Category: Nursing

Your organizations research and quality departments have reached out to the super-user committee you are on with an issue. They are having to do manual chart audits instead of using the reporting tools that are a part of the electronic health record (EHR). After reviewing their examples, the informatics team has identified that the issue is not with the reports, but the way that staff is charting. Staff are consistently over-utilizing text fields instead of the structured options found in lists and other standardized selections.

Leadership does not want to add to the documentation burden by adding more required fields to the EHR. Your group is charged with quickly developing education for staff in order to meet the deadline for an important research study.

• Propose an evidence-based practice intervention to decrease over-utilization of text fields.
• What kinds of data about charting should be collected prior to an intervention?
• What kinds of evidence would need to be collected after an intervention?
• How would the success of the intervention be measured?
• What steps would be taken to validate the accuracy and readability of the data?
• What are two ways to share the outcomes of this research? Why is it important to present the results of this research to the organization in some capacity?

This paper should be 1000 to 1250 words (4 to 5 pages), not including the title page or references list. The paper should contain a minimum of six scholarly references, with a minimum of three references from scholarly sources that are outside of the required course readings. References should have been published within the past five (5) years, unless the reference is a seminal publication. The paper must be written following APA Style guidelines.

This semester we have examined Decision-Making in Nursing. Many objectives have been addressed and met. Please take a moment to reflect on the outcomes of the course which are listed below and develop a scholarly paper at least 8 pages in length stating how you have met the outcomes of this course. Your paper should include the following:

• A thoughtful reflection and careful critical analysis which connects learning to clinical decision-making and future practice.
• An identification and discussion of each course outcome, supported by evidence, with a detailed and specific personal example demonstrating meeting this outcome in a clinical setting.
• A deep understanding of nursing outcomes, integrating evidence-based practice.
• A minimum of four (4) research sources with at least 2 sources from a peer-reviewed publication. Sources must be relevant, accurate, recent (less than 5 years old), reliable, and add strength to the overall content.
• Working hyperlinks for all sources.
• A minimum of 8 content pages. Title and references pages do not contribute to this count.

Course Outcomes

1. Demonstrate understanding and competence in making decisions in nursing which will promote client-centered care, taking into consideration ethical, clinical, cultural, spiritual, and political implications.
2. Demonstrate intentional learning with reflection as it relates to decision-making in nursing.
3. Understand processes of making decisions in nursing and apply evidence in supporting concepts and processes which relate to practice.
4. Demonstrate knowledge of how decision-making in nursing practice relates to clinical reasoning and critical thinking, taking into consideration the many facets of decision-making in nursing.
5. Demonstrate leadership in organizational, local, and global environments as it relates to decision-making in nursing.
6. Communicate effectively and therapeutically, with and without the use of technology, while making decisions in nursing practice.
7. Propose evidence-based, culturally competent nursing care which promotes standard safe practices along with error and hazard prevention and quality improvement practices.
8. Participate as a collaborative team member in understanding and implementing client care, and in promoting the health of clients while making decisions as nurses in practice.

APA 7th edition format of the American Psychological Association (APA)is the official style used

Box 9.2

Guidelines for Critically Appraising Quantitative Data Collection Plans

1. Did the researchers use the best method of capturing study phenomena (i.e., self-reports, observation, biomarkers)?
2. If self-report methods were used, did the researchers make good decisions about the specific methods used to solicit information (e.g., in-person interviews, Internet questionnaires, and so on)? Were composite scales used? If not, should they have been?
3. If observational methods were used, did the report adequately describe what the observations entailed and how observations were sampled? Were risks of observational bias addressed? Were biomarkers used in the study, and was this appropriate?
4. Did the report provide adequate information about data collection procedures (e.g., the training of the data collectors)?
5. Did the report offer evidence of the reliability of measures? Did the evidence come from the research sample itself, or was it based on other studies? If reliability was reported, which estimation method was used? Was the reliability sufficiently high?
6. Did the report offer evidence of the validity of the measures? If validity information was reported, which validity approach was used?
7. If there was no reliability or validity information, what conclusion can you reach about the quality of the data in the study?

Imagine that Lynette follows up with you shortly after reading your views on leadership and collaboration. Her email says the following:

Thanks for sending me your thoughts last week on the diversity issue at the clinic. Your next step is to select professionals who can help you in this project and prepare an introduction of the project for a first meeting with them.

I want you to prepare a presentation to serve as a brief (but packed) introduction for your first meeting with a group of 45 members that will constitute the committee tasked with addressing the diversity issue. I will review your presentation (where you identify the characteristics that you are looking for in group members) to help recruit them for you. The presentation should use 68 slides with detailed speaker’s notes so I can understand your approach. There’s not a lot of time or space, so keep things pretty high level. Do the following:

1. Briefly outline the project goals as you see them, and highlight a couple of the initial priorities to be addressed by the group and why they are important.
2. Explain the composition of the team and why you chose them. Note that you will not know the exact individuals, but assume we will get you the people with the qualities and characteristics that you outline in the presentation. Consider the following:

• They will need to be a group of professionals that you believe can help you define the problem and ultimately make recommendations on how to address it.
• Each member needs to be either trained in, be sensitive to, or have experience with the concept of workplace diversity.
• Give some thought to having some members from outside the organization.
• Provide member profiles: diversity, qualifications, experience, internal versus external, et cetera.

1. Explain your role and describe how the group will work together and achieve effective interprofessional collaboration.

• Describe how the group will communicate. How and when will they meet?
• How will ideas be shared and decisions be made?
• What are roles, group function, and structure?

1. Describe the basic characteristics of a diverse workplace.
2. Provide a convincing argument regarding the benefits of a diverse workforce using support from current research.

Instructions

Create a 68 slide presentation, using the , in response to the content defined in the above scenario. Review the for design guidelines and hints. In addition, the PowerPoint section of the Tools and Resources includes PowerPoint tutorials. In your presentation:

• Express your main points, arguments, and conclusions coherently. Use correct grammar and mechanics.
• Support your claims, arguments, and conclusions with credible evidence from 23 scholarly or professional sources, that are current, within the past 5 years.
• Apply current APA formatting to all in-text citations and references. Include a references slide at the end of the presentation.
• Proofread your writing.

You may use the to give you an idea of what a Proficient or higher rating on the rubric would look like. Note: this presentation serves as an example. Your submission must demonstrate your won work and align with the specific criteria in the assignment instructions and scoring guide.

Presentation Requirements

Your assignment should also meet the following requirements:

• Length: 68 slides (not including the title slide and references slide).
• Notes: Prepare detailed speaker’s notes describing items on each slide so that the viewer can accurately interpret the deeper meanings and intentions that would have been conveyed orally. Support your claims, arguments, and conclusions with credible evidence from 23 scholarly or professional sources that are current, within the past 5 years.
• Visuals: Create visuals that are easily read and interpreted. Use colors, fonts, and formatting and other design principles that make the information clear and generally add to the aesthetic of the presentation.

Developing Professional Maturity: Photo Essay In this assignment, you will illustrate a commitment to personal health and well-being and a spirit of inquiry that fosters flexibility and professional maturity by creating a photo essay. Photo essays tell a story in pictures. This is a PowerPoint assignment with voice. This is not simply an art form assignment but an academic-level illustration of your commitment to personal health well-being as a health care professional while demonstrating an advanced-level spirit of inquiry, fostering flexibility and professional maturity. Much of the content you may realize is yet to be developed within you. Address how you have progressed in each topic and how you plan to continue to develop. Pace yourself as you add the audio so the picture can have an impact on the viewer as well as your content. The content on the slide should be a photo with a title aligning with the below-bolded slide topics. You can add a brief description or a few words on the side if you choose or over the picture slightly, using appropriate aesthetics. Look up examples of photo essays to gain ideas. Remember, this is not strictly only a photo essay or art. You will have a title on each slide and audio narration with academic-level reflection and references toward advanced nursing maturity. The focus is on you and your representation of the content via pictures and voice. Each slide should be an appropriately related photo then described by you in audio. Title slide: Title of presentation, a picture of you, your name, course, etc. Introduction: A photo. Narration is the introduction to the content being presented. About Me: A photo. Address the program you are in and your background in nursing. Include why you are pursuing a master’s degree. What is your inspiration? Personal Health: A photo. Address personal health beliefs and goal(s). Well-Being: A photo. Address your emotional well-being and how you can develop this toward professional maturity. Include content on emotional intelligence. Spirit of Inquiry: A photo. Describe what this means and how you plan to foster inquiry in your professional practice. Where will you locate resources? Fostering Flexibility: A photo. Describe what this means and how you plan to foster flexibility in your professional practice. How might flexibility be shown? Include narration content on social determinants of health. Lifelong Learning: A photo. Describe what lifelong learning you will have to maintain for your advanced nursing practice role. Professional Maturity: A photo. Address what professional maturity will look like in your new role. What needs do you have to develop to attain professional maturity in your new role, and what skills do you have now that will translate? Conclusion: A photo. The picture here is about you and your professional journey as you begin the road toward your masters degree. References: Include scholarly support in your references and a reference page. Personal reflection supported by published sources adds support to your reasoning. You can cite on the bottom right of the slide in a smaller font 1012, to keep within the aesthetics of the presentation. Your instructor can direct you on any specific requirements for referring to the citation. Photo Essay Pointers The photos should elicit a depiction, an emotion, or a thought related to the purpose of the assignment and topical slide content. All the pictures do not have to be yours but can be from other sources you reference. If you use web pictures, be sure they are public domain and cite them. All photos must be appropriate for any viewer. Do not share information you consider private. No real patients should be in the photos. Nothing propriety can be in the photos. Keep the directed order of slides and the slide titles. Assignment Requirements: Slide number requirement is 11 slides total. Each slide should have audio narration. Duration of the narration is 35 minutes. The presentation should be formatted so that it will auto-play without any need for observer interaction with the program. Three peer-reviewed sources are required (more is fine) within 5 years or less publication dates. Utilize spelling and grammar checks to minimize errors. An introduction and conclusion are required and considered a standard requirement. Use APA 7th edition. Use this source to guide how to format your presentation in APA style. Your assignment should: Align content with margins and not beyond. Have no blurred pictures or art. Be well-ordered, logical, and unified, as well as original and insightful. Display superior design, content, organization, style, and mechanics.

Note: You are required to complete this assessment before Assessments 3, 4 or 5. You must wait for permission from faculty before you can submit the next assessment. You cannot submit all assessments at once. Choose a specific healthcare problem from the simulation and create an infographic that visually represents a care coordination plan. Select one health concern and a patient population from the Family Support and Home Assessments v5 Sentinel-U simulation. There are several potential issues mentioned in the interview. Analyze your selected health concern and the associated best practices for health improvement. Address the following content elements in your analysis: Best practices: Summarize evidence-based best practices related to the chosen healthcare problem from the simulation. Physical considerations: Address physical aspects of care (for example, medications, treatments, safety, food insecurity, childhood immunizations, etcetera). Psychosocial considerations: Consider mental health, emotional support, and patient coping strategies. Cultural considerations: Recognize cultural diversity and tailor care accordingly. Cite supporting peer-reviewed, relevant, scholarly evidence for best practices-websites are not appropriate. Ensure the sources selected are relevant to the issue you’ve selected. Visit the Bachelor of Nursing (BSN) Program Library Guide for help finding articles in the Capella library. Describe two specific SMART (specific, measurable, achievable, relevant, time-bound) goals that should be established to address the healthcare problem and the evidence to support those goals. Include physical, psychosocial, and cultural considerations of your specific patient population. Identify available community resources for a safe and effective continuum of care. Compile a list of community resources relevant to the healthcare problem. Include local clinics, support groups, educational programs, and social services if available. Include physical, psychosocial, and cultural considerations of your specific patient population. Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format. Use Academic Writer for guidance in citing sources in proper APA style. See the Writing Center for more APA resources specific to your degree level. The requirements outlined above correspond to the grading criteria in the Preliminary Care Coordination Plan scoring guide, so be sure to address each point in your infographic. Read the performance-level descriptions for each criterion to see how your work will be assessed. Format Create an infographic that visually represents your care coordination plan. Create the infographic using a Poster or PowerPoint infographic template. Use of AI to create the Infographic is prohibited. Use clear and concise language Include relevant icons, graphics, and colors to enhance readability Example Infographics This is an Example Infographic [PPTX]. Feel free to use a PowerPoint infographic template and be creative in your presentation. Here is an Example Poster Infographic [PDF]. Feel free to use a Canva template or other appropriate poster-style infographic template and be creative in your presentation.

No instructions provided

Answer all of the questions below using the “Discussion Forum Sample” for your discussion response.

Scenario

A.O. is a 28-year-old woman who presents to your clinic with complaints of rectal bleeding and weakness. Five days ago, she noticed bright red blood in her stools. Furthermore, she reports that her daily bowel movements have increased to five or six with significant diarrhea. She has been weak for approximately 3 days. She has not traveled outside of the city, been hospitalized, or received antibiotics recently.

A proctosigmoidoscopy was conducted 3 days after the patient’s discharge from the acute care clinic. A significant pseudopolyps formation could be seen. Biopsies of the colon revealed erosions of the mucosa and ulcerations into the submucosa with mixed acute (i.e., neutrophils) and chronic (lymphocytes and macrophages) inflammatory cells. No dysplastic cells suggesting the development of colon carcinoma were seen. No multinucleated giant cells suggesting Crohn’s disease were seen. Inflammation and ulceration were limited to the rectum and sigmoid colon only. Crypts of Lieberkhn were intensely inflamed. Marked hemorrhaging of capillaries in the mucosa was also observed.

Laboratory Blood Test Results

• Na+ = 143 meq/L
• BUN = 20 mg/dL
• Plt = 315,000/mm3
• AST = 33 IU/L
• K+ = 3.2 meq/L
• Cr = 1.1 mg/dL
• PO4-3 = 4.0 mg/dL
• ESR = 24 mm/hr
• ALT = 41 IU/L
• Cl- = 108 meq/L
• Hb = 10.8 g/dL
• CRP = 1.5 mg/dL
• T bilirubin = 0.9 mg/dL
• Alb = 3.1 g/dL
• HCO+3 = 18 meq/L
• Hct = 36%
• Ca+2 = 8.9 mg/dL
• PT = 11.3 sec
• Glu, fasting = 132 mg/dL
• WBC = 9,400/mm3

Questions

1. What is the relevance of the last sentence in the first paragraph of the scenario provided above: “She has not traveled outside of the city, been hospitalized, or received antibiotics recently”? Explain your answer in detail.
2. What is the diagnosis? Explain your answer. Why and how did you come up with this diagnosis?
3. Identify eight abnormal laboratory blood test values and provide a brief pathophysiological explanation for each of them.

USE OPEN ACCESS REFERENCES PLEASE:) 250 WORDS OK

AGENDA COMPARISON.

MY DISCUSSION POST TOPIC – OBESITY.

Kindly, use the attached files (template, and rubric)