Discussion

After reading Chapter 13, respond to the following:

  • What workforce advocacy strategies can Elena use to promote quality patient care and a safe work environment?
  • What is the value of shared governance to Elena’s individual nursing practice?
  • If Elena becomes concerned about floating assignments, what questions can help guide her decision about accepting such assignments?
  • What online resources are available to help Elena learn more about important workplace issues and workforce advocacy?
  • How can Elena improve the marketability of her nursing expertise?

I HAVE UPLOADED CHAPTER 13 PAGES THAT NEED TO BE READ TO COMPLETE THIS ASSIGNMENT

thorectical clinical Advanced Pathophysiology

Sample Outline for Concept Analysis Paper

See chapter 3 in McEwen and Wills. Use the method by Walker and Avant Box 3-1 ( p 60

I. Title Page: Select one of the following topics

a.
Advanced Practice Competency: A Concept Analysis

b.
Diversity in Nursing: A Concept Analysis

c.
Social Determinants of Health: A Concept Analysis

Format Outline(s)

II. Introduction (
Using Walker and Avant)

a. What is the concept selected-state and define the terms

b. Aims or purposes of this analysis-why are you doing the analysis?

c. Discuss all possible uses of the concept briefly-how is the concept used in different contexts, examples and then how are you using it for this paper

d. Determine the defining attributes-regardless of where it exists, what are the common identifiers that the person has this characteristic

e. Identify a model case-Use the attributes you’ve identified and highlight them in a case. A case that is hypothetical, from a text, or that you have experienced in practice.

f. Identify a borderline case and contrary case-what is a case that is something like the model case, but misses some attributes

g. Identify antecedents and consequences-what happens before the concept instance is identified; what happens as a result of acquiring it?

h. Define empirical referents- how do you know that what you are seeing is really it? How would you measure it? Or know that you are reserving it?

customer service ip4

 

From Chapter 10 in your textbook, read the background about the multinational package delivery company that is well-known from its brown trucks. Then, answer the following question in a  document using APA style:

  • What do you personally know about this company, and how does this impact your perspective of the company as a current or potential customer?

TRANSLATION OF EVIDENCE AND APPLICATION

  • Review the readings in the White, Dudley-Brown, and Terhaar text. With your current health care organization (psychiatric behavioral hospital), or an organization you are targeting for your DNP Project, in mind, consider the area(s) of greatest challenge with regard to translating and applying evidence for a practice change initiative, e.g., leadership, technology, collaboration, stakeholder buy-in. Focus on the relevant text chapter(s) in your Discussion preparation.
  • Consider theories and best practice recommendations for addressing your identified challenges and barriers to translating and applying evidence that would support practice change initiatives.
  • Reflect on the philosophy of nursing practice that you developed. Consider your role as a DNP in creating an organizational culture that embraces evidence-based practice and quality improvement. 

With these thoughts in mind …

Post an explanation of the challenges and barriers to translating and applying evidence for practice change in your target health care organization (Behavioral health hospital). Briefly explain your issue(s) of concern and describe specific approaches for addressing these challenges. Explain how you view your role as a DNP in creating a health care culture that promotes translation of evidence for quality improvement and explain why. Then, recommend actions and activities you could model and lead, including through an EBP QI project, to advocate for quality improvement and social change in nursing. Be specific and provide examples and at least 3 references.

  • White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
    • Chapter 15, “Interprofessional Collaboration and Teamwork for Translation” (pp. 299–314)
    • Chapter 16, “Creating a Culture That Promotes Translation” (pp. 315–334)
    • Chapter 17, “Best Practices in Translation: Challenges and Barriers in Translation” (pp. 337–346)

Nursing chpt 8 assignment

Change in an Organization

This chapter involves change and the response to change in an  organization. If you feel uncomfortable already you probably are in the  majority. Let’s read the scenario below and try to understand why change  is so difficult. 

Scenario: Imagine the days before COVID when we were  all in a classroom. Do you remember back then? Well, think about where  you decided to sit in a classroom. Did you find that you usually chose  the same seat in most of the classrooms that you were in? If not, then  what usually made you choose the seat that you decided to sit in? Now if  you were to sit in a seat in the first class, how likely were you to  sit in the same seat after that? Have I made a point? So change is hard,  and we all have gone through some kind of change, small or large, in  our lives at school, at our workplace, and at home.

Instructions:

  1. Read the information above and then answer the following questions: 
    1. Describe what the circumstances were at your workplace when you had to change something
    2. How did you adjust to the change?
    3. Were there colleagues that could not adjust to the change?
    4. Why do you think, in terms of change theory, that there were colleagues that could not adjust?
  2. Your should be: 
    • One (1) page

W7 Yu

 The use of spirituality in nursing practice is not new.  However, it is more studied and utilized in a more structured format in nursing.  Identify and discuss tools used to evaluate spirituality. 

at least 400 words

Nursing

Exercise Content

1.

Principio del formulario

According to you, what are the challenges associated with nursing? Include a summary of your research and how it correlates to the subject you are studying. Identify these challenges and explain their importance in healthcare.

 Guidelines: 

· APA Format 

· MUST utilize credible data sources such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Library resources can be accessed from the Library page at the FNU.edu website. FNU Librarians are available to assist each student with retrieving the required scholarly content.

· Research paper must be 500 – 650 words. 

· 3 or more scholarly sources must be utilized

· Sources must be within the last 5 years 

· Must have a minimum of 3 Sources 

· All article sources must be cited by including them in reference sheet (separate).

Final del formulario

Discussion

 

** Read the document, NCLEX-RN Test Plan version (April 2023) pdf that is posted below.

Respond to the following:

Question will be posted in chat

DECISION MAKING PROCESS

TOPIC : NURSING SHORTAGE

Decision-Making Process 

Instructions

In this assignment, you will be writing a 6-pages identifying, comparing and contrasting at least 3 DIFFERENT DECISION MAKING APPROACHES SOF CARE from a multidisciplinary perspective using a pertinent and significant topic ( NURSING SHORTAGE).

You are required to use APA 7th edition format and the page count does not include title page or reference page. Reflect on your own decision-making practices and the implications this will have regarding differing approaches taken of nursing leaders and staff nurses/clinical practitioners in decision making within to issues in practice. To complete this assignment, do the following:

  1. Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).
  2. Identify how you would expect a nurse leader/manager, a bedside/staff nurse and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 3different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that in this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance,one decision making model may apply to the bedside nurse; the second decision making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings,literature, clinical scenarios and other evidence-based and scholarly sources.
  3. Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision making model and how it would address the chosen topic or problem.
  4. Identify a possible funding source that would addresses your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state,or local organizations. For example: There are many grants available through the CDC,HRSA, etc. Again, this need to be specifically applied with sufficient details
  5. Use at least 10 references other than your main text.Uses APA 7th edition formatting. At least 5 of these need to be within the past five years.

NO PLAGIARISM MORE THAN 10 5 ALLOWED, ATTACH PLAGIARISM REPORT

GO FROM POINT 1 TO 5 , DON’T MISS ANY SECTION

CHECK YOUR GRAMMAR, MUST BE GOOD AND PROPER

RUBRIC ATTACHED

NO LATER THAN OCTOBER 12 , 2023

PLEASE REFER TO THE TOPIC NURSING SHORTAGE, FOCUS ON THAT TOPIC, NO OTHER TOPIC. 

DUE REAL 1

Name: Linda McCarthy
Age: 86 years
Provider: K. Townsend MD
Codestatus: DNI
BMI: 24.1
Allergies: penicillin, atorvastatin, red dye, latex
Admitweight: 145 lbs (65.8kg)

Linda McCartchy had a rough night. She was pretty restless and only slept two hours.
This morning she was having an issue with her hearing aids not working. They kept
whistling. I went to change the batteries, but she was out of them. Her family will be
bringing them in later today.

Nursing Assessments and notes

11/1
0700

Neuro/Cognitive: Alert and oriented to person and place. She intermittently
confused and called staff by the names of her children. Speech raspy. 4/5
strength in all extremities.
Cardiovascular: S1 and S2 heart sound present. Heart rate regular and even.
No edema was noted. Pedal pulses +2, radial pulses +3. Capillary refill less
than 3 seconds.

Respiratory: Even, regular, unlabored. Lung sounds wheezing through all
lung fields. Chronic dry cough. Wears 2 L via nasal cannula chronically.

Gastrointestinal: BS present x 4 quadrants. Abdomen soft, non-distended,
non-tender. Last bowel movement 2 days ago.

Genitourinary: Occasional stress incontinence.

Integumentary: Scattered bruising. Various stages of healing.

Sensory: Hard of hearing. Wears hearing aids and glasses.

11/1
0730

ADLs: Independent with utensil holders
Activity: Ambulated 100 feet with a roller walker

11/1
0830

Nursing Note: Client resting quietly in bed. Looking out the window, not
responding to staff prompts for verbal interaction. Moves all extremities
appropriately. Morning medications were administered without difficulty. Able
to state name but unsure of her birthday. Up in the hall with physical therapy.
Shuffling gait with use of a rolling walker.

11/1
1100

Nursing Note: RN called to bedside. The client stated that the staff took her
favorite earrings. Earrings were found in the client’s tissue box at the bedside.

11/1
2015

Nursing Note: Client evening hygiene offered. The client begins yelling, “No!
No! No!” as staff offer to assist with teeth brushing and denture care. Attempts
were made to deescalate the client and place her hearing aids so that she
could hear the conversation. The client begins attempting to hit and bite staff.
Client sitting in bed. Staff leave room to reduce stimulation.

11/1
2015

Neuro/Cognitive: Alert, oriented to self only. She believes it is 1965 and that
there are strangers in her house. Client calling out for her mother. Extremely
hard of hearing with hearing aids in place.

11/2
0700

Nursing Note: The client is awake in bed, staring around her room, rubbing
her eyes, and frequently yawning. Noted to have redness and purulent
drainage from right eye. Provider notified; prescriptions received.

11/2
0900

Nursing Note: Appetite poor, ate 5 small bites only, Drank a cup of juice.
Weight down. Will encourage protein supplement drinks between meals.

Date Intake Source & Amount

11/1 0700 Oral 240 mL

11/1
0900

Client Information:
Medical History: Presbyopia, bilateral cataracts, Alzheimer’s dementia,
hearing loss, hypertension, hyperlipidemia, osteoarthritis, ambulatory
dysfunction, chronic obstructive pulmonary disease

Medications:
● Rivastigmine 6 mg by mouth twice daily
● Lisinopril 20 mg by mouth daily
● Ezetimibe 10 mg by mouth daily
● Simvastatin 40 mg by mouth daily
● Docusate sodium 100 mg by mouth daily
● Polyethylene glycol 17 g by mouth daily – diluted in 8 oz of beverage
● Duloxetine 60 mg by mouth daily
● Artificial tears 1-2 drops into eyes PRN for dry eyes
● Oxygen 2L/NC PRN for difficulty breathing

11/2 0730 Prescriptions:
● Ciprofloxacin ocular ointment 0.5-inch right eye three times

daily