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SOAP note peptic ulcer
As a baccalaureate-prepared nursing professional what role will you take to advocate for culturally diverse clients in your healthcare practice?
LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.
Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technological trends, informaticists and others have then benefited from consulting existing research to inform their thinking.
In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.
To Prepare:
· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
· Identify and select 4 peer-reviewed research articles from your research.
· For information about annotated bibliographies, visit
https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.
The Assignment: (4-5 pages not including the title and reference page)
In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:
· Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
· Include an introduction explaining the purpose of the paper.
· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
· In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
· Use APA format and include a title page.
· Use the Safe Assign Drafts to check your match percentage before submitting your work.
LEARNING RESOURCES
· 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
Bioethical
Decision
Making
Model
1. Define
the
dilemma:
Use
your
own
words
to
describe
the
problem.
State
it
in
a
way
that
others
can
quickly
understand
your
dilemma.
Review
2. Identify
the
medical
facts:
Describe
the
facts
that
are
relevant
to
the
dilemma.
3. Remember
that
the
diagnosis
and
prognosis
are
medical
facts.
4. Identify
the
non-‐medical
facts
(patient
and
family,
external
influences):
a. Patient
and
family
facts
such
as
culture,
religion,
social,
economic,
the
existence
of
an
Advance
Healthcare
Directive,
verbal
preferences
made
by
the
patient,
how
the
patient
lived
his/her
life.
b. Those
that
you
discuss
should
be
relevant
to
the
situation.
5. External
influences
include:
organizational
policies,
federal
and
state
laws,
practice
acts,
code
of
ethics.
These
should
be
relevant
to
the
situation.
6. For
both
step
2
or
3,
separate
the
facts
from
the
assumptions:
Sometimes
all
healthcare
professionals
allow
assumptions
to
guide
their
decision-‐making.
These
must
be
identified
so
that
these
assumptions
do
not
interfere
with
the
process.
7. Identify
items
that
need
clarification.
Your
paper
should
identify
facts
that
you
need
to
clarify.
When
initially
discussing
an
ethical
situation,
it
is
not
unusual
to
not
have
all
of
the
answers.
8. Identify
the
decision
makers:
Is
the
patient
an
adult
competent
to
make
their
own
choices?
Is
the
patient
a
child
who
is
old
enough
to
have
a
say
in
the
decision.
If
the
patient
cannot
make
their
own
decision,
who
is
the
decision
maker?
How
was
this
person
selected?
9. Review
the
underlying
ethical
principles:
Review
which
ones
and
why
they
apply
t
this
particular
case:
beneficence,
nonmaleficience,
veracity,
fidelity,
autonomy
and
justice.
10. Define
alternatives:
One-‐Way
to
proceed
may
be
apparent
at
this
point.
However,
sometimes
there
are
different
choices.
They
should
be
addressed
identifying
the
benefits
and
burdens
for
doing
one
thing
versus
the
other.
11. Follow-‐up:
Define
the
process
to
be
used
with
the
chosen
alternative.
Reference
Source:
Levine-‐Ariff,
J.
&
Groh,
D.H.
(1990).
Creating
an
Ethical
Environment.
Nurse
managers'
bookshelf
a
quarterly
series:
2:1.
Baltimore,
Maryland:
Williams
&
Wilkins.
41-‐61.
Respond to two of your colleagues’ posts by suggesting additional individuals and/or teams with whom you wish to collaborate or by offering additional networking strategies.
A little background on me , I am a registered nurse with 6 years of experience and currently completing my masters in nursing.
The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern of medication administration safety based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.
Use the Root-Cause Analysis and Improvement Plan [DOCX] Download Root-Cause Analysis and Improvement Plan [DOCX]template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.
Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
Respond to two of your colleagues’ posts by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.
Apa format
see attachment
Due October 18, 2023 @6PM
Name:
Introduction
Janet is a 38-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. Janet is 5 feet 4 inches tall and currently weighs 235 pounds. She works as an accountant sitting at a desk all day crunching numbers. Her days are long, and her job is stressful.
Janet states that she does not engage in regular exercise, feels tired, and does not have much time to prepare healthy meals. On her way home, she often stops for fast food take-out for herself and family. Since she feels tired often, she drinks 24 ounces of cola daily to keep her “energized.” For breakfast, she loves to stop at Dunkin Donuts for her donut and coffee. After dinner, she consumes 2 bowls of chocolate ice cream to manage her stress.
At bedtime, Janet has trouble falling asleep and gets about 5 hours of sleep a night. Her children report that she snores loudly.
Her recent physical at the doctor revealed that Janet is prediabetic with the following lab results:
Blood pressure = 170/90 mmHg
Cholesterol = 250 mg/dl
LDL Cholesterol = 172 mg/dl
HDL Cholesterol = 38 mg/dl
Fasting blood glucose = 110 mg/dl
Number of calories ingested = 2858
Number of calories expended = 1090
Part A. Summary
Summarize Janet’s issues and constraints.
Part B. Discussion Questions
Answer the following questions in complete sentences.
1. Based on Janet’s height and weight, what BMI category does this place her in? How does this affect her daily life?
2. Looking at the number of calories Janet has ingested and expended, will Janet be in energy balance, energy deficit, or energy excess? Explain why.
3. Based on Janet’s lab values, is Janet at risk for heart disease? Explain what factors are putting Janet at risk.
4. Identify
3 environmental factors that have put Janet in an energy imbalance. With
each environmental factor,
explain how each factor is causing the energy imbalance.
Environmental Factor |
Causes |
5. To help Janet with long term weight loss, there are
three areas that Janet needs to adjust according to your textbook. What are the three areas?
With
each area, explain two
specific ways to accomplish this based on Janet’s habits. Be sure to provide workable solutions for her considering the constraints you identified in Part A.
Area to Adjust |
How to Accomplish |
Part C: Debrief
Based on what you learned in this course, what is the root cause of Janet’s symptoms and lab values? What is the role that nutrition plays in this cause? Explain your answer.
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