week 7 discussions

   

Week 7 Discussion Forum

    

  • Although we know you did not complete a full research project, you  completed the research proposal with an idea of what your actual results  could be. If you ever do complete a full research project, an important  step is making sure your research is published/disseminated so that  other nurse educator professionals can benefit from your hard work.  There are many ways to disseminate information in nursing as seen in  your text, including many different nursing journals. As a nurse  educator, you will engage in professional development and find  peer-reviewed information to share with your students. Think about your  proposal and where it might fit if it were published. Describe how you  would disseminate your work and the reasons for your choice.

Nursing 8-3

 Make a quality initiative proposal (7-10 PowerPoint slides) through a presentation, interpreting and communicating dashboard data to support the proposal. 

FOCUSED CASE STUDY 2

 Marie, A 58-year-old woman with a complicated history which includes chronic low back pain, bipolar disorder, mixed anxiety, and depressive disorder presents to her PCP, a PA, complaining of constipation for several months 

pn 2 diss

 

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

  1. RN with 12 years of Trauma ED experience
  2. New RN with 6 months ED experience
  3. RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

  1. A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
  2. A 38-year-old client with kidney stones complaining of severe pain.
  3. A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
  4. An 80-year-old client that has not had a bowel movement for 4 days.

Week 2 Lab Report

BIOS242, Week 2-OL

Name:

Lab 2: Bacterial Isolation

Learning Objectives

· Explain the importance of bacterial growth for the investigation of pathological microorganisms

· Use aseptic techniques

· Explain the concept of a single colony

· Perform plate-streaking techniques

· Use selective media for isolation purposes

Techniques in Lab

· Colony screening

· Sterile technique

· Plate streaking

Introduction: Bacterial Isolation Virtual Simulation Lab
In the Bacterial Isolation simulation, you will investigate the cause of a contamination of poultry meat by a dangerous bacteria strain that is resistant to common antibiotics. After taking samples from the chicken farm, you will work in the virtual laboratory to isolate single colonies of the deadly bacteria among a variety of different species. To do so, you will learn how to work under sterile conditions, and you will be able to practice and perfect your plate streaking technique.

Identifying ampicillin resistant bacteria
The premise of the Bacterial Isolation lab is a report of ampicillin resistant bacteria in poultry meat. You will visit the place of origination, a chicken farm, in hopes of identifying the bacteria strain. The first task is to take a sample, which will contain a variety of bacterial strains, and from that, you must identify which strains are resistant to ampicillin by isolating single colonies.

Aseptic technique
In the Bacterial Isolation lab, you will learn how to use aseptic techniques—for example, remembering to turn on the Bunsen burner and sterile their loop in between streaks.

Plate streaking technique
In order to identify the specific bacteria strain, you will have to perform bacterial isolation using the plate streaking technique. There is an unlimited supply of agar plates, giving you the opportunity to practice this technique as many times as you like. Results are given immediately, as opposed to waiting a full 24 hours for incubation, as when performed in real life as opposed to in a virtual simulation. You will also streak a special Salmonella Shigella agar. The Salmonella Shigella agar contains a certain medium that only promotes growth of Gram-negative strains. Each of the different strains will exhibit a certain phenotype when grown on the Salmonella Shigella agar. By using this information you can identify the specific strain that is resistant to ampicillin. The sample will then be sent for further analysis to fully confirm the identity.

Will you be able to complete the task with your knowledge on bacterial isolation and successfully isolate the dangerous bacterial strain?

Questions:

1. Purpose: Please describe in complete sentences and in your own words, the purpose of this experiment.

2. Why is proper aseptic technique important in microbiology?

3. What is the importance of flaming the inoculating loop or needle before
and after each inoculation?

4. If you do not wait 10 – 20 seconds after flame sterilizing the inoculating instruments before obtaining the sample, what might be the consequences?

5. Why is it important to flame neck of the tubes immediately after uncapping and before recapping the tubes?

6. Reflection: Write 5 sentences on what you learned from this simulation, what did you like and what was something that you would not prefer to be in the simulation.

Grading Rubric:

Activity

Deliverable

Points

Document Submission

Complete lab report and answer questions

· Purpose (2 point)

· Questions (8 points)

· Reflection (5 points)

15

Total

Complete all lab

15

4

nursing

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Dimensions of Nursing Practice

Agnes Karkoszka

4 hours ago, at 8:16 PM NEW

Hello Everyone,

In a health facility, it is important to ensure that patients morals and values are being obtained. Many people come from different cultural backgrounds and it is crucial to be able to understand them and respect them the best way possible. You want to make sure everyone feels safe and comfortable between the patient and the nurse. Its important to make sure the patient feels respected with whatever healthcare decisions they decide to make.

1.What values ensure a culture of safety?

Like in most situations, communication amoungs co-worker and patients is key to gather the proper information about the patient. It is crucial that we have a strong and well established team that makes working as a team a priority for every patient. We have to value everyone decisions and what they think is best for themselves. Culture plays a huge role in the patients decision making for themselves. It is important that as a team we work together to sustain a safe environment and to make sure everything is organized. Having great organization skills keeps the environment stay at a better state and avoids any problematic risk factors that can potentially harm the patient in any way.

2.How can healthcare facilities establish a culture of safety?

Some ways is establishing great teamwork and great work ethic practices. As nurses, we know to use EBP to ensure that the patient is in the best care needs from us. Working as a team will help maintain the environment the more nurses that work together the better the outcomes. Everyone in the facility should be promoting safety to make the environment welcoming.

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

We all know that every hospital is going to have different set of rules depending on the state and region. Although, most hospitals will have very similar rules that nurses and medical professionals must follow. Many of these hospitals have to follow government advised rules like using EBP for every patient. I still think every single nurse should be educated in different cultures to understand every patient and for them to be well respected. Nurses play a huge role in taking proper care of each unique individual. Actively being part of ANA, taking every protocol seriously and maintaining a safe work environment for other staff and for the patient.As nurses, we play a vital role in creating a culture of safety within our clinical work area by maintaining an open line of communication with our healthcare team members, assessing our peers' and our own professional work habits and behaviors for safety risks, utilizing evidence-based practice (EBP) interventions in our patient protocols, and participating in shared governance workgroups (Davis,2017).

Serah Olayemi

she/her/hers

10 hours ago, at 1:29 PM NEW

In a health facility, it is essential to produce the culture of safety. It is important for workers within the healthcare facility to have respect for one another, especially for everyone to feel safe with each other. Not only that, but it's crucial for a facility's culture to support and promote patient safety.

1. What values ensure a culture of safety?

After reading, I have learned that there are various values that ensure a culture of safety. One example is the value of teamwork. The team needs to work together in order to provide each patient with a consistent safe experience. Another value is respect. As I mentioned earlier it is important for healthcare workers to respect one another but it is just as important for healthcare workers to be nothing but respectful to their patients. Another value includes organization and planning. It is important to acknowledge what can cause the culture of safety and plan accordingly.

2. How can healthcare facilities establish a culture of safety?

Some examples include teamwork by healthcare workers. It is important for leaders to be visibly committed to change. It is also essential for the full staff to openly share safety information with one another. Everyone should be on the same page of promoting patient safety.

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

I understand that every health facility is ran differently and has different standards. I believe though, that every nurse should maintain a culture of safety. I feel that they have a crucial role because they are the main caregivers of the patients when they come to the facility. The patient is allowing the nurse to take care of them by putting a lot of trust in them. Due to this trust, nurses need to make it a goal to keep them safe at all times. The nurses are in control as far as safety because they are aware of the facility and regulations. If the nurse does a successful job at maintaining a culture of safety, it will create a safe and trusting experience between the nurse and the patient.


SELF CARE FOR YOU (PYSCH NURSE)

see file attached

Nutrition in Healthcare

Discussion 1

Every day, people make choices that affect their physical health and wellness. Some choices are influenced by the environment and social factors, which in turn contribute to people’s health outcomes. Healthcare professionals (i.e., physicians, nurses, dietitians, sports medicine, etc.) are responsible for their own health by making decisions and practicing behaviors that enhance their wellbeing. Healthcare professionals also have a responsibility to their clients. While responsibilities may vary among healthcare professionals, it is important the healthcare team is alert to clients’ nutrition problems and needs.

After studying 

Module 1: Lecture Materials & Resources
, answer the following:

1. In one paragraph, give at least 2 examples of how culture, society, politics, or religion influences your nutrition. Discuss the role that food plays in your family or personal life.

2. Navigate to 
Your Digestive System and How it Works

https://www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-worksLinks to an external site.
 View the webpage and share in 1 paragraph at least 1 example of something your learned about the digestive system.

3. Search the internet for 1 example of an over-the-counter medication designed to treat common digestive problems such as heartburn, constipation, diarrhea, and hemorrhoids. Write 1 paragraph describing a) appropriate and inappropriate uses for this medication, and b) adverse health implications associated with misuse and/or overuse of this product.

Discussion 2

Carbohydrates have received a bad reputation, especially when it comes to their role in weight gain. All carbohydrates are not bad and the primary role of carbohydrates in the body is to supply the cells with glucose for energy. One type of carbohydrate is sugar. Some people are unaware that instead of avoiding all sugars, they can choose to include natural sugars found in vegetables, whole grains, legumes, and fruit. On the other hand, most people know that too much fat poses health risks, but may be surprised to learn that too little does, too.

After studying 

Module 2: Lecture Materials & Resources
, answer the following:

1. Navigate to My Plate: 

https://www.myplate.gov/Links to an external site.
 and to the Diabetes Plate: 

What is the Diabetes Plate Method?Links to an external site.
 (diabetesfoodhub.org) then, submit at least 1 paragraph comparing both for

A. similarities

B. differences

C. share who should follow MyPlate and who should follow the Diabetes Plate method?

2. Navigate to the American Heart Association: 

http://www.heart.org/HEARTORG/Links to an external site.
 and to the National Cancer Institute: 

http://www.cancer.govLinks to an external site.
, submit a 1 paragraph analysis on the relationships between dietary fats and the risk of heart disease, cancer, or type 2 diabetes (choose one).

3. Choose a food label from your favorite snack, and take a picture of the Nutrition Facts on the food label. Navigate to the U.S. Food & Drug Administration, “Interactive Nutrition Facts Label: 

https://www.accessdata.fda.gov/scripts/InteractiveNutritionFactsLabel/#introLinks to an external site.
 Choose one ingredient from your label. Share with the class one (1) health fact and (1) action step you learned about that ingredient in the interactive site.

4. Explain the differences between high-quality and low-quality proteins, and well-balanced vegetarian diets.

Discussion 3

The body manages its energy supply with amazing precision. Consider that many people maintain their weight within about a 10- to 20-pound range throughout their lives. How do they do this? How does the body manage excess energy? How do bones, muscle, fat, fluid, and other tissue influence our body composition? However, overweight, and underweight both result in energy imbalance. Almost 42% of adults aged 20 and above are overweight placing them at risk of developing chronic diseases that affect quality of life.

After studying 

Module 3: Lecture Materials & Resources
, answer the following:

1. Conduct a nutrition/survey interview with 2 athletes and ask them a) what protein or amino acid supplements they use in their diet? and b) why do they use those supplements? Then, navigate to: 

www.quackwatch.orgLinks to an external site.
 and enter the name of the supplement. Provide 1 paragraph with your analysis of the products and what you found out about the products’ nutritional characteristics (see Chapter 5, page 132 of your textbook).

2. Search the internet for a popular weight-loss program (i.e., Jenny Craig, Weight Watchers, etc.), and submit 1 paragraph with the following:

A. describe the diet plan

B. evaluate whether the plan offers a nutritionally reliable way to lose weight or is it a Fad Diet (see Chapter 7, Table NP7-1, page 193 of your textbook)

3. In 1 paragraph, describe type 1 diabetes, type 2 diabetes, and gestational diabetes by providing:

A. characteristics

B. definition

C. causes & symptoms (see Chapter 20, Table 20.2, page 564 of your textbook).

 

health care statistics. IP4

 

Statistics play an important role in the management of health care organizations and in decision making and strategic planning. Collecting, analyzing, and utilizing data appropriately impacts financial management of the organization and the quality of patient care delivered. Decisions in clinical medicine are driven by evidence-based practice, as are those in health care management. A health care manager must understand and use evidence in making informed decisions that improve the operations and financial status of the organization as well as deliver quality of care accessible to those who need it and with consideration of the costs involved.

In this assignment, you will choose a utilization review statistic from the following list and review a research  or government publication, as outlined below.

Choose a health care statistic that health care managers would use, such as one of the following:

  • Hospital-acquired condition (HAC)
  • Emergency department visits
  • Labor and delivery suite usage
  • Ambulatory surgery procedures
  • Hospital death rates
  • Cesarean-section rate
  • Wait time
  • Adverse drug events

Research your chosen statistic, and provide information from an outside source—such as a journal article, accreditation agency report, government site, and so forth—that discusses the health care statistic in a real-life setting or situation.

 in APA format that discusses the following:

  • What was the reason for the research that was performed or for the data being collected?
  • What was the source of the data presented?
  • What types of descriptive statistics and graphical representations of data were used?
  • What were the research question(s) and the significant findings of the article?
  • How could the information presented be used to inform decisions or improvements?

Cite references using APA format, and remember to include a citation for the article that you are describing.