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Michele Seibler

Yesterday Oct 11 at 8:42am

Option 1

I was a bit unclear on what a bureaucracy was until this week's lesson and readings. From what I understand and according to the text, a bureaucracy is a complex and hierarchal organization where several offices, each with a specific task, have a clear chain of command, and appointment and advancement of personnel are based on merit. A bureaucrat is someone who works for a bureaucracy (Greenberg & Page 2019, pg. 366). Bureaucracies are all around us – the DMV, financial organizations and insurance companies are a few examples. After understanding what a bureaucracy is, I think they can both help and hinder my life. Bureaucracies are something that we need to live as citizens of the United States, but often they have rules and regulations that can be a hinderance in many aspects of our lives. The rules and decisions of bureaucracies seem to be made without the public's best interest in mind, and the public often isn't involved in decision making. They all revolve around money. They are often unclear with the public, leaving people confused and overwhelmed with things they don't understand. It can take months to resolve certain issues or get question answered. Processes that should be simple can be very stressful. John Launer wrote an article titled “Battling Bureaucracy,” which is what it feels like sometimes. He explains how he jumped through hoops with bureaucracies trying to help a friend get money back. One of the things he said a couple of times in the article was “money problems figure more in peoples' lives than medical problems, especially now that we're in a serious cost of living crisis” (Launer 2023). One thing that is a large issue in bureaucracies is communication. These organizations are not good at communicating with the public; it often feels as if you're trying to talk through a wall. You could talk to one representative and have them tell you one thing, then speak to another and find out something completely different. This makes everyday things, like dealing with insurance companies, very stressful and difficult. If these bureaucracies can become more transparent with the public, it would help tremendously and there would be less confusion and frustration. 

References

Greenberg, E. S., & Page, B. I. (2019).
The Struggle for Democracy, 2018 Elections and Updates Edition (12th ed.). Pearson Education.

https://ambassadored.vitalsource.com/books/9780135246863


Links to an external site.

Launer, J. (2023). John Launer: Battling Bureaucracy.
BMJ: British Medical Journal (Online).

https://doi.org/10.1136/bmj.p206


Links to an external site.
 


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risk of various health problems

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist patients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the patient. Support your response with evidence-based literature.

Nursing M1 assignment 1 response

What matters at the end of life and Palliative care, a  different voice in healthcare. There are two Utube videos above and you  need to pick only one and tell about it. Here is what you can report on:

a) What is the subject that the speaker is covering?

b) Does it effect the ideas that you have already about palliative care?

c) It is very important for someone to think about and be able to  converse about the subject of death and dying if they are considering  working as a nurse in this area. Why would that be?

W3 Self assesment

please follow all directions

Nursing week 5 abstract assignment

Week 5 Abstract, Significance, and Summary

 This week, you will submit the final portions of your paper for review. Please make sure to review all of your instructor's feedback and prepare your research for final submission in week 7.  

Abstract

The abstract is generally used as a searchable, comprehensive overview of your research. When online databases search research, they pull keywords from the abstract. Compose the abstract for your research project. Your abstract should be one page in length, and include the following:

· Describe the research problem and why it is important. 

· Identify the purpose of the study. 

· State the theoretical foundations and/or conceptual frameworks, as appropriate. 

· Summarize the key research question(s). 

· Describe, concisely, the overall research design, methods, and data analysis procedures. 

· Conclude with a statement on the implications for positive social or institutional change.

Your abstract must be a clear and concise overview of your research that would be easily searchable if you were to publish in a journal. 

Significance and Summary 

In 3–4 pages, summarize your study. Provide a summation of evidence (referencing your literature) that the problem is current, relevant, and significant to the discipline. Reiterate the gap in the literature and how your project contributes to social or organizational change in nursing and nursing education.

Within your summary, state the significance of your research by identifying potential contributions of the study that advance knowledge in the discipline. This is an elaboration of what the problem addresses. Provide a strong “take home” message that captures the key essence of your research.

Lastly, describe recommendations for further research that are grounded in the strengths and limitations of the current research as well as the literature you reviewed. Ensure recommendations do not exceed the research boundaries.

Review the rubric for grading criteria.

Points Possible: 50

NURS_692B_DE – NURS 692-B Week 5 Abstract, Significance and Summary Rubric

NURS_692B_DE – NURS 692-B Week 5 Abstract, Significance and Summary Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome Abstract

15 to >12.3 pts

Meets Expectations

The abstract is one page in length and describes the research problem and it's importance. Expertly identifies the purpose of the study, the theoretical foundations and/or conceptual frameworks, as appropriate, summarizes the key research question(s) and describes, concisely, the overall research design, methods, and data analysis procedures. The abstract is concluded with a statement on the implications for positive social or institutional change.

12.3 to >11.25 pts

Approaches Expectations

The abstract is one page in length and meets most of the abstract criteria however may be limited in one area or missing key components that deter the abstract from it's intention.

11.25 to >8.85 pts

Falls Below Expectations

The abstract is significantly less than one page in length or it is too long and does not meet most of the abstract criteria. There are significant missing key components that deter the abstract from it's intention.

8.85 to >0 pts

Does Not Meet Expectations

The abstract is not present or is grossly erroneous.

15 pts

This criterion is linked to a Learning Outcome Significance and Summary

25 to >20.5 pts

Meets Expectations

The significance and summary section includes an overall summary of the project’s main points the significance of the project to the nursing education profession, and recommendations for future research.The summation is 3-4 pages and provides evidence that the problem is current, relevant, and significant to the discipline. The summary reiterates the gap in the literature and how your project contributes to social or organizational change in nursing and nursing education. The significance of the problem is stated and correlated to potential contributions of the study that advance knowledge in the discipline. Provides a strong “take home” message that captures the key essence of your research. The summary concludes with recommendations for further research that are grounded in the strengths and limitations of the current research as well as the literature reviewed.

20.5 to >18.75 pts

Approaches Expectations

The significance and summary section includes an overall summary of the project’s main points the significance of the project to the nursing education profession, however may be limited in detail in some areas. The summation is less than 3 pages and provides some evidence that the problem is current, relevant but the significance to the discipline is questionable. There is not a strong strong “take home” message that captures the key essence of your research.There are limited recommendations for further research that are somewhat grounded in the strengths and limitations of the current research as well as the literature reviewed.

18.75 to >14.75 pts

Falls Below Expectations

The significance and summary section includes an overall summary of the project’s main points but is missing key required components, enough that the meaning of this final section is impeded and does not summarize the research effectively.

14.75 to >0 pts

Does Not Meet Expectations

The significance and summary section is not included or is severely limited in detail, in so much that it does not contribute to the research paper at all.

25 pts

This criterion is linked to a Learning Outcome Mechanics

7.5 to >6.15 pts

Meets Expectations

Information is well organized and clearly communicated. Assignment is free of spelling and grammatical errors.

6.15 to >5.63 pts

Approaches Expectations

Answers are well written or orally presented throughout, and the information is reasonably organized and communicated. Assignment is mostly free of spelling and grammatical errors.

5.63 to >4.43 pts

Falls Below Expectations

Answers are somewhat organized and lacks some clarity. Contains some spelling and grammatical errors.

4.43 to >0 pts

Does Not Meet Expectations

Answers are not well written or orally presented and lack clarity. Information is poorly organized. Assignment contains many spelling and grammatical errors.

7.5 pts

This criterion is linked to a Learning Outcome APA Format

2.5 to >2.05 pts

Meets Expectations

Follows all the requirements related to format, length, source citations, and layout.

2.05 to >1.88 pts

Approaches Expectations

Follows length requirement and most of the requirements related to format, source citations, and layout.

1.88 to >1.48 pts

Falls Below Expectations

Follows most of the requirements related to format, length, source citations, and layout.

1.48 to >0 pts

Does Not Meet Expectations

Does not follow format, length, source citations, and layout requirements.

2.5 pts

Total Points: 50

pn 11 clinical quetion

 

Clinical Question – Formulate a clinical question using the PICOT format.

P: Patient Population

I: Intervention or area on Interest

C: Comparison intervention or group

O: Outcome

T: Time

Ex: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?”

OFF-LABEL DRUG USE IN PEDIATRICS

The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

 To Prepare:

  • Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
  • Reflect on situations in which children should be prescribed drugs for off-label use.
  • Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

Write a 1-page narrative in APA format that addresses the following:

  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
  • Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
  • Walden University, LLC. (Producer). (2019i). Therapy for pediatric clients with mood disordersLinks to an external site. [Interactive media file]. Baltimore, MD: Author.

GI & Musculoskeletal

 

This Discussion has 2 parts:

  1. GI
    • Make a comprehensive list of relevant information to gather when assessing abdominal pain.
    • How do you assess for masses in the abdomen and how you would document such findings?
    • Describe your findings on a previous patient that you have encountered where you have palpated a mass in the abdomen.
  2. Musculoskeletal
    • Define, Compare, and Contrast the following conditions:
      • Osteoarthritis
      • Rheumatoid Arthritis

reply week 2



Adina Damian

I chose to discuss- Option 1

      News media has a significant influence on American citizens' lives. People rely a lot on the information received from the media, even though it may be partially accurate. In contrast with traditional news media, when things were much more straightforward, transparent, and honest, nowadays, there is so much unclear information out there that creates a vague and contradictory image of the government and politics. Since the traditional news media started to be owned by different corporations and organizations, the news has been shaped to favor a particular political party. It is acceptable that citizens have different political opinions because we are not the same, but when there is misleading and misinformation from news media, that is a serious problem. It does not help our society; contradictory, it promotes confusion and hostility among citizens.

    Most people need more time or skills to research facts, and they place significant trust and confidence in the news media to relay accurate information. I agree that citizens are uninformed about the government's standing and wait until a major issue shakes our society to voice their concerns or opinions. In 2018, Greenberg and Page stated,” individual Americans do not care a great deal about politics and are rather poorly informed, unstable in their views, and not much interested in the political process “(p. 10). Citizens are tired and frustrated with political uniformity, discouraging them from participating in the political process. But how can we change this? It is very complex. More restrictions and legal sanctions must be imposed on news channels and stations that report fake news. In addition, citizens must be accurately informed about the facts affecting our society and the political leaders' involvement in governance so they can make well-informed voting decisions.

 

References: 

Greenberg, E. S. & Page, B. I. (2018). The Struggle for Democracy, 2018 Elections and Updates Edition. (12th ed.). Pearson.

American Press Institute. Retrieved from:
www.americanpressinstitute.org

Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

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Learning Activity Content

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Health Promotion in Practice

Since the time of Florence Nightingale, nurses have recognized that they address the spiritual needs of their patients, but this still remains one of the most nebulous aspects of nursing care. When asked about providing spiritual care, most nurses know that they “do it,” but they have difficulty describing what “it” is. Even though major nursing and health care organizations emphasize the importance of nurses addressing the spiritual needs of patients, assessment questions are usually limited to obtaining information about a patient’s religious affiliation. Similarly, interventions often focus on initiating referrals to chaplains or other spiritual advisors for patients who have a religious affiliation. This approach may be adequate for some patient care situations, but it does not necessarily address the need for a spiritual connectedness that all humans experience. This chapter focuses on relatively simple actions that nurses can incorporate as an integral part of usual nursing care to identify and address the spiritual needs of their patients.

It is important to become comfortable discussing spiritual needs of patients because all humans have spiritual needs even though they may not identify with a religion. 

Let us consider the following scenario: 

You are a nurse manager working in a Catholic hospital, and you have been told by some of your nurses that the 'new hire RN' feels uncomfortable discussing religion with their patient because they do not have any religious affiliation. 

Discuss how you would, as the MANAGER of the unit, address their discomfort, and ensure they still feel a part of the team even if their religious affiliations are not the same as that of the institution. 

Key points to remember in your discussion are that many spiritual practices individuals engage in can be adopted to multiple scenarios and it is important to develop an inquisitive and open-minded approach when you listen to patients and colleagues talk about their religious practices.

Please remember for discussion posts: the initial post must be uploaded by the WEDNESDAY of the week and two replies to your peers by Saturday at 2359.

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.

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