NURSING

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Student Instructions for i-Human Virtual Simulation

NR325/NR330 Eva Smith


PURPOSE:

The following information is to be used in guiding your preparation and participation in the virtual simulation scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.

SCENARIO OVERVIEW:

78-year-old female is being admitted to the neurology unit for observation and pain management.

LEARNER OBJECTIVES:

1. Define the components of a comprehensive nursing assessment. (CO1, 2)

2. Explain the approach for a comprehensive nursing assessment for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2)

3. Demonstrate an appropriate assessment for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2)

4. Distinguish between the treatment/interventions options for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 4, 6)

5. Recommend appropriate treatment/interventions for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 3, 4, )

6. Design an appropriate care plan for an older adult admitted to the neurology unit for observation and pain management of worsening headache. (CO1, 2, 3, 4, 6)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment. After completing your assessment, you are expected to document your findings as a nurses note in SBAR format.

KEY FEATURES OF i-HUMAN:

· As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Nursing Notes, Summary

· There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.

· Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

CONFIDENTIALITY:

To preserve the educational value, integrity, and safety of the learning environment, you agree to maintain strict confidentiality about the proceedings of the simulation session, details of the training scenarios, and the performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health Information (PHI) in client care environments.  You will not view, discuss, share, record, or disclose any confidential information pertaining to the session. You understand that lapses in confidentiality are considered academic misconduct and could result in dismissal from the academic program. 

 

FICTION AGREEMENT:

You will suspend judgment of realism for any given simulation in exchange for the promise of learning new knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a genuine desire to learn even when it may be difficult to do so.  

DUE DATE:

The virtual simulation must be completed during

Week 2
.

SIMULATION TIMING:

· Pre-simulation preparation: 30-60 minutes

· Pre-brief: 15 minutes

· Run Time: 2.75 hours

· Debriefing: 60 minutes

ASSESSMENT & EVALUATION

Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

A screenshot of a computer Description automatically generated with medium confidence

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

To prepare for the simulation, you are
required to complete the pre-simulation questions below and submit this prework to the faculty via uploading your Word document in Canvas prior to the start of the virtual simulation. If you do not complete the pre-simulation questions and upload them, you will

not
be able to access or participate in the simulation.

1. Create a list of specific nursing interventions to perform when a patient is a fall risk.

2. Describe the components of a neurological assessment and the expected findings for a client with a subdural hematoma.

3. What clinical findings/cues would a nurse anticipate for a client with:

a. Worsening neurological cues

b. Improving neurological cues

**Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided.

©2023 Chamberlain University LLC. All rights reserved.

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 1300 | Chicago, IL 60661

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YEN PART 2

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TOPIC: HIGH BLOOD PRESSURE

I have already completed PART 1 which is attached , for guide. This is Part 2 and must be as continuation of Part 1 , NOT A SEPARATED DOCUMENT

INCLUDE IN PART 2 FROM SECTION 5-9

5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2  paragraph. You may use bullets if appropriate).

6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph).

7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

9. Conclude the paper with a Conclusion paragraph. Don’t type the word “Conclusion”. Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph). 

Paper Requirements :

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

-3 PAGES PART 2 

-REMEMBER THE ASSIGMENT MUST BE A CONTINUATON OF PART 1 NOT A SEPARATED DOCUMENT

-DON’T BE MORE THAN 10 % PLAGIARISM IN PART 2 SECTION

-DUE DATE OCTOBER 12, 2023

Picot

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Give a 1 Page description of your clinical issue of interest Diabetes Type 1 . This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples 

question

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Original work, no plagiarism, Cite, Reference 3-4 paragraphs.

Below is a list of research studies, including the targeted sample population to be included in the study.  Select 
ONE of these studies/populations and discuss how you might apply tools of the principles of human subjects research (autonomy, justice, beneficence). Review the 

slides
 and/or these resources (
University of Virginia
Links to an external site.
 ; 
University of Northern Iowa
Links to an external site.
) to identify specific considerations for your population and study. Consider a specific focus on issues around 1) risk and protections from risk for the specific population, 2) informed consent and how this will be acquired, and 3) additional concerns and protections based on the population or study.  I am not looking for expertise in the research topic but how well you address the human subjects principles for a specific population.

1) Efficacy study of an exercise enrichment program for nursing facilities in reducing fall-related injuries among elderly residents

2) Folic acid supplementation for pregnant women to improve neonatal health outcomes

3) Motivational interviewing and peer counseling to reduce recidivism after incarceration among inmates in federal prison

4) Mixed methods approach to nutritional characterization among parents of young children in low-income households

5) Behavioral interventions to improve asthma-related health outcomes among youth aged 5-12

CASE STUDY #1

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Please help me with this assignment. The case study has been attached. 

Dehydration

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due 10-11-23 @10am

Reading Between the Lines: Emotions

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Edit your plan based on any instructor or collegial feedback from Week 4. Proof and finalize the plan. It should include the following information:

  • Company synopsis: This is a snapshot of the company, what it sells, and the number of employees.
  • Management’s philosophy on employee communication: An example of a management philosophy could be that any important communication about the company’s activities are shared internally before being shared externally on the Internet or in a news release.
  • Goals of the communication plan: One possible goal could be to help employees be more productive by establishing a clear and effective employee communication plan. The plan can be viewed as an organizational diagnostic that provides employees with consistent, accurate, and regular information about the company’s business goals and objectives.
  • Target audience characteristics: The plan should take into account cultural, gender, and linguistic differences to help employees understand the goals of the organization.
  • Communication tools: These can include various deliverables, including e-mails, newsletters, e-blasts, brochures, reports, conferences, employee meetings, and more.
  • Communication channels: Communication channels include internal and external Web sites, public relations venues, visits or speeches from management, and more.

This week, add the following sections to your final plan:

  • Review the evaluation methods for your plan. How will you communicate results to management on a regular basis? Consider a monthly report, management briefings, updates, and a yearly summary for board presentations.
  • Describe how you plan to deal with the negative emotions (from employees or other audience groups) that often accompany bad news or other information.

Finally, prepare the opening of the oral presentation that will describe your completed plan to management.

Presentation Notes

In your presentation notes, add 1 strategy for each of the following:

  • Reading the emotions of management: What to look for and how to respond
  • Dealing with any negative responses or emotions to the plan: Ways to resolve any possible conflict in the meeting
  • Finding approval for the plan: Continuing the meeting by moving past any negative emotions (resulting in a win-win for everyone involved)

Add your presentation notes to the end of the plan.

Provide 5–6 sources other than your textbook to support your answer. Use APA style for citations.

The materials found in the MUSE may help you with this assignment such as the presentation Emotions in Communication. 

Nursing Assignment

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WEEK 5

This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state's Advance Directives here 

http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.Links to an external site.

Complete the advance directive for yourself.  
Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

1. Identify where you obtained the AD and explain its compliance with state law.

2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.   

3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and
 subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

1. What is a 

Physician Orders for Life-Sustaining Treatment (POLST) formLinks to an external site.
?

POLST: Portable medical orders for seriously ill or frail individuals

2. When should this form be completed?

3. Who can complete the form?

4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN's important role in assuring the patient's right to autonomy in choosing the healthcare interventions the patient does or does not want.

____________________________________________

Use current APA Style.

The paper should be between 3-5 pages in length excluding the title and reference page(s). 

Cite and reference the course text and at least two (2) additional appropriate professional sources.   

NURS_521_DE – Feild Activity Paper

NURS_521_DE – Feild Activity Paper

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeContent

50 to >43.5 pts

Meets Expectations

Content is clear, thorough, and organized effectively. Main points are well supported. Meets all of the criteria of the written assignment.

43.5 to >37.5 pts

Approaches Expectations

Content is somewhat clear, thorough, and organized effectively. Some points are well supported. Meets most of the criteria of the written assignment.

37.5 to >29.5 pts

Below Expectations

Content is generally unclear, not thorough, and organized ineffectively. Main points are not well supported. Meets only a few of the criteria of the written assignment.

29.5 to >0 pts

Does Not Meet Expectations

Content is disconnected, unorganized, and does not meet the criteria of the written assignment.

50 pts

This criterion is linked to a Learning OutcomeClarity and Coherence

50 to >43.5 pts

Meets Expectations

Writing flows smoothly from one idea to another. Writer has taken pains to assist the reader in following the logic of the ideas expressed.

43.5 to >37.5 pts

Approaches Expectations

Sentences are mostly structured to communicate ideas clearly. Transitions between paragraphs make the writer’s points easy to follow.

37.5 to >29.5 pts

Below Expectations

Sentence structure and word choice sometimes interfere with clarity of content and distract the reader.

29.5 to >0 pts

Does Not Meet Expectations

Poor sentence structure, sentences do not make sense; no clarity evident in the paper.

50 pts

This criterion is linked to a Learning OutcomeReferences and Citations Within the Body of the Paper

12.5 to >10.88 pts

Meets Expectations

The required number of scholarly references is used and cited skillfully throughout the paper.

10.88 to >9.38 pts

Approaches Expectations

The required number of scholarly references is used but some may not be cited accurately or skillfully throughout the paper.

9.38 to >7.38 pts

Below Expectations

The required number of scholarly references is not used and most are not cited accurately or skillfully throughout the paper.

7.38 to >0 pts

Does Not Meet Expectations

References or citations are not included in the body of the paper and writing indicates none were used.

12.5 pts

This criterion is linked to a Learning OutcomeMechanics and APA

12.5 to >10.88 pts

Meets Expectations

The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

10.88 to >9.38 pts

Approaches Expectations

The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.

9.38 to >7.38 pts

Below Expectations

The assignment generally follows current APA format with several mistakes and grammatical, spelling, or punctuation errors. Most sources are cited and referenced incorrectly.

7.38 to >0 pts

Does Not Meet Expectations

The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Sources are missing.

12.5 pts

Total Points: 125

250 Nurse Evidence Based Discussion

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Due 9/25   12pm EST

250 WORDS not including title and reference APA

 

As you complete the gathering and evaluation of the evidence, it’s important to review the significance and next steps related to EBP.

Consider the following questions in your discussion post:

  • How does a nurse know what (if any) knowledge in a research study is usable for clinical practice?
  • What would a critical thinker look for in the evidence before deciding to change?
  • What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice?

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

  All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format. 

discussion reply 3

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provide further suggestions on how their database search might be improved. use 2 sources 

The PICO(T) question is, “Among hospitalized patients, does using two identifiers compared to one reduce medical errors?” My clinical issue of interest is the reduction of medical errors. Medical errors are gaps in care that bear potential or actual capacity to harm the patient, such as inaccurate diagnosis and incomplete diagnosis (Aljabari & Kadhim, 2021). These have the ripple effect of inappropriate investigations and treatment, then adverse care outcomes (Aljabari & Kadhim, 2021). Some solutions to medical errors include proper identification of patients, thorough history taking, and comprehensive physical examination. One evidence-based method for patient identification is using two identifiers rather than one (Mroz et al., 2019). Therefore, I am prompted to investigate whether using two identifiers compared to one among hospitalized patients reduces medical errors.

Search results discussion 

Regarding my search results, 19,600 articles appeared on the initial original search. As I added search terms such as two identifiers, one identifier, medical errors, and hospitalized patients using Boolean operators such as AND, NOT, and AND NOT, the number of articles appearing kept reducing. At first, they declined to 18,500, then to 17,200, and so on, in a declining trend.

Strategies to optimize database search on my PICO(T) question 

There are several strategies I can apply to optimize how effective a database search is while searching my PICO(T) question. These include having a specific search question, using Boolean operators, using more specific keywords, and using fewer synonyms (Degbelo & Teka, 2019). An example of a particular question is a PICO(T) question, which narrows down to a particular population, intervention, control, outcome, and timing. A more specific example is my PICO(T) question that reads, “Among hospitalized patients, does the use of two identifiers compared to one identifier reduce medical errors?” Besides, examples of Boolean operators are OR, AND, NOT, and AND NOT (Degbelo & Teka, 2019). Specific keywords, like particular search questions, direct the search further, optimizing it to give the best results. An example of keywords in my case includes “hospitalized patients,” “two identifiers,” “one identifier,” and “reduce medical errors.” Lastly, using fewer synonyms helps fetch more search results, broadening your search outcome and choosing relevant resources (Degbelo & Teka, 2019). Applying such strategies helps to make the search process more effective and thorough.

References

Aljabari, S., & Kadhim, Z. (2021). Common barriers to reporting medical errors. The Scientific World Journal, 2021, 1–8. https://doi.org/10.1155/2021/6494889Links to an external site.

Degbelo, A., & Teka, B. B. (2019). Spatial search strategies for Open Government Data. Proceedings of the 13th Workshop on Geographic Information Retrieval. https://doi.org/10.1145/3371140.3371142Links to an external site.

Mroz, J. E., Borkowski, N., Keiser, N., Kennel, V., Payne, S., & Shuffler, M. (2019). Learning from medical error: Current directions in research and practice on medical error prevention. Academy of Management Proceedings, 2019(1), 18084. https://doi.org/10.5465/ambpp.2019.18084symposiumLinks to an external site.