Based on your clinical practice area and location. What are some of the greatest cultural issues and trends that are frequently encountered? How do we as professional nurses rise to these challenges? Provide examples of cultural recognition and potential health-related issues while implementing evidence-based standards of care.
Respond to this discussion using APA format with two scholarly references
An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.
This patient has a history of malabsorption syndrome, which is the body’s inability to absorb necessary nutrients from an ingested food and will lead to protein, vitamin and electrolyte deficiencies. This may also be the cause of his generalized edema. many factors can lead to the diagnosis of this patient, such as the underlying condition of the patient, age and physicals factors.
Base of this patient age, the malabsorption syndrome can result from a genetical mutation that led to a disease such as atypic cystic fibrosis which is a genetic disease. Here, the patient inherits two defective genes from the DNA of each parent. Usually, the primary result of a genetic disease is the inability to produce a certain enzyme normally, which is a type of protein used to speed up or catalyze chemical reactions necessary for cell function (Pelliccia, J., 2022). This patient excessive water accumulation is due to his protein malnutrition. Individuals with low protein levels are unable to maintain a normal oncotic pressure; therefore, water is not reabsorbed into the circulation and, instead, causes body edema (McCance & Huether., 2019). Also, Low level of albumen will not help in term of holding salt or water.
This response occurred due to the patient’s lack of protein, starvation, and lack of a denture. Remember that food ingested without having been properly cut or chew will not be digested well. Edema is present due to the lack of protein in the blood. This patient’s albumen levels are expected to be low according to Suryawanshi, Vig, Masih, and Joseph (2018). Endothelial cell is responsible for the physiological response.
It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.
As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.
To Prepare:
The Assignment (5-6-minute narrated PowerPoint presentation):
Change Implementation and Management Plan
Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.
Your narrated presentation should be 5–6 minutes in length.
Your Change Implementation and Management Plan should include the following:
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media UploaderLinks to an external site. page. This page will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.
please follow directions, use the provide attachments for reference.
Please see the attachment for the instructions
As you learned from the chapter, reading, and video lectures, the cost of health care is a major concern in the US. As we discussed, value-based models promise to bend the cost curve in the right direction. The article you read by Erickson et al (2020) is mostly from the point of view of physicians so it is always a good idea to think critically about articles like this. Do you think that the authors present solid arguments in favor of what they propose? Do you think their point of view is similar to what you read and think about ways to decrease costs while increasing quality? Do you think that their point of view considers other health care-related professions?
write a critique of a research article. (example will be provided)
research article will be provided in pdf format.
research topic is “The Impact of Nursing Diversity in Patient Care on the Medical-Surgical Floor”
Please review previous work done and follow the rubric carefully and write each answer in different paragraphs with titles;
Rubric;
1. Is the research study relevant to the study of nursing, (be specific and include examples from the article)?
2. Is the method/design appropriate in terms of the research question/hypothesis? What was the research question/hypothesis? Was it clearly stated? Refer back to Polit & Beck (2021) (The Method Section). Key elements are discussed, and identification of items should be included. Provide a description of each of these key elements.
3. What is the theoretical context? See chapter 7 in Polit & Beck. The terms theoretical and conceptual frameworks are used interchangeably. Theories are used to describe, predict, explain, and to control phenomena. (Theoria is a Greek Word that means beholding or speculation).
“Theoretical frameworks provide the organization for the study. It guides the researcher in the interpretations of the results. the importance of the theory is dependent on the degree of research based evidence and level of its theory development. There are four levels of theory development 1) factor isolating (describe phenomena) 2) Factor relating (explain phenomena), 3) Situation relating (predict
the relationships between/among phenomena), 4) Situation producing (control phenomena and relationships
**If your article does not have a theoretical framework what do you suggest based on Polit & Beck Chapter 7?
4. Describe the results of the study (identify if they are believable or not)
5. Are the results significant? In what way-explain use examples?
6. Are the results transferable? How? Transferability refers to the readers of the research to make connections but invites readers of research to make connections between elements of a study and their own experience. Transferability does not involve broad claims. How does this research apply to YOUR specific practice as a Registered Nurse?
According to Brown (2005), Transferability can be enhanced by providing what is often referred to as thick description (i.e., giving enough detail so the readers can decide for themselves if the results
are transferable to their own contexts).
7. Implications for nursing practice, be specific how would this study impact nursing practice (use specific examples from the article)?
8. Implications for future research, be specific and use examples from the article.
9. The paper shall reflect a scholarly effort; proper grammar, coherence, spelling, and accurately use APA format. Have someone proof read your paper. Read your paper out loud to yourself.
Also check all the attachments.
Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed.
Respond at least 2 times each . The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.
Experiential Nursing Learning Planning Proposal
Assignment
20 points
Overview and Instructions:
Demonstrating the student’s ability to effectively collaborate with nursing leaders and community health nurses for the upcoming public/community health clinical experience, while using leadership skills as a means to prepare for the upcoming NURS 450 experiential nursing learning experiences, the student will submit an experiential learning planning proposal paper by 6-25-23.
During this course (410), you will plan your experiences that will take place during the NURS 450 course. Prior to due date, you will be responsible for contacting a BSN (or higher) preceptor for 24 hours in a public/community health clinical site for your upcoming NURS 450 course. The clinical site must offer community/population-based services, with the primary preceptor being a BSN (or higher) prepared nurse working in a clinical setting providing community or population-based care, while using nurse leadership skills. You will also arrange for 11 additional volunteer hours in a different public/community health setting. Within this module, you will find a list of potential experiential learning (clinical) sites that have been used by previous nursing students. This is not an all-inclusive list but does give the student an idea of previously used sites. Your precepted and/or volunteer experiential nursing learning (clinical) site does not need to be included in this list, as other public/community health sites can be arranged as well.
Experiential Nursing Learning Planning Proposal Grading Rubric
|
Criterion |
Excellent |
Satisfactory |
Unsatisfactory |
|
Determine the experiential nursing learning (clinical) precepted site (5 pts.) |
a. Description of the clinical site is clear and relevant, including location and demographics of location (include either community/county/city demographic data such as age, race, ethnicity, gender, income, education, etc.) and population served (2.5 pts.) b. Describes appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (2.5 points) |
a. Minimally describes the clinical site (1.25 pts) b. Minimally describes the appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (1.25 pts.) |
a. Description of the clinical site is unclear and/or irrelevant (0.625 – 0 pts.) b. Does not describe the appropriateness of the clinical site to a community/population health focus as well as application to nursing practice (0.625 – 0 pts.) *May receive (0) if description of clinical site and/or appropriateness is missing |
|
Describe the role of the BSN preceptor (5 pts.) |
a. Describes the role of the proposed BSN preceptor as a community/ population-based BSN prepared nurse and nurse leader (2.5 pts.) b. Describes the value of the nursing student having an experience with a BSN prepared nurse preceptor in general, and specifically with the proposed preceptor, integrating nursing standards of practice and how this relates to their role in adhering to the Standards of Practice while completing the nursing process during this public/community health clinical experience. c. (2.5 pts.) |
a. Minimally describes the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (1.25 pts.) b. Minimally describes the value of the nursing student having an experience with a BSN preceptor, does not integrate public health nursing standards of practice (1.25 pts.) |
a. Does not describe the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (0.625 – 0 pts.) b. Does not describe the value of the nursing student having an experience with a BSN preceptor (0.625 – 0 pts.) *May receive (0) if description of the role of the BSN prepared preceptor and/or public health nursing standards of practice are missing |
|
Explain the community service and volunteer public/community health setting (2.5 points) |
a. Explains the appropriateness of the community service/volunteer setting to a community/population health focus (2.5 points) |
a. Minimally explains the appropriateness of the community service/volunteer setting to a community/population health focus (1.25 pts) |
a. Does not explain the appropriateness of the community service/volunteer setting (0.625 – 0 pts.) |
|
Included |
a. Includes at least one professional research |
a. Includes article that lacked professional credibility (1.25 pts.) |
a. Fails to include professional journal article (0.625 – 0 pts.) |
|
Experiential Learning (clinical)agency/contact information for preceptor (2.5 pts.) |
a. Includes agency/contact information for BSN preceptor, including preceptor name, clinical site name, phone contact, address, and email contact (2.5 pts.) |
a. Includes partial agency/contact information for BSN preceptor (1.25pts.) |
a. Does not provide any agency/contact information for BSN preceptor (0.625 – 0 pts.) |
|
Writing Mechanics and APA formatting (2.5 pts.) *Must include American Nurses Association (2013). |
a. Demonstrates information literacy and proper writing mechanics through formatting, citing, and documenting a reference list for resources while displaying a proficient understanding of how to appropriately organize his/her work using headings per 7th ed. APA formatting. Must include · Title Page · Body of paper · Reference list (2.5 pts)(No page length requirements. Suggested page length of paper for the body of the paper is one to two pages in length.) |
a. Demonstrates information literacy through formatting, citing, and documenting relevant material but does not organize work using headings per 7th ed. APA formatting. Includes partial paper requirements. (1.25 pts.) |
a. Incorrect use of information literacy in formatting, citation, and documentation. Multiple errors in APA formatting. (0.625 – 0 pts.) |
|
Total Points |
20 points |
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