, the data collected has a questionable application to the researcher as during its compilation, it does not imply its relevance. Conversely, information is worthy to him to bring out its particular use. Therefore, data is never contingent on information, in contrast with, information that totally counts on the data provided. Definition of IT and IS IT -Information Technology is the use of a computing system to preserve, redeem, transfer, and handle data or information (Davies, 2008).IS -Information Systems is a study of systems with a particular backing to information and the free networks of hardware and software that individuals employ to gather, filter, analyze, develop and also dispense data. Difference Between It and Is Based on Five Component Model: -Hardware, software, data, procedures, and people are the five components of an information system; on the analysis of which it is proposed that how these components are brought into service to develop a completely workable system. IT engages with the technological aspects that aids in the information systems themselves. On the other hand, IS is the arch between the user and the technology. IT is a subdivision of IS.IS is described as an overarching umbrella while IT groups under the IS umbrella.IS concentrates on the given information, whereas IT aids in the collection and the analysis of information. Therefore, the prime asset is the information here, but IT is dedicated more towards computer software and hardware. IS management is related to the optimization of systems in contrast with IT management that deals with the maintenance of hardware. Apart from this, IS is concerned with the development of IS policy that goes along with vast business aims and claims its specified functions, but IT focuses on framing the necessity to be determined. Conclusion Subsequently, for a swift approach towards the attainment of a refined and precise form of data and else to aid the researchers on a particular project of interest, MIS becomes the ultimate idea of productivity. MIS is of great help for the organization that it leaves a great influence on the developer’s performance, roles, and ultimately efficiency MIS provides help in subsequent phases to the managers and thus, in turn, provides great assistance, to come up with a perfectly planned policy. Alternative Answer Information Systems Management Information Information can be said to be a set of facts that are either earned or provided concerning someone or something. Alternatively, it can also represent processed that that is represented or conveyed by a specific sequence or arrangement (McKinney Jr, & Yoos, 2019). In retrospect, it can be regarded as the process of resolving uncertainty through the answering of the question, “what is an entity.” The information thus gives meaning to the nature and essence of its characteristics. Depending on the context, information can partake in different meanings related to the notions of communication, education, control, data, understanding, stimuli, perception, and entropy. Data Data, also perceived a raw material, is a group of values that contain wither qualitative or quantitative variables concerning a single or multiple objects or individuals. In as much as the terms data and information and more often used interchangeably, the terms possess different meanings in technology, with the most common being data acting the initial raw content before being processed into information (Computer Hope, 2019). Data can be presented in an unprocessed form such as words, numbers, and symbols
[SOLVED 2023] Post a summary of the interview and a description of the communication techniques you would use with your assigned patient
Post a summary of the interview and a description of the communication techniques you would use with your assigned patient Post a summary of the interview and a description of the communication techniques Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor. To prepare: With the information presented in Chapter 1 of Ball et al. in mind, consider the following: · By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment. Case C 38-year-old Native American pregnant female living on a reservation · How would your communication and interview techniques for building a health history differ with each patient? · How might you target your questions for building a health history based on the patient’s social determinants of health? · What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks. · Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. · Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient. · Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. By Day of Week 1 Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. EXPERT ANSWER AND EXPLATION: Building A Health History A Brief Summary of the Interview This interview involved a 38-year-old Native American pregnant woman residing on a reservation. The woman had come to the health facility to check up on health during the pregnancy period. The interview found that this woman was four weeks pregnant, and this pregnancy was her third one. The interview also revealed that her second birth was in the form of a cesarean section. During the interview, it was found that the patient’s family has a history of twins. She has brothers who are identical twins. When asked if she has ever suffered any chronic condition, she said no. In terms of financial capability, it was found that the patient’s income was 100% above the federal poverty level. She is working as a librarian assistant in one of the state libraries in her region. She also has an insurance package from Indian health programs. Through the interview, it was found that she has never had a blood transfusion, no history of tuberculosis, and it allergic to penicillin medication. She also said that after this child, she would like to undergo family planning program that can take her to her menopause period because she does not want to conceive again. Communication Techniques to be used by Assigned Patient The first technique that I would use with my assigned patient is offering her a genuine smile. Arnold and Boggs (2019) mention that a genuine smile can immediately convey openness and warmth. I would use this technique to lobby the patient to be open with me and to know that I will be real with her. Also, a genuine smile will help be build trust with the patient. The second technique is asking the right questions. This technique will be used to understand the thoughts of the patients and to learn new things about her. Open-ended questions will better fit this patient and allow her to express herself clearly (Brooks, Ballinger, Nutbeam, Mander and Adams (2018). Another technique I will use with the patient is active listening. This technique will help me understand what the patient is saying. Janssen, Ruiter and Waters (2018) argue that active listening can also show that the communicator is empathetic. The last technique that will be used to connect with the patient is to provide feedback when needed and receive the one given diligently (Turkelson, Aebersold, Redman & Tschannen, 2017). When one provides feedback, it can show that he or she takes the other person seriously. The Risk Assessment Instrument Selected The instrument selected to assess risk in this scenario is the Historical, Clinical, Risk Management-20 (HCR-20). This tool is often used by psychological professionals to assess the level of violence and psychological problems the patients are undergoing. Cheng, Haag and Olver (2019) mention that marital violence is reported more in native American nations more compared to other parts of the country. This tool will be applicable to this patient because it will be used to assess if the patient is stressed about the type of birth she had previously. Also, the tool will be used to assess if the patient is undergoing any violence, either physically or mentally (Shepherd, Campbell & Ogloff, 2018). The Targeted Questions When last did you see your menstrual cycle? Is this your first pregnancy? Have you ever suffered any chronic condition? Have you ever had any major surgery? Does your family have any history of twins? References Arnold, E. C., & Boggs, K. U. (2019). Interpersonal Relationships E-Book: Professional Communication Skills for Nurses. Elsevier
[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 2023] Select one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning
Select one of the case studies below, and include discussion of your strategy for winning Develop cooperative relationships with clients when teaching concepts concerning pathological states to individuals and families Select one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.to include cellular metabolism in the content. Each case study has component of cellular injury so be sure to find sources to support. Other concepts that may be applicable are oxidative stress, free radicals and cellular injury/apoptosis. Requirements Make sure all of the topics in the case study have been addressed. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content. All sources must be within five years. Do not use .com, Wikipedia, or up-to-date, etc., for your sources. Case Study 4 Disorders of Acid–Base Balance Shauna is a healthy, fit 28-year-old who decided to go on a 2-week tour of Mexico for young singles. One hot afternoon in a small market community, she grabbed some fruit juice from a street vendor. Several hours later, she developed abdominal cramping and diarrhea. The diarrhea became so severe that she missed 3 days of the tour and stayed in her hotel room. By the end of her illness, she felt weak and tired. Her head ached, but the mild fever had disappeared, and she was able to join her new friends for the rest of the tour. What is the acid–base imbalance Shauna might have experienced and its etiology? What are the functions and importance of the bicarbonate buffer system in the body? Assignment Requirements: Before finalizing your work, you should: · be sure to read the Assignment description carefully (as displayed above); · consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and · utilize spelling and grammar check to minimize errors. · Your writing Assignment should: · follow the conventions of Standard American English (correct grammar, punctuation, etc.); · be well ordered, logical, and unified, as well as original and insightful; · display superior content, organization, style, and mechanics; and · use APA 6th Edition format as outlined in the APA Progression Ladder Developing Patient Cooperation: Acid-Base Balance Disorders Expert Answer and Explanation Shauna’s Acid-Base Balance Disorder Metabolic acidosis Shauna goes on a two week tour of Mexico, a known dry area, and she partakes of fruit juice on one hot afternoon thus ending up developing diarrhea and abdominal cramping. To put this into context, the region visited by Shauna is a hot and dry place, which predisposed her to dehydration and its effects. This is not helped by the fact that when she eventually gets thirsty and decides to take fruit juice, she develops diarrhea, which further enhances the fluid and electrolyte loss off her body. It is because of the ensuing dehydration and electrolyte imbalance that she feels tired and experiences a mild headaches. Metabolic acidosis has been defined by Ewesson (2015) as a ‘clinical disturbance characterized by an increase in plasma acidity.’ It is one of the commonest acid- base balance disorders and is usually a sign of an underlying disease process. The basic mechanisms by which this disturbance arises is when the levels of hydrogen ions in plasma (which confers acidity) increase or the levels of bicarbonate ions (that provides the basicity) is reduced (Schricker et al., 2019). This, while might be read into as a straightforward process, is rather quite the opposite as the processes leading to the disturbance involves an array of respiratory and renal changes in function in an attempt at compensation of the initial pathological insult, with the disturbance only coming in as the end point of failure of the compensatory processes (Schricker et al., 2019). Etiologically, causes of metabolic acidosis include ketoacidosis, lactic acidosis and chronic renal failure. Diarrhea, however, is the most common cause Ewesson (2015) and has been found to result from the disruption in the sodium- potassium and bicarbonate-chloride exchange mechanisms in the large bowel. In acute non-infectious diarrhea, such as the one Shaun experienced, involves loss of sodium and bicarbonate ions in stool leading to hyponatremic, hyperchloremic acidosis (Urso et al., 2017). There is usually no additional anions getting into the plasma at the time, and hence this acidosis is termed normal anion gap metabolic acidosis. Clinically, it presents as respiratory distress (Kussmaul’s breathing), lethargy due to the dehydration, neurological deficits such as confusion, coma and death as well as cardiac arrhythmias due to the ensuing hyperkalemia (Kumar, Abbas & Aster, 2017). Functions and Significance of Bicarbonate Buffer The bicarbonate buffer is the most important extracellular physiological buffer (Ewesson, 2015). It derives its importance from its being an open ended system of buffering where no equilibrium is achieved. This infers that, for the other physiological buffers such as proteins and hemoglobin, the extent of their buffering is only as viable as long as equilibrium between the base and the weak acid is not achieved. The bicarbonate one, however, represents an open system in which the body is able to regenerate extra bicarbonate when needed as well as eliminate excess through the kidneys thus ensuring the bicarbonate system is in a continuous state of turnover (Ewesson, 2015). In state of inadequacy, the body is able to synthesize bicarbonate ions from cellular reactions in the proximal tubular cells to avert metabolic acidosis. When in excess, the stimuli for their absorption in the proximal convoluted tubule is diminished, leading to their increased losses in urine with subsequent urine alkalinization (Schricker et al., 2019). This averts metabolic alkalosis. Noteworthy too is the fact that the bicarbonate anion is the central regulatory buffer that forms an integral link between the renal and respiratory systems as regard matters acid-base balance (Thomas, 2017). That, again, is another aspect that renders it an open system and makes it as powerful since measured compensatory responses of one of the two systems comes in to rectify a pathological response by the other, always (Thomas, 2017).
[ANSWERED 2023] Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course
Students are required to maintain weekly reflective narratives throughout the course Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences: New practice approaches Intraprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course. While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Expert Answer and Explanation Professional Capstone and Practicum Reflective Journal New Practice Approaches I am excited and nervous this week. Class started on the 24th May and I was still abroad because my return flight was canceled. I made it to the states three days after class started. I went right to work by reviewing class work and assignments due on week 1. I quickly realized that in this course student needed to plan early. I was overwhelmed the few days of class. I contacted my preceptor to check if she received an email from GCU to set up her thunder time account. She was very busy that day and was unable to check it. The following day, I met with her to facilitate setting up her account. She was successful. I started reading announcements, expectations and course requirements. By this time things starts to make sense. I then started working on assignments. On the other hand, planning to fulfil my 10 hours of clinical time for the week. I called my preceptor to know her availability on when she is going out to visit patients and my plan on how we can move forward in the course since its time consuming. Few clinical hours were done with preceptor, community and leadership. Interprofessional Collaboration Interprofessional collaboration is working with other professionals to accomplish the same goals. In nursing, interprofessional collaboration can be described as a situation where nurses work together with physicians, laboratory specialists, and other specialists to improve the health of a patient under their care (Reeves et al. , 2017). Interprofessional collaboration can ensure that patients receive quality and safe care because many qualified and experienced persons are working to ensure that they gain healthy status. Interprofessional collaboration can also reduce medical errors because it might promote healthy and effective communication between professionals working together (Tang et al., 2018). I have learned a lot about interprofessional collaboration in this week’s lesson. One of the things I have learned is that interprofessional collaboration cannot be achieved without effective and proper communication strategies. Communication is everything in interprofessional collaboration. Another thing I have learned is that for one to collaborate successfully with other professionals, one must be able to work in a team. Health Care Delivery and Clinical Systems A Healthcare delivery system can be defined as a collection of resources, institutions, and individuals to provide care services with the aim of meeting the target population. I have learned from this course that healthcare delivery has changed a lot. Most of the care delivery services are done using technologies. For instance, a preventive care service, such as the one focused on in this course can be delivered using technologies, such as social media and mass media tools, such as television. I have also realized that healthcare delivery in the current US health system is based on quality and not quantity. Healthcare delivery is currently done using a model known as a value-based model where nurses and other healthcare professionals are paid based on the quality of care they have provided and not the quantity (Putera, 2017). Another thing I have learned is that preventive measures, such as this capstone project can lower the cost of health care delivery by preventing readmissions and other factors increasing the cost of health. Ethical Considerations in Health Care Like any other sector, healthcare industry is also guided by various ethical considerations. My capstone project will be based on many ethical considerations. One of them is informed consent. The project will involve educating geriatric patients about proper handwashing techniques. Hence, the patients should give their consent before being included in the project. My role in this situation is explaining to the participants the purpose of this projects, how the results will be used, and who will view their private information. The information will help the participants make informed decision regarding the project they want to join. Another ethical consideration that will be included in the project is justice. Adashi et al. (2018) note that justice is one of the ethical principles in Belmont report. According to the authors, researchers should ensure that they observe equality when handling participants and including them in their report. Practices of Culturally Sensitive Care The US is one of the countries expanding rapidly in terms of culture. Dyble (2018) notes that more than 37% of the American population come from the minority racial groups. Nurses are therefore needed to remain as culturally sensitive as possible to provide just and equal care to all patients regardless of their ethnic groups. As a nursing project, this capstone activity should also remain as
A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services
A 27-year-old patient with a history of substance abuse is found unresponsive by emergency Discussion: Alterations in Cellular Processes At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally. Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. To prepare: By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Scenario 4: A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L. By Day 3 of Week 1 Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response. Expert Answer and Explanation Alterations in Cellular Process Role of Genes in the Disease According to a study done by McCance and Huether (2019), genetic variables contribute to the commencement of addictive substances and change from use to addiction. The authors also note that 40 to 60% of one’s vulnerability to substance use is accounted for by genetic factors. Another research by Muro (2018) found that PSD-95 is a specific protein gene that connects learning, memory, and addiction. The researchers also found that mice with a low rate of PSD-95 could not find their way out of the maze easily and were highly sensitive to cocaine. The study also found that a higher amount of PSD-95 gene made mice more sensitive to alcohol, nicotine, heroin, and morphine. Another gene that is responsible for addiction is the DARPP-32 gene. Abbasian, Lockington, Megharaj, and Naidu (2016) report that when DARPP-32 was extracted from mice, it failed to respond to hard drugs. Therefore, the 27-year-old is addicted to drugs because he inherited either DARPP-32 or PSD-95 from his family. Reasons for Presenting Described Symptoms Opioid overdose may cause effects, such as slow breathing, blue skin from poor blood circulation, small pupils, respiratory failure, lessened alertness, confusion, and loss of consciousness. This patient was unresponsive because he may have used opioid drugs in excess. The former is evident because he became responsive after receiving naloxone treatment. Naloxone is a non-addictive medication used to treat patients with opioid overdose to neutralize life-threatening depression of the respiratory system and central nervous system to allow the patient to regain normal breathing (Zhang, 2019). The medication only works when one’s body has opioid substances. The burning pain is the side effect of naloxone. The presence of necrotic tissue on the forearm and greater trochanter was due to fall when the patient was unconscious. Physiologic Response The physiological response is an involuntary reaction triggering a physical response to stimuli. An example of a physiologic response is fight or flight response. The physiological response can manifest itself through shaking, dry mouth, faster breathing, sweating, panic attacks, and heart palpitations. Abbasian et al. (2016) mention that one of the physiological responses to opioids is slowing the functions of the GI tract. Opioids may slow down the GT tract’s functioning by inhibiting the release of acetylcholine from the motor neurons. As a result, the victim may experience low excretion. Other physiological responses to opioid include dilatation of pupils, increased breathing, heart rate changes, and blood pressure, sweating, changes in body temperature and skin, and piloerection (Liu & Tang, 2020). Cells Involved Various cells are involved in physiological response. Dark, clear, and myoepithelial sweat cells are some of the cells involved in the process. When one feels the urge to abuse opioids, the brain will send a message to the cells above to produce sweat as a response. Other cells involved in the process are brown adipose tissue (BAT) and thermogenesis. These cells will either increase or reduce body temperature to respond to the urge to abuse opioids. The neurons in the hindbrain known as medulla and pons are the cells that regulate how one will breathe in the response of opioid stimulus (Liu & Tang, 2020). Overall, all these cells must be coordinated by the central nervous system. How another Factor can Influence the Response Genes will change how one response to opioids. For instance, a person with either DARPP-32 or PSD-95 will show physiological response symptoms when presented with opioids while the individual without the genes will not show any signs. References Abbasian, F., Lockington, R., Megharaj, M., & Naidu, R. (2016). A review on the genetics of aliphatic and aromatic hydrocarbon degradation. Applied biochemistry and biotechnology, 178(2), 224-250. https://link.springer.com/article/10.1007/s12010-015-1881-y Liu, N., & Tang, M. (2020). Toxic effects and involved molecular pathways of nanoparticles on cells and subcellular organelles. Journal of Applied Toxicology, 40(1), 16-36. https://onlinelibrary.wiley.com/doi/full/10.1002/jat.3817 McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis,
[ANSWERED 2023] Visit two e-commerce websites of your choice, and apply the social marketing process model (outlined on pp. 431–432) to both. Critically compare and contrast the effectiveness
Visit two e-commerce websites of your choice, and apply the social marketing process model Visit two e-commerce websites of your choice, and apply the social marketing process model (outlined on pp. 431–432) to both. Critically compare and contrast the effectiveness of these sites in terms of the dimensions of the social marketing process. Address the questions below in your paper. How well do these sites acquire fans, generate engagement, amplify responses, create a community, and strengthen their brands? What recommendations can you make for these sites to improve their effectiveness at a global and local level? Your paper must be at least three pages in length; the title and reference pages do not count toward meeting the minimum length requirement. Make sure your essay follows APA format. You must use a minimum of two external sources, which can include the two websites that you choose to review. Expert Answer and Explanation Ecommerce Based Ecommerce websites serve as the facilitators of efficiency in product acquisition using online solutions. Amazon is an example of an ecommerce website that allows customers to acquire goods of all types from the comfort of their homes (Giraud, Thérouanne, & Steiner, 2018). This essay explores two of the most popular ecommerce websites, Bliss and New Chapter, using the social marketing model and critically assesses the effectiveness of the dimensions of the sites using the social marketing process. How the Sites Generate Engagement, Acquire Fans, Amplify Responses, Strengthen their Bands and Create a Community New Chapter is a P&G brand that focuses on providing fitness solutions to a different range of customers. One of the ways in which the site generates engagement is by providing a personalized experience for the customers, making them fulfil their responses in an easy way. Specifically, customers who visit the site to seek fitness solutions can access their own-adventure experiences and hence fulfilling all their prospects through the products of the company. To strengthen the company brand, the website offers rigorous A/B testing geared at generating the best user experience (Li et al., 2017). The website also uses categorization through things such as allowing visitors to access supplements based on their tastes, nutritional value and dietary needs. Lastly, the brand acquires fans and creates a community by having the relevant education that allows visitors to understand the way nature and benefits of their different products. Bliss, on the other hand, generates engagement through its excellent design. It takes the form of an energizing and youthful spa shop in which it has bright colors that encourages exploration, engagement, and purchase. The color scheme and the photography employed in the website helps the customers to understand the products in a better way. Also, the ecommerce website has a powerful way of creating a community and acquiring fans through the presence of interactive social bases. Recommendations to Improve the Sites at Global and Local Level Both websites can improve in a large way at a local and global level through several changes. The first one is reducing the procedures involved in the checkout system. One of the reasons why Amazon is preferred by many customers is the fact that one does not have to go through a lot of trouble in the checkout of products. Bliss and New Chapter require users to upload much of their details before making a payment, and this may discourage users who are sensitive about submitting their personal financial data on ecommerce websites. Another improvement that could be employed by Bliss is introducing strategies of getting personal with the customers (Jindal & Sardana, 2020). New Chapter have a welcome message to anyone who visits the sites, and there is a window in which customers can be directed to the specific products they need. Bliss should treat customers in the website like people who visit a warehouse that is not labelled, and hence need direction, and this way, they would achieve more customer engagement. Lastly, both ecommerce websites need to improve their navigation through introduction of relevant filtering options. Most of the time, customers who fail to find the products they need within the first few minutes of search tend to give up the search (Agarwal & Agarwal, 2017). By improving the search options by adding relevant filters such as the price range and product types, these websites would be sure to improve their popularity at global and local levels. References Agarwal, D., & Agarwal, R. (2017). Indian E-Commerce Websites Not Obliged To Conduct Preventative Filtering For Listings Of Infringing Goods. Journal of Intellectual Property Law & Practice, 12(6), 462-464. https://doi.org/10.1093/jiplp/jpx068 Giraud, S., Thérouanne, P., & Steiner, D. D. (2018). Web Accessibility: Filtering Redundant And Irrelevant Information Improves Website Usability For Blind Users. International Journal of Human-Computer Studies, 111, 23-35. https://doi.org/10.1016/j.ijhcs.2017.10.011 Jindal, H., & Sardana, N. (2020). Web Navigation Prediction Based On Dynamic Threshold Heuristics. Journal of King Saud University-Computer and Information Sciences. https://doi.org/10.1016/j.jksuci.2020.03.004 Li, P., Wu, C., Zhang, S., Yu, X., & Zhong, H. (2017). Mining Users’ Preference Similarities In E-Commerce Systems Based On Webpage Navigation Logs. International Journal of Computers Communications & Control, 12(5), 661-676. https://doi.org/10.15837/ijccc.2017.5.2565 Websites https://www.blissworld.com/ https://www.newchapter.com/ 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 Social Media Marketing Examples: 8 Companies Doing It Right Social media has become a vital part of every business’s marketing strategy. It offers a unique opportunity to engage with customers, build brand awareness, and drive sales. In this article, we’ll take a look at 8 companies that are doing social media marketing right. From big brands to small businesses, we’ll explore how they use social media to achieve their marketing goals. Introduction In this section, we’ll define social media marketing and its importance for businesses. We’ll also discuss the benefits of using social media for marketing. What is Social Media Marketing? Social media marketing is the use of social media platforms to promote a brand, product, or service. It involves creating and sharing content
[SOLVED 2023] Developing employees through the implementation of training and development opportunities
Developing employees through the implementation of training and development Unit IV Essay Developing employees through the implementation of training and development opportunities is a primary function of human resource management (HRM). Performance measurement and appraisals are one way to determine what type of additional training is needed to ensure employee success. Imagine that you have been hired as the human resource manager at an organization where you have previously worked or are currently working. Your first task is to assess areas for improving training and development and the performance appraisal system within the organization. Write an essay on your analysis of these two areas. Address the questions below in your assignment. Use headers to organize your paper and show what you are covering in your assignment. Training and Development Analysis What are the steps of the new hire training process? Are there any steps missing that you would add? As the human resource manager, how would you evaluate the training needs of your staff? How can you ensure that the training you would provide is effective? What data might be used to make your conclusion? What considerations would you make for employee learning styles? How would future training and development be impacted through human resource planning? Do you have a plan to shape employee behavior within your organization? Why, or why not? Performance Appraisal Analysis As the human resource manager, what are two best practices you would follow when planning for employee performance appraisals? What performance methods would you choose over other methods? What are two of the common problems with appraisals? How would you avoid them in your organization? What components do you think are required for effective human resource planning? Be sure to include an introduction. Support your essay with a minimum of two references. Your essay must be at least two pages in length, not counting the title or reference pages. Adhere to APA style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. EXPERT ANSWER AND EXPLANATION Unit IV Essay In my former job, a thorough process was put in place to ensure that all new hires were conversant with the organizational culture and their tasks. Observably, the company invested a lot of time and resources in training new workers, and it was clear to see the results through the high performance of the workers. However, if I was rehired in the organization, there are different aspects of the process I would change to make it more accommodating to different employee skills. Training And Development Analysis Steps Of The New Hire Training Process The first step in the organization was to identify the training needs of the employees. The needs were mainly gotten from the job requirements. After identifying the needs, the employees were trained on how to perform them and how they can ensure they abide by the organization’s structure. After the training, the employees are given various tasks to complete post-training, and any questions asked are answered (Amegayibor, 2021). In training, I would add the importance of being innovative in the job to encourage evidence-based practice. How I Would Evaluate The Training Needs Of The Staff As a human resource manager, I would evaluate the training needs of the staff by observing their performance. There needs to be retraining in areas where employees do not perform well or as expected. Moreover, it is essential to constantly train employees, especially when there is a system change at the workplace (Amegayibor, 2021). This ensures that they can adapt to the changes efficiently and effectively. I would also evaluate the needs by asking them what they need more training on, as this would guarantee increased productivity on the issue. How To Ensure That The Training Is Effective To ensure the training is effective, I would collect data on their previous and later performances. If there is no improvement in the performance, I would know that the training was unsuccessful. However, if there were positive changes in the performance, I would know that the training is practical. Considerations For Employee Learning Styles Employees have varying learning styles, and incorporating them ensures that they can all understand what is needed in their performance. To ensure that all employees are included, Io would have varying options, including visual, audio, kinesthetic and reading. The employees would choose their preferred training method for better success. Plan To Shape Employee Behavior It is crucial to shaping employee behavior to ensure that it is in line with the goals and organizational structure of the company. Some employees tend to be arrogant, especially if they consider themselves good at their job (Mahadevan & Yap, 2019). I would shape their behavior to ensure that they are always ready to cooperate in their workplace. Performance Appraisal Analysis Two Best Practices When Planning Employee Performance Appraisal In a performance appraisal, a company can understand how the employee has contributed to the company’s development. One commendable practice in performance appraisal is creating a 360-degree feedback initiative. Through the initiative, employees get anonymous feedback from their coworkers, managers and other people they interact with (Hosain, 2016). Through the feedback, they can determine how their performance was and areas of improvement. It is, however, important to only use measurable numbers because of the employee does not get along with a coworker, they can quickly receive a negative review. Another practice is providing concrete examples of the performance. It is important to highlight both the positive areas and the areas that need improvement. This will ensure that the employee perceives the change positively, and while they are proud of their achievements, they are willing to work on improving various areas of performance. Why I Chose The Performance Methods Over Other Methods The two methods discussed are integral to understanding the employee’s performance in real-time. Employees can keep up a face of good performance to the managers, but the people interacting with the employee daily understand the actual performance (Hosain, 2016). By