Category: Nursing

  • Clinical Judgment plan

    I will give you the information, rubric and template.

    Requirements:

  • PowerPoint presentation consisting of 25 slides polytrauma

    would like to request a PowerPoint presentation consisting of 25 slides about Polytrauma. The presentation should be well-organized, academically written, and clearly explained.

    And contain pictures to understand .

    make sure the presentation includes the following sections:

    1.Introduction

    Clear definition of polytrauma

    Why it is considered a critical condition

    Epidemiology and clinical significance

    2.Causes and Risk Factors

    Major causes.

    High-risk populations

    3.Pathophysiology

    Systemic response to trauma

    4.Assessment

    Primary Survey

    Secondary Survey

    Diagnostic investigations

    5.Management

    Emergency management

    Surgical and medical interventions

    ICU management

    6.Polytrauma Care Bundle

    Evidence-based bundle elements

    Importance of early intervention

    Multidisciplinary approach

    7.Clinical Pathway

    Step by step by narrow

    Stabilization, definitive care, and rehabilitation

    8.Nursing Role

    Monitoring

    Prevention of complications

    Patient safety and documentation

    9.Complications

    Early and late complications

    10.Conclusion

    Additional requirements:

    The presentation must be written in clear academic .

    The plagiarism rate must be less than 20%.

    Please use my provided references as the primary sources for the presentation, and supplement with additional recent and reliable references to ensure evidence-based, up-to-date content.

    Use evidence-based information and up-to-date guidelines.

    Slides should be concise, with clear bullet points (not overcrowded with text).

    Please ensure the presentation is suitable for a Critical Care course and add if there is any additional information about title

    Kindly ensure that all references are strictly cited from the textbooks shown in the images that I will attach.

    Thank you.

    Requirements: 6 days

  • Intrepid

    M6 – Discussion Board – Health Care and Universal Reform

    After completing the reading assignment in this module, answer the following questions:

    1. What professional group has the greatest potential to have the greatest effect on health policy and why?

    2. Support what factors influence the United States not having health insurance for all of its citizens.

    3. Do you think nurses should be members of professional organizations? Which professional nursing organization(s) do you think have the most influence on nursing policy?

    Be sure to follow posted Discussion Board instructions and grading rubric.

    PLEASE USE BLACK TEXTBOOKS AS REFERENCE – pictured below also please add personal information such as me working in the emergency department.

  • Comment 2 NUR

    Advanced Practice Nurses should be able to gauge the quality of their services in order to deliver services that are safe and useful to the patients. The measurement begins with the selection of the obvious indicators that are suitable to the nurse role and patient needs that are typical in general. Kilpatrick et al. (2023) searched through numerous indicators of patient-level, provider-level, and health system-level and demonstrated that indicators may comprise of function, clinical condition, diagnosis, patient education, and use of services which assists teams demonstrate what the advanced practice nurses change in care. The visibility of nursing work provided by selected indicators and a straightforward method of assessing whether changes help to improve care would make a difference. In the absence of indicators teams are not able to determine whether care is improved following a change.

    A model that is simple, by connecting inputs, processes and outputs, can be used to monitor quality. Gormley et al. (2024) explain that structure, process, and outcome measures allow the teams to see how staffing and resources influence daily care steps and final results, and this perspective is used to facilitate measurement planning. Practical tools such as electronic health record reports, dashboards, chart audit of teams, and frequent review meetings will be included. Direct outcome data is added with the help of patient surveys and basic clinical tests. Education of the people that collect the data and short checklists would also assist in maintaining the data right and viable.

    The scorecard used by Advanced Practice Nurses should incorporate the role-specific outcome measures and safety measures. Examples provided by Kleinpell et al. (2024) include falls, pressure ulcer rates, readmission, patient satisfaction and role-specific items such as follow-up rates to heart failure clinics, asthma-related emergency visits and time to key tests. The integration of safety metrics, process steps, and patient-reported outcome measures provides a more comprehensive picture of quality care than measuring a single item. Result comparison with other related services would make teams understand whether performance is satisfactory or it requires improvement.

    The best way to implement these ideas is to begin with three to five measures that are applicable to the care setting and patients. Establish baseline record data on short regular intervals and draw basic charts to enable the team to visualise trends. The results should be discussed in short-term meetings with simple plan-do-study act cycles to test one small change at a time. Share discoveries with leaders and patients in order to develop trust and support. Simplify measurement, repeatable, and associated with daily nursing behaviour such that the work results in improved care in the long term. The teams are to report straightforward results to managers and make decisions based on data to ensure the training requirements and resource variations. Definite description of all measures and a data custodian assist in rendering the work just and credible. Numbers are contextualised with patient stories and short case reviews that help the staff to see why trends occur. Having the team prepared will add additional steps and create a mini-dashboard to direct people and tool requests. Examine and revise actions a couple of times annually with employees.

    References

    Kilpatrick, K., Tchouaket, E., Savard, I., Chouinard, M. C., Bouabdillah, N., Provost-Bazinet, B., Costanzo, G., Houle, J., St-Louis, G., Jabbour, M., & Atallah, R. (2023). Identifying indicators sensitive to primary healthcare nurse practitioner practice: A review of systematic reviews. PLOS ONE, 18(9), e0290977.

    Gormley, E., Connolly, M., & Ryder, M. (2024). The development of nursing-sensitive indicators: A critical discussion. International Journal of Nursing Studies Advances, 7, 100227.

    Kleinpell, R., Kapu, A., & Borum, C. (2024). Measures of success: Making the case for advanced practice sensitive quality indicators. HCA Healthcare Journal of Medicine, 5(5), 605614.

    Requirements: Make a comment

  • Comment 1 NUR

    Defining Quality in Advanced Practice Nursing

    Quality of care delivered by an Advanced Practice Nurse must be measurable, objective, and outcome-driven. It is not defined by role description or scope alone. Instead, quality is demonstrated through patient outcomes, safety indicators, and system level impact. Monitoring quality requires structured evaluation methods that assess effectiveness, safety, access, and patient experience. Without measurable data, performance cannot be validated or improved.

    The literature consistently demonstrates that nurse practitioners provide care comparable to physician colleagues in primary care settings, particularly in chronic disease management and preventive services (Barnett et al., 2022). These findings show that outcome data should serve as the standard for evaluating quality rather than professional hierarchy.

    Clinical Outcome Measurement

    One of the most direct ways to measure quality is through clinical outcome indicators. These include disease specific benchmarks such as hemoglobin A1c levels in diabetes management, blood pressure control in hypertensive patients, lipid management, vaccination rates, and hospital readmission rates. These metrics reflect whether interventions are improving measurable health parameters.

    Systematic reviews indicate that advanced nurse practitioners achieve similar or equivalent patient health outcomes compared to physician led care models (Htay & Whitehead, 2021). Therefore, tracking these objective indicators provides evidence of practice effectiveness. Regular review of outcome trends also allows early identification of gaps in care and supports targeted quality improvement initiatives.

    Patient Safety and Performance Monitoring

    Quality monitoring must also include safety indicators. These measures include medication error rates, adverse drug reactions, preventable hospitalizations, and adherence to evidence-based clinical guidelines. Chart audits and peer review processes are practical tools for evaluating consistency and safety in practice.

    (Htay and Whitehead 2021) found no significant differences in safety outcomes between advanced nurse practitioners and physician-led care models. This reinforces that structured performance monitoring supports accountability and ensures ongoing reliability in clinical decision-making. Electronic health record systems also play a role in performance monitoring. EHR data can be used to generate reports on compliance with screening guidelines, chronic disease control rates, and prescribing patterns. Data analysis supports continuous improvement rather than reactive correction.

    Patient Experience and Access to Care

    Patient experience is another essential component of quality measurement. Satisfaction surveys, communication assessments, and shared decision-making evaluations provide insight into how care is delivered. While patient satisfaction does not replace clinical outcome data, it contributes to adherence, engagement, and continuity of care.

    Advanced Practice Nurses often improve access to primary care services, particularly in underserved populations. Measuring appointment wait times, continuity of care, and emergency department utilization helps determine whether APN practice models improve healthcare system efficiency. Increased access combined with maintained quality outcomes strengthens the evidence supporting APN roles in care delivery (Barnett et al., 2022).

    Continuous Quality Improvement

    Measuring quality is not a one-time process. Continuous quality improvement involves collecting data, analyzing trends, implementing targeted changes, and reassessing outcomes. APNs should actively participate in performance improvement initiatives, including root cause analysis when complications occur and development of corrective action plans when benchmarks are not met.

    The literature demonstrates that advanced nurse practitioners provide care that is at least equivalent in effectiveness and safety compared to physician led models (Htay & Whitehead, 2021). Ongoing monitoring ensures that these standards are maintained and improved over time.

    Quality of care delivered by an APN should therefore be evaluated through a combination of clinical outcomes, patient safety indicators, patient experience measures, and system level performance data. Structured measurement supports accountability, strengthens professional credibility, and promotes sustainable, evidence based practice.

    References

    Barnett, M. (2022, March 1). The level of quality care nurse practitioners provide compared with their physician colleagues in the Primary Care Setting: A systematic review. Journal of the American Association of Nurse Practitioners.

    Maung, H. (2021, June 17). The effectiveness of the role of advanced nurse practitioners compared to physician-led or usual care: A systematic review. International journal of nursing studies advances.

    Requirements: Make a comment

  • Course Project

    Purpose: This project is designed to help students apply psychotherapy theory and clinical reasoning using authentic, externally sourced, or real clinical material rather than fabricated cases. Students will analyze psychotherapy through observation, literature-based cases, or de-identified clinical encounters to demonstrate evidence-based application.

    Approved Case Sources: Students may select a case from one of the following:

    • A de-identified client from their own clinical practicum
    • A published psychotherapy case study from a peer-reviewed journal

    Project Components

    1) Case Summary & Clinical Context (20%)

    Students will summarize the selected care using information provided in the source.

    Required Elements:

    • Presenting concern(s)
    • Relevant psychiatric and psychosocial history
    • Key Mental Status Exam findings
    • Diagnosis or diagnostic considerations
    • Cultural, developmental, and psychosocial factors noted in the source

    2) Psychotherapy Modality Analysis (25%)

    Students will identify the primary psychotherapy modality used in the case OR propose the most appropriate evidence-based modality if none is specified.

    Required Elements:

    • Description of the modality
    • Rationale for use with this diagnosis/presentation
    • Evidence base from current literature
    • Indications and limitations
    • Appropriateness for this specific client context

    3) Treatment Plan Critique or Proposal (25%)

    Option A: Critique (if treatment plan is provided):

    • Analyze the strengths of the treatment plan
    • Identify gaps or areas for improvement
    • Discuss alignment with best-practice guidelines
    • Comment on feasibility and sequencing of interventions

    OR

    Option B: Evidence-Based Proposal (if no plan is provided):

    • Propose a general treatment approach based on guidelines and literature
    • Identify recommended frequency and duration
    • Outline phase-based goals (early/middle/termination)
    • Discuss how psychotherapy would integrate with medication management

    4) Observed Psychotherapy Techniques Analysis (15%)

    Students will analyze actual observed interventions from their source.

    Required Elements:

    • Identify at least 5 specific psychotherapy techniques used
    • Name and define each technique
    • Describe how each technique supports treatment goals
    • Evaluate appropriateness and timing of interventions

    5) Professional & Ethical Reflection (15%)

    Students will complete a reflective analysis focused on professional development rather than fictional dialogue.

    Required Elements:

    • Ethical considerations related to the case
    • Cultural humility and patient-centered care considerations
    • Scope of practice issues for PMHNPs
    • What the student learned about psychotherapy practice
    • How this case informs their future clinical approach

    Format & Submission

    • 10-15 pages total
    • APA 7th edition
    • Minimum of 8 scholarly references
    • Clear citation of case source
    • No fabricated dialogue, transcripts, or invented patient data permitted

    I NEED THIS PAPER LOOKED OVER, IT HAS TO BE 10-15 PAGES, APA 7TH EDITION, NO PLAGIARISM, NO AI DETECTION, PLEASE MAKE SURE THE CASE STUDY IS REAL, YOU CAN CHANGE IT UP IT YOU WANT. PLEASE READ THE INSTRUCTIONS AND MAKE SURE ALL THE POINTS ARE CORRECT IN IT EVEN IF YOU HAVE TO CHANGE MY INFORMATION. THANKS

    Attached Files (PDF/DOCX): HSA6128MarketingPlanExample2.pdf, MidtermMarketingPlanRubric.pdf

    Note: Content extraction from these files is restricted, please review them manually.

  • Course Project

    Purpose: This project is designed to help students apply psychotherapy theory and clinical reasoning using authentic, externally sourced, or real clinical material rather than fabricated cases. Students will analyze psychotherapy through observation, literature-based cases, or de-identified clinical encounters to demonstrate evidence-based application.

    Approved Case Sources: Students may select a case from one of the following:

    • A de-identified client from their own clinical practicum
    • A published psychotherapy case study from a peer-reviewed journal

    Project Components

    1) Case Summary & Clinical Context (20%)

    Students will summarize the selected care using information provided in the source.

    Required Elements:

    • Presenting concern(s)
    • Relevant psychiatric and psychosocial history
    • Key Mental Status Exam findings
    • Diagnosis or diagnostic considerations
    • Cultural, developmental, and psychosocial factors noted in the source

    2) Psychotherapy Modality Analysis (25%)

    Students will identify the primary psychotherapy modality used in the case OR propose the most appropriate evidence-based modality if none is specified.

    Required Elements:

    • Description of the modality
    • Rationale for use with this diagnosis/presentation
    • Evidence base from current literature
    • Indications and limitations
    • Appropriateness for this specific client context

    3) Treatment Plan Critique or Proposal (25%)

    Option A: Critique (if treatment plan is provided):

    • Analyze the strengths of the treatment plan
    • Identify gaps or areas for improvement
    • Discuss alignment with best-practice guidelines
    • Comment on feasibility and sequencing of interventions

    OR

    Option B: Evidence-Based Proposal (if no plan is provided):

    • Propose a general treatment approach based on guidelines and literature
    • Identify recommended frequency and duration
    • Outline phase-based goals (early/middle/termination)
    • Discuss how psychotherapy would integrate with medication management

    4) Observed Psychotherapy Techniques Analysis (15%)

    Students will analyze actual observed interventions from their source.

    Required Elements:

    • Identify at least 5 specific psychotherapy techniques used
    • Name and define each technique
    • Describe how each technique supports treatment goals
    • Evaluate appropriateness and timing of interventions

    5) Professional & Ethical Reflection (15%)

    Students will complete a reflective analysis focused on professional development rather than fictional dialogue.

    Required Elements:

    • Ethical considerations related to the case
    • Cultural humility and patient-centered care considerations
    • Scope of practice issues for PMHNPs
    • What the student learned about psychotherapy practice
    • How this case informs their future clinical approach

    Format & Submission

    • 10-15 pages total
    • APA 7th edition
    • Minimum of 8 scholarly references
    • Clear citation of case source
    • No fabricated dialogue, transcripts, or invented patient data permitted

    I NEED THIS PAPER LOOKED OVER, IT HAS TO BE 10-15 PAGES, APA 7TH EDITION, NO PLAGIARISM, NO AI DETECTION, PLEASE MAKE SURE THE CASE STUDY IS REAL, YOU CAN CHANGE IT UP IT YOU WANT. PLEASE READ THE INSTRUCTIONS AND MAKE SURE ALL THE POINTS ARE CORRECT IN IT EVEN IF YOU HAVE TO CHANGE MY INFORMATION. THANKS

  • RESEACH PROJECT NURS 612

    Unit 3 IP Assignment

    Complete a literature review of 8 supporting evidence-based research articles based on your PICOT research question that you developed in Unit 2. Use the literature review template to complete this assignment: .

    Complete the following:

    • Use the CTU Library to locate at least 8 scholarly articles that will support your PICOT question. The articles should not be more than 5 years old.
    • After you have identified the articles to support your research question, use the provided literature review template to break down the articles, gather the important points of the articles, and determine how the articles directly support your PICOT question.
      • The goal of completing this template is to use it as a resource when developing your final project, rather than having to refer back to all of the articles.
      • The content that you add to the template does not have to be in APA format, with the exception of actual references for the articles that you are using to support your PICOT question.
      • Take care to be thorough when completing the table. This will become a valuable resource for you when working on your final assignment, if done correctly.
      • Complete each cell in the table by providing all of the required information for each column. An example is provided in the literature review template to help guide you as you review your selected articles
    • PICOT Question
    • In adults with type 2 diabetes in primary care settings (P), how does nurse-led diabetes self-management education (I), compared with usual brief discharge or visit teaching (C), affect HbA1c levels and self-care behaviors (O) over 6 months (T)?
    • please use this template as an example and use these articles. 8 scholarly articles should be in the chart table and citations in APA format.

    Requirements: 4 pages

  • Summarize

    summary

    Attached Files (PDF/DOCX): Article 35.pdf, Article 35.pdf

    Note: Content extraction from these files is restricted, please review them manually.