Shock

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Please fill out the attached table 

YOUR LEADERSHIP PROFILE

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Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.

To Prepare:

Complete the StrengthsFinder assessment instrument, per the instructions found in this Module’s Learning Resources.

Please Note: This Assessment will take roughly 30 minutes to complete.

  • Once you have completed your assessment, you will receive your “Top 5 Signature Themes of Talent” on your screen.
  • Click the Download button below Signature Theme Report, and then print and save the report. We also encourage you to select the Apply tab to review action items.

Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific. Note: Be sure to attach your Signature Theme Report to your Discussion post. 

week 3 discussions

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Week 3 Discussion Forum

  • Why  is your research needed, and how will it affect social change or change  within your organization? Discuss the key people involved and how your  research will affect them.

etre

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Create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change.

In a PowerPoint Presentation, address the following.

1.
Title Slide

2.
Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.

3.
Practice Issue (1-3 slides)
: Describe the area of interest and practice issue/problem related to NP practice selected in week 2. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. Provide speaker notes. Provide scholarly references to support your ideas.

4.
PICOT Question (1 slide)
: Provide the PICOT question developed in week 2. Describe each element of your PICOT question in one or two sentences, being sure to address all the following:

1.
P-Population and problem – What is the nursing practice concern or problem and whom does it affect?

2.
I–Intervention – What evidence-based solution for the problem would you like to apply?

3.
C–Comparison – What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.

4.
O–Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.

5.
T–Time frame – What is the Timeframe involved for the EBP initiative or the target date of completion?

5.
Literature review (2-4 slides):Summarize the literature review completed in week 5. Discuss themes and special concerns. Discuss any unique insight or perspective offered from the literature. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which support the assertions presented.

6.
Recommendations (3 slides):

1. Slide 1: Identify the evidence-based recommendation for the identified practice change. Speaker’s notes should fully explain the recommended change and rationale for the change. Provide support from scholarly references to support the recommendation.

2. Slide 2: Identify the key stakeholders impacted by the recommended change. Speaker’s notes add detail.

3. Slide 3: Analyze the recommendation in terms of fit, feasibility, and appropriateness as discussed by Dang and Dearholt (2018), Ch. 8. Speaker’s notes add detail. *Note: information regarding stakeholders, fit, feasibility, and appropriateness may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.

7.
Conclusion: (1 slide)Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.

8.
References: Reference elements provided in APA format, may use bullets. Hanging indents not required.

HEALTHCARE INFORMATION TECHNOLOGY TRENDS

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HEALTHCARE INFORMATION TECHNOLOGY TRENDS

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

· Reflect on the Resources related to digital information tools and technologies.

· Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

· Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). 
Broadband internet access is a social determinant of health!Links to an external site.. 
American Journal of Public Health, 
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). 
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
 Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. 
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c). 

What is an electronic health record (EHR)?Links to an external site.
 Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). 
Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.. 
Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). 
Digital inclusion as a social determinant of healthLinks to an external site.. 
NPJ Digital Medicine, 
4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017). 
Evaluation tools to appraise social media and mobile applicationsLinks to an external site.. 
Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022). 
A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. 
Permanente Journal, 
26(3). https://doi.org/10.7812/TPP/21.156 

week 5

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Cassandra Birth

Yesterday Oct 2 at 11:04am

Bar code medication administration (BCMA)

 

Bar code medication administration (BCMA) is when the patient’s armband is scanned along with the medication, if they match, the medication may be administered (Hebda et al., 2019). This is new technology that helps prevent medication errors. BCMA and e-MAR ensures that the right patient receives the correct medication, this adheres to the 5 patient rights for medication administration (Naidu & Alicia, 2019, p. 511). The 5 patient rights for medication administration are right patient, right medication, right time, right dosage, and right route. While scanning the patient and each medication, if the e-MAR doesn’t recognize the medication for the patient, it won’t allow for the nurse to document that it was given. However, nurses still need to be aware of these pop-ups and place the medication aside because that medication isn’t supposed to go to that patient at that specific time and they need to figure out why. BCMA doesn’t completely prevent medication errors. Nurses still need to focus on the medications they are giving to their patients. Getting distracted by patients and their families can cause the nurse to misplace a medication when scanning them. Ensuring that all the scanned medications are the ones actually given to the patient is critical. Nurses still need to be aware that some medications may be the wrong dosage and may need to be split. They also need to be aware of vital signs and if the medication is still appropriate for the patient to take. Ethically this can be taking away some of the nurse’s autonomy of checking the medication name, dosage, and expiration date on the medication label. BCMA is supposed to reduce medication error, but nurses still need to be focused when administering medications. They need to ensure the patient is in the right condition to be taking specific medications. BCMA doesn’t take into consideration patients vital signs and stability to take a medication, so the nurse will have to still document “not given” in these scenarios. Patient armbands could also be ripped, or wet and unreadable to the scanner. Ensuring that the scanner is working properly and if something is wrong to fully check that it is the correct patient before administering the medications.

 

Naidu, M., & Alicia, Y. L. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. 
Health, 
11(05), 511-526. 

https://doi.org/10.4236/health.2019.115044


Links to an external site.

 

 

Hebda, T., Hunter, K., & Czar, P. (2019). 
Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

SOAP NOTE week 5

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Soap Note 1 is based on the Case Study # 1

1.Templates used from another classes will not be accepted. Student must use the template provided in this class which must clearly contain the progress note (in the Assessment section) of the encounter with the patient ( this section is clearly mark in bold, highlighted  and underlined). No passing grade will be granted if this section is not completed properly. 
2.Follow the MRU Soap Note Rubric as a guide
3.Use APA format and must include minimum of 2 Scholarly Citations.

4.Check for plagiarism,Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. Copy-paste from websites or textbooks will not be accepted or tolerated.
5.The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

6.The case study does not contain all the information related to the patient, so you must complete each step of the template according to the symptoms, signs, treatment, diagnostic methods, plan, education, etc. according to the patient’s diagnosis.

7. Attached you can find the rubric and SOAP note template. Also you can find one example.

nursing

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Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your an
 

DECISION MAKING PROCESS

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TOPIC : NURSING SHORTAGE

Decision-Making Process 

Instructions

In this assignment, you will be writing a 6-pages identifying, comparing and contrasting at least 3 DIFFERENT DECISION MAKING APPROACHES SOF CARE from a multidisciplinary perspective using a pertinent and significant topic ( NURSING SHORTAGE).

You are required to use APA 7th edition format and the page count does not include title page or reference page. Reflect on your own decision-making practices and the implications this will have regarding differing approaches taken of nursing leaders and staff nurses/clinical practitioners in decision making within to issues in practice. To complete this assignment, do the following:

  1. Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).
  2. Identify how you would expect a nurse leader/manager, a bedside/staff nurse and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 3different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that in this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance,one decision making model may apply to the bedside nurse; the second decision making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings,literature, clinical scenarios and other evidence-based and scholarly sources.
  3. Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision making model and how it would address the chosen topic or problem.
  4. Identify a possible funding source that would addresses your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state,or local organizations. For example: There are many grants available through the CDC,HRSA, etc. Again, this need to be specifically applied with sufficient details
  5. Use at least 10 references other than your main text.Uses APA 7th edition formatting. At least 5 of these need to be within the past five years.

NO PLAGIARISM MORE THAN 10 5 ALLOWED, ATTACH PLAGIARISM REPORT

GO FROM POINT 1 TO 5 , DON’T MISS ANY SECTION

CHECK YOUR GRAMMAR, MUST BE GOOD AND PROPER

RUBRIC ATTACHED

NO LATER THAN OCTOBER 12 , 2023

PLEASE REFER TO THE TOPIC NURSING SHORTAGE, FOCUS ON THAT TOPIC, NO OTHER TOPIC. 

Assessment 3 Project Implementation Plan and Logic Model

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ORAL HEALTH SERVICE EXPANSION (OHSE)
SAMPLE IMPLEMENTATION PLAN

Outline the activities required to provide new and/or expanded oral health services, including hiring/contracting at least 1.0 FTE new, onsite
licensed dental provider within 120 days of the Notice of Award. The Implementation Plan WILL count against the page limit. Applicants may
choose the focus areas and goals stated below or provide different focus areas and goals based on actions steps necessary for implementation of
the proposed OH project.

Goal
On separate rows, identify the goals for
each focus area. Goals should describe

measureable results.

Key Action Steps
Identify the action steps that

must occur to accomplish each
goal.

Person/Area Responsible
Identify who will be

responsible and
accountable for carrying

out each action step.

Time Frame
Identify the expected

time frames for carrying
out each action step.

Comments
As desired, provide

supplementary
information.

Focus Area: Create Operational Oral Health Site within 120 Days

Goal A1: Convert unutilized storage
space into two dental operatories. 1. Gut storage space 1. Contractor (TBD) 1. 30 days of award

2. Install plumbing and
electrical outlets 2. Contractor (TBD) 2. 60 days of award

3. Finish room (drywall,
cabinets) 3. Contractor (TBD) 3. 90 days of award

Goal A2: Order dental equipment. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Focus Area: Onboard Dental Providers within 120 Days
Goal B1: Create dental provider
recruitment plan. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Goal B2: 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

  • ORAL HEALTH SERVICE EXPANSION (OHSE)
  • SAMPLE IMPLEMENTATION PLAN