Research on Positive Impact on Nursing Diversity

How does nursing diversity lead to a positive impact on patient outcomes and healthcare quality? 

Please check the rubric ( minimum 6 pages) 

Dimensions of Nursing Practice

Activity Time:

1 hour

Additional Time for Study, Research, and Reflection:

1 hour

Directions:

In this discussion, emphasis is on awareness of client quality and safety and in particular what is a “culture of safety.”

Based on the review of the following websites at the Institute of Healthcare Improvement and Agency for Healthcare Research and Quality answer the following questions.

What values ensure a culture of safety?

How can healthcare facilities establish a culture of safety?

What is the nurse's role in maintaining a culture of safety?

Please make your initial post by midweek, and respond to at least two other student's post by the end of the week. Please check the Course Calendar for specific due dates.

Week 4 Literature review

After identifying the articles to be used in your literature review, conduct a critical analysis of each article and summarize the findings. The literature you choose should support your proposed
intervention. 

public health

 Give an example of community health needs assessment (CHNA) data from the organization where you have Practicum or Public Health clinical. Identify what their top findings were. 

nursing

 What would spirituality be according to your own worldview? How do you believe that your conception of spirituality would influence the way in which you care for patients? 

ASTHMA AND STEPWISE MANAGEMENT

Please see attached

Nursing concept analysis

  

This assignment is designed for the student to examine the antecedents, attributes, and consequences of a selected concept. The student will explore a concept, and then analyze the concept using Steps from Wilson’s Concept Analysis Walker & Avant, 2019, p.170.

case study 6

2

Generalized Anxiety Disorder
Middle-Aged White Male With Anxiety

Middle aged male

 

BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

RESOURCES

§ Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0

Decision Point One

Select what you should do:

Begin Paxil 10 mg po daily

Begin Imipramine 25 mg po BID

Begin Buspirone 10 mg po BID

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Patient EHR

Your patient has a Personal Health Record…Now what?

Discussion

Purpose

This week's graded discussion topic relates to the following Course Outcomes (COs).

Preparing the Discussion

· Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students:

· Demonstrate understanding of concepts for the week

· Integrate outside scholarly sources when required

· Engage in meaningful dialogue with classmates and/or instructor

· Express opinions clearly and logically, in a professional manner

· Use the rubric on this page as you compose your answers.

· Best Practices include:

· Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

· Enter the discussion often during the week to read and learn from posts.

· Select different classmates for your reply each week

Discussion Question

Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin's lymphoma. She was informed of this diagnosis in her primary care physician's office. She leaves her physician's office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician's office with this concern. The office staff discussed that she had part of her lab work completed at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor's office organization.

The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.

As you review this scenario, reflect and answer these questions for this discussion.

· What are the pros and cons of the situation in the case study?

· What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?

· Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)?

· What are challenges for patients that do not have access to all of the PHRs? Remember, only portions of the EHRs are typically included in the PHRs.

EBOOK to use for one citation:

· https://bookshelf.vitalsource.com/reader/books/9781323903148/epubcfi/6/492%5B%3Bvnd.vst.idref%3DP7001015544000000000000000002CB2%5D!/4/2%5BP7001015544000000000000000002CB2%5D/2/2%5BP7001015544000000000000000002CB3%5D/7:6%5B%20In%2Cter%5D

· email:
[email protected]

· Pwd: Leroyismyhero1#

let me know if you cannot have access to the ebook

Prof needs one citation from the ebook and one external citation

At least 2 citations.