Project 3

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You are the Nurse Leader/Administrator at a long-term care facility (not hospital). The rates of resident falls have been increasing over the last 6 months to a year in your facility causing some serious injuries for some of the residents. You, as a doctorate of nursing prepared leader, have to adequately describe the issue & create a Process Improvement project using the Six Sigma (DMAIC) process to address and solve the problem. During this part, you will address the DMA – Define, Measure & Analyze stages. A MINIMUM of 5 relevant evidence based sources (best are peer-reviewed articles) should be used and published within the last 5 years. Below are the (DMA) relevant issues to include in your Process Improvement Project:

DEFINE:

•Define the issue: What process are you trying to improve? 

•Describe the team and stakeholders

•Plan out the project

•Make a plan for the change 

MEASURE:

•What metrics will you measure 

•How will you measure success

•How will you collect baseline data

ANALYZE:  

•How will you analyze the data you collect

•What will you use to display data

•What is the reason for your wastes, delays, etc

wk5

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Week 5: The Theoretical/Conceptual Framework

The theoretical framework is a critical element of your work. A theoretical framework is

the general representation of relationships in your problem and is based on existing

theory. The conceptual framework is your idea on how the problem should be

explored, and it is generally based on a theory. The difference between the two is the

scope. Theory is broad; concept is narrow.

In most research studies, your framework can be either theoretical or conceptual in

nature. For the purposes of this project, you will most likely follow a conceptual

framework, which is your idea on how the research problem will be explored (although

you could have both).

For example:

• Theoretical framework: Stimulus is applied to elicit a response

• Conceptual framework: A new teaching method is applied to elicit improvement

in midterm test scores.

In this section of your change project paper, state the perspective through which the

problem and/or phenomenon may be explored, and include the following:

1. Select a minimum of two theories.

2. Identify the process and logic in selecting these theoretical frameworks or

conceptual frameworks for your study.

3. Discuss how each theory or model applies to the individual project.

4. Present the framework guiding your study.

•

• Describe the assumptions of the framework.

• Describe each key component of the framework.

5. Discuss how each element of the phenomenon applies to the framework.

•

• Apply each element of the theory to the elements of the phenomenon under

study.

• Develop the rationale for the sample selection criteria.

6. Discuss, analyze, and critique pertinent research that uses the framework.

Remember that research never proves theory. Your research project can only support

or refute the theoretical propositions you are using as your framework. But if you do not

use theory or conceptual frameworks in your research, you may not be able to put your

findings in a context that could strengthen the nursing education profession!

This section should be 3–4 pages in length, not including the cover or reference page.
You must reference a minimum of 3 scholarly articles.

Use current APA format to style your paper and to cite your sources. Review the rubric for more information on

how the assignment will be graded.

NURS_691A_DE – NURS 691-A Rubric Week 5: Theoretical Framework

NURS_691A_DE – NURS 691-A Rubric Week 5: Theoretical Framework

Criteria Ratings Pts

This criterion is linked to a
Learning Outcome Content 60 to >49.2 pts

Meets Expectations

Identifies independent theories or conceptual

models that relate to the change project topic and

describes how they will be applied to the change

project. Thoroughly discusses how each element of

the phenomenon applies to the framework. Clearly

applies each element of the theory to the

elements of the phenomenon under study.

Develops the rationale for the sample selection

criteria, and expertly discusses, analyzes, and

critiques pertinent research that uses the

framework.

60 pts

This criterion is linked to a
Learning Outcome Organization

7.5 to >6.15 pts
Meets Expectations

Content is well written throughout. Information is

well organized and clearly communicated.

7.5 pts

This criterion is linked to a
Learning Outcome APA
Format/Mechanics

7.5 to >6.15 pts
Meets Expectations

Follows all the requirements related to format,

length, source citations, and layout. Assignment is

free of spelling and grammatical errors.

7.5 pts

Total Points: 75

  • Week 5: The Theoretical/Conceptual Framework

informatics

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identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. 

dicussion post sociology

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Respond to two (2) of the following prompts:

  1. How is masculinity described by the authors of our text? Using specific examples, discuss why patriarchal masculinity is not the only form of masculinity. (USLO 5.1, 5.3)
  2. How is sexism explained by the authors of our text? Using specific examples, discuss how society propagates misogyny and objectification of women. (USLO 5.3)
  3. Using one of the three theoretical primary sociological perspectives featured in our text (i.e., functionalism, conflict, and symbolic interactionism) discuss the social construction of gender. Present two tangible examples of how this theory best explains how gender is socially constructed. (USLO 5.4)
  4. Where and how do you get your news? Do you watch network television? Read the newspaper? Go online? How about your parents or grandparents? Do you think it matters where you seek out information? Why, or why not? (USLO 5.5)
  5. How have digital media changed social interactions? Do you believe it has deepened or weakened human connections? Defend your answer. (USLO 5.6)
  6. Do you think technology has truly leveled the world in terms of opportunity? What is your community’s situation in terms of digital inclusion – do you feel there are communities in your region that are struggling to achieve digital inclusion and equity? What are some techniques that we may use to achieve digital equity and inclusion in the U.S.? (USLO 5.7)
  7. In what ways has the Internet and digital apps changed your perception of reality? Explain using a symbolic interactionist, functionalist, and conflict theory perspective. (USLO 5.8)

D. Saa Critical Care Wk 4 Discussion

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MY NUMBER ASSIGNED WAS 2 WHICH IS: Renal Failure

Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.

Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based. 

Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.

Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style.

Part 2:

Interview:You will take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departments at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc. Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity.

Diabetes Mellitus Type 1

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Instructions: Select one of the topic mentioned below and discuses filling the attached form.

Topics: 

Diabetes Mellitus Type 1

Requirements

Ø The discussion must address the topic

Ø Rationale must be provided

Ø Use at least 600 words (no included 1st page or references in the 600 words)

Ø May use examples from your nursing practice

Ø Formatted and cited in current APA 7

Ø Use 3 academic sources, not older than 5 years. Not Websites are allowed.

Ø Plagiarism is NOT permitted

SOCIAL DETERMINANTS OF HEALTH

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SOCIAL DETERMINANTS OF HEALTH

Introduction: Use Walden White paper or the CDC 

According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”. 

https://www.cdc.gov/about/sdoh/index.html

To Prepare:

· Reflect on the concept of social determinants of health as presented in the resources. 

· Contemplate whether digital inclusion or broadband access should be added to the 5 key areas of social determinants of health.  

· Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.  

Post a description of your views on whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.   

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 

PN#1A

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I need a psychiatric progress note regarding a patient with PPH: of Depression, Anxiety and Insomnia . It cannot be similar, Thank you.

Here below I leave you a sample.

 Patient is a XXXX  y/o, female with Past Psychiatric History of Depression, Anxiety and Insomnia was seen today on telehealth platform for follow up and medication treatment who alleges getting better with the last treatment of trazodone 50mg at bedtime  and mirtazapine 7.5mg at bedtime, she reports decrease symptoms of sadness ,loneliness, depression , hopelessness, as well as she expresses feeling motivated, optimistic and with more energy in the morning, improve mood, self-esteem and affect because she feels useful ,decreased anxiety and stressing over her personal problems, restlessness, nervousness, as result decreased difficulty falling asleep because sleeping better and more hours at night with her previous treatment the melatonin 5mg at bedtime, also in the morning she waking up rested after a night’s sleep. Patient denies side effects of the medications, suicidal and homicidal ideation, no visual or auditory hallucinations, agitation, psychotic symptoms or paranoia .Follow up in 4 weeks.

Reflection of Scenario

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 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

Caring and reflective practice in contemporary nursing

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Provide a definition of what person-centered care means to you. Describe how you will apply principles of holistic nursing, cultural humility, and self-reflection in your future role as a nurse practitioner.